Permit CITY OF TIGARD BUILDING PERMIT
11 11. COMMUNITY DEVELOPMENT Permit #: BU P2011 -00243
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11(17!2011
Parcel: 2S113AB00600
Jurisdiction: Tigard
Site address: 16125 SW 72ND AVE
Project: St. Jude Medical Center Subdivision: COUNCIL VIEW ACRES (LOTS 21 -44) Lot: 30
Project Description: TI
Contractor: CONWAY GENERAL CONTRACTING INC Owner: PACIFIC REALTY ASSOCIATES LP
11640 NE MORRIS ST ATTN: N PIVEN
PORTLAND, OR 97220 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 -519 -1716 PHONE:
FAX:
FEES
Specifics: , Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 11/17/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 11/17/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 11/17/2011 $256.22
Stories: 1 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 11/17/2011 $30.75
Value: $12,000 Plan Review 11/17/2011 $166.54
Plan Review- Fire Life Safety 11/17/2011 $102.49
Info Process /Archiving - Lg Sheet (over 11/17/2011 $18.00
Floor Areas: 11x17)
Info Process /Archiving - Sm Sheet (up to 11/17/2011 $6.00
Total Area: 0 11x17)
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $653.00
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: No 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 obt -•.. y- 'e rules or direct questions to OUNC by calling 50 2.1987 or 1.800.332.2344.
__
Issued By 4 i" r - - rmittee Signature:
al f .4175 by 7:00 a.m. for the next available inspection date.
This permit car. • . 0 - e 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 Received FOR OFFICE USE OLNLY ,.....c) Cit of Tigard Ir rg PermitNo.: ' i a..,o f A., 1. i i
C v 13125 SW Hall Blvd., Tigard, OR 97223 P \ Plan Review
Phone: 503.718.2439 Fax: 503.59 'VI" % \'� Date/B : _ V �� Other Permit:
T1 G :1 H D Inspection Line: 503.639.4175 r t Date Ready/By: El See Page 2 for
Internet: www.tigard- or.gov ‘\ ', � tt�� �\ Notified/Method: j ( / 7 /) i f' ,N supplemental Information
loo ,(\.. , rs\ s
■ TYPE OF WORK ,„‹,,k Ce : c.., , REQUIRED DATA: 1- AND 2- FAMILY DWELLING
erh� i ` ' fees* ' Permit fees are based on the value of the work erformed.
❑ New construction ❑ D rS�s . tton� P
�w1, `°'" 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 ® m
Comercial/industrial Valuation: $
CI 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: 16125 SW 72 Ave. New dwelling area: square feet
City/State/ZIP: Tigard, Oregon 97224 Garage/carport area: square feet
Suite/bldg. /apt. no.: B Project name: St. Jude Medical T.I. Covered porch area: square feet
Cross street/directions to job site: Near the corner of SW 72 Ave. and Deck area: square feet
SW Upper Boones Ferry Road. Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: 600 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 2S113AB00600 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.
Tenant Improvement for Pass -Thru room into a Clean Room Valuation: $ Z 100®
Existing building area: 19320 square feet
New building area: 19320 square feet
❑ PROPERTY OWNER ® TENANT Number of stories: 1
Name: St. Jude Medical Type of construction: VA
Address: 16125 SW 72 Ave. Occupancy groups:
City/ State/ZIP: Tigard, Oregon 97224 Existing: B
Phone: (503)567 -3566 Fax: (503)352 -0782 New: B
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: Conway General Contracting Inc (Please refer ro fee aclaedu[e)
Structural plan review fee (or deposit):
Contact name: Dave Conway
FLS plan review fee (if applicable):
Address: 1640 NE Morrison St.
City/ State/ZIP: Portland, OR 97220 Total fees due upon application: (t5 . E-
Amount received:
Phone: (503) 519 -1716 Fax: : ( ) �t�3
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES"
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: Conway General Contracting, Inc. Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 1640 NE Morrison St. Solar Installation Specialty Code checklist.
City / State/ZIP: Portland, OR 97220 Permit fee (includes plan review
and administrative fees): $180.00
Phone: (503) 519 -1716 Fax: ( )
ii State surcharge (12% of pennit fee): $21.60
CCB lic.: 173247 I 1.
Total fee due upon application: $201.60
Authorized signature: �� This p ermit application expires if a permit is not obtained
with 180 days after it has been accepted as complete.
Print name: Dave Conway Date: ' Fee m ethodology set by Tri- County Building Industry
Service Board.
I:\Building\Pennits\BUP -COM PermitApp.doc 02/24/2011 4404613T(11/02/COM/WEB)
l ° 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] $ / 2/ O6' 0
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 3 Q�
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 $ 2 ZOO
(b) An accessible entrance: //J7t PJO4 .l csne. 440gotta4 ez $ 3 c
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: //6W A'0 A LAihd ( $ 3, G�E.so
(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): $ 6', OC)'
I: \Building \Permits \BUP -COM PermitApp.doc 03/03/2011
Building Division
Plan Submittal Requirements
TI GA.RD 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
Building Division
Plan Submittal Requirement Matrix
T I G A RD 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 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 PemutApp.doc 03/03/2011
II
Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: g Expedited Review
Plan Submittal Date: ( CO I d-c 3(..0- --7,? -8- l/ 1 J
I 0
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 at 503 - 718 - n or @tigard- or.gov)
Zoning : -- L L / Permitted Use Yes No ❑
Er-rand Use Required: Yes ❑ No [ (explain below)
Notes: Ty , 0 w Gy4Q-4 G /�-G�
J
IJ Approved 0 Not Approved Date: P �� /7/1
Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard - or.gov)
Notes:
'9
E ,
Routed back to Building Division Date:
I: \CURPLN