Permit CITY OF TIGARD BUILDING PERMIT
t
- l: - COMMUNITY DEVELOPMENT Permit #: BUP2010 -00246
T IARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/09/2010
G
Parcel: 2S 101 AD03500
Jurisdiction: Tigard
Site address: 6600 SW HAMPTON ST
Project: Quest Diagnostics Subdivision: Lot: 0
Project Description: TI
Contractor: ANDERSEN CONSTRUCTION CO Owner: PACIFIC REALTY ASSOCIATES
6712 N. CUTTER CIRCLE 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97217 PORTLAND, OR 97224
PHONE: 503 - 519 -5949
PHONE: 503 - 624 -6300
FAX: 503 - 283 -4393
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 12/09/2010 $804.75
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 12/09/2010 $96.57
Stories: 1 Height: 0 ft Plan Review 11/09/2010 $523.09
Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 11/09/2010 $321.90
Value: $60,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,746.31
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors: ,
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 -0090. You ma • • -', a copy of the rules or direct questions to OUNC by calling 503.232.1987 or . 0.332.2344.
Issued By
� •• Permittee Signature: /2;e4;4.../X1)
A t : 11 503.639.4175 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.
' A
1 Building Permit Application %
Commercial G�
�� R OFFICE ONLY
� Ho o H c use of L
0�
City of Tigard ` 1 a DateB 1 � Permit No.: ' D °, 0.—
° 13125 SW Hall Blvd., Tigard, OR 97223 QV C`O
Pl an Review
D Phone: 503.639.4171 Fax: 503.598.1960 N -\\C'' S \O\ DateB y YOU ® Other Permit. � 1�f /Lo _..�
`1
I" I G A R D Inspection Line: 503.639.4175 \ 0 GO� Date Ready/By: ® See Page 2 for
Internet: www.tigard- or.gov G \ �O\� Notified ethod: '71 le'll D om ` / mss 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
Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling Commercial /industrial
Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: o6 00 S Gfi/ O f — I f� /^C - New dwelling area: square feet
City /State /ZIP: / /� /LP/ OW t P n 1 7.-,2-.3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Proj�ct name u. &s. f D)` f~hGr Covered porch area: square feet
✓ r/.
Cross street/directions to job site: O /1-/ � 11e 14 et S:1-41) fl, 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 work indicated on this application.
i /...0,/,,,/, Pi/...0,/,,,/, I^ wcp/p� /� r� Valuation: $ 60 d Q d
ef P. >' trot K j? o o, < Cv it Ja�ru
"Id Existing building area: 4/3 7 z 0 square feet
gOt9m _r/�avve- /�'2wt_ .c 3 o es • —
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
/
Name: / � 1 k!J . S /it- J Type of construction: // _, B 1 - -- --: - 4/., s n/k _ /
Address: ✓ Occupancy groups:
City /State /ZIP: Existing: _
Phone: ( ) Fax: ( ) New: —
g APP ` LICANT A CONTACT PERSON NOTICE ,Q
Business name: el ,S ( ry 0 _ 6 ` c _ All contractors and subcontractors are required to be
Contact name: D ,, e _ &// ` e o3) 70 f_ S6 2.e2 licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: lP 7/2- A/o, �j.fey— . C r ip G /, G jurisdiction in which work is being performed. If the
City /State /ZIP: pr. 0 r- Oo Z. applicant is exempt from licensing, the following reasons
apply:
Phone: (�03 ) xri... o / l.Z / I Fax: : (50.3) Z r‘ - Z//
E- mail: ( t / /,. rg k, ,e4 -'S'G. —Go iL,fT. G a M _
CONTRACTOR
Business name: A je r &lam Co b., s7 e! 0 ,„, C , )r G BUILDING PERMIT FEES*
(Please refer to fee schedule)
Address:
Structural plan review fee (or deposit):
City /State /ZIP:
FLS plan review fee (if applicable):
Phone: ( ) Fax: ( )
CCB lic.: v {
3 D 3 Total fees due upon application: j�1.1 iq
g � J„,f/ Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: /7 J a /L "t / / Date: i/ 9— 2.19 / 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)
■
11111 1111 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] $
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): $
