Permit `7Perr, '' CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT
mit#: BUP2015 00321
,.„ Date Issued: 11/10/2015
'T.IGARb 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
a;;, '1. Parcel: 25101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 440
Project: Spec Space Subdivision: VARNS ACRES Lot: 9
Project Description: TI for future tenant. Combining suites 440 and 450 into one suite:440.
Contractor: PACIFIC CREST STRUCTURES INC Owner: GK TRIANGLE CORPORATE PARK III L
17750 SW UPPER BOONES FERRY RD SUITE ATTN KBS REALTY ADVISORS
190 P O BOX 28270
DURHAM, OR 97224 SANTA ANA, CA 92709
PHONE: 503-968-8949 PHONE:
FAX: 503-598-6658
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Ig DC Provision Review,COM TI-Ping 11/10/2015 $220.00
Occupancy Grp: B Occupancy Load: 43 Permit Fee-Additions,Alterations, 11/10/2015 $1,068.30
Demolition
Dwelling Units: 0 12%State Surcharge-Building 11/10/2015 $128.20
Stories: 5 Height: 0 ft Plan Review 11/10/2015 $694.40
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/10/2015 $427.32
Value: $95,000 Info Process/Archiving-Lg$2.00(over 11/10/2015 $12.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,550.22
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: _ .nature: 2 6,..L..
Cal#rn.4175 by 7:00 a.m.for the next available insp tion 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 ^ �� * FOR OFFICE USE ONLY
City of Tigard ��`', Received ��/} Permit No.: /�
ilh
- • 13125 SW Hall Blvd.,Tigard,OR 97223 1 O `� ,ate/B °�( `� _ )
Phone: 503.718.2439 Fax: 503.598.1960 NQV i O •,y 7� 11�►� �/ in Other Permit:
TIGARD Inspection Line: 503.639.4175 '`k +�.►' " � ® See Page 2for
Internet: www.tigard-or.gov 01' , ®� D` 'r•.�.. ethod: 10 i111f FM Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 1 ❑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.
❑ 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:13221 SE 68TH Parkway New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:440 Project name:Space Prep Covered porch area: square feet
Cross street/directions to job site: 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.
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.
Interior tenant improvements to include demolition,new walls,doors,relites Valuation: $$95,000.00
and cabinetry. Existing building area: 4249 square feet
New building area: 4249 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 5
Name:CBRE(Mary Dillon) Type of construction: I-B
Address:1300 SW 5'h Avenue,Suite 3000 Occupancy groups:
City/State/ZIP:Portland,OR 97201 Existing: B
Phone:(503)221-4836 Fax:(503)221-4873 New: B
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer so fee schedu lee
Business name:Mackenzie
Structural plan review fee(or deposit):
Contact name:Dina Radzwillowicz
Address:1515 SE Water Ave Suite 100 FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP:Portland,OR 97214
Phone:(503)224-9560 Fax::(503)228-1285 Amount received:
E-mail:dmr @mcknze.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:TBD Pa`-j G Cxe S - &MACfl tveS Submit two(2)sets of roof plan with connection details.
" 1 and fire department access,along with the 2010 Oregon
Address: J 1 150 Si.,di V pj Do vIt_S t.d.1 >Ito k /la Solar Installation Specialty Code checklist.
City/State/ZIP: ppr.�.10A,y( 1 ore_ 01122_.4-. Permit fee(includes plan review $180.00
and administrative fees):
Phone:(S1,3 ) 47 be is 1.1-1 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: (o 11 5' Total fee due upon application: $201.60
Authorized signaturelenA",...„,/� This permit application expires if a permit is not obtained
Uwithin 180 days after it has been accepted as complete.
Print name:Lauren Da te: 11/10/15 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
iillI
• COMMUNTIY DEVELOPMENT DEPARTMENT
T 1 G A u D Building Permit Review — Commercial - No Land Use
N
Building Permit #: VA)/c; W.3a/
Site Address: 3221 5 J Gg-HA Suite/Bldg#: I-I LI 0
Project Name: SpeC Sprtc,P,
me of comnlercial business occupying the space. I f vacant,enter Spec Space.)
Planning Review
Proposal: d kmo pa d-i-4-ioil Wa`15 , replace, Vfi-Pn neW Val I doo(1 ocICI
col nne-k-r 1
Existing Business Activity: VP
Pro sed Business Activity: YaG01.n
erily site address/suite# exists and active in permit sys m.
i
River Terrace Neighborhood: ❑ Yes ig No
oning: Mk)E---rermitted Use: ❑ Yes ❑ No rd Spec Space
onfirm no land use required.
OlbflkBusiness License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
x'
Notes: i eo of.- only 7\
1 /
Approved by Planning: / T m f s , _ Date: 1 1 , (0) 15
Revisions (after Building Submittal only) Reviewer I>atc
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved Cl Not Approved
Building Permit Submittal
Original Submittal Date: ii e /s'
Site Plans: #
Building Plans: #
Building Permit#: inter building permit#above.
Workflow Routing: [g-Manning ❑ Permit Coordinator ceding
Workflow Sign-off: [ -off for Planning(include notes from planning review)
Route Application Documents: [-B'i'ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: C re.,
By Permit Technician: 9"....-2,r---,0C---- ^� Date: 1 (]f/
I:\Building\Forms\BldgPermitRvw COM_NoLandUse_070915.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:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\Bl dgPermitRvw_COM_NoLandUse_0709I 5.docx
111111 " Building Division
Over-The-Counter (OTC) Building Permit
i IGARD Check List
Project Description: ( k.
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Group: Type of Construction: ( e
Type of Use**: L Occupancy Load: Oregon Specialty Code: 2C)(4-
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: 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- FEES DUE
$ 220.&2 DC Prov Rvw,COM TI—Ping
$ C'` �.., • Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ ".20 12%State Surcharge
Project Valuation $ Wrp.41 Plan Review,Structural
Up to$4,999 $0.00 $ 477, ;2 Plan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ 12,C1r3 Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $220.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $351.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ Other:
$ Other:
Building Staff: $ Other:
Date/Time: $ 2 ''''''64(11aTOTAL FEES DUE
.tic50,
*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_BUP_070115.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
13221 SW 68TH PKWY 440, TIGARD, OR, 97223
Commercial - Building
275 Framing
PASS
BUP2015-00321
Jeff Grove
Violation Summary:
Inspector Contractor
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
13221 SW 68TH PKWY 440, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2015-00321
Jeff Grove
Violation Summary:
Inspector Contractor