Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2012 00182
T I G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/25/2012
Parcel: 25101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 310
Project: Cascade Management Subdivision: VARNS ACRES Lot: 9
Project Description: TI office space 3rd floor and storage space on lower level
Contractor: Owner: GK TRIANGLE CORPORATE PARK III L
BY THOMSON REUTERS INC
ATTN: MEGAN DOWLING
PO BOX 130174
CARLSBAD, CA 92013
PHONE: PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee - Additions, Alterations, 09/25/2012 $2,561.59
Demolition
Occupancy Grp: B Occupancy Load: 91 Plan Review 09/25/2012 $1,665.03
Dwelling Units: 0 Plan Review - Fire Life Safety 09/25/2012 $1,024.64
Stories: 5 Height: 0 ft Info Process /Archiving - Lg $2.00 (over 09/25/2012 $14.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $341,000 Metro Const. Excise Tax - Commercial 09/25/2012 $409.20
Use
12% State Surcharge - Building 09/25/2012 $307.39
Floor Areas: DC Provision Review, COM TI - Ping 09/25/2012 $268.00
DC Provision Review, COM TI - LRP 09/25/2012 $39.00
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $6,288.85
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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 503.232.1987 or 1.800.332.2344.
•
Issued By: JAI/tilt/ Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available Inspect' 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.
11 .
" Building Division
Over- The - Counter (OTC) Building Permit
TIGARD
Check List
Project Description: T( «11 Pa( a'-- B'D (�>'
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: Occupancy Group: Type of Construction: 1.-F3 *Type of Use: effiAk Occupancy Load:
41
Oregon Specialty Code: -Z
SPECIFICS
Number of Stories: 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: t) e l j Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
•
Total Project Valuation: $ ( ->00 FEES DUE
$ L-4437 DC Prov Rvw, COM TI — Ping .2...-61=, $ `� DC Prov Rvw, COM TI — LRP 3
DC Provision Review Fee for COM TI $ Permit Fee — Add, Alt, Demo 5-4
Project Valuation Planning LRP $ •'7.3 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ Fk 5,O3 Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ Plan Review, Fire Life Safety
$75,000 - $149,999 $167.00 $25.00 $ , 00 Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $268.00 $39.00 $ Info Proc /Arch, Sm (up to 11x17 $0.50)
$ 20 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: $ TOTAL FEES DUE
g.7 irS
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALL = 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 07/01/2012
Building Division
Development Code Provision Review
T I G A R D Commercial Projects - No Associated Land Use Case
Building Permit No: ❑ Expedited Review
Plan Submittal Date:
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 ■ )044 ct / at 503- 718 - rNel or @tigard - or.gov)
❑ Zoning M /if; Permitted Use Yes In No ❑
❑ Land Use Required: Yes ❑ No 11 (explain below)
Re
Notes: l/Nlre /d ogt vro exi24PY.✓'
K Approved ❑ Not Approved Date:
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert@tigard-or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN
%wilding Permit Application RECEIVED
• Commercial _ FOR OFFICE USE ONLY
City of Tigard 2 5 L0,?
y g Received
`' Date/B : Permit No.:
• 13125 SW Hall Blvd., Tigard, OR 97223 ,
Phone: 503.639.4171 Fax: 503.598.1960 CITE OFTIGAR Plan Review
T � . Other Permit
T I G A R D Inspection Line: 503.639.4175 BUILDING DIVIS 11 .Date Ready/By: luris: ® 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. •
: T equipment, the value
ter materials, labor, to the nearest an d the profit for of o
❑ Addition/alteration/replacement ,'Other
P equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling XCommerciaUmdustrial _
-
❑ 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: `'7j � �1 SW_ liklZie-i...11/45frki New dwelling area: square feet I
City/State/ZIP: T pr /_ 1 O Gm 22 - Garage /carport area: square feet
Suite/bldgJapt. no.T Project name: i �y Covered porch area: square feet
Cross street/directions toJ C� / y t —. p 1_ ` <*f 5 �trAZI Deck area: square feet
�F OF 'I= 5 t Nt 1 I�� 2S') . Other structure area: square feet
REQUIRED DATA: CONDIERCIAL - USE CHECKLIST
Subdivision: I Lot no.: ----- Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: — equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK • work indicated on this application.
T6O c 1 e t \N 1 I , Q ► i ` r; tY) - VT - St Valuation: S `
� j4 I ,000
eVA .' IN 1 X 2. 1W �,^ �.JU �� L�IJ ' ���11 � - V F �G Existing building area: tu- i square feet
r 1901 1 - l J� Q New building a rea: i s5L square feet
PROPERTY OWNER Q TENANT Number of stories: FIN/ E_
Name: C/E 1 -- .. -- --k_.A....71.. Type of construction: _�V5
Address: \(1` q .) f3- V . %A r Occupancy groups: e,
City /State/ZIP: R G - 'Q u� , �jv Existing:
Phone: J —
)2 2 5 t�"...) '5� Fax: ( ) New
❑ APPLICANT CONTACT PERSON . —
y � . NOTICE
Business name: K P M Z._- All contractors and subcontractors are required to be
Contact name: c licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the •
Address: 151S GE_ Li \1 OP.- AegE - jurisdiction in which work is being performed. If the
City /State/ZIP: Ir. • �` . / T � �- applicant is exempt from licensing, the following reasons
1 apply:
Phone: (60 r ,_ 1 t — 1 - 5 , • Fax: : on Q."2., '� I Z(�CJ
E -mail: jejlr) OO r - - ' t C J \ 13 - � a I. Of • _
gil
CONTRA .