I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08
_ Building Division
Plan Submittal Requirements
T I G 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 El 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: \Buil ding \Permits \BUP -COM PermitApp.doc 06/25/08
71 : . . Building Division
Plan Submittal Requirement Matrix
T l G A 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)
1:\ Building \ Permits \BUP -COiM PcmutApp.doc 06 /25/08
Inspections Required for Permit No.: 13()F 2oo -OCR ,
Permit Permit Permit Description Permit Permit Permit Description
Code Type Code Type
01 BUP Building — structural 07 SIT Site Work
02 ELC Electrical 08 SWR Sewer Connection
03 ELR Restricted Energy 09 FPS Fire Protection
04 MEC Mechanical 10 RER Re -Roof
05 MST Master — residential combination 11 CMS Commercial Manufact. Structure
06 PLM Plumbing 12 SFM Single - Family Manufact. Structure
✓ Req'd Insp Inspection Description J Re Insp Inspection Description
Inspection Code Inspection Code
Building (structural) inspections Electrical inspections
205 Footing 105 Underground/slab cover
210 Foundation walls 110 Temporary electrical service
215 Footing drain 115 Electrical service
220 Slab 120 Electrical rough -in
225 Post/beam structural 125 Wall cover
230 Underfloor insulation 130 Ceiling cover
235 Shear walls /anchors 135 Low voltage
240 Exterior sheathing 140 Sign installation
242 Interior shear walls 145 A/C or heating unit circuit
, 245 Firewall 150 Hot tub /spa/pool
250 Roof nailing 195 Misc. inspection
255 Wtr proofing basement walls 199 Electrical final
260 Tilt -up panel
265 Masonry
270 Reinforcing steel (rebar) Mechanical inspections
275 Framing 605 Post/beam mechanical
280 Insulation 610 Gas line
285 Drywall nailing 615 Mechanical rough -in
287 Suspended ceiling 620 Hydronic piping
289 Approach/sidewalk 625 Duct work
295 Misc. inspection: 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
Fire Protection System inspections 695 Misc. inspection
905 Sprinkler underfloor /slab 699 Mechanical final
907 Sprinkler hydro test
910 Sprinkler rough - in/test
915 Fire alarm rough -in Plumbing inspections
920 Suppression trip test 305 Plumbing underslab
995 Misc. inspection 310 Crawl drain
998 Alarm final 315 Post/beam plumbing
999 Sprinkler final 320 Plumbing rough -in
322 Shower pan
Site Work inspections 330 Water service
405 Excavation 335 Rain drain
410 Fill 340 Storm drain
415 Grading 345 Culvert/catch basin
420 Sprinkler supply lines 350 Septic tank
495 Misc. inspection 395 Misc. inspection
498 Grading final 399 Plumbing final
499 Final inspection
Manufactured Structure inspections Sewer inspections
805 MFG - Structure grading/footing 505 Sanitary sewer
810 MFG - Structure set -up 585 Misc. inspection
899 MFG - Structure final 599 Final inspection
INSPECTOR SIGNATURES ARE NOT REQUIRED ON THIS DOCUMENT.
SITE COPY
64-09010
This form is recognized by most Building Departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
BUILDING DIVISION
TIGARD TRANSMITTAL LETTER
a
TO: Dan Nelson DATE RECEIVED:
•
DEPT: BUILDING DIVISION
•
FROM: Devin Kleiner
COMPANY: Perkins +Will
PHONE: 206-381-6012 By:
RE: 6600 SW Hampton Street BUP2010 -0246
(Site Address) (Permit/Case Number)
Quest Diagnostics
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 1 Revisions: LS -010
Cross section(s) and details. Wall bracing and /or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
•
Other (explain):
REMARKS: Refer to letter and revised drawing LS -010 for itemized explanations of requested
conditions.
FOR ourcx USE ONLY
Routed to Permit Techniician.- Date: X•/3 11c> Ini t i als :
Fees Due: n Yes Fee Description: Amount Due:
Special
Instructions:
Reprint Permit (per PE): n Yes F . No n Done
Applicant Notified: _ Date: Initials:
1:1 Building\ Forms UransminalLetter- Revisions.doc 4/4/07