Permit CITY OF TIGARD BUILDING PERMIT
ill ; • COMMUNITY DEVELOPMENT Permit#: BUP2014-00289
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/04/2014
Parcel: 2S101AC00800
Jurisdiction: TIGARD
Site address: 7148 SW GONZAGA ST 180
Project: The Adrienne Subdivision: BEVELAND NO.2 Lot: 14
Project Description: TI for existing tenant: Construction of a non-load bearing partition wall for an existing office.
Contractor: CENTREX CONSTRUCTION INC Owner: ROGERS, ROY R
8250 SW HUNZIKER RD 13690 SW TWELVE OAKS CT
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503-684-0443 PHONE:
FAX: 503-620-6692
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg DC Provision Review,COM TI-Ping 12/04/2014 $75.00
Occupancy Grp: B Occupancy Load: 4 DC Provision Review,COM TI-LRP 12/04/2014 $11.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 12/04/2014 $332.27
Demolition
Stories: 3 Height: 0 ft 12%State Surcharge-Building 12/04/2014 $39.87
Bedrooms: 0 Bathrooms: 0 Plan Review 12/04/2014 $215.98
Value: $17,000 Plan Review-Fire Life Safety 12/04/2014 $132.91
Info Process/Archiving-Lg$2.00(over 12/04/2014 $2.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $809.03
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 r 1.800 • 4.
Issued By:
I
I
��.839.4175 by 7:00 a.m.for the next available inspectio te.
This permit card shall be kept in a conspicuous place on the job site until completion of the prole .
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial RE C E II Y`/
E , FOR OFFICE USE ONLY
- City of Tigard DateBea r Petmit No.:jc / a _ ....• i
• 13125 SW Hall Blvd.,Tigard,OR 97223 NOV 2 6 2014 Plan Revie�rig,
Phone: 503.718.2439 Fax: 503.598.1960 Date/B
TIGARD
Inspection Line: 503.639.4175 Date Reader ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: �.�� Supplemental Information
PLANNING/ENGINEERIN
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:TI equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling Valuation: $
®CommerciaUindustrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7148 SW Gonzaga ST. New dwelling area: square feet
City/State/ZIP:Tigard/OR/97223 Garage/carport area: square feet
Suite/bldg./apt.no.: /go Project name:The Adrienne Office TI Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
SW Gonzaga and SW 72"d Ave. 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.
Construction of non barring partition walls for an office TI Valuation: $517,000.00
Existing building area: 390 square feet
New building area: 0 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: N/A
Name:Roy Rogers Type of construction:
Address: 12700 SW 72nd Ave Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing: B
Phone:( ) Fax:( ) New: B
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Scott Edwards Architecture (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Chris Olenyik
FLS plan review fee(if applicable):
Address:2525 E Burnside
City/State/ZIP: Portland,OR 97124 Total fees due upon application:
Phone:(503)226-3617 Fax: :( ) Amount received:
E-mail:chris@seallp.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Co..mercial and residential prescriptive installation of
CONTRACTOR roof-top ... ed PhotoVoltaic Solar Panel System.
Business name:Centrex Construction Submit two(2)s-•. of roof plan with connection .• .t s
and fire department ac along with the : I Oregon
Address:8250 Hunziker St Solar Installation Specialty •' c._ • ist.
City/State/ZIP:Tigard,OR 97223 Permit fee(includes . -. re $180.00
and admi.' ative fees):
Phone:(503} li(gy-041C/7 Fax:( ) State surchar:: 2%of permit fee): .21.60
CCB lic.:56358
. al fee due upon application: $20 .60(7 This permit application expires if a permit is not obtained
Authorized signature: vv within 180 days after it has been accepted as complete.
Print name:Chris Olenyik Date: 11/25/14 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
-r I G A iz D Building Permit Review — Commercial - No Land Use
Building Permit #: (LAP AQ Pip-uaLr9
Site Address: 7 !'8 ,-S-CA) &on zct g w Suite/Bldg#: /go
Project Name: —11'1e ;,-)e n n e-
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Ac1 4 itctit no,-\ -b&- ri .,) paa� -1-,-k--, (N, .,.,,,-A U -
Existing Business Activity: �'.ft LI-
Proposed Business Activity: p.f f,cIL
1 Verify site address/suite #exists and active in permit system.
rX Zoning M 1,
yi Permitted Use: X Yes ❑ No ❑ Spec Space
/ ' Confirm no land use required.
Notes: NJ ek0.ne e Of' u..1 R.-- 'IS 1.),KuPu.3-e cl -
Approved by Planning: a_cp,,4,"1,- Date: / / 'a (o "/,/
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: 11,4//4.1
Site Plans: # //V,4
Building Plans: # 3
Building Permit#: ❑ Enter building permit#above.
Workflow Routing. Lail - ig ❑ Permit Coordinator ding
Workflow Sign-off: �� off for Planning(include notes from planning review)
Route Application Documents: piiuilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: arc_
By Permit Technician: ",.....-rs-,Z--____ Date: 134/i7
I:\Building'Forms\B I d gPerm i t Rvw_COM_No L and U se_071514.do cx
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:
El OK to Issue Permit
Approved by Permit Coordinator: Date:
1:
\Building\Forms\BldgPe rm itRvw_COM_NoLandUse_071 5 14.docx
IN _ ill Building Division
Over-The-Counter (OTC) Building Permit
T i c n K Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Occupancy Group: Type of Construction: 5 _
Type of Use**: ,(,1 Occupancy Load: Oregon Specialty Code: "�a►��
-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: el 3 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: $ ( 7 elif) FEES DUE
$ An" DC Prov Rvw,COM TI—Ping
$ I 0 DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ 1r 2. Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ vfar 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ . r Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ ,11 Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ :2,cc) 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: $ 9d C 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;
O1R=other(use for fences,decks,retaining walls,signs,awnings or canopies).
I:\Building\Forms\OTC_BUP 070114.docx