Permit 7 '1 1�`'• CITY OF TIGARD BUILDING PERMIT
1' uCOMMUNITY DEVELOPMENTPermit#: BUP2015 00338
a k:., :IV Date Issued: 12/01/2015
TIGARD, 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
•,i ;a1 Parcel: 2S113BA00200
Jurisdiction: Tigard
Site address: 7800 SW DURHAM RD 100
Project: GeoLine Inc Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: Reduce retail area by adding(2)offices.Convert portion of open office to conference room.
Contractor: ROBERT TODD CONSTRUCTION INC Owner: METZGER VENTURES, LLC
4080 SE INTERNATIONAL WAY B113 PO BOX 400
MILWAUKIE, OR 97222 SHERWOOD, OR 97140
PHONE: 503-653-5704 PHONE:
FAX. 503-653-5729
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VBDC Provision Review,COM TI-Ping 12/01/2015 $88.00
Occupancy Grp: B Occupancy Load: 53 Permit Fee-Additions,Alterations, 12/01/2015 $377.90
Demolition
Dwelling Units: 0 12%State Surcharge-Building 12/01/2015 $45.35
Stories: 1 Height: 0 ft Plan Review 12/01/2015 $245.64
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 12/01/2015 $151.16
Value: $20,000 Info Process/Archiving-Lg$2.00(over 12/01/2015 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $912.05
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No 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 ATTEN •..• Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-00 0110 through••e 952-001-1090 You may obtain a copy of the rules or direct questions to OUNC by calli g 43 232.1987 or 1.800 332 2344.
k.
I.sued By: a
• I 1/ / ! Permittee Signature: 11iE,:�_/i ����i �.��
i t I l./
• Call 503.639.4175 by 7:00 a.m.for the next available inspectio'e. '
This permit card shall be kept in a conspicuous place on the job site until completion of the pro ,ct.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial g j FOR OFFICE USE ONLY
Cityof T 1 and RECEIVED DateBea it Permit No.; to ,,`5�t�3 3g
q IIIII13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie7"11WEEDIEN
"- Phone: 503.718.2439 Fax: 503.N8.D60 1 2015 Date/B : Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/ luris ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA: I-AND 2-FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees*arc 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
.3 ill,,t41 tea.. i work indicated on this application.
`���:.GA�CCGORY OF,CONSTI2UCTIONyv;�:V:- �
dwellingValuation: S
❑ I-and 2-family ❑Commercial/industrial
❑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: f ' J Wi-4"' A 'Z040New dwelling area: square feet
City/State/ZIP: 110fDi (2 497z21-1 Garage/carport area: square feet
Suite bldg./apt.no.: ick" Project name: 4 1r L I,11\a, Covered porch area: square feet
Cross street/directions to job site: Deck arca: 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
fax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTIO�V'_;jO.FF�WORK {��{_, work indicated on this application.
rx 1`_,�„ lV ( .) -Valuation: S (y.0 ab e
liVg47 -- CTr>err, .,, e ` ..,• n 1,2t.`ci r• Existing building area: square feet
pf C� e ``"VFee New building arca: square feet
RfPROPERTY OWNER 3;
. : p®''it Number of stories:
Name: Dit\%�. `_-T7r I C-0;- .`6.. P ... .+ _-__. Type of construction:
Address: 4,,0 , k ,Z4. j' Occupancy groups:
City/State/7_1P�` Qi • `i7(4Existing:
Phone:( ) Fax:( ) New:
°;APPLICANT 't,:;;", .:= _,. ,• .
p�, ,,;,,__:;$�V;� `;❑" CO,lY7'ACTyPF,R�SON�.�,��„��:=x tt:. BUILDING PERMIT FEES*
n �17J�..z l' (Please rete ro fee os it): l J
Business name:
��� * Structural plan review fee(or deposit):
Contact name: .4:''ti'�l6J• �
FLS plan review tee(if applicable):
Address: •FC. •)X I
City/State/ZIP: j �� .i-1 Total fees due upon application:
jj i��,y � [ Amount received:
Phone:( 2, xi-747 I Fax. .(513, ke6. 7 r
/) (Jr.ai G� (.,10, PHOTOVOLTAIC SOL 1R PANEL SYSTEM FEES*'
E-mail: `may z.
