Permit CITY OF TIGARD BUILDING PERMIT
IN1 a COMMUNITY DEVELOPMENT Permit#: BUP2014-00094
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/30/2014
T[G,A F.L7 g Parcel: 2S102CB03101
Jurisdiction: Tigard
Site address: 12950 SW PACIFIC HWY 245
Project: Subdivision: FREWING'S ORCHARD TRACTS Lot: 21
Project Description: Create additional suites
Contractor: OWNER Owner: HUDSON PLAZA LLC
MARLAND HENDERSON 11795 SW KATHERINE ST
12930 SW PACIFIC HWY#113 TIGARD, OR 97223
TIGARD, OR 97223
PHONE: 503-329-0159 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB
COT Address Fee 04/30/2014 $250.00
Occupancy Grp: B Occupancy Load: DC Provision Review,COM TI-Ping 04/30/2014 $70.00
DC Provision Review,COM TI-LRP 04/30/2014 $10.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 04/30/2014 $377.90
Stories: 2 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12%State Surcharge-Building 04/30/2014 $45.35
Value: $20,000 Plan Review 04/30/2014 $245.64
Plan Review-Fire Life Safety 04/30/2014 $151.16
Info Process/Archiving-Sm$0.50(up to 04/30/2014 $1.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,151.05
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 appli -de law. All work
be done . •r•a •- ,ith approved plans. This permit will expire if work is not started within 180 days of issuance, or if work s -•s ded f• - 180
days. •TTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. T.. e,u- ar h in OAR
95 •01-0010 through OAR 952-0• -•:90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 9: or./..33 . 344.
ik, 0 1>-ued By: /, // Permittee Si• a ure: gerl;/ ./..iiie: _-...
Call 503.639.4175 by 7:00 a.m.for the ne avail . ins• :,i
This permit card shall be kept in a conspicuous place on - ob site•ntil completion of the project
Approved plans are required on the job site at the time of each inspection.
' Building Permit Application
Commercial RECEIVED I t l IZ f)I I I` I ` \I O\I 1
City of Tigard Received m�rAirow ' Permit No.: ; 490 r060 y
IIII 13125 SW Hall Blvd.,Tigard,OR 97223 I���
I Phone: 503-718-2439 Fax: S &3$2O14 DatePlan B Review G
: . tt+.t Related Permit:
T I G A IL I) Inspection Line: 503-639-4175 Date Rea.Tr:y: Juris: HI See Page 2 for
Internet: www.tigard or.govC1TY OF TIGARD Notified/Method: Supplemental Information
MiliarrireiVISMA REQUIRED DATA:I-AND 2-FAMILY DWELLING
iii w construction ❑Demolition Permit fees*are based on the value of the work performed.
I ndicate the value(romded to the nearest dollar)of all
ddition/alteration/replacement 0 equipment,materials,labor,overhead,and the profit for the
CATEGORY OF COON work indicated on this application.
❑ 1-and 2-family dwelling ommercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
12 Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11 L w 501 Pk^ i :10 —F5444 /a Htv. New dwelling area: square feet
City/State/ZIP:- c kLQ CP 2 . f' 7-2,1-5 J ( q_ Garage/carport area: square feet
Suite/bldg./apt.#: ` •2,L( Project name: . 0 Covered porch area square feet
Cross street/directionstojobb site: am4?e, `-( C 1ry,,, ) r( Deck area: square feet
(1 /�,(k,'� I Lj-LC.--/ Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot#: Permit fees*are based on the value of the work performed.
Indicate the value(romded to the nearest dollar)of all
Tax map/parcel 4: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORj( work indicated on this application.
L Pt/e_i_a la5T-LA.Acy� Valuation: $ 7• (7)O G
Existing building areaZ(f� -% square
feet
New building area: Sao square feet
❑ PROPERTY OWNER I 0 TENANT Number of stories: 2
Name: id 4 4 ` l , -6.4, Type of construction: 5 w A 4i,'_—
Address: I I : S co tliAi E !' Occupancy groups:
City/State/ZIP (14. 0 02` ef 9---9,2 "-
Existing:
Phone:(fi t )SCto-2sit Fax:(Sl3) - b-2:(1'7 New:
0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: }-�I y/��,,,r Etc_ (Please
""� "am Structural plan review fee(or deposit):
Contact name: 2 ,M 0 `z `b`2vr�-
l 2 _cA3� FLS plan review fee(if applicable):
Address:
City/State/ZIP: I t r 4n d (9/L,. 9 'l Total fees due upon application:
p �/ Amount received:
Phone:(1-) 1z /— l'7( c-9 Fax: .4Oir5)0r _
E-mail: 04, t� (� (V nS. 0 4_dL ` ocr�_ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: IA, f 1 ,` .A• OION)e2• Submit two(2)sets of roof plan with connection details
l t ' _ and fire department access,along with the 2010 Oregon
Address: l a—�C r � - tr'/ — / 143 Solar Installation Specialty Code checklist.
Q l Permit fee(includes plan review $Ig0.00
City/State/ZIP: 1 , S g20 [/2 q i- -9-- and administrative fees):
Phone:57Yg) 3 9 • arts-9 Fax:( ) 6, _S 3 • - State surcharge(12%of permit fee): $21.60
CCB Lie.: D 26r / Total fee due upon application: $201.60
Authorized signature: J�
This permit application expires if a permit is not obtained
i�� / within 180 days after it has been accepted as complete.
