Permit I
CITY OF TIGARD BUILDING PERMIT
G1��3
• = COMMUNITY DEVELOPMENT I. %� Permit #: BUP2013 00181
Date issued: 07/18/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 parcel: 2S101AD00800
Jurisdiction: Tigard
Site address: 12550 SW 68TH AVE
Project: Heintzberger /Payne Subdivision: WEST PORTLAND HEIGHTS Lot: 26
Project Description: TI for new tenant. 7/22/2013: REPRINT permit to change contractor.
Contractor: CRAFTSMAN HOMES GROUP LLC Owner: BHKZ LLC
4250 SW 86TH AVE 12600 SW 68TH PKWY
PORTLAND, OR 97225 PORTLAND, OR 97223
PHONE: 503 - 292 -0474 PHONE: 503 - 546 -4151
FAX:
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review, COM TI - Ping 07/18/2013 $174.00
Occupancy Grp: B Occupancy Load: 99 DC Provision Review, COM TI - LRP 07/18/2013 $26.00
Permit Fee - Additions, Alterations, 07/18/2013 $917.70
Dwelling Units: 0 Demolition
Stories: 1 Height: 0 ft 12% State Surcharge - Building 07/18/2013 $110.12
Bedrooms: 0 Bathrooms: 0 Plan Review 07/18/2013 $596.51
Value: $75,000 Plan Review - Fire Life Safety 07/18/2013 $367.08
Info Process /Archiving - Lg $2.00 (over 07/18/2013 $30.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,221.41
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 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: DA/ ,9-'i°G /e9-770,\./
Call 503.639.4176 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.
CITY OF TIGARD BUILDING PERMIT
°: COMMUNITY DEVELOPMENT Permit #: BUP2013 -00181
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/18/2013
Parcel: 2S 101 AD00800
Jurisdiction: Tigard
Site address: 12550 SW 68TH AVE
Project: Heintzberger /Payne Subdivision: WEST PORTLAND HEIGHTS Lot: 26
Project Description: TI for new tenant.
Contractor: PAYNE CONSTRUCTION INC Owner: BHKZ LLC
5404 NE 112TH AVE 12600 SW 68TH PKWY
PORTLAND, OR 97220 PORTLAND, OR 97223
PHONE: 503 - 257 -8221 PHONE: 503 -546 -4151
FAX: 503 - 253 -3247
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg DC Provision Review, COM TI - Ping 07/18/2013 $174.00
Occupancy Grp: B Occupancy Load: 99 DC Provision Review, COM TI - LRP 07/18/2013 $26.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 07/18/2013 8917.70
Demolition
Stories: 1 Height: 0 ft 12% State Surcharge - Building 07/18/2013 $110.12
Bedrooms: 0 Bathrooms: 0 Plan Review 07/18/2013 $596.51
Value: $75,000 Plan Review - Fire Life Safety 07/18/2013 $367.08
Info Process /Archiving - Lg $2.00 (over 07/18/2013 $30.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,221.41
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 fort. ' •AR
952- 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC • • r !ling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signatur-- : Ili
.4ZS2Ltak ?..m.......
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 RECEIVED FOR OFFICE USE ONLY
City of Tigard
Received L C/ g
C 13125 SW Hall Blvd., Tigard, OR 97223 .1 1 8 s 313 Date/B : • Permit No - Plan Review � �. Other Pen �O���/ ���
Phone: 503.718.2439 Fax: 503.598.1960 DateB : V E r a
. 1 . t GA It I) Inspection Line: 503.639.4175 CITY OFTIGARD Date Ready/By: ®See Page 2 for
Internet: www.tigard or.gov BUILDING DIVISION Notified/Method: 111M 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.
El 1- and 2-family dwelling Valuation: $
y g ❑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: ta. 5W uE30-1 New dwelling area: square feet
City /State /ZIP: - A t OR c, 223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Ik6 11 ,-t - z. a e / - pa ul 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: � "5 2 hn h 1).fk t bka3 t k Lot no.: D 00 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: �S PCd 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.
'iQPa(iL ���, Valuation: $
" jS,aOO .
