Permit CITY OF TIGARD BUILDING PERMIT
ss ' COMMUNITY DEVELOPMENT Permit #: BUP2012 -00034
T J GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/03/2012
Parcel: 1 S136DA02300
Jurisdiction: Tigard
Site address: 6900 SW ATLANTA ST 100
Project: OME Subdivision: FRUITLAND ACRES Lot: 5
Project Description: TI (same tenant, in suites: 100, 110, 120 & 200)
Contractor: ALEGIS CONSTRUCTION ' Owner: OREGON EDUCATION ASSN
11095 SW INDUSTRIAL WAY 6900 SW ATLANTA ST
TUALATIN, OR 97062 TIGARD, OR 97223
PHONE: 503 - 224 -9656 PHONE: 503 - 684 -3300
FAX: 503 - 299 -6273
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 02/22/2012 $160.00
Class of Work: ALT DC Provision Review, COM TI - LRP 02/22/2012 $24.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 02/22/2012 $962.88
Stories: 2 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 02/22/2012 $115.55
Value: $80,520 Plan Review 02/22/2012 $625.87
Plan Review - Fire Life Safety 02/22/2012 $385.15
Info Process /Archiving - Lg $2.00 (over 02/22/2012 $10.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,283.45
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 may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198 or 1.800.332.2344.
Issued By: /1 Permittee Signature: e �
Call 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.
Building Permit Application
Commercial Foil (ll I ICI: 11SE ()NIA R , City of Tigard '� ; Receive d i Ag Awn
Permit No.: i W
DateB : • i Q� 1,
1111 12 • 13125 SW Hall Blvd., Tigard, OR 97223 p Plan Review l► a lt
Phone: 503.639.4171 Fax: 503.598.19D 2 2 Z 2 DateB : 1GA41111
Fl G A It I) Inspection Line: 503g g C and -or. ov 503.639.4175 Date Read CITY :: = / � M I See Page 2 for
Internet: www.ti � G ���z�i "'u® N o 'fied/Method: / r Supplemental Information
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TYPE OF WORK " t vt + 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.
Valuation: $
❑ 1- and 2- family dwelling co Commercial/industrial
❑ 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: 6900 SW Atlanta Street, Building 'E' New dwelling area: square feet
City /State/ZIP: 97223 to Garage/carport area: square feet
Suite/bldg. /apt. no.: 120, 200000 Project name: OME Covered porch area: square feet
Cross street/directions to job site: SW 68th Parkway 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.
Valuation: $$80,520.00
Existing building area: 4,026 square feet
New building area: square feet
0 PROPERTY OWNER I ❑ TENANT . Number of stories: 2
Name: Oregon Education Association Type of construction: V -B
Address: 6900 SW Atlanta Street Occupancy groups:
City /State/ZIP: Tigard, Oregon 97223 Existing: B
Phone: (503)684 -3300 Fax: (503)684 -8063 New: B
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: GBD ARCHITECTS All contractors and subcontractors are required to be
Contact name: Whit Middlecoff licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1120 NW Couch Street, Suite 300 jurisdiction in which work is being performed. If the
City/State/ZIP: Portland, Oregon 97209 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 224 -9656 I Fax: : (503) 299-6273
E -mail: whit @gbdarchitects.com
CONTRACTOR
Business name: 111X 1431 L to , 7 6 e.0 i3 OTQu�1 0 (0 BUILDING PERMIT FEES*
Address: ii 0 C15 ,GtD 7 1 J-Di e . B rig, "It_ W>,ty (Please refer to fee schedule)
City /State/ZIP: Structural plan review fee (or deposit):
. Al - 11 - TI J O� 9 707 ( 0 a , �
Phone: 6b5) a 2, k qI 4 Sal I Fax: (5Q3) AC�'q_ !ll�7 3 FLS plan review fee (if applicable):
CCB lic.: lei !� q 'I5, 111 1 I ?/ t Total fees due upon application: 1 5 / Amount received: a v 3 .
Authorized signature: This permit application expires if a permit not obtained
within 180 days after it has been accepted as complete.
Print name: Whit Middlecoff, AIA I Date: 02/21/2010 * 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)
0 a9 e( )47 4 / 0-,4 —/
: .
II Building Division 0A-f6
Development Code Provision Review
T I G A R D Commercial Projects - No Associated Land Use Case
Building Permit No: //, l Z s` - ✓ edited Review
Plan Submittal Date: .� 5 . C% LAY Exp
_ !, /,�_
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.
Planing Review (contact at 503-718g W or @ tigard or.gov)
0 Zoning ` L Permitted Use Yes le ❑
Land Use Required: Yes ❑ No (explain below)
Notes: r
+r ` _.L<
I ✓ / /.ILL
i /
)/1 dlia.flo
83 Approved ❑ Not Approved Date: �71204
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes: ),71--
/V
Routed back to Building Division Date:
I: \CURPLN
III o ° Building Division
Over- The - Counter (OTC) Building Permit
TIGARD
Check List
.
Project Description: I
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: (U�WI Occupancy Group: Type of Construction: 61%. *Type of Use: Occupancy Load: Oregon Specialty Code: 'zeta
SPECIFICS
Number of Stories: 2j 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: $ gO �—�,� FEES DUE
$ irri CO DC Prov Rvw, COM TI — Ping
$ i SQ DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ (Pie' Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ . , 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ gi�'jrj r Plan Review, Structural
$5,000 - $74,999 $64.00 $9.00 $ 4 L ii i, Plan Review, Fire Life Safety
$75,000 - $149,999 $160.00 $24.00 $ • 540 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. Admin Fee
Permit Coordinator: $ Other:
$ Other:
Building Staff: $ . ,, ,�, Other:
Date /Time: $ 2 8 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.
1: \ Building \ Forms \OTC - BUP.docx 01/13/2011