Permit � q CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2014-00231
T 1GARO 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/07/2014
Parcel: 2S101AD03200
Jurisdiction: Tigard
Site address: 12909 SW 68TH PKWY 160
Project: Michael O'Brien Subdivision: WEST PORTLAND HEIGHTS Lot: 9-25,PT
Project Description: TI for new tenant: New framing for offices and breakroom.
Contractor: MATTHEW OLSON CONSTRUCTION Owner: PACIFIC REALTY ASSOCIATES
5320 SW DOVER LN ATTN: N PIVEN
PORTLAND, OR 97225 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-892-0066 PHONE:
FAX: 503-892-0067
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 10/07/2014 $187.00
Occupancy Grp: B Occupancy Load: 33 DC Provision Review,COM TI-LRP 10/07/2014 $28.00
Permit Fee-Additions,Alterations, 10/07/2014 $1,154.27
Dwelling Units: 0 Demolition
Stories: 4 Height: 0 ft 12%State Surcharge-Building 10/07/2014 $138.51
Bedrooms: 0 Bathrooms: 0 Plan Review 10/07/2014 $750.28
Value: $107,970 Plan Review-Fire Life Safety 10/07/2014 $461.71
Info Process/Archiving-Lg$2.00(over 10/07/2014 $8.00
11x17)
Floor Areas: Metro Const.Excise Tax-Commercial 10/07/2014 $129.56
Use
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,857.33
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 • •- _- or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility ' •ification C= ter. 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 • • 503.23 . 987 or 1. 10.332.2344.
Issued By: Permittee Signatur=
all 503.639.4175 by 7:00 a.m.for the next available in.•= i''nTr10 "
This permit card shall be kept in a conspicuous place on the job site until • • _ ion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application ' '
Commercial CE1VEP Received 1.00 O1 1.1('l: t SI. O\l.l
City of Tigard ' �j naceB : �,jn Permit No.: a , 1
ll 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ,i
a �� J j • . er Permit: �[E (`f�>»S 7
11 Phone: 503.718.2439 Fax: 503.598.1960 � 20i� Date/By:
�
Inspection Line: 503.639.4175 Oct 1� Date Ready :y: Juni- ® See Page 2 for
T 1 G A 14 D Internet: www.tigard-or.gov Notified/Method: j 7 / ,'/] E. Supplemental Information
1 ' 1VAR
IF)1.1.^._(,)1, A,'{1j I:4Co1 11 0,)l)6 f r ill i;1 , col s\ i>i_! ,:..('•
El New construction DI D II . ltton Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
1,1'Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
r- 1 ,) ;,1 n work indicated on this application.
Valuation: S
❑ 1-and 2-family dwelling 'Commercial/mdusI ial
Number of bedrooms:
El Multi-famil Accessory building ❑ y
❑Master builder ❑Other: Number of bathrooms:
ir il;. ')' )!?'1.431 .,, ': fpo,•� ':`:'.1, ! t' 1':IC.... Total number of floors:
Job site address: 1290 9 S'.. G2� ` PKWY New dwelling area: square feet
City/State/ZIP: Tl a P--N d P-- 9'7 i2-3 Garage/carport area: square feet
4.Suite/bldg./apt.no.: 1(Q) I Project name:Mt(h042,A 0 girt" '1' %- Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
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
.i e' ; •, 1'1 !r) n ,', .1.;1, work indicated on this ...lication.
t v�4e,Ar tar T 1 : oCC-1 i1.t break-room -craisA N�j Valuation: $ lfl �'t�"�-27
J Existing building area 32;3 square feet
/Y a Loco."( i doers r fvethi X45, f v.t.&4
New building area: 32 S square feet
• ! 1 t:!'? „1 io, ; is Number of stories: Lt
Name: 'acs:-i u CA- Type of construction: j/-
Address: 1 S1,S7) 5t..7 gP.CtV O le. 9 1 Occupancy groups:
City/State/ZIP: f- at 44 ( 9�� Existing: 8
Phone: q44 4, -ta 30a Fax: ■ ) , ((--77s-s"7& New $
Business name: ^JAtr,A,A, -
Sttucttu-al plan review fee(or deposit):
Contact name: �.�, �e�V,1('�
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
Phone:(S2) '701_1(2,44 I Fax::( ) .Amount received:
1.)1()1(1V'111`-.1,,,1(_.Si) 1: ' •_,., I.',1 s1:1..1,-E-mail: i tr a
Y •4 I._ ;- . A Commercial and residential prescriptive installation of
( , 11 ,( 1('? ' roof-top mounted Photo Voltaic Solar Panel System.
Business name: A a(..(- O(6 0" CoA S'}-r o c_11 jv1 Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: c 3 Zd St, O V e, 1.4„,i&C Solar Installation S.,cia! Code checklist.
City/State/ZIP: PO r.44&Ana 0'_ g7?.Z,s Permit fee(includes plan review $180.00
and administrative fees :
Phone:( 30-7. 2.4 CS- I Fax:( ) State surcharge(12%ofpermit fee): 521.60
CCB lie.: 1/'x79 ; Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
' wit hin 180 days after it has been accepted as complete.
Print name: ,n Date: 1 0 1
/// 7— (l1�. • Fee methodology set by Tri-County Building Industry
Y[�.{ �Ir�� I Service Board
I:\Building\Permits,1BIJP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
'Pq •
COMMUNITY DEVELOPMENT DEPARTMENT
. ■
minim Building Permit Review — Commercial - No Land Use
'n
Builds g Permit #: at.poiH--cxQ3/
Site Address: (V101 ,Svv/ Ugh PArk-W ,(j Suite/Bldg#: UP
Project Name: MlalGICI 4,040 2 Arvioe.tok4es . Pr-
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: tn* nc or 1-... 7
Existing Business Activity: Dificp (ACa.vk)
Proposed Business Activity: oc.,Rce
Verify site address/suite #exists and active in permit system.
.2.Zoning: M
Zr Permitted Use: Yes ❑ No ❑ Spec Space
0-Confirm no land use required.
Notes: CUylf' \MCA vrl- jaiith FreViims ke h{ was o fiK..Q -
Approved by Planning:
ArA k Date: WI 1 I 14--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 Submittal Date: I i 7 /H
Site Plans: # ,
Building Plans: #
Building Permit#: U Ent r building permit#above.
Workflow Routing: nning ❑ Permit Coordinator g
Workflow Sign-off: ;i01-off for Planning(include notes from planning review)
Route Application Documents: I Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes: Of L
By Permit Technician: �,a ,`rte—_ Date: /6/7A-art Or'„
I:\Building\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 Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_071514.docx
ErBuilding Division
Over-The-Counter (OTC) Building Permit
TIGARD Check List
Project Description: l l
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: � Occupancy Group: of Construction: PP
Type of Use**: VA Occupancy Load: Oregon Specialty Code: 2,a 14_
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: 5: Occupancy Separation:
E: W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
t
Fire Sprinklers: '(f%ei 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: $ 107)4?'7O FEES DUE
$ r. CU DC Prov Rvw,COM TI—Ping
$ r.:• 'a DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ I "r Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ Mio�� 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ N r`- Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ Ati,11W Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ r,Q' 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)
$ (z,,c Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ _ Misc.Admin Fee
$ Other:
they:
Building Staff: $ -..co
Date/Time: $ 28 ?T AL FEES DUE
*TYPE OF USE: COM=commercial;CMS=commercial manufacture. • ture.
**CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling unit; • T=alteration;DEM=demo;NEW=new;
O"IR=other(use for fences,decks,retaining_walls,signs,awnings or canopies).
I:\Building\Forms\OTC BUP_070114.docc
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
12909 SW 68TH PKWY 160, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2014-00231
Chip Barnett
Violation Summary:
Inspector Contractor