Permit CITY OF TIGARD BUILDING PERMIT
1114
° • COMMUNITY DEVELOPMENT Permit #: BUP2012 -00133
T l GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/06/2012
Parcel: 25101 DA00104
Jurisdiction: TIGARD
Site address: 13333 SW 68TH PKWY
Project: Triangle Point Subdivision: VARNS ACRES Lot: 9
Project Description: Ground floor lobby TI
Contractor: SD DEACON CORP OF OREGON Owner: TRIANGLE POINTE LLC
901 NE GLISAN ST SUITE 100 901 NE GLISAN ST, #100
PORTLAND, OR 97232 PORTLAND, OR 97232
PHONE: 503 - 297 -8791 PHONE:
FAX: 503 - 297 -8997
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee - Additions, Alterations, 08/06/2012 $1,256.95
Demolition
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Building 08/06/2012 $150.83
Dwelling Units: 0 Plan Review 07/05/2012 $817.02
Stories: 5 Height: 0 ft Plan Review - Fire Life Safety 07/05/2012 $502.78
Bedrooms: 0 Bathrooms: 0 DC Provision Review, COM TI - Ping 08/06/2012 $167.00
\ Value: $125,000 DC Provision Review, COM TI - LRP 08/06/2012 $25.00
Info Process /Archiving - Lg $2.00 (over 08/06/2012 $18.00
11x17)
Floor Areas: Metro Const. Excise Tax - Commercial 08/06/2012 $150.00
Use
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,087.58
•
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: No
Smoke Detectors: Yes Manual Pull Stations:
Accessible Parking: 0
This pe i' ' •ued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be • • ne in accordan , ith 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
•ays. ATTENTION: Orego 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 • c • 90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: /0 t_
Permittee Signature: fr/56��.f/���
• _
Call 503.639.4175 by 7:00 a.m. for the next available Insp on 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.
-- B ilding Permit Application
Commercial FEtEI1/EJj OFFICE FOR OFFICE USE ONLY
City of Tigard JUL 0 5 2012 Date/13 :
Received . 4 9
1 .
° 13125 SW Hall Blvd., Tigard,OR 97223 Plan Revie I t
Phone: 503.718.2439 Fax: 503.598.196 Date/By: slir �' Permit No.: E I� ,, A . 33
I 7� Other Permit:
T 1 c A It D inspection Line: 503.639.4175 �I TIGARD D aze Ready/By: tuns: ® See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: 1 A/...i r Supplemental Information
I0-1giL /40/1seA- .
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 (romded to the nearest dollar) of all
9 0Additionialteration/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: h
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ' ?). 6 W ( ' ' A I/� New dwelling area: square feet
City/State /ZIP: 1,30t,..04 C Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: " 1 h„ 19 IC Covered porch area square feet
Cross street/directions to job site: � v ' � Deck area: square feet
• ' Other structure area: square feet
REQUIRED 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 (rotnded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application. -
?frfieltata 06 .( uilnd - ay( l 1 lL !to Valuation: $ D-S d O (D
Existing building area i k square feet
New building area: 'd(d square feet
PROPERTY OWNER ❑ TENANT Number of stories: 5
Name: I rn 5l e � 't j- U (� Type of construction: a
Address: J I Al9 / 1, h S Occupancy groups: ' ( — A
City /State/ZIP: ����QM _ V 9 7 -3-- Existing:
G'
Phone: � x1 m
1 j) '1 - ei ( Fax: (95S) al? -811"7 New:
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
, (Please refer to fee schedul)
Business name: .
Contact name: •
S aS &b Structural plan review fee (or deposit):
FLS plan review fee (if applicable):
Address:
Total fees due upon application:
City/State /ZIP:
Phone: ( ) I Fax: : ( ) Amount received: tifor / 5/ 7 8o
E -mail: \L?.vke r& - k 1 0 ��c�� aCD � PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof -top mounted PhotoVoltaic Solar Panel System.
Business name: S p4:ht:. Submit two (2) sets of roof plan with connectio < i Its
i1 `_ and fire department access, along with the • I Oregon
Address: N l,I ,, ,\ Solar Installation Specially Code ch- . 1 1st.
City/State/ZIP: p Q ) ?: f _ Permit fee (includes pl. view $180.00
and admini ..five fees):
Phone: (525) '� 7 t) I Fax: ( ) X91 - (4) 7 State surcharge A of permit fee): $21.60
CCB lic.: 134 .
Tot. Pee due upon application: $201.60
Authorized signature: / This p rmit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: V liDLas • I Date: ift; 1 la- * Fee methodology set by Tri -County Building Industry
Service Board.
IABuilding\Permits\BUP -COM PermitApp.doc 02/24/2011 440 -4613T(l I /02 /COM/WEB)
e ° Building Division •
Accessibility: BarrierReiinoval'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. Eleinents 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
r
/5636 at3368 Pk�
apatA b ,' /L 4-o
I Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
I
Building Permit No: I 1' OlC / .ao / 33 ❑ Expedited Review
Plan Submittal Date: 7/51/ 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 alev ( Co i rxJ at 503 -718 -2437 or GAle r c, @tigard - or.gov)
Zoning Mke Permitted Use Yes JO No ❑
96 Land Use Required: Yes ❑ No 41 (explain below)
Notes: Trrkei a✓ lre,,,, -° d o -F 0.601 CV'CJfaa wS' 'F- s -orm�)
C)( Approved ❑ Not Approved Date: — Ito " �a
Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert@tigard - or.gov)
Notes:
Routed back to Building Division Date:
Ii \CURPLN