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Permit (109) „ CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2016-00009 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/0712016 1 S135DA03500 Jurisdiction: Tigard Site address: 11481 SW HALL BLVD 100 Project: HCC Subdivision: METZGER ACRE TRACTS Lot: 19 Project Description: TI Contractor: LOXLEY LMT Owner: BECKAL LLC 7100 SW GABLE PKWY 7100 SW GABLE PKWY PORTLAND, OR 97225-2620 PORTLAND, OR 97225 PHONE. 503-291-1632 PHONE: FAX Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 01/07/2016 $88.00 Occupancy Grp: B Occupancy Load: 25 Permit Fee-Additions,Alterations, 01/07/2016 $301.85 Demolition Dwelling Units: 0 12%State Surcharge-Building 01/07/2016 $36.22 Stories: 2 Height: 0 ft Plan Review 01/07/2016 $196.20 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 01/07/2016 $120.74 Value: $14,935 Info Process/Archiving-Lg$2.00(over 01/07/2016 $6.00 11x17) Floor Areas: Total Area: 0 Accessory Struct 0 Basement 0 Carport 0 Covered Porch: 0 Deck 0 Garage 0 Mezzanine. 0 Total $749.01 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: c Permittee Signature: Call 503.639.4175 by 7:00 a.m.(or the nett available Inspoe te. 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. Buildin¢ Permit Application Commercial City of Tigard �F-GEN ED R �^ p I)ate/B : 7 �b Permit N /�l� 13125 SW Hall Blvd.,Tigard, Plan Review Phone: 503-718-2439 Fax: 503-598- 60 Zp16 pate./B : 7 Related Permit: Inspection Line: 503-639-4175 JA& _ Date Ready IT`S O F 1 curiefor Internet: w .tigardorgov I(-ARD Notified/Method S® pemInfo rmation tC N ❑New construction ❑Demolition Permit fees'are based on the value of the work performed. / Indicate the value(rorcled to the nearest dollar)of all ❑Addition/alteration replacement Other: /r/ lj equipment,materials,labor,overhead,and the profit for the work indicated on this application. ❑ 1-and 2-11amily dwelling Commercial/industrial Valuation: S ❑Accessory building t3 Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: Total number of floors: Job site address: f New dwelling area: square feet City/State/ZIP: IAeg9 Garage/carport area: square feet Suite/bldg./apt.N: Project name: Covered porch area square feet Cross street/directions to job site: D Deck area: square feet Other structure area: square feet Subdivision: Lot#: Permit fees'are based on the value of the work performed. Tax map/parcel N: Indicate the value(romiled to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the work indicated on this application. Valuation: $ (' .7r /y 1/ Existing building are ,&O p psquare feet New building area: g5�? square feet Number of stories: Name: Lt. Type of construction: Address: ll� �r7 P14W Y Occupancy groups: G' City/State/ZIP: „r -j J !122,2yjC Existing: Phone:(,CD3) f Z Fax:( ) New: �ezo_llp Business name: Structural plan review fee(or deposit): Contact name: - / O FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: 2 Z Phone: 7 7-V Fax::( ) Amount received: E-mail: Z (:�D— G L /V G1— Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: ��� CIS Submit two(2)sets of roof plan with connection details ' and f ra department access,along with the 2010 Oregon Address: O a f LA,I Solar Installation Specialty Code checklist. City/State/ZIP: �r '/ fJ�� , 2 Permit fee(includes plan review $180.00 and administrative fees): Phone:(r Z /,6 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lic.: 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: 044 11 Date: ' Fee methodology set by Tri-County Building Industry Service Board I:1Buildm&ennitsWUP_COM_PermitApp.doc Rev.04/21/2014 4404613T(11/02/COM/WEB) City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ■ • Accessibility: Barrier Removal Improvement Plan Commercial & Multi-Family - Additions or Alterations 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.ti arg d_or.gov 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 terns 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 percent(25%). VALUATION: Total of all renovation,alteration or modification being done, excluding painting and wallpapering: (1] $ MULTIPLIER(25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 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): $ 1:\Buid+ng\Pemtits\BUP_COM_Pem tApp.d« Rev.12/18/2014 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Plan Submittal Requirements Commercial & Multi-Family - New, Additions or Alterations 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.ti and-or. ov 1. SITE PLAN (3) copies - fully dimensional, drawn to scale and 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. ADDITIONAL INFORMATION AS FOLLOWS: A. Fire Department Building Survey with (1) additional full set of architecture drawings. I:\Building\Permits\BUP_COM_PemritApp.doc Rev.12/18/2014 SII City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ` Plan Submittal Requirements Matrix Commercial & Multi-Family - New, Additions or Alterations 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • 3pvmLtigard-or.z9v Demolition Permit 2 (site plan is required showing location and square footage of all buildings to be demolished erosion control plan and g � tree protection,if applicable) 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 Solar Photovoltaic 2 (Requires check list for prescriptive installation. If not prescriptive installation,engineering is required.) 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. I:\Bwlding\Pemnts\BUP_COM_PernitApp.dor Rev.12/18/2014 11111 ' Building Division Over-The-Counter (OTC) Building Permit T 1 c n 1t D Check List Project Description: A2V/6—eQ©0 5 APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION Class of Work*: (_( Occupancy Group: �, Type of Construction: �' Type of Use**: AV Occupancy Load: 2-,5- Oregon Specialty Code: 7 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: $ (4 '? S) :, rs $ iiia 7 DC Prov Rvw,COM TI—Ping $ 2� , ''Permit Fee—Add,Alt,Demo DC Provision Review Fee for COM TI(effective 7/1/2015) $ '' .22, 12%State Surcharge Project Valuation $ ('Me?h Plan Review,Structural Up to$4,999 $0.00 $ 17-0::K--- Plan Review,Fire Life Safety $5,000-$74,999 $88.00 $ e L'L) 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: A 7A9,0( 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 COMMUNITY DEVELOPMENT DEPARTMENT ■ Building Permit Review — Commercial - No Land Use Building Permit #: Site Address: y 13 1 SW H U 11 G jy et• Suite/Bldg#: 100 Project Name: (Name of comnurcial business uecupping the space. If vacant,enter Spec Spare.) Planning Review Proposal: -ton U nt- 1:,xisting Business .Activity: �M ffu-f-c"" / O (_2_ Proposed Business .Activin-: (meq M (YU2X-e4zt-k' / 0 XVerify site address/suite# exists and active in permit system. _L;—River Terrace Neighborhood: ❑ Yes X No XZoning: ZPermitted Use: Yes ❑ No ❑ Spec Space �Confirm no land use required. Business License: Exists: ❑ Yes ❑ No, applicant notified to obtain business license Notes: Approved by Planning: Date: Q -7 / j Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ .\pproved ❑ Not .\pproved Revision?: ❑ r\pproved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date V7 /jG Site Plans-: # Building Plans: # �- Building Permit#: 1;?-H`.ntcr building permit# above. Workflow Routing: 2Planning ❑ Permit Coordinator wilding Workflow Sign-off: Sign-off for Planning (include notes from planning review) Route Application Documents: L;-JTt-iilding: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: C-- By _By Permit Technician: Date: 7 �6 1: Building.Forms BldgPermitRxw COM Noland Use 070915.doex Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building pernilt ❑ 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"Pas: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/;\ ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:',BuildinglFonnsBldgPeniilRvw_COM_NolandUs'e_070915.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 11481 SW HALL BLVD 100, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - C of O BUP2016-00009 Jeff Grove Violation Summary: Inspector Contractor