Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2011 -00063
Date Issued: 03/30/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S101 DC00200
Jurisdiction: Tigard
Site address: 13535 SW 72ND AVE 165
Project: Workflow One Subdivision: 72ND AVE OFFICE BUILDING Lot: 0
Project Description: TI
Contractor: PACIFIC CREST STRUCTURES INC Owner: PNWP LLC #2
17750 SW UPPER BOONES FERRY RD SUITE BY PACIFIC NW PROP LTD PTNSP
190 PO BOX 2206
DURHAM, OR 97224 BEAVERTON, OR 97075
PHONE: 503 - 968 -8949 PHONE:
FAX: 503 - 598 -6658
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 03/30/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 03/30/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 03/30/2011 $301.85
Stories: 2 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 03/30/2011 $36.22
Value: $14,500 Plan Review 03/30/2011 $196.20
Plan Review - Fire Life Safety 03/30/2011 $120.74
Info Process /Archiving - Lg Sheet (over 03/30/2011 $2.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $730.01
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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 may ob • - • - es or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ■Br — ermittee Signature:
II 50 e- by 7:00 a.m. for the next available inspection date.
This permit cards all 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.
Building Permit Application
Commercial 0 FOR OFFICE USE ONLY
City of Tigard Received Date /B : V'� Permit No.: ill•
13125 SW Hall Blvd., Tigard, OR 0 �V! \�
2 Phone: 503.718.2439 Fax: 503.598 -6Q �Q Plan Review A I:t Nom Other Permit:
D ate /B : E/
T 1 GA R D Inspection Line: 503.639 O's �� Date Ready -y: Juris: ® See Page 2 for
Internet: www.tigard- or.gov in ^ � � � ` ` C-� � Notified/Method: Supplemental Information
TYPE OF W d , _r.' -. V 1 REQUIRED DATA 1- AND 2- FAMILY DWELLING
❑ New construction ❑ D" olition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
a 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 111 Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13535 sw 72 Ave New dwelling area: square feet
City /State /ZIP: Tigard, OR Garage /carport area: square feet
Suite/bldg. /apt. no.: 165 Project name: Workflow One TI Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
,h)1 ' D DATA COMMERCIAL -USE CHECKLIST
Subdivision: 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.
Demo of 1 office, new walls for 2 new offices and break room. Valuation: $$14,500.00
Existing building area: 1,784 square feet
New building area: - square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 2
Name: Pacific NW Properties Type of construction: II -B
Address: 6600 SW 105 Ave Occupancy groups:
City/State /ZIP: Beaverton Oregon 97005 Existing: B
Phone: ( ) Fax: ( ) _ New: B
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
B
1
usiness name: Mildren Design Group (Please rs/earMrs +srJidnlr�
Structural plan review fee (or deposit):
Contact name: Curt Trolan
FLS plan review fee (if applicable):
Address: 7650 SW Beveland St Ste 120
Total fees due upon application: ]} 73 0 v'
City/State /ZIP: Tigard Oregon 97223 T
Phone: (503) 244 -0552 Fax: : (503) 244 -0417 Amount received:
E -mail: curt @mdgpc.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: Pacific Crest Structures Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 17750 SW Upper Boones Ferry Rd. ste 160 Solar Installation Specialty Code checklist.
City/State /ZIP: Durham Oregon 97224 Permit fee (includes plan review $180.00
and administrative fees):
Phone: (503) 968 -8949 Fax: (503) 598 -6658
State surcharge (12% of permit fee): $21.60
CCB lic.: 66915
Total fee due upon application: $201.60
Authorized signature: /i � This permit application expires if a permit is not obtained
/4 within 180 days after it has been accepted as complete.
Print name: Curt Trolan Date: 3/29/2011 * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building\Permits \BUP -COM PermitApp.doc 02/24/2011 440-461 3T(1 I /02 /COM /WEB)
• B uilding Division
T [GAR [� Over - The - Counter (OTC) Building Permit
Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: LT Occupancy Group: Type of Construction: 2:(
*Type of Use: CO -Xt Occupancy Load: t Oregon Specialty Code: 7_6 i
SPECIFICS
Number of Stories: 'f Building Height Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT - SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport: Mezzanine:
SETBACKS
Sideyard Setback — Left Sideyard Setback — Front
Sideyard Setback — Right _ Sideyard Setback — Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access. Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: j Fire Alarms: (1 Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ I A "_� FEES DUE
$ �4 , Si DC Prov Rvw, COM TI — Ping
$ '�4P DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ 511 . f Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ ; 2• 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ iiaF1/' Plan Review, Structural
$5,000 - $74,999 $64.00 $9.00 $ Mr Plan Review, Fire Life Safety
$75,000 - $149,999 $160.00 $24.00 $ Z ,(' /Y Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $256.00 $38.00 $ Info Proc /Arch, Sm (up to 11x17 $0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
Planning Staff: $ Hourly Rate State Surcharge
$ Misc. Admix Fee
Permit Coordinator: $ Other:
$ Other:
Building Staff: $ Other:
Date /Time: $ — 1W,o1 TOTAL FEES DUE
*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.docx 01/13/2011
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): $
t- SS tPLP
I: \Building \Permits \BUP -COM PermitApp.doc 03 /03/2011
It r (o 5
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D“--; CR
B uilding Division
Development Code Provision Review
T t c ►i ° Commercial Projects - No Associated Land Use Case
Building Permit No: ,g21PDr) l 1 OCO(o3 El Expedited Review
Plan Submittal Date: 3 - 30 —I I OTC
To the Applicant:
➢ If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
➢ If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approved.
Planning Review (contact C key L n e f at 503 - 718- ° 743 7 or C C r c @tigard - or.gov)
II Zoning C - P Permitted Use Yes NI No ❑
14 Land Use Required: Yes ❑ No IZ1 (explain below)
Notes: T n o r r^tw‘o del Dr 'C.1C!6 5p NC dr4 c.¢ s e_e
B (4.;/d; n w as eor► .rirucied c-' OP6 ce- h�� /d;Pi 0111111114064 -44)2.7000 - oval.
6f -i4 oct Wlrl /It4 ore._ eid Gu•.,tn4- .5e .v , et.$,
,„„.. A. 1r Cl.i S }�; I�v�ki�K S ter'v i e Q 3 . ND a;$4,-; �Jt�-l+ U� Of pro alu. . jarl
a+ -VS ) 1 oc o:6 0A.
J Approved ❑ Not Approved Date: 3 - 3 v -(1
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @ tigard- or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN