Permit CITY OF TIGARD BUILDING PERMIT
I COMMUNITY DEVELOPMENT Permit#: BUP2014-00046
-11111 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04!07/2014
Parcel: 2S 101 AA03800
Jurisdiction: Tigard
Site address: 12259 SW 69TH AVE
Project: Capital One-Building B Subdivision: WEST PORTLAND HEIGHTS Lot: B
Project Description: TI for new interior partition walls,sinks,casework,power/signal,finishes.
Contractor: BALFOUR BEATTY CONSTRUCTION LLC Owner: TIGARD CORPORATE CENTER LP
3100 MCKINNON STREET 15325 SW BEAVERTON CREEK CT
6TH FLOOR BEAVERTON, OR 97006
DALLAS,TX 75201
PHONE: 214-451-1000 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 04/07/2014 $1,498.55
Demolition
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 04/07/2014 $179.83
Dwelling Units: 0 Plan Review 03/03/2014 $974.06
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 03/03/2014 $599.42
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 04/07/2014 $278.00
Value: $165,000 DC Provision Review,COM TI-LRP 04/07/2014 $41.00
Info Process/Archiving-Lg$2.00(over 04/07/2014 $32.00
11x17)
Floor Areas: Metro Const.Excise Tax-Commercial 04/07/2014 $198.00
Use
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,800.86
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 callin 503.2322..1 or 1 800.3 .2344.
Issued By: -er ee Signature: Jj(Jj
Cal 175 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.
lildtna Permit Application '" cmcn
Commercial ri � FOR OFFICE USE ONLY
City of Tigard MAR - 3 2014 Received 3 /y %/ Permit N /
•1111 I 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ,�� 11.42dif y b r0 y-
Phone: 503.718.2439 Fax: 503.598 OF FIGARD Date/B : '�f�� �� Other Permit:
Inspection Line: 503.639.4175 Date Ready :y: 1 � See Page for
T I G A R D 7UILDING DIVISIOs Notifed/Method: � G/ 0 Internet: www.tigard-or.gov f� S upplemental
Information
TYPE OF WORK REQUIRHB 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.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
El Accessory building El Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION t Total number of floors:
Job site address:12259 SW 69TH AVE New dwelling area: square feet
City/State/ZIP:TIGARD,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:BLDG.B Project name:CAPITAL ONE-BUILDING B 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
5 Subdivision: rLot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 2 SIDI o i,,-,4; 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.
NEW INTERIOR PARTITION WALLS,SINKS,CASEWORK, Valuation: $165,000.00
POWER/SIGNAL,FINISHES Existing building area: 10958 square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 2
Name:TIGARD CORPORATE CENTER LIMITED PARTNERSHIP Type of construction: VB,SPRINKLED
Address:15400 SW MILLIKAN WAY Occupancy groups:
City/State/ZIP:BEAVERTON,OR 97006 Existing: B
Phone:(503)646-2202 Fax:(503)626-8903 New: B
14 ® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:ANKROM MOISAN ARCHITECTS,INC. (Please refer to fee schedule
C
Structural plan review fee(or deposit): 1
AContact name:ELIZA ALLEN
Address:6720 SW MACADAM AVE.SUITE 100 FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP:PORTLAND,OR 97219
Amount received: 45-7_J L, I/OP
Phone:(503)245-7100 Fax::(503)245-7710 /
E-mail:elizaa @ankrommoisan.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:TO BE DETERMINED Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: Total fee due upon application: $201.60
Authorized signature: �- � - ,/ / This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:ELIZA ALLEN Date:03-03-2014 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02t24/2011 440-4613T(I 1/02/COM/WEB)
i .j...
7111
■
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 L L., 1*� $
(b) An accessible entrance: fic.CC. — r $
(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
Building Permit Number: �izA2p/y—e9, y6,
IIP ..
4
i I Building Permit Review
Commercial Project —No Associated Land Use Case
f IGARD
Site Address: I 1-2-S9 SA/ t ltri A\te,
Verify site address is valid.
Project Name : AVl M MOicSlii kzh t+Cc$
Planning Review
Proposal: I ftfY remc e 6(iislt
C, C.p m&
R'Z ning: M U�j
P.
�, miitted Use Nk es CI CI Spec Space
L►i'Land Use Required El Yes IWNo
Notes: x&fi it he .'IcVla vt+
Approved by: kir gatel Date: ?)q 14
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Building Permit Submittal
Original Plan Submittal: Date: 3/SMi By:
Site Plans: #
Building Plans: # .2
Create Case Record#: D"-"Enter case# above for Building Permit Number.
Workflow Routing: CSI lanning ❑ Engineering ❑ Permit Coordinator B'F3uilding
Workflow Sign-off: Sign-off for Planning staff,including notes from planning review(page 1)
Route Application Documents: R'Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: Date: 3/07
Notes:
1:\Building\Forms\Bl dgPerm itRvw_COM_NoLandUse_123013.docx
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12259 SW 69TH AVE, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2014-00046
Chip Barnett
Violation Summary:
Inspector Contractor