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Permit CITY OF TIGARD BUILDING PERMIT s - COMMUNITY DEVELOPMENT Permit#: BUP2015-00315 Date Issued: 11/05/2015 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102AC00700 Jurisdiction: Tigard Site address: 12540 SW MAIN ST 200 Project: CDS-Complete Distribution Services Subdivision: BURNHAM TRACT Lot: 1 Project Description: TI for new tenant(distribution services company);demo partition walls,construct new interior walls for new offices, fire-rated corridor and add three skylights. Contractor: SUMMIT CONSTRUCTION Owner: DOLAN&CO LLC PO BOX 10345 BY FLORENCE T DOLAN PORTLAND, OR 97296 4523 NE DAVIS ST PORTLAND, OR 97213 PHONE: 503-223-9703 PHONE: FAX: 503-242-3841 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 11/05/2015 $88.00 Occupancy Grp: B Occupancy Load: 22 Permit Fee-Additions,Alterations, 11/05/2015 $619.25 Demolition Dwelling Units: 0 12%State Surcharge-Building 11/05/2015 $74.31 Stories: 2 Height: 0 ft Plan Review 11/05/2015 $402.51 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/05/2015 $247.70 Value: $40,000 Info Process/Archiving-Lg$2.00(over 11/05/2015 $8.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,439.77 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 503.232.19 or 1.800.332.2344. Issued By: ��� Permittee Signature: ti Call 503.639.4175 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. Bt lding Permit Application >/j�//S LS Commercial FOR OFFICE USE ONLY City of Tigard RECEIVED Date/B : // S /5 OM Permit hi. ',020/5-Q03/3-./3-. 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ��� ■ Phone: 503.718.2439 Fax: 503.598.196 0 V 5 2015 Date/B : it nir � Other Permit: T I GA R D Inspection Line: 503.639.4175 Date ReadyBy 7 luris: ® See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information ,�t:dts 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: 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: $ ❑ Accessory building El Multi-family Number of bedrooms: 111 Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:12540 SW Main St. New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 C C4PI,4-7- -,D/S p77 C,./ Garage/carport area: square feet Suite/bldg./apt.no.: Zo p Project name: -S4972.i//ea3' Covered porch area: square feet Cross street/directions to job site:SW Main st.near SW Burnham St. Deck area: square feet (BMDA Bldg.) Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.:700 Permit fees*are based on the value of the work performed. Tax map/parcel no:21-2-AC 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. Tenant improvement project for distribution services company(B Occupany).The Valuation: $$40,000.00 interior work includes a demo of partition walls,new interior partition walls Existing building area: 14115 square feet to form private offices,fire-rate corridor,ext.work is three skylights. New building area: 14115 square feet ® PROPERTY OWNER ® TENANT Number of stories: 2 Name:Dolan Type of construction: V-B,Sprinkled Address:1919 NW 19d'St. Occupancy groups: City/State/ZIP:Portland,OR 97209 Existing: M,B Phone:(503)225-9009 Fax:( 1 New: M,B ❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* Business name:CIDA,Inc. (Please refer to fee schedule Structural plan review fee(or deposit): . Contact name:Sander Kohler FLS plan review fee(if applicable): Address:15895 SW 72nd Ave. Total fees due upon application: City/State/ZIP:Portland,OR 97224 Phone:(503)226-1285 Fax: :( ) Amount received: E-mail:sanderk @cidainc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:Summit Construction Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 1335 NW 20th Solar Installation Specialty Code checklist. City/State/ZIP:Portland,OR 97296 Permit fee(includes plan review $180.00 and administrative fees): Phone:(503)223-9703 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:63249 Total fee due upon application: $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: Sa rsef�.- 'roll I tr ' Date: I(/q-I/S * Fee methodology set by Tri-County Building Industry !/ Service Board. I:\BuildingWermits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Division Accessibility: Barrier Removal Improvement Plan TIGARD 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 per-cent(25%). VALUATION: Total of all renovation,alteration or modification being done, excluding painting and wallpapering: [1] $ 40000 MULTIPLIER(25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 10000 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:ABuilding\Permits\BUP-COM PermitApp.doc 03/03/2011 Building Division Plan Submittal Requirements TIGARD Commercial & Multi-Family - New,Additions or Alterations 1. SITE PLAN (fully dimensional, drawn to scale) 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. EXTRA SET OF THE FOLLOWING: A. Two (2) copies of site plan to include vicinity map. B. One (1) copy of erosion control plan with details. C. Fire Department Building Survey, and full set of architecture drawings. L\Building\Permits\BUP-COM PermitApp.doc 03/03/2011 Building Division Plan Submittal Requirement Matrix TIGARD Commercial& Multi-Family- New,Additions or Alterations Type of.SubmittaF # of Plans (Includes new, additions`and alterations.) .Required"at== °` t Subthittal Demolition Permit 2 (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. 1:A Building\Permits\BUP-COMI PermitApp.doc 03/03/2011 7111 ' Building Division Over-The-Counter (OTC) Building Permit TIGARD Check List Project Description:- T( gu AA0is- ©02/-5/ APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION Class of Work*: kL[ Occupancy Group: la Type of Construction: --E5 Type of Use**: [ea Occupancy Load: _ 7.-(2.-- Oregon Specialty Code: '20(A- SPECIFICS Number of Stories: '7j 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 Sprinlders: � _e--, 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: $ j,C1° $ ,D ) DC Prov Rvw,COM TI—Ping $ 17,'?s Permit Fee—Add,Alt,Demo DC Provision Review Fee for COM TI(effective 7/1/2015) $ r4 12%State Surcharge Project Valuation $ 407,5( Plan Review,Structural Up to$4,999 $0.00 $ 4A-7.70 Plan Review,Fire Life Safety $5,000-$74,999 $88.00 $ e5„ ) 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: 1/$ Other: Date/Time: $ 1+- 1,777 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_BUP_070115.docx City of Tigard IIIr COMNIUNPI Y DEVELOPMENT DEPARTMENT TI�, D Building Permit Review — Commercial - No Land Use Building Permit #: as P4241 /S 003 LS- Site Address: /.154-4) tai /4/1,--) Suite/Bldg#: 0 Project Name: ('CS (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: Zvi'Se,to- 7 21 Existing Business Activity: i.7S` Proposed Business Activity: Dance Verify site address/suite#exists and active in permit s stem. ❑ River Terrace Neighborhood: ❑ Yes No O Zoning: A -c. Permitted Use: LS1Yes ❑ No ❑ Spec Space Confirm no land use required. ❑ Business License: Exists: ❑ Yes ❑ No,applicant notified to obtain business license Notes: Approved by Planning: f/f�� Date: ,/ �s Revisions (after Building Su,-only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: //�57& 0'C— Site Plans: # 3 Building Plans: # 3 Building Permit#: ,[ Enter building permit#above. Workflow Routing: LWS Planning ❑ Permit Coordinator ❑ Building Workflow Sign-off: a-Sign-off for Planning(include notes from planning review) Route Application Documents: 12'tuilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: /Z Date: //.S /s l:\Building\Fonns\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 El OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Fonns\BldgPennitRvw_COM_NoLandUse_0709I 5.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 12540 SW MAIN ST 200, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - C of O BUP2015-00315 Chip Barnett Violation Summary: Inspector Contractor