Permit CITY OF TIGARD BUILDING PERMIT
' COMMUNITY DEVELOPMENT Permit#: BUP2014-00228
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/23/2014
Parcel: 1S136DD03800
Jurisdiction: Tigard
Site address: 11675 SW 66TH AVE
Project: City County Insurance Subdivision: WEST PORTLAND HEIGHTS Lot: 4-8&27
Project Description: Securing main lobby by filling two openings with pass-thur window and secured door. Replace glazing in annex.
Contractor: BNK CONSTRUCTION INC Owner: CITY COUNTY INSURANCE SERVICES
45 82ND DR, SUITE 53B 1212 COURT ST NE
GLADSTONE, OR 97027 SALEM,OR 97301
PHONE: 503-557-0866 PHONE:
FAX: 503-557-1085
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 10/15/2014 $531.09
Demolition
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 10/15/2014 $63.73
Dwelling Units: 0 Plan Review 10/06/2014 $345.21
Stories: 0 Height: 0 It Plan Review-Fire Life Safety 10/06/2014 $212.44
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 10/15/2014 $12.00
Value: $31,200 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,164.47
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No 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 calling 503.232.1987 or 1.700.332.2344.
Issued By: Per •nature:
9111'h,.`1,175 by 7:00 a.m.for the next available inspecti•mate.
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.
• 'a
Building Permit Applicati EC"
IVED
Commercial FOR OFFICE USE ONLY
I. City of Tigard OCT 6 2014 Received A !o /9' � Permit No../ ePej/ - Z2.?
s • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review i[a�
Phone: 503.718.2439 Fax: 503IF TIGARD D : *AVM'. [� Other Permit
Inspection Line: 503.639.4175_ Date Ready/By: r Jug IB See Page 2 for
T 11.A R n UILDING DIVISION lU iti IkI , > Supplemental Information
Internet: www.tigard-or.gov Date/B atified/Method:1PREQuIREI)- DATA:1-AND 2-FAMILY DWELLING
❑New construction El 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 III Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTIO!!f work indicated on this application.
1:1 m
1-and 2-family dwelling ®Comerciallindustrial
Valuation: $
1:1 Accessory building El Multi-family
Number of bedrooms:
El Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11675 66`"Avenue New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:City County Insurance TI Covered porch area: square feet
Cross street/directions to job site:1-5 and 66th Ave 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Securing main lobby with by filling two openings with pass through window and Valuation: $31,200.00
secured door.Replace glazing in annex. Replace water heater. Minor high and Existing building area: 13394 square feet
low voltage work. New building area: 13394 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 3
Name:City County Insurance Services Type of construction: VB
Address: 1313 Court Street Occupancy groups:
City/State/ZIP:Salem,OR 97301 Existing: B
Phone:(503)763-3890 Fax:( ) New: B
❑ APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Men rear solar ackelale)
Business name:See Above
Structural plan review fee(or deposit):
Contact name:Dana Young
FLS plan review fee(if applicable):
Address: 1313 Court Street
City/State/ZIP:Salem,OR 97301
Total fees due upon application:
Amount received: ' 557. (0`—
Phone:(503)763-3895 1 Fax::(503)763-3995
E-mail:dyoung @ciisoregon.org
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:BnK Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:45 82°°Drive#53b Solar Installation Specialty Code checklist.
City/State/ZIP:Gladstone,OR 97207 Permit fee(includes plan review
$180.00
and administrative fees):
Phone:(503)557-0866 Fax:(503)763-3995 State surcharge(12%of permit fee): $21.60
CCB lic.: /O 7 55 r Total fee due upon application: $201.60
Authorized signs This permit application expires if a permit is not obtained
4.,......._ within 180 days after it has been accepted as complete.
Print name:Mary Cazier Date: 10/03/14 * 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)
a
•
111111 ■
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] $ 31200
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: $
(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\Permits\BUP-COM PemritApp.doc 03/03/2011
City of Tigard
114 r COMMUNITY DEVELOPMENT DEPARTMENT
•
Building Permit Review — Commercial - No Land Use
TI(.\ I)
Building Permit #: ---8[.cPa-DI 4�G(Ja`2-7
Site Address: I+p,p7S SW (oji-rn Ave. Suite/Bldg#:
Project Name: CA Ccunivi l - nc . T. 1 .
(Name o +n�u commercial bus Hess occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: ,n { r p e A u' W11,161046 G 1(,v7i SW S r u
Existing Business Activity: (7 lCQ
Proposed Business Activity: 0 Mu,
_.2'Verify site address/suite #exists and active in permit system.
Zoning: Vit/15
...0 Permitted Use: 21-Yes ❑ No ❑ Spec Space
12'Confirm no land use required.
Notes: VlIVIGtp is kw, cfc '7AC - mfh-G TYii n 10 € a►-� Thm. U
cirariG(ard V . ru-+.r,CP Par wit-fat/ . to cr vl�ci ppt y.
Approved by Planning: /� Date: ID (O1
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: ie _____
Site Plans: # 4¢
Building Plans: #
Building Permit#: 12"fnter building permit# above.
Workflow Routing: •0 TPlanning (crnvt Coordinator uilding
Workflow Sign-off: ,12-"Sign-off for Planning(include notes from planning review)
Route Application Documents: 1uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: C _ CAP Date: /oi//f
I:\Bui lding\Forms\B ldgPermitRvw_COM_NoLandUse_071514.docx
4
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:
U.FOK to Issue Permit
Approved by Permit Coordinator: / Date: /DA/7 7
I:\Bui Id ing\Forms\B IdgPermitRvw_COM_NoLandUse_071514.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
11675 SW 66TH AVE, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2014-00228
Chip Barnett
Violation Summary:
Inspector Contractor