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photovoltaic Solar Panel System.
Business name: 'r , Gic iGC% -pz�� .tom 1,4c, Submit two(2)sets of r,.f plan with connection de•ils
`��"`"y ( and fire department acres ,along with the 201 regon
Address: lift e y .�_ 1/��a��� F j � Solar Installation Specialty•ode checkli
City/State/ZIP: _I k e �L'"'"" ��� jet 9 7 ZZ 1)1.-m �jV`ii?7 Permit fee(includes pla revi $180.00
and administrativ=•-es):
Phone:(5ca, 40" ....=,-76,41. Fax: a�, 57Zj State surcharge(12%s sermit fe: : $21.60
CCB Iic.:
Total fee d pon application: $201.60
Authorized signature:
• t This permit application expires if a perm t is not obtained
within 180 days after it has been accepted as complete.
Print name: `t: f'�14� Date: x�/1 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)
City of Tigard
,° COMMUNITY DEVELOPMENT DEPARTMENT
4 Building Permit Review — Commercial - N o Land Use
IG�ARQ
Building Permit #: -----Pjtt,P6 '
Site Address: 7SQ0 SW burhanri Rd . Suite/Bldg#: (QQ
Project Name: pti re,
(Name of commercial business occupying the space. I f vacant,enter Spec Space.)
Planning Review �, I
I
Proposal: fl - of e. .\s--\4(0) +groom{— `_ `1 W0 S andCo4efour()nce, four()
divide. 4-(um -rt-t-okil (cutc-h3r / Se,rvsce Space_.
Existing Business Activity: +nl'( ,y; 1 Gt„
Proposed Business Activity: tJS`C' ( (0.,
tiVerify site address/suite# exists and active in permit system.
VGv er Terrace Nei hborhood: ❑ Yes No
�Oning: l—V
ertnitted Use: iYes ❑ No ❑ Spec Space
Confirm no land use required.
Business Licens .
Exists: Yes ❑ No, applicant notified to obtain business license
Notes:
Approved by Planning: L 7 ni L ')Yc,1,-) Date: NrWjam V2,1 1 ,
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: /9-/,//c
Site Plans: # 5
Building Plans: # 3
Building Permit#: [enter building permit# above.
Workflow Routing: Ifr Planning ❑ Permit rdinator LL-11uilding
Workflow Sign-off: .a'--Sign-off for Planning(inc de notes from planning review)
Route Application Documents: uilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes: 07--C___-
By Permit Technician: 6\____), Date: / /5'--
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 t p• cant:
Revision Notice 2: Date Sen • Applic t:
Revision Notice 3: Dat- :ent 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 -rmit
Approved by Permit Coordinator: Date:
I:\BuildingFonns\BldgPennitRvw_COM_NoLandUsc_0709I 5.docx
Building Division
Over-The-Counter (OTC) Building Permit
T°[G A RD Check List
Project Description: 71
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: i--T- Occupancy Group:
l/ Type of Construction: f5r2 -
Type of Use**: x, Occupancy Load: 1 Oregon Specialty Code: #7,-"_.
SPECIFICS
Number of Stories: 1 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: 0(9 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: $ )6) , 'FEESiDU,E r` ,--;
$ t ,OZ DC Prov Rvw,COM TI Ping
$ 277, `)Permit Fee-Add,Alt,Demo
DC Provision Review Fee for COM TI (effective 7/1/2015) $ -4‹..5.--FY) 12%State Surcharge
Project Valuation $ 2.1-1,C(A-Plan Review,Structural
Up to$4,999 $0.00 $ ?-'51.-. LL,Plan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ A ,c2 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: $ 1('Z,i&7 TOTAL FEES DUE
*TYPE-OF.USE: Cog=commercial;'CMS=cominerciatmanufactured structure. '• ' ..
**CLASS`OF WORK ACS accessory;App=addition;ADU=accessory dwelling unit ALT=alteration;DEM=demo;NEW=new;
OlWK B other(useqor fences'„deeks;retaininggwalls,signs;awnings o canopies),• $ c> . 2:' ,u
I:\Building\F orms\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
7800 SW DURHAM RD 100, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00338
Chip Barnett
Violation Summary:
Inspector Contractor