Permit tr!
CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2010 -00259
1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/07/2010
'TIGARD Parcel: 2S101 DA00104
Jurisdiction: Tigard
Site address: 13333 SW 68TH PKWY, STE# 220
Project: ACS Subdivision: FARMERS INSURANCE Lot: 0
Project Description: TI. Second floor improvement. (10,240 sq ft)
Contractor: SD DEACON ENTERPRISES Owner: TRIANGLE POINTE LLC
901 NE GLISAN ST #100 901 NE GLISAN ST #100
PORTLAND, OR 97232 PORTLAND, OR 97232
PHONE: 503 - 297 -8791 PHONE:
FAX: 503 - 297 -8997
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 12/07/2010 $880.05
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 12/07/2010 $105.61
Stories: 0 Height: 0 ft Plan Review 11/23/2010 $572.03
Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 11/23/2010 $352.02
Value: $70,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,909.71
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: No
Smoke Detectors: Yes 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 uspended for more the 180
days. ATTE'. - : • egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those les are set forth in OAR
952 -00 110 through OAR •52 -1 : r90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.231.1987;or 1.800.33'.2344.
Iss d By: I if, _4 JL` r' ` Permittee Signature:
\ r
CaII 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
V Building Permit Application ACS EXPANSION, 2nd FLOOR TENANT IMPROVEMENT
Commerc><a �` FOR OFFICE USE O \LY
■ C l Of Tl and Received
Permit No
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IN a 13125 SW Hall Blvd., Tigard, OR 97223'y a eZ 1Q Plan Review �A +�, Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 V 1 J DateB : .. „,A � i� J ■e
T1G.'�RD Inspection Line: 503.639.4175 \v ` P�Q l Ready/
By: f �y
- Internet www ttgard or gov i \n ve otified/Method: 1 3 c i Iri"7r J ^ VI See Page 2 for
Supplemental Information
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WEEEIN
,� 3: 0 OR ` /� UIRED DATA 1 AND 2' FAIYfILVG
4i_ ,_, �.,, � n - r ._ .� - . ��. >�..�P ., , m 2 a n t �rx � ...R . X,..3fi9�.t�6
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
r �� �,%�e y a work indicated on this application.
CATEGOI2 a OFk,GONSTRUCTIUN VO y PP
❑ 1- and 2- family dwelling ® Commercial/industrial Valuation: $ 70 000
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
a e�� "sir k. 'r } xi Ott'€ '
,%I JOB O INFORMATION AND LOCATION Total number of floors:
Job site address: 13333 SW 68 PARKWAY New dwelling area: square feet
City /State /ZIP: TIGARD, OR Garage /carport area: square feet
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Suite/bldg. /apt. no.: 220 Project name: 2ND FLOOR ACS EXPANSION Covered porch area: square feet
Cross street/directions to job site: SW 68 PKWY AND I -5 Deck area: square feet
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.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.:
equipment, materials, labor, overhead, and the profit for the
,� ' DESCRIPTION of WORK s � work indicated on this application.
7995 SF OFFICE TENANT IMPROVEMENT aluation:
, . $70,000
NT
Existing building area: 10240 square feet
New building area: 10240 square feet
d PROPERTY OWNER TENANT Number of stories: 5
Name: TRIANGLE POINTE, LLC Type of construction: II -A
Address: 901 NE GLISAN ST Occupancy groups:
City /State /ZIP: PORTLAND, OR 97232 Existing: B
g�
Phone: (503)2978791 Fax: (503)2978997 New: B
IIIMPO-Wilai&VMOINP � : ❑ CONTACT PERSON ' 7r Nm €
. Business name: SAME AS ABOVE All contractors and subcontractors are required to be
Contact name: KENDRA HOWELL licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: SAME AS ABOVE jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
y:
Phone: ( ) I Fax:: ( )
E -mail: kendra.howell @deacon.com
nf! CONTRACTOR z
Business name: SD DEACON ENTERPRISES "'BUH,DTNGPEBWEErES* fi IV
Address: 901 NE GLISAN ST .,,5. ..,-..-.. t lP1ease,0 e,Ofjeesclieddule , -:
Structural plan review fee (or deposit): 421.21
City /State /ZIP: PORTLAND OR 97232
.FLS plan review fee (if applicable): 259.21
Phone: (503) 2978791 I Fax: (503) 2978997
CCB lie.: 77875 A Total fees due upon application: 689 742 , ! t v S
A: { ' Amount received: g 9
Authorized signature: `' � ' This permit application expires if a permit is not obtained
1 1.22.10 within 180 days after it has been accepted as complete.
Print name: KENDRA OWELL Date: * 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) /1 t,kOF■0
�, °1 Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
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 twenty -five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $ 70,000
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [ $ 17,500
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 $ COMPLETEIp
(b) An accessible entrance: $ COMPLETED
(c) An accessible route to the altered area: $ COMPLETED
(d) At least one accessible restroom for each sex or a single unisex 25,000
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [21 of Valuation Computation): $ 25,000
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I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08
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