11 V CJt, 1 Existing building area: \ \ t v+ I square feet
New building area: —, square feet
14 PROPERTY OWNER ❑ TENANT Number of stories: I .
Name: NA A K Type of construction: ('G Z
Address: als DO SW O ! .1U\ I t,t, Occupancy groups: 1,
City /State /ZIP: Pl-)r - IAnc l O l-LZ3 A II Existing:
Phone: (� 5 L -4151 Fax: (5� /� r - 4 3 ) 5 (4 ( New:
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: \-te'� n'k v 2 x / Ta \ f l,Q� (Please refer to fee schedule)
1 Structural plan review fee (or deposit):
Contact name: b\Y1S CD Detr)
Address:
(a55 - O sw U awls ` J FLS plan review fee (if applicable):
City /State /ZIP: \q2 t Q� et Total fees due upon application:
J '^ Amount received:
Phone: (�) 2.0 1y - 4o Lo Fax: : ( )
E -mail: `(Yob G@ CJIAr �,fj[k6,1�ti , CO(}� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof -top mounted Photo Voltaic Solar Panel System.
Business name: ,f9),/„.e----i. czAzs"-i,L,7.-joA/ Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 5 1x0 L/ /`lam /02 41- lEvE-- Solar Installation Specialty Code checklist.
City /State /ZIP: i004 -n/ e� 9 7 � Permit fee (includes plan review $180.00
/ and administrative fees):
Phone: ? 57— ,P 2 2. / I Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lie.: iii' /j ` / /eP / /!/ Total fee due upon application: $201.60
Autho ' .tt�� : ture: / This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: e 'w '' is ,. odpAbg Aal I Date: L / i f D � 1 5 * Fee methodology set by Tri -County Building Industry
p Service Board.
1: \Building \Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(1 I /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): $
L: \Building\ Permits\ BUP -COM PermitApp.doc 03 /03/2011
7 a Building Division
v .
Plan Submittal Requirements
T G A R D 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 projcct.
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.
1: \Building \ Permits \BUP -CON1 PermitApp.doc 03/03/2011
Building Division
Plan Submittal Requirement Matrix
T I 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 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.
1: \ Building \ Permits \BUP -COM PermitApp.doc 03/03/2011
IN Building Division
Development Code Provision Review
T I GA RD Commercial Projects - No Associated Land Use Case
0
Building Permit No: ti c.2D /3 — 0 13 Expedited Review 07
Project Name: / 7 Z/ 7 /A/E
Site Address: /02 5.5 SA..) 66e /°.& J/ , Suite /Bldg #:
Plans Routed:
Original Plan Submittal Date: 7/ / /A3 Routed By:
1st Revision Submittal Date: Routed By:
2nd Revision Submittal Date: Routed By:
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 .' ly if approved.
Planning Review (contact thiG , / at (503) 71 8 - ,)' W r / @ tigard- or.gov)
Proposal:
-/A.14 ( i 2- { rtaf-
Zoning t/
Permitted Use Yes Lu • No ❑ /
Land Use Required: Yes ❑ No Er
Notes:
YZw
Approved 0 Not Approved ❑ DCPR Not Required - No DCPR Fees Due
Datc Routed to Building: ? r [= / 1
1: \CURPLN\Masters\Development Code Provision RevievkDCPR COM NoLandUse.doc Rev. 01/16/13
•
;� Building Division
Over- The - Counter (OTC) Building Permit
T I G A R D Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: T" Occupancy Group: Type of Construction:
Type of Use * *: COM Occupancy Load: Oregon Specialty Code: ?�«
SPECIFICS
Number of Stories:
'1. 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: j Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ 5 ) M' FEES DUE
$ 174 , (D DC Prov Rvw, COM TI - Ping
$ DC Prov Rvw, COM TI - LRP
DC Provision Review Fee for COM TI (effective 7/1/2013) $ ' (7,7(7 Permit Fee - Add, Alt, Demo
Project Valuation Planning LRP $ 110.12— (2— 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ C .' ) Plan Review, Structural
$5,000 - $74,999 $70.00 $10.00 $ ?)e,7,QC3 Plan Review, Fire Life Safety
$75,000 - $149,999 $174.00 $26.00 $ 15,0,06 Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $278.00 $41.00 $ Info Proc /Arch, Sm (up to 11x17 $0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc. Admin Fcc
$ Other:
$ Other:
Building Staff: $ Other:
Date /Time: $ -1°z 1 ,O FEES DUE 2 ' 2 , ' 9 �
*TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
**CLASS OF WORK ACS = accessory; ADD = addition; ADU = accessory dwelling unit; ALT = alteration; DEM = demo; NEW = new;
OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies).
I: \ Building \Forms \OTC - BUP.docx 07/01/2013