Permit CITY OF TIGARD BUILDING PERMIT
a COMMUNITY DEVELOPMENT Permit #: BUP2010 -00213
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/21/2010
Parcel: 2S113AB01201
Jurisdiction: TIGARD
Site address: 16290 SW UPPER BOONES FERRY RD
Subdivision: PACTRUST BUSINESS CENTER Lot: 0
Project: Dow Aerosciences
Project Description: Interior TI
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 Permit Fee - Additions, Alterations, 09/21/2010 $1,311.31
PORTLAND, OR 97224 Demolition
PHONE: 503- 624 -6300 12% State Surcharge - Building 09/21/2010 $157.36
Plan Review 09/21/2010 $852.35
Plan Review - Fire Life Safety 09/21/2010 $524.52
Contractor: Metro Const. Excise Tax - Commercial 09/21/2010 $160.80
DURUS CONTRUCTION LLC Use
15806 UPPER BOONES FERRY RD
LAKE OSWEGO, OR 97035
PHONE: 503 - 320 -8601
FAX: 503- 244 -4318
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $134,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,006.34
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors: No
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952-001-0100.
1 7 2 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by callin 503.246.6699 or 1.800.332.2344.
Issued By: . ! - - Permittee Signature:
CCeecfrivio
CaII 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project
Approved plans are required on the Job site at the time of each inspection.
J.
Building Permit Application RE F P i '''
Commercial FOR OFFIC1; I}s1; O
SEP 2 2010
City of Tigard Received DateB : 9��o t i.�' Permit No . /44/ 0 .2 0/1 00a 2
. C V 13125 SW Hall Blvd., Tigard, OR 97223 CITY OF TIGARD Plan Review M.,�� li� Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 DateB
-1 -1(; n RI) Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready : •: ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Ma Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
X Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
13 1- and 2- family dwelling X Commercial/industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
1:3 Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: J 429 0 J6w u C F�V AD . New dwelling area: square feet
City/State /ZIP: �1tes t a E ` 7�24. Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: JiAj X 640 ^ + ia-N( , Covered porch area: square feet
Cross street/directions to job site: hk5 /V l `6 000135r-1 RD Deck area: square feet
t N.6 • Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
INjioe. - i - Valuation: $ /3 4 / e.t 1 0
Existing building area: 37/ iq 0 square feet
New building area: (/) 25 square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: iR,(!s-T Type of construction:
Address: 1 s3 .5 4 , s py �) , ) � Occupancy groups: _/�
City /State /ZIP: n/D1 OK . .7ZZ Existing: 5 g
Phone: (j C'5) 6 aZ Li_ G 30 19 Fax: 50, ) 6 o] f{- 7 7 S 5 New: 3
15:( APPLICANT ❑ CONTACT PERSON NOTICE
Business name: ./Ji ( I S Cct.1SIP All contractors and subcontractors are required to be
Contact name: Act licensed with the Oregon Construction Contractors Board rIS under ORS 701 and may be required to be licensed in the
Address: 16 83C0 S IA) •te!s fextvi Ro4LD jurisdiction in which work is being performed. If the
City /State /ZIP: LAk ( Uk applicant is exempt from licensing, the following reasons
n (Fax: apply:
Phone: a) 320 - 8( o f : (503)44 gl SF 4
E -mail: G9-1_14{• ()Ktr 1,1.5 /1c . L e ►M
CONTRACTOR
Business name: 6,1.1E A f•+ ' UQN7 BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP:
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: ) !� 5- g5- 1
Total fees due upon application:
Amount received: 'g .3/
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: c ./ J e A da .s Date: cj 1/, Q • Fee methodology set by Tri-County Building Industry
Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(11 /02/COM/WEB)
I N
; a Building Division
Accessibility: Barrier Removal Improvement Plan
T 1 G \R1)
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds tvventy-five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [11' $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given . . •
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $ .
(b) An accessible entrance: $
•
(c) An accessible route to the altered area: , $
•
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, • $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
•
•
''''U___ A C■/r5l Rz-F----
C \Building \ Permits \BUP -COM PermitApp.doc 06/25/08
. o
B uilding Division
Plan Submittal Requirements
- r I ( A R D Commercial & Multi- Family - New, Additions or Alterations
1. SITE PLAN (fully dimensional, drawn to scale) labeled with:
A. El map & tax lot # ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking, including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape -ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations, plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit - based on valuation of project.
4. EXTRA SET OF THE FOLLOWING:
A. Two (2) copies of site plan to include vicinity map.
B. One (1) copy of erosion control plan with details.
C. Fire Department Building Survey, and full set of architecture drawings.
I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08
4
I II I II
C ° Building Division
Plan Submittal Requirement Matrix
T I l i i\ R D Commercial & Multi- Family - New, Additions or Alterations
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 2
Fire Protection System 2
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington
County, and Tualatin Valley Fire & Rescue)
I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08
51 I ° Building Division
Over-The-Counter (OTC) Building Permit
T i �' n ii ° '- - Check List
TT Description of Project: l
GENERAL INFORMATION
Class of Work:* Floor Areas (sq. ft.): Exterior Wall Construction:
Type of Use:* M First floor: N: S:
Type of Construction: Second floor: E: W:
Occupancy Group: Third floor: Openings Protected Y /N ?:
Occupancy Load: it Total sq ft.: N: S:
Stories: ( _ Note: Combine total floor area for E: E:
Height: _ all floors above third floor and Roof Construction:
Floor Load: add to the third floor s . ft. Fire Retardant:
Basement: Basement: Area Separation Rated:
Mezzanine: _ Garage: Occu. Separation Rated:
REQUIRED ITEMS
Fire sprinkler: YE Handicap access:
Smoke detector: Protected corridors:
Fire alarm: Parking spaces ( #):
Notes:
Total Valuation: $ 4 j coo
INSPECTIONS 1 FEES DUE I
Footing /foundation Firewall $ r Permit Fee
Post /beam structural Smoke detector $ ---- jra,f_ State Surcharge
Shear wall Misc. inspection $ l Plan Review Fee
Masonry Approach /sidewalk $ 4 ' + " Z FLS Plan Review Fee
Framing $ Additional Permit Fee
Insulation Sprinkler rough -in $ Additional Plan Review Fee
Gyp board Fire alarm $ ((00, EC Metro Construction Excise Tax
Suspended ceiling Sprinkler final $ School Construction Excise Tax
Final inspection $ Misc. Fee
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Other:
$- Total Fees D e
N (0.3A- .
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW = new OTR = other (use for fences, decks, retaining walls, signs, awnings
or canopies); REP = repair.
I: \Building \Forms \OTC - BUP.doc 08/19/08