Business name: ()Lk - ' BL) BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
City/State/ZIP:
Structural plan review fee (or deposit):
Phone: ( ) F ax: ( ) FLS plan review fee (if applicable): ,
CCB lic.: Total fees due upon application:
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
Print name: d� f� , C � Isy � f ,S S Date: I 2,..5.(/...-- within 1 od days after it has been accepted as complete.
i l 1 t - ' Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02 /COM/WEB)
Building Permit Application RECEIVED
Commercial FOR OFFICE USE ONLY
s; 2 5 2012
Q
Received .-DUbo�
City of Tigard Dat B : Q Permit No.: Bu P 3D1
• 13125 SW Hall Blvd., Tigard, OR 97223 �����
Phone: 503.639.4171 Fax: 503.598.1960 CITY OF ► ' . the< pest;
T I G A It D Inspection Line: 503.639.4175 BUILDING MIS' I i'i < te Ready/By: orris: 0 See Page 2 for
Internet: www.tigard - or.gov Notified/Method: ii ( 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. •
T Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement Other:?4jM Stif g-ov equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling XCommercial/industrial Valuation: $ e
❑ 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: 1322 -1 'SIN IO :... '
Q j 1 ( ' (A New dwelling area: square feet
City/State/ZIP: T(� ' icY> cr./ -2Z' 3 ' - • - t Garage /carport area: square feet
0 Suite/bldg. /apt. noT roject name: M V.ti�
aN.MT Covered porch area: square feet
Cross street/directions to ,lo site: S W its- p 1 ` Deck area: square feet
OF Z - 5 I W'i 'S) . 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.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: — equipment, materials, labor, overhead, and the profit for the
. • DESCRIPTION OF WORK , .. work indicated on this application.
'r r 0 �� 1' Valuation: $ jM 000
Nc� S- in lJ N 1- IT' �. FLOM- i.. ��` U V� � E.. �'t Existing building area:'DW9 square feet
r K _� Q
New building area: 1 square feet
XPROPERTY OWNER 0 TENANT Number of stories: ' .v €
Name: Gg LLI_ Type of construction: _-F>
Address: 1)` QW 1p'T, ��E_. -7 I ` Occupancy groups: g
City/ State/ZIP: 5Q2t t4 1 ��, ( 2�
� � Existing:
Phone: 6t31 2a5 . rF 3 – Fax: ( ) New:
•
❑ APPLICANT CONTACT PERSON NOTICE
Business name: a.L,p r /` Z - All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the •
Address: 1515 GE_ 10 1' . 4 Q _ f''� v �--_ jurisdiction in which work is being performed. If the
City/State/ZIP: n � n L1 applicant is exempt from licensing, the following reasons
�� I � P: � �(, K� LJ �� `mil apply:
Phone: (vW 1 2.23-1 el 5(� ' Fax:: j n 9 r 1255 _
E-mail: V 1 AIVY� ' '
CONTRA, lJ kI
Business name: OuT — CD F3ZAJ BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
City/State /ZIP: Structural plan review fee (or deposit):
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.:
Total fees due upon application:
., Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: e r, M �I I's S Date: 1 .. 'LS ( Z/ + Fee methodology set by Tri-County Building Industry
l Service Board.
I: \Building\Permits\BIJP -COM PermitApp.doc 2 /23/07 440- 4613T(11/02/COM/WEB)
IN
ill ■ Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.24L
(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. 1
(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] $ 3 � '1 1 1 N
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ ) '2. O
ELEMENTS: In choosing which accessible elements to provide under this section, priority shat .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): $
-jl CIA, -D x(71 Z- RAIAN p\CLE ' 'Z13LE •
I I-(2.0 r-Lt .
I: \Building \Permits \BUP -COM PcanitApp.doc 10/30/07
Building Division
Plan Submittal Requirements
T I GA RD Commercial & Multi- Family - New, Additions or Alterations
1. SITE LAN (fully dimensional, drawn to scale) labeled with:
A. map & tax lot # project name site address Xsuite 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 \Pemuts \BUP -COM PessnitApp.doc 10/30/07
Building Division •
Plan Submittal Requirement Matrix
TI 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 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must indude location of all accessible parking)
Plumbing (site utilities) 2
Building 2*
Fire Protection System 2 **
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)
* For over -the- counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
I: \Building \Permits \BUP -COM PecmitApp.doc 10/30/07