Permit CITY OF TIGARD BUILDING PERMIT
11 COMMUNITY DEVELOPMENT Permit#: BUP2014-00264
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/12/2014
Parcel: 25101 DC00200
Jurisdiction: Tigard
Site address: 13535 SW 72ND AVE 200
Project: Umpqua Bank Subdivision: 72ND BUSINESS CENTER Lot: 13
Project Description: Interior office remodel.
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:
FAX: 360-687-7677
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 11/12/2014 $299.00
Occupancy Grp: B Occupancy Load: 265 DC Provision Review,COM TI-LRP 11/12/2014 $44.00
Permit Fee-Additions,Alterations, 11/12/2014 $1,516.67
Dwelling Units: 0 Demolition
Stories: 2 Height: 0 It 12%State Surcharge-Building 11/12/2014 $182.00
Bedrooms: 0 Bathrooms: 0 Plan Review 11/12/2014 $985.84
Value: $168,000 Plan Review-Fire Life Safety 11/12/2014 $606.67
Info Process/Archiving-Lg$2.00(over 11/12/2014 $10.00
11x17)
Floor Areas: Metro Const.Excise Tax-Commercial 11/12/2014 $201.60
Use
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,845.78
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
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: J./ Permittee Signature: 1 D5)
a .3.639.4175 by 7:00 a.m.for the next available inspection date.
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.
Building Permit Application
Commercial RECEIVED FOR UI•FICE 1 SE tl\1.1
City of Tigard l� / 1; y yL , - ., ,
13125 SW Hall Blvd.,Tigard,OR 97223 Date/S.
.
8 Plan Review
Phone: 503.718.2439 Fax: 503.598.1910\I 1&2O14 Date/B : /) OtherPemnt.
f I G,�l;D Inspection Line: 503.639.4175 ■y Date Read:y: See Page 2 for
Internet: www.tigard-or.gov t ��V�C�V Notified/Method: 1 11= 4/` Supplemental Information
TYPE OPAWI G olv ISION 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 ®Commercial/industrial Valuation: $
El Accessory building El 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°"Ave. New dwelling area: square feet
City/State/ZIP:Tigard,OR Garage/carport area: square feet
Suite/bldg./apt.no.:200 Project name:Umpqua Bank Covered porch area: square feet
Cross street/directions to job site:SW 72a"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.
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.
Interior office remodel Valuation: $$168,000.00
Existing building area: square feet
New building area: 20633 square feet
® 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,OR 97005 Existing: B
Phone:(503)626.3500 Fax:(503)671.0211 New: B
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Mildren Design Group,P.C. (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Betty Sheppeard -
FLS plan review fcc(if applicable):
Address:7650 SW Beveland-Suite 120
City/State/ZIP:Tigard,OR 97223 Total fees due upon application:
Amount received:
Phone:(503)244.0552 Fax: :(503)244.0417
E-mail:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:VanOsdel 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 $180.00
and administrative fees):
Phone:(360)687.8636 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:16403
» / Total fee due upon application: $201.60
Authorized signature: 1�-�• - 'A `,,c,_,.,���,� This permit application expires if a permit is not obtained
!!!///���"' v'''!� ^�(�"'� within 180 days after it has been accepted as complete.
Print name:Betty K.Sheppeard Date:11/12/14 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-461 3T(l 1/02/COM/WEB)
City of Tigard
711 ■ COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: 3btP, 011-1--00 '"(
Site Address: 4535- 5LO 7 4 Suite/Bldg#: , .0.C)
Project Name: // L�.�,/�
(Name of ohmcrc�business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: // .0/7 c L v-c
Existing Business Activity:
Proposed Business Activity:
9/Verify site address/suite # exists and active in permit system.
J zoning. —r'
..2 Permitted Use: L Yes ❑ No ❑ Spec Space
,"Confirm no land use required.
Notes:
Approved by Planning: Cam" P Date: // `/Z -7y
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(//of//y
Site Plans: # (3
Building Plans: # 3
Building Permit#: [�, i building permit#above.
Workflow Routing. lair ring ❑ Permit Coordinator g
Workflow Sign-off: ['Seign-off for Planning(include notes from planning review)
Route Application Documents: [ 1g: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: UT
By Permit Technician: 4,------ Date: //AO,
I:\Building\Forms\BldgPermitRvw_COM_NoLand Use_0715I 4.doc x
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:
❑ OB to Issue Permit
Approved by Permit Coordinator. Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 071514.docx
71111 ' Building Division
Over-The-Counter (OTC) Building Permit
1 i l'A li l' Check List
Project Description: l
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: ACT Occupancy Group: d0 Type of Construction:
Type of Use**: �wl Occupancy Load: `L(p5" Oregon Specialty Code: 260,-
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: s��.---) 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: $ t(::: 5)00n FEES DUE
$ err APO DC Prov Rvw,COM TI—PIng
$ A` •r DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ J Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ iror ..411 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ �('`y Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ /riare' Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ loanC3 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)
$ 2C:(,(-.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: ( $.�-Ailriii. TOT• FEES DUE
*TYPE OF USE: COM=commercial;CMS=commercial manufac rred structure.
**CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory:we i ng 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
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
13535 SW 72ND AVE 200, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2014-00264
Jeff Grove
Violation Summary:
Inspector Contractor
AA
FOR OFFICE USE ONLY–SITE ADDRESS: / . '53 S S ) 72 ' 7c-2-0-0
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
ill Transmittal Letter
I i, ;,\i, i i 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
f�—L �� I 1 �4 I)
TO: � DAT
DEPT: BUILDING DIVISION
DEC ! 2014
FROM: bSVj Vas CI E CIT 1 FTIGARD
'A BU I ING DIVISION
COMPANY: RA(L'D
PHONE: `3 'MA- O .,sZ By 40 ,
RE: ( /5 72- 2 Uf Oi -D0,16 V
(Site Address) rmit Number)
‘• 76 k- 72)(10 —
(Pr jdct name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: ), opies: Description:
Additional set(s)of plans. e, Revisions:
Cross section(s) and detail . i Wall bracing and/or lateral analysis.
Floor/roof framing. 0 Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS:
FOR OFFICE USE ONLY
Routed to Permit Tec •ician: Date: Initials:
Fees Due: ❑ Yes ❑No Fee Description: Amount Due:
$
$
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ` ❑ Done
Applicant Notified: Date: /�/// /, VA-/ u,/,�,9n! Initials: e:, F2(7‘----
1:\Buil ding\Forms\TransmittalLetter-Revisions.doc 05/25/2012