Print name4AA ,.,_, / , It A, Date: -, _ 0 .. (r * Fee methodology set by Tri-County Building Industry
Service Board
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(1 l/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
IIIAccessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
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 percent(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: $
(0 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 Rev.04/21/2014
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
''111 " Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
T I G A R D 13125 SW Hall Blvd. •Tigard, Oregon 97223 • 503.718.2439• www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional,drawn to scale and 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 project.
4. ADDITIONAL INFORMATION AS FOLLOWS:
A. Fire Department Building Survey with (1) additional full set of architecture
drawings.
I:\Building\Permits\BUP COM_PemvtApp.doc Rev.04/21/2014
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
111
" Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
T I G n It I) 13125 SW Hall Blvd. •Tigard, Oregon 97223 • 503.718.2439• www.tigard-or.gov
Type of Submittal # of Plans
(Includes new,additions and alterations.) Required at
Submittal
Demolition Permit 3
(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.
I:\Building\Permits\BUP COM_PermitApp.doc Rev.04/21/2014
Building Permit Number: i�-t. c;2 6/4/0o6 l4/UD6 p5/
Building Permit Review
Commercial Project — No Associated Land Use Case
TIGARD
Site dress: 12-15D Sin PffiaA_ *-444/0 245
enfiv site address is valid.
Project Name : i1u vl P t C{2 , �
Planning Review J"n
Proposal: t Pamodd ( X o ct t -
LW Coning: C—�
Eermitted Use CO/Yes ❑ No ❑ Spec Space
C117/�nd Use Required ❑ Yes El-io
Notes: `ND C 1(., C uS=C,
Approved by: CVC Date: It-
Revisions ✓" 1
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: 1/ / J�/ By: 099
Site Plans: # `
Building Plans: # 3
Create Case Record#: Enter case# above for Building Permit Number.
Workflow Routing: Planning ❑ Engineering ❑ Permit Coordinator 2iuilding
Workflow Sign-off: 1:24)_.v.-off for Planning staff,including notes from planning review(page 1)
Route Application Documents: Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed B Date: (C!
Notes:
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_123013.docx
I Building Division
Over-The-Counter (OTC) Building Permit
Check List
Project Description: T
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: &C.- Occupancy Group: Type of Construction:
Type of Use**: k Occupancy Load: _ Oregon Specialty Code: _ (n
SPECIFICS
Number of Stories: li Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOT AGES
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: 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: $ 2-01 FEES DUE
$ 70.00 DC Prov Rvw,COM TI—Ping
$ )Q DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ "5.' 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ DV 5.64- Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ 15(, ((j Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $278.00 $41.00 $ l ,co 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 Fee
$ Other:
$ Other:
Building Staff: $ Other:
Date/Time: $ q( f ,C>5-TOTAL FEES DUE
*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,sins,awnings or canopies).
I:\Building\Forms\OTC-BUP.dooc 07/01/2013
false support under drywall "`"`""` occupied - change T-12 lighting fixture to T-8 electric ballast
Qoffice unit# s, existing i► repair and replace ceiling tile with second look tile
-0• remove and replace floor coverings
LED can light remove - repair and repaint sheetrock
-.. add cabinets and countertops
mil. new .•• add bath partitions
T-8 hanging light fixture -+. replace approx. 60' of wood studwall 10"tall
-. remove 4 interior wood door and add 1/12' x 9'triple slider
1 3t
68'7'
MINIIIM—AMMIN—J111111=M- 1111L-- IV
M 1,4:)(14� 14 X 14 14'x14' 14'x14' ' 10'4"X14. 12''�x 14'1 14'4"x 141 ! �}. �/1 F; 22'7"x 14'10" lexItl
. \ ` file room 335 s
196 sq.ft. 196 sq.ft. \ 18,sq.ft. 212 sq.ft. (illy q.lt. -....'"\. ill
G --_ 1140 SQ.F7. exit i et N.
, I
10'6"x16'6" '6"x16'6.,;;N:�� 0 . �.,�� ,, � /� r 1
o G _ s.�.� 1 '4"x 18. •
138 sq.ft. 120 sq.ft. 170 sq.ft. 223 sq.ft. a ? pockMdaa 18 sq.
1 '\� .. �\ _\12'X11'5". -�\12'X10" ,4. .\ erM�/ooie �__...1
\� . \\ / it t
CITY OPTIGARD 12950 SW Pacific Highway Suite#245 (2,465 sq.ft.)
REVIEWED FOR Hudson Plaza LLC
CODE COMPLIANCE Tigard, Oregon 97223
Approved . 118„ = 1'0"
OTC: i %.-- _ •- 8'S"
a,5~ _ I
Address: L: — — — . o �T-.J
Suite* w �-�\-! o`-' co,. �i �uuu� u glass uulaouu Flu uuoo, mtc 1E
By: .0.-I: n� •. ; �-- orgilwalei nail brook roan refrIchwatoc
OFFICE COPY
5/8 drywall under existing 2 x 6 ceiling joist
3 1/2" x 11 7/8" microlam
blocking at 8'0"
2x4kingstud
2 x 4 triple trimmer
5/8" drywall each side (typ.)
12W x 9H triple sliding door
17' 0'
m
existing tji 16" o.c. under 3/4 t&g ply under 1/2 underlay
WALL SECTION (TYP)
1/4" = 1 '0"