Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2011 -00208
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/27/2011
Parcel: 25101 BC00201
Jurisdiction: Tigard
Site address: 8255 SW HUNZIKER RD 103
Project: RGIS Subdivision: Lot:
Project Description: Adding three offices to suite 103
Contractor: ROBERT TODD CONSTRUCTION INC Owner: JOHANSON TRANSPORTATION SERVICE
4080 SE INTERNATIONAL WAY 8113 5583 E OLIVE AVE
MILWAUKIE, OR 97222 FRESNO, CA 93727
PHONE: 503 - 653 -5704 PHONE:
FAX: 503 - 653 -5729
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 09/27/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 09/27/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 09/27/2011 $256.22
Stories: 0 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 09/27/2011 $30.75
Value: $11,300 Plan Review 09/27/2011 $166.54
Plan Review - Fire Life Safety 09/27/2011 $102.49
Info Process /Archiving - Sm Sheet (up to 09/27/2011 $0.50
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $629.50
Required: Required Items and Reports (Conditions)
Fire Sprinkler: 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 issu- • , or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificati• - nter. T •se rules are set forth in OAR
952 - 001 -0010 through OAR 952- 001 -0090. You may obtai - • • of th. ules or •I -. questions to OUNC by calling 5 •.1987 or 1.7'00.332.2 4.
Issued B, I - ermittee Signature: /i� /A ,p
Call 50 .• 7 .y 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.
Building Permit Application
Commercial FOR OFFICE USE ONLY
' Received ,
City of Tigard 13125 SW Hall Blvd., Tigard, OR 97 DateB : �� Permit No.:
M
�0�� Plan Review ^ Other Permit. .
Phone: 503.718.2439 Fax: 503.598. By:
TIGARD Inspection Line: 503.639.4175 e�0 ate Date/ ReadyBy: ie. 6te Page 2 for
Internet: www.tigard or.gov sc \ Iotified/Method: Supplemental Information
v _
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 ID Other: equipment, materials, labor, overhead, and the profit for the
` CATEGORY OF CONSTRUCTION work indicated on this application.
El 1- and 2- family dwelling mmercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION ND LOCATION Total number of floors:
Job site address: ` . , I / 0 New dwelling area: square feet
City /State /ZIP: 164_4 , fJ c 7 7 Garage /carport area: square feet
t (
Suite/bldg. /apt. no.: 10, Project name: R V 1- Covered porch area square feet
Cross street/directions to job site: 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.
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.
lit
/ 3 O ( 1 �r C v Valuation: $ //, 3 o
"JI�+1`f�� Existing building area s feet
New building area: square feet
P. ' ' OPERTY OWNER I ❑ TENANT Number of stories:
Name: J .f. 4 A. /7L.-•,,,,' a 1 Type of construction:
Address: 925 54, /c t/Z Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
] , t-r4-'geJ Structural plan review fee (or deposit):
Contact name: ' *►1' FLS plan review fee (if applicable):
Address:
City /State /ZIP: Total fees due upon application:
Phone: ( ) I Fax:: ( ) Amount received:
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONT C O ' Commercial and residential prescriptive installation of
roof -top mounted Photo Voltaic Solar Panel System.
Business name: a ITV -`FAr ' , Submit two (2) sets of roof plan with connection details
V r and fire department access, along with the 2010 Oregon
Address: ( Solar Installation Specialty Code checklist.
/ . yy�� n Permit fee (includes plan review City /State /ZIP: ` 4 / � - V 2 2i7� $180.00
II'' �t and administrative fees): Phone: 50 k5' S O Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: 7 ' Total fee due upon application: $201.60
Authorized signature: � This permit application expires if a permit is not obtained
_ �� .�i within 180 days after it has been accepted as complete.
_� ,
Date: * Fee methodology set by Tri- County Building Industry
Print name:
�� r �I, Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(I1/02 /COM/WEB)
r
1
lig III 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 03/03/2011
,
11111
S 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. ❑ 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 03/03/2011
1 11111 . w Building Division
Plan Submittal Requirement Matrix
T I 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 3
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
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), if applicable.
I: \Building \Permits \BUP -COM PerrnitApp.doc 03/03/2011
° Building Division
Over- The - Counter (OTC) Building Permit
T l c n li D Check List
Project Description: 1 l
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: (_7 Occupancy Group: Type of Construction:
*Type of Use: C1_ Occupancy Load: Oregon Specialty Code: (('-,
SPECIFICS
Number of Stories: 2_ 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: Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ I > FEES DUE
$ A d. DC Prov Rvw, COM TI — Ping
, I# DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ , Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ i 7- 5 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ tirOM, Plan Review, Structural
$5,000 - $74,999 $64.00 $9.00 $ • Plan Review, Fire Life Safety
$75,000 - $149,999 $160.00 $24.00 $ Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $256.00 $38.00 $ , 50 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. Admin Fee
Permit Coordinator: $ Other:
$ Other:
Building Staff: $ Other:
Date /Time: $ ; !b 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;
IND = 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
S A5'S Su° * t464—e k e e
II I
Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: Q1./' I/ —Od deg L1�Expedited Review
Plan Submittal Date: 9 - 21 - 1l
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 e 1�G rY Ca', Aes at 503-718-.24 37 or Gkery f G @ tigard- or.gov)
VI Zoning 1 - P Permitted Use Yes No ❑
Ip Land Use Required: Yes ❑ No ® (explain below)
Notes: 'tr.-14...i ui a Rtl * 4 i *eV W i 4 cx.;s4 ftI aka_ SPar.4
7 ,1 Approved ❑ Not Approved Date: l 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
w u .1 . .1 - .n. .11 1 .. I .
8255 SW Hunziker Ave 1 1 1 III III
Suite 103 Window covering resized _
(where needed) to
Tigard, OR 97224 Move Out let / 2 new
then cleaned
conform to new walls and
from wall to o utl ets
;
Scale: V in to 1 ft this location
This area not part of = -
Suite 103 H-0
/ \ New Outlet : -
New Outlet Move 2
O utlet(s) from
Door wall to this
opening and r
location
new door Disable .�
(no window) Switch
Removal of door /window �,;� ill
and replace with wall �, „-.
(save for later use) �t , 1 1 1
4.
II
: 11
111
v 111
Carpet to stay, as is in f ' _ Old Outlet
Switch to be disabled and P Y -, location
hidden from sight th is room _ ` __
4 .4”
Vinyl wallpaper taken
Switch I Removal of
down; wall repairs and controls Power Post
k- paint; new molding as Room B only
well Switch to
_ control all
This area not part of -v
Suite 103 ,,> Flo or and molding to rooms except
' Make switch three -way stay, as is in this room. 411 Room A & B til e_ =
and functional for lighting .. i
W repairs and paint
in this room only (current P P __
light circuit controls in like are all that is required in
,E,:c manner) this room
Re p lace
o utlet with z
i - Existing GFI outlet
CD sink/cabinet
z ` A Mail Entrance — inside Hallway
I CITY OF TIGARD
l}i -,'ii■ . � !
- Co Approved .
See Letter to: Follow....... ..
Inside Hallway A . ;ed.
Permit Nu *ben • . -• — 4 , 4• 0 g
/ V Z (`) By: ;Mi Da %� fi/
10
6 eiG_- oc.
OFFICE COPY