Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016-00053
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/16/2016
Parcel: 2S101 DC03800
Jurisdiction: Tigard
Site address: 7180 SW SANDBURG ST 400
Project: Whitaker Ellis Subdivision: SALEM FREEWAY SUBDIVISION Lot: 4
Project Description: TI for existing tenant:Removing(2)offices and building(2)conference rooms.
Contractor: PERLO CONSTRUCTION LLC Owner: MCCORMACK PROPERTIES LP
16101 SW 72ND AVE SUITE 200 7190 SW SANDBURG ST
TIGARD, OR 97224 TIGARD, OR 97223
PHONE: 503-624-2090 PHONE:
FAX: 503-639-4134
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 02/16/2016 $88.00
Occupancy Grp: B Occupancy Load: 46 Permit Fee-Additions,Alterations, 02/16/2016 $256.22
Demolition
Dwelling Units: 0 12%State Surcharge-Building 02/16/2016 $30.75
Stories: 1 Height: 0 It Plan Review 02/16/2016 $166.54
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 02/16/2016 $102.49
Value: $11,575 Info Process/Archiving-Lg$2.00(over 02/16/2016 $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 $650.00
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. 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. obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 'tee Signature:45L��
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.
City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
Appointment Checklist
Permit Record#:
Contact Name: Phone #:
Business Name: Appointment Date:
Site Address: Bldg/Suite #:
Project Name:
Project Description:
Existing Use: New Use:
MMD Required: ❑ Yes ❑ No Related Record#:
GENERAL INFORMATION
Class of Work: N Occupancy Grou Type of Construction:
Type of Use: Occupancy Load: Oregon Specialty Code:
SPECIFICS
Number of Stories: Building Height: Mixed Use:
Number of Dw Units: I 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: Ca ort: Mezzanine:
SETBACKS
Side and Setback—Left Side and Setback—Front
Side and Setback—Right Side and 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:
Desi Area:
K Factor:
Total Project Valuation: $ `�
$ DC Prov Rvw,COM TI—Phig
$ a ermit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ 12%State Surcharge
Project Valuation $ Plan Review,Structural
Up to$4,999 $0.00 $ Plan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ 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:
Building Staff: $ Other:
Date/Time: $ CcOTAL FEES DUE
1:\Building\Forms\OTC_BUP_FPS_02091 G.docx
Building Permit Application
Commercial FOR OFFICE USE ONLY
00� ReceivedCity of Tigard DateB : Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97?�7��jG Plan Review
Phone: 503.718.2439 Fax: 503.598.i-`�1`-V 1 `,016 Date/By: b Other Permit
Inspection Line: 503.639.4175 F� 1 n Date Ready 1urL, ® See Page 2 for
Internet: www.tigard-Or.gov �( `U?P[��\ tified/Method:p� 1 Supplemental Information
TYPE OF WORiV �`v REQUIRED DATA:1-AND 2-FAMILY DWELLING
ANN
❑New construction ❑EWition 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 ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7180 SW Sandburg St. New dwelling area: square feet
City/State/ZIP:Tigard,OR Garage/carport area: square feet
Suite/bldg./apt.no.:400 Project name:Whitaker/Ellis Covered porch area: square feet
Cross street/directions to job site:SW 72"d and Sandburg 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.
Remove 2 offices and build 2 conference rooms Valuation: $$11,575.00
Existing building area: 6,500 square feet
New building area: 6,500 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:McCormack Properties Type of construction: V-B
Address:7190 SW Sandburg Occupancy groups:
City/State/ZIP:Tigard,OR Existing: B/S
Phone:(503)624-4649 Fax:( ) New: B/S
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Mildren Design Group,P.C. (Please refer to fee schedule
Structural plan review fee(or deposit):
Contact name:Betty Sheppeard
Address:7650 SW Beveland -Suite 120 FLS plan review fee(if applicable):
City/State/ZIP:Tigard,OR Total fees due upon application:
Phone:(503)244-0552 Fax::( ) Amount received:
E-mail:betty@mdgpc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Perlo Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:16101 SW 72nd Ave.-Suite 200 Solar Installation Specialty Code checklist.
City/State/ZIP:Portland,OR 97224 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)624-2090 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.:189245
Total fee due upon application: $201.60
Authorized signature: C` This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Betty K.Shepopeard Date:02/15/16 * 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)
_ Building Division
Accessibility: Barrier Removal Improvement Plan
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] $ 11,575
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 2,894
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: $
(0 Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $ 0.00
1:ABuilding\Permits\BUP-COM PermitApp.doc 03/03/2011
City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
■
Building Permit Review — Commercial - No Land Use
Building Permit #: 66A rxf65
Site Address: -1 IK 3W SMAI Za Suite/Bldg#: �}(�
Project Name: Whl�a6 F s
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 71 -1-o,( -i'e y)oLr4
Exis ing Business Activity: Offi C
Pr osed Business Activity: cffiGQ�
Verify site address/suite# exists and active in Perm. system.
ver Terrace Nei I borhood: El Yes No
onin : "
g
Permitted Use: Yes ❑ No ❑ Spec Space
onfirm no land use required.
Business Licens
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Y Q Date: 2 I
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: -2-11611
Site Plans: #
Building Plans: #
Building Permit#: wilding permit#above.
Workflow Routing: 9-11anning ❑ Permit Coordinator wig
Workflow Sign-off: �gn-off for Planning(include notes from planning review)
Route Application Documