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Permit
CITY OF TIGARD BUILDING PERMIT ''1 y p 8 COMMUNITY DEVELOPMENT Permit#: BUP2014-00251 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/29/2014 Parcel: 2S101AC01600 Jurisdiction: TIGARD Site address: 7150 SW HAMPTON ST 201 Project: EBS Associates Subdivision: BEVELAND NO.2 Lot: 18-19,P Project Description: TI for existing tenant. Tenant is expanding into space 201. Contractor: OWNER Owner: NEIMEYER, JOHN JOHN NIEMEYER 15 82ND DR STE 210 15 82ND DRIVE SUITE 210 GLADSTONE, OR 97027 GLADSTONE, OR 97027 PHONE: PHONE: FAX: Specifics: I FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB ' DC Provision Review,COM TI-Ping 10/29/2014 $75.00 Occupancy Grp: B Occupancy Load: 60 DC Provision Review,COM TI-LRP 10/29/2014 $11.00 Permit Fee-Additions,Alterations, 10/29/2014 $767.10 Dwelling Units: 0 Demolition Stories: 2 Height: 0 ft 12%State Surcharge-Building 10/29/2014 $92.05 Bedrooms: 0 Bathrooms: 0 Plan Review 10/29/2014 $498.62 Value: $55,000 Plan Review-Fire Life Safety 10/29/2014 $306.84 Info Process/Archiving-Lg$2.00(over 10/29/2014 $4.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,754.61 Required: Required Items and Reports(Conditions) Fire Sprinkler: No Parapet: Fire Alarm: No 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 coo fh ulLes or direct questions to OUNC by calli)• ' 32.1987 or 1.800.332.2344. Issued By: Permittee Signature: �/ 3.639.4175 by 7:00 a.m.for the next available i n dat:. This permit card shall be kept in a conspicuous place on the job site ntil completion of the project. Approved plans are required on the job site at the time of each inspection. CITY OF TIGARD BUILDING PERMIT ''1 y p 8 COMMUNITY DEVELOPMENT Permit#: BUP2014-00251 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/29/2014 Parcel: 2S101AC01600 Jurisdiction: TIGARD Site address: 7150 SW HAMPTON ST 201 Project: EBS Associates Subdivision: BEVELAND NO.2 Lot: 18-19,P Project Description: TI for existing tenant. Tenant is expanding into space 201. Contractor: OWNER Owner: NEIMEYER, JOHN JOHN NIEMEYER 15 82ND DR STE 210 15 82ND DRIVE SUITE 210 GLADSTONE, OR 97027 GLADSTONE, OR 97027 PHONE: PHONE: FAX: Specifics: I FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB ' DC Provision Review,COM TI-Ping 10/29/2014 $75.00 Occupancy Grp: B Occupancy Load: 60 DC Provision Review,COM TI-LRP 10/29/2014 $11.00 Permit Fee-Additions,Alterations, 10/29/2014 $767.10 Dwelling Units: 0 Demolition Stories: 2 Height: 0 ft 12%State Surcharge-Building 10/29/2014 $92.05 Bedrooms: 0 Bathrooms: 0 Plan Review 10/29/2014 $498.62 Value: $55,000 Plan Review-Fire Life Safety 10/29/2014 $306.84 Info Process/Archiving-Lg$2.00(over 10/29/2014 $4.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,754.61 Required: Required Items and Reports(Conditions) Fire Sprinkler: No Parapet: Fire Alarm: No 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 coo fh ulLes or direct questions to OUNC by calli)• ' 32.1987 or 1.800.332.2344. Issued By: Permittee Signature: �/ 3.639.4175 by 7:00 a.m.for the next available i n dat:. This permit card shall be kept in a conspicuous place on the job site ntil completion of the project. Approved plans are required on the job site at the time of each inspection. f a Building Permit Application Commercial City of Tigard IlECEi Recce ed IQ �q l /� permit No.: IIIII • I3I25 SW Hall Blvd.,Tigard,OR 97223 Plan Review �(� 'vY/ ��� `y ��' Phone: 503-718-2439 Fax: 503-598-1960 � / Related Permit: p 9 2�1t Date/By: ,A^V Q/�c( /f TI c;1 It t) Inspection Line: 503-639-4175 OC 2 Date Ready/By: / /�� 7u• ® See Page 2 for Internet: www.tigard-or.gov Oc�`�A Notified/Method: io/ Jii ,3,,- Supplemental Information T 1. is(,� 111 TYPE OF WO ��� G��"'� REQUIRED DATA:1-AND 2-FAMILY DWELLING Permit fees*are based on the value of the work erformed. ❑New construction El Demolition P Indicate the value(rounded to the nearest dollar)of all 1 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION .. work indicated on this application. ID a- 1-and 2-family dwelling Commercial/industrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: ID Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 7/c e) S 4) a 01/97jyt / Su, �e_ Z O / New dwelling area: square feet City/State/ZIP: -7-,7 q f,k. Garage/carport area: square feet Suite/bldg./apt.#: v/ Project name:.rC rc,e /Ore,Zek._ ' Covered porch area square feet Cross street/directions to job site: 1 13 S S C G^t:.t}es Deck area: square feet 7? AV 0 Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot 4: Permit fees*are based on the value of the work performed. Tax map/parcel 4: 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. %e-4 me Valuation: $ S 'l Existing building area _ squuar et New building area: .4'36 2 y ') tsgirar feet 0 PROPERTY OWNER I ❑ TENANT Number of stories: Name: eY J j /...) . ey Type of construction: rr,4 Q- /5--- � ND Address: � � p`/( / SviY-e, a I CS Occupancy groups: City/State/ZIP: G-4 �5 la.)->f 6 i T 76 Z 7 Existing: Phone:5'0.3) 8g 7- y/72_ Fax:(33.-03) 6S-C) - (.2./2_ New: ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: MPlsarerela toles sche*ilel _-__ S 4 L Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application: Phone:( ) Fax::( ) Amount received: E-mail: 4� �S �p7it PHOTOVOLTAIC SOLAR PANEL SYSTEM FEW G!W-I CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: SZ ,. (01.4j/t/r-r) Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specially Code checklist. City/State/ZIP: Permit fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lic.: Total fee due upon appication: $201.60 Authorized signature: This permit application expires if a permit is not obtained �;- ?- within 180 days after it has been accepted as complete. Print name:371 4 � Date: * Fee methodology set by Tri-County Building Industry �f Service Board I:\Building\Pennits\BUP_COM_PermitApp.docc Rev.04/21/2014 440-4613T(11/02/COM/WEB) a City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ■ • Accessibility: Barrier Removal Improvement Plan Commercial & Multi-Family - Additions or Alterations I I ' 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: $ (f) 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 Plan Submittal Requirements Commercial & Multi-Family - New, Additions or Alterations T 1 G n lZ 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_PerrnitApp.doc Rev.04/21/2014 . & City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT IIII ' Plan Submittal Requirements Matrix Commercial & Multi-Family - New, Additions or Alterations T I c; It D 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 71 ' Building Division Tlc,ARD Over-The-Counter (OTC) Building Permit Check List Project Description: APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION Class of Work*: A t.."- Occupancy Group: , Type of Construction: Type of Use**: CrA/`^ Occupancy Load: E 0 Oregon Specialty Code: SPECIFICS Number of Stories: D- 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: /j y 75 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 '5- Exterior Walls: Openings Protected: Firewall Separation: N: S: N: S: Occupancy Separation: E: W: E: W: Access.Parking Spaces: REQUIRED ITEMS Fire Sprinklers: 00 Fire Alarms: N/A Smoke Detectors: Sprinkler Type: Alarm Type: Protected Corridors: NiA Standpipe Required: Pull Stations Required: Parapet: Hazard Group: Battery Calcs Provided: Density: Cut Sheets Provided: Design Area: K Factor: Total Project Valuation: $ FEES DUE $ 75- DC Prov Rvw,COM TI—Ping $ 1/ DC Prov Rvw,COM TI—LRP DC Provision Review Fee for COM TI (effective 7/1/2014) $ )C Permit Fee—Add,Alt,Demo Project Valuation Planning LRP $ k 12%State Surcharge Up to$4,999 $0.00 $0.00 $ -,){ Plan Review,Structural $5,000-$74,999 $75.00 $11.00 $ 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 75y.6/ 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_B UP_070114.docx City of Tigard IIIw COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 G A R D Building Permit Review — Commercial - No Land Use Building Permit #: OtPap m-oods I Site Address: `l150 <SW I-lamp-}on S+. Suite/Bldg#: 2_0 i Project Name: EBS As ocj -eS (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: €.05h111 1`e-narrf- in another il,;;.t��.!'! unl+ b I� lin, e p Tr)In• incc7 ■i i • ! _ ..• '. ! • •v• • . I. .'is_! :9t' •." 1i11 Existing Business Activity: Ace, (yaw n+) Proposed Business Activity: t!! Verify site address/suite #exists and active in permit system. 1 1 oning: M U E ermitted Use: IIYes ❑ No El Spec Space Confirm no land use required. Notes: Approved by Planning: i `m 1-6-}r64 Date: 10180/P4 Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: El Approved El Not Approved Revision 3: El Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: Vbei // Site Plans: # N Building Plans: # 'i Building Permit#: nter building permit#above. Workflow Routing: R".. nning El Permit Coordinator H' g Workflow Sign-off: inl] S" -off for Planning(include notes from planning review) Route Application Documents: Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: ©IC— By Permit Technician: I Date: /0701-1/17, C\Building\Forms\BI dgPermitRvw_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:\B uilding\Forms\BldgPermitRvw_COM_NoLandUse_071514.docx