Permit CITY OF TIGARD BUILDING PERMIT
_! s: COMMUNITY DEVELOPMENT Permit#: BUP2014 00227
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/02/2014
Parcel: 25101 DC00200
Jurisdiction: Tigard
Site address: 13535 SW 72ND AVE 165
Project: Spec Space Subdivision: 72ND BUSINESS CENTER Lot: 13
Project Description: Interior TI,removal of walls,doors,relite and infill door opening.
Contractor: VANOSDEL CONSTRUCTION Owner: PNWP LLC#2
PO BOX 1057 BY PACIFIC NW PROP LTD PTNSP
BATTLEGROUND,WA 98604 PO BOX 2206
BEAVERTON,OR 97075
PHONE: 360-687-8636 PHONE: 503-626-3500
FAX: 360-687-7677
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: MB DC Provision Review,COM TI-Ping 10/02/2014 $75.00
Occupancy Grp: B Occupancy Load: 16 DC Provision Review,COM TI-LRP 10/02/2014 $11.00
Permit Fee-Additions,Alterations, 10/02/2014 $271.43
Dwelling Units: 0 Demolition
Stories: 2 Height: 0 ft 12%State Surcharge-Building 10/02/2014 $32.57
Bedrooms: 0 Bathrooms: 0 Plan Review 10/02/2014 $176.43
Value: $13,000 Plan Review-Fire Life Safety 10/02/2014 $108.57
Info Process/Archiving-Lg$2.00(over 10/02/2014 $2.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $677.00
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
952-001-00 h OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232 -:7 ■r 1.800.332.2344.
// L
Issue By: k ,) f/� Permittee Signature:
�I Call 503.639.4175 by 7:00 a.m.for the next available inspection da
This permit card shall be kept in a conspicuous place on the job site until comple•• of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial RECEIVE!) FOR OFFICE USE ONLY
City of Tigard R "",
b Date,k3 i %/7 , i u./'a�Dl Y -.f
• 1 3125 SW Hall Blvd.,Tigard,OR 97223 ()C T 2 20 4 Plan Review
Phone: 503.718.2439 Fax: 503.598.1966' DateB : tilling= Other Permit.
T I G A R D Inspection Line: 503.639.4175 n D n Date Ready/By: tuns ❑
Internet: www.tigard-or.gov CITY F TIGAR Notified/Method:
TYPE 0 'INC- NV ..... 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.
❑ 1-and 2-family dwelling 0 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: 13535 SW 72"d Ave. -Suite 165 New dwelling area: square feet
City/State/ZIP:Tigard,Oregon Garage/carport area: square feet
Suite/bldg./apt.no.: I(F- l Project name;suite 165_TL.6{xt " Covered porch area: square feet
Cross street/directions to job site:SW 72'd Ave.and SW Cherry 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.
Interior tenant modification: Removal of walls,doors,relite and infill door Valuation: S13,000.00
opening Existing building area: 1,510 square feet
New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories: 2
Name:Pacific NW Properties Type of construction: II-B
Address:6600 SW 105th Ave. Occupancy groups:
City/State/ZIP:Beaverton,Oregon 97005 Existing: B
Phone:(503)626-3500 Fax:(503)671-0211 New B
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Mildren Design Group (Ptearercjertojeeschedrr!)
Structural plan review fee(or deposit):
Contact name:Betty Sheppeard
FLS plan review fee(if applicable):
Address:7650 SW Beveland St.-Suite 120
City/State/ZIP:Tigard,Oregon 97223 Total fees due upon application:
Phone:(503)244-0552 Fax: :(503)244-0417 Amount received:
E-mail: bettymdgpc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: %anOsdel Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:PO Box 1057 Solar Installation Specialty Code checklist.
City/State/ZIP: Battleground,WA 98604 Permit fee(includes plan review
and administrative fees):
Phone:(360)687-8636 Fax:(360)687-7677
State surcharge(12%of permit fee):
CCB tic.: 16403 Total fee due upon application:
Authorized si tore: ( _ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Crystal MoE a Date:9/17/14 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
1111 ■ el COMMUNITY DEVELOPMENT DEPARTMENT
TIG n Ez D Building Permit Review — Commercial - No Land Use
Building Permit #: —out,p a-614 --oo - -1
Site Address: 1 3535 (SW 7.2 td Ave. Suite/Bldg#: Ilp6IL.
Project Name: 6-pie. iPpCE,
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T, I_
Existing Business Activity: '4ocar #
Proposed Business Activity: \j i( ►f
Verify site address/suite #exists and active in permit system.
2r Zoning: G-P
gr Permitted Use: ❑ Yes ❑ No gr Spec Space
Confirm no land use required.
Notes:
Approved by Planning: tri//I ( — Date: 10124 ILI
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 Submittal Date: /t/a//
Site Plans: # 3
Building Plans: # _3___
Building Permit#: � nter building permit#above.
,
Workflow Routing: L7 Planning ❑ Permit Coordinator [ Building
Workflow Sign-off: a..2 Sign-off for Planning(include notes from planning review)
Route Application Documents: Z---Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician uCeea-e--t-tz-g—& Date:/o ,L
1:1Bui l ding\Forms\BldgPermitRvw_COM_NoLandUse_071514.docx
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applic.. t:
Revision Notice 2: Date Sent to A.• cant:
Revision Notice 3: Date Sent to ' pplicant:
❑ OK to Issue Permit
Approved by Pe •s • Coordinator: Date:
N I:\Building\Forms\BldgPermitRvw_COM NoLandUse_071514.docx
Ir ._ In Building Division
Over-The-Counter (OTC) Building Permit
TIGARD Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Occupancy Group: Type of Construction:
Type of Use**: Cs:7M Occupancy Load: _ Oregon Specialty Code: 2Q[�
SPECIFICS �7 �
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: Y6- 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: $ 13laZ� FEES DUE
$ 713,CC) DC Prov Rvw,COM TI—Ping
$ "41 DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ • Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ 2 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ —,' Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ it Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ 2,I ' Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $299.00 $44.00 $ 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 Fee
$ Other:
$ Other:
Building Staff: $ Other:
Date/Time: $ 6( /,62, 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;
O1R=other(use for fences,decks,retaining walls,signs,awnings or canopies).
I:\Building\Forms\OTC_BUP_070114.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
10220 SW GREENBURG RD 250, TIGARD, OR,
97223
Commercial - Electricial Limited Energy
198 Low voltage final
PASS - No C of O
ELR2014-00227
Jeff Grove
Violation Summary:
Inspector Contractor