Permit iii CITY OF TIGARD BUILDING PERMIT
'"! - COMMUNITY DEVELOPMENT Permit#: BUP2014-00247
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/22/2014
Parcel: 2S110DCO2200
Jurisdiction: Tigard
Site address: 15532 SW PACIFIC HWY C-7
Project: Spec Space Subdivision: 1997-016 PARTITION PLAT Lot: 2
Project Description: Tenant improvement(landlord work)to prepare for future tenant-AT&T
Contractor: CPS CONSTRUCTION INC Owner: TRC MM LLC
9825 SW DAY ST 5973 AVENIDA ENCINAS STE 300
SHERWOOD, OR 97140 CARLSBAD, CA 92008
PHONE: 503-320-0918 PHONE:
FAX: 503-570-8713
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 10/22/2014 $75.00
Occupancy Grp: B Occupancy Load: DC Provision Review,COM TI-LRP 10/22/2014 $11.00
Permit Fee-Additions,Alterations, 10/22/2014 $608.23
Dwelling Units: 0 Demolition
Stories: 1 Height: 0 ft 12%State Surcharge-Building 10/22/2014 $72.99
Bedrooms: 0 Bathrooms: 0 Plan Review 10/22/2014 $395.35
Value: $39,000 Plan Review-Fire Life Safety 10/22/2014 $243.29
Info Process/Archiving-Lg$2.00(over 10/22/2014 $12.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,417.86
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. Special, Codes and all other applicable la.. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days • iss ance, or if work is suspend- for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Noti catio Center. ose rules -re set forth in OAR
952-0 - 010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calli •503 -r 1 0.332. - 4.
1
Is ued By: / / / / Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available insp:cti n date.w i1 `'
This permit card shall be kept in a conspicuous place on the job site until co .leti. of the project.
Approved plans are required on the job site at the time of each inspection.
iii CITY OF TIGARD BUILDING PERMIT
'"! - COMMUNITY DEVELOPMENT Permit#: BUP2014-00247
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/22/2014
Parcel: 2S110DCO2200
Jurisdiction: Tigard
Site address: 15532 SW PACIFIC HWY C-7
Project: Spec Space Subdivision: 1997-016 PARTITION PLAT Lot: 2
Project Description: Tenant improvement(landlord work)to prepare for future tenant-AT&T
Contractor: CPS CONSTRUCTION INC Owner: TRC MM LLC
9825 SW DAY ST 5973 AVENIDA ENCINAS STE 300
SHERWOOD, OR 97140 CARLSBAD, CA 92008
PHONE: 503-320-0918 PHONE:
FAX: 503-570-8713
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 10/22/2014 $75.00
Occupancy Grp: B Occupancy Load: DC Provision Review,COM TI-LRP 10/22/2014 $11.00
Permit Fee-Additions,Alterations, 10/22/2014 $608.23
Dwelling Units: 0 Demolition
Stories: 1 Height: 0 ft 12%State Surcharge-Building 10/22/2014 $72.99
Bedrooms: 0 Bathrooms: 0 Plan Review 10/22/2014 $395.35
Value: $39,000 Plan Review-Fire Life Safety 10/22/2014 $243.29
Info Process/Archiving-Lg$2.00(over 10/22/2014 $12.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,417.86
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. Special, Codes and all other applicable la.. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days • iss ance, or if work is suspend- for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Noti catio Center. ose rules -re set forth in OAR
952-0 - 010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calli •503 -r 1 0.332. - 4.
1
Is ued By: / / / / Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available insp:cti n date.w i1 `'
This permit card shall be kept in a conspicuous place on the job site until co .leti. of the project.
Approved plans are required on the job site at the time of each inspection.
'Building Permit Application
Commercial FOR OFFICE USE ONLY
City of Tigard Received MS• / 'a`o/ .� y 1+
Date/By. ld or /� Permit No.:
• 13125 S W Hall Blvd.,Tigard,OR 97223 Plan Review 0,1. j
Phone: 503.718.2439 Fax: 503.598.1960 Date/By. 40 f '' ( r A Other Permit:
y
TI G A R D Inspection Line: 503.639.4175 Date Read/B y. luris ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 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.
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial --
❑Accessory building C1 Multi-family Number of bedrooms:
El Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15532 SW Pacific Hwy,Ste C-7 New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:AT&T Cell Phone Store Covered porch area: square feet
~
Cross street/directions to job site:SW Royalty Parkway Deck area: square feet
Tigard Promenade 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.
Demo,Electrical,carpet,paint Valuation: $539,000.00
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:Terrimar Retail Centers Type of construction: Ill-B
Address:5973 Avenida Encinas,Ste 300 Occupancy groups:
City/State/ZIP:Carlsbad,CA 92008 Existing: M
Phone:(760)476-1148 Fax:( ) New: M
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Day Road Design _____
Structural plan review fee(or deposit):
Contact name:Ron Kief
FLS plan review fee(if applicable):
Address:9825 SW Day Road
Total fees due upon application:
City/State/ZIP:Sherwood,OR 97140 --- ---
Amount received:
Phone:(503)320-0918 Fax::(503)972-1848
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: ronkiefacomcast.net .
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:CPS Construction,Inc Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:9825 SW Day Road Solar Installation Specialty Code checklist.
City/State/ZIP:Sherwood 97140 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)320-0918 Fax:(503 ' -1848 State surcharge(12%of permit fee): $21.60
CCB lie.: 102248 die,-/ Total fee due upon application: $201.60
Authorized signatilre: This permit application expires if a permit is not obtained
�, ,I // within 180 days after it has been accepted as complete.
Print name: Ron Kief ' i'� Date: 10-1744 * Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building1Permits\BUP-COM PermitApp.doc 02/24/201 44011613T(11/02/COM/WEB)
71 Building Division
i .
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] $ 39,000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 9,750.00
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: $ 9,750
(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): $
1:\Building\Pemrits\BUP-COM PermitApp.doc 03/03/2011
1
•
'Pi _ ' Building Division
Plan Submittal Requirements
T I G AR 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. 1
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. 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.
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
11111 •
Building Division
Plan Submittal Requirement Matrix
11 G A R t) 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.
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
• • Building Division
Over-The-Counter (OTC) Building Permit
`' ` I' I) Check List
Project Description: Ti
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Group:
j Type of Construction:
Type of Use**: Occupancy Load: Oregon Specialty Code: 77
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: S: Occupancy Separation:
E: W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: l 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: $ ?jg/Oki FEES DUE
$ -Cir 0 DC Prov Rvw,COM TI—Ping
$ r, DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ Allf�T Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ 4/Terajr lan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ i S" Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ 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: $ 1/t7, , 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,signs,awnings or canopies).
I:\Building\Forms\OTC_BUP_070114.docx
City of Tigard
74 ■ COMMUNITY DEVELOPMENT DEPARTMENT
T l n It l� Building Permit Review — Commercial - No Land Use
Building Permit #: 'big&oi 4-00?-g7
Site Address: I SS 31- p/}Cl N(C-1 Suite/Bldg#: C - "7
Project Name: A T t 7 o V T!vi
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review �. .� /'
Proposal: /1�ltitJ _ 1kl1c tom/ ;Xi) I ci..�s�A .
Existing Business Activity: P 0-44," iteu- v ef 4-
Proposed Business Activity: N 0 Z.
Verify site address/suite#exists and active in permit system.
/Et Zoning: G - (a - P)
.r Permitted Use: es ❑ No ❑ Spec Space
_'Confirm no land use required.
Notes:
Approved by Planning: 72p ' Date: /ti ` L/ - 14t
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: /%�/!,L
Site Plans: # �/�/
Building Plans: # 3
Building Permit#: enter building pe . #above.
Workflow Routing: $i'nning ❑ Pernv ordinator tV173Uilding
Workflow Sign-off: -off for Planning(i dude notes from planning review)
Route Application Documents: ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: (04:7/ice"
I:1Bui I ding\Forms'B IdgPermitRvw_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:
1:\Building\Forms\BI dgPermi tRvw_COM_NoLandUse_071514.docx