Permit CITY OF TIGARD BUILDING PERMIT
IN C COMMUNITY DEVELOPMENT Permit #: BUP2012 -00168
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/23/2012
Parcel: 2S 101 DA00104
Jurisdiction: TIGARD
Site address: 13333 SW 68TH PKWY, STE# 230
Project: National American University (Temporary Location) Subdivision: VARNS ACRES Lot: 9
Project Description: TI - change of use
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, 08/23/2012 $53.27
Demolition
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Building 08/23/2012 $6.39
Dwelling Units: 0 Plan Review 08/23/2012 $34.63
Stories: 0 Height: 0 ft Plan Review - Fire Life Safety 08/23/2012 $21.31
Bedrooms: 0 Bathrooms: 0 Info Process /Archiving - Sm $0.50 (up to 08/23/2012 $0.50
Value: $500 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $116.10
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 = • - 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
days. ; ENTION: Orego aw requires you to follow the rules adopted by the Oregon Utility Notification C ter. Those rules are set forth in OAR
952-101-0010 through OAR 952 -. • % • • I. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232. • 87 or 1.800.332.2344.
Is ued By: � Permittee Signature: � � //
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 RECEIVED
Commercial FOR OFFICE USE ()NIX
City of Tigard 1 2012 Received : i P ermit No.: ' Do
��
Plan Review Y a'1o1 _ /lo�
13125 SW Hall Blvd., Tigard,OR 97223��rr
Phone: 503.718.2439 Fax: 503.598.19t3UI OIr TIGARD Date/By: Other Permit:
T I G A R D Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
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 ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ l- and 2- family dwelling 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: „:3:��� C(.0‘) woth J New dwelling area: square feet
City /State /ZIP: i-, �g 0 Garage /carport area: square feet
Suite/bldg./apt. no.: Project name: NQI IA/1aI tve, n -I, .- 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: 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: $ 60o "--
Existing building area square feet
New building area: square feet
lyi PROPERTY OWNER i:: Gl ENANT Number of stones:
Name: Tr, a � ,.0 yn;hkt / Lt. / Type of construction: t�
Address: C lot W4— C. 11 �n 'Si — Occupancy groups: If /�
City /State /ZIP: f ^ y d ` c tig6 - _ Existing:
Phone: �3 ?? lod- c) (k I Fax: ( ) New: 6 .
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name:
FLS plan review fee (if applicable):
Address:
City /State /ZIP: Total fees due upon application:
Phone: ( ) F es; ; ( ) Amount received: 4 ( I(• to
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof -top mounted PhotoVoltaic Solar Panel System.
Business name: ?r, "D El --) Submit twr 2) sets of roof plan with connectio , etails
and fire dep. .•r ent access, along wi • I 0 Oregon
Address: Solar Installation . ,ecialty Co'' ecklist.
City/State /ZIP: Permit fee (inc ..• - an review $180.00
.... r mint :. tive fees):
Phone: ( ) Fax: ( ) S • urcharge (12% of pe ' fee): $21.60
CCB tic.: / g Total fee due upon appficatio : $201.60
i
Authorized signature: / di I / 7 This permit application expires if a p mit is not obtained
IP within 180 days after it has been accepted as complete.
Print name: Date: * Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11 /02/COM/WEB)
° 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
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OFFICE COPY