Permit a CITY OF TIGARD BUILDING PERMIT
€'7 COMMUNITY DEVELOPMENT Permit#: BUP2015-00110
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/14/2015
TIGARD Parcel: 2S112DA01000
Jurisdiction: Tigard
Site address: 6610 SW CARDINAL LN
Project: Umpqua Bank Subdivision: 1995-098 PARTITION PLAT Lot: 1
Project Description: 3rd Floor-Demo(1)room,add(2)offices,TI upgrades.
Contractor: EMERICK CONSTRUCTION CO Owner: PACIFIC REALTY ASSOCIATES
8850 SE OHY ROAD ATTN: N PIVEN
HAPPPY VALLEY, OR 97086 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-777-5531 PHONE:
FAX: 503-771-2933
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 04/14/2015 $75.00
Occupancy Grp: B Occupancy Load: 63 DC Provision Review,COM TI-LRP 04/14/2015 $11.00
Permit Fee-Additions,Alterations, 04/14/2015 $423.53
Dwelling Units: 0 Demolition
Stories: 3 Height: 0 ft 12%State Surcharge-Building 04/14/2015 $50.82
Bedrooms: 0 Bathrooms: 0 Plan Review 04/14/2015 $275.29
Value: $22,509 Plan Review-Fire Life Safety 04/14/2015 $169.41
Info Process/Archiving-Sm$0.50(up to 04/14/2015 $2.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,007.55
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
952-001-001• _-•• *AR 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: AEI' Permittee Signature: / . `
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. 111
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 ApnlicatioIECEIVED
Commercial FOR OFFICE USE ONLY
City of Tigard APR 14 2015 Da e/Be , / /5 -,� Pei No.: o, •Cr/s�l 1=j—(....4:)ll0
13125 SW Hall Blvd.,Tigard,OR ?�o�� Plan Revie ''i� �/,�
Phone: 503.718.2439 Fax: 503. Plan TIGARD Date/B ��11�t� Other Permit
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date ReaTrry Jung fd See Page 2for
Internet: www.tigard-or.gov Notified/Method Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
Permit fees*are based on the value of the work performed.
❑New construction ❑ Demolition 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.
❑ I-and 2-family dwelling 'Commercial/industrial Valuation: $
❑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: New dwelling area: square feet
City/State/ZIP: --1)/4441 I l "', 41/204 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: ljoti pee_ p„iuk Covered porch area: square feet
Cross street/directions to job site: ° "�'� F+���'� Deck area: square feet
blr aQ 1-04 .F- SvJ SAl� �� Other structure area: square feet
I 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
7H!/12 7) `L L'e.'/ems DESCRIPTION 1OF-- `
WORK work indicated on this application.
DeNAO (t) PCM I Atii! L`� 0L►— i4. i- Valuation: $ 22-1.501
..__I` • /e 1 Q n� n �1._. 1 Existing building area: `I3 1s square feet
/NAM r'717''4%- ! t fJCT1�-�� New building area: � square feet
PROPERTY OWNER ❑ TENANT Number of stories:
3
Name: tMtfritat.. 1344A4p, _ CIA h3 1010.4 Type of construction: 14
Address: *L 5 NWT q4 ~-�- jv.e. Occupancy groups: 11
City/State/ZIP: V11(1� �- �7{ , Existing: g
Phone:(5113) a- itt.54 Fax:( ) 77
New: `/
LAPPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: Eme4.1Lk. {y i f review ee(or deposit):
Contact Structural plan review fee(or deposit):
Contact name: Ilje vi
FLS plan review fee(if applicable):
Address: `'
City/State/ZIP: L \/ G�-'ale Total fees due upon application:
Phone:( --/ri .. l I Fax::(93 )-n _ 2 33 Amount received: ��7 5�
E-mail: 4 ` G , PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: �b1�YiVI G�L Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: IJG D D..r�(I Solar Installation Specialty Code checklist.Valid, I�`"�"�`'�'` Permit fee(includes plan review
City/State/ZIP: 8� fees): $180.00
and administrative fees
Phone:(5 ) 1')1.-5i Fax:( j ) -771 Z4 3 3 State surcharge(12%of permit fee): $21.60
CCB lic.: `o7Z?j Total fee due upon application: $201.60
Authorized signature: �,/�I , f This permit application expires if a permit is not obtained
`�!�"�•I"f within 180 days after it has been accepted as complete.
Print name: Mike, �/�I`al Date: Lr//0/rs * Fee methodology set by Tri-County Building Industry
'�vJ b Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
s
T l G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: IS—c / /U
Site Address: 6610 SW Card.ira.1 Ln. Suite/Bldg#:
Project Name: Ump y o, Packfi c, Corporct+e. CerT e(
(Nam6 ofIEetnmercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Inl*e,r1 of Aeln0 e r rry i oci G. space- -Cor •eki s---i r1q i nQ vI±
Existing Business Activity: O'H'I C.C.
Proposed Business Activity: Samp�
eerify site address/suite# exists and active in permit syst,.
ver Terrace Plan District ❑ Yes N. No
V Zoning: 1--P �/
I Permitted Use: Lb Yes ❑ No ❑ Spec Space
ni Confirm no land use required.
LI Business License
Exists: inYes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: I I'm l e)nrbaG' , Date: 4 L' 1 5
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: /41/5---
Site Site Plans: # r
Building Plans: #
Building Permit#: .Fn er building permit#above.
Workflow Routing: a Planning ❑—Petsnnrdtnator -ErBuilding
Workflow Sign-off: erSign-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:
By Permit Technician: _ _ : ____ — Date:
I:\Building\Forms\BIdgPermitRvw_COM_NoLandUse 031015.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved, NOT Released: Date:
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:
L\Building\Forms\BI dgPermitRvw_COM_NoLandUse_031015.docx
111111 _ .4 Building Division
Over-The-Counter (OTC) Building Permit
T[G A R D Check List
Project Description: fl
APPLICATION SPECIFIC INFORMATION
GENERAL INFORM TION
Class of Work*: lff.:" 7 Occu.anc Grou.: MG' Type of Construction: —
Type of Use**: 1h r-' . Occupancy Load: C7- Oregon Specialty Code: °10(A___
SPECIFICS
Number of Stories: r./ Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOT AGES
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: '-- 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: $ 22)6-63"7 FEES DUE
$ .CC) DC Prov Rvw,COM TI–Ping
$ �1 eigh DC Prov Rvw,COM TI–LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ • '-Z Permit Fee–Add,Alt,Demo
Project Valuation Planning LRP $ 11; 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ Z1' >• - Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ MEI 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 $ 2_/ ) 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: $ (0O7 '5 S—I'OTAL 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;
O'IR=other(use for fences,decks,retaining walls,signs,awnings or canopies).
I:\Building\Forms\OTC_BUP_070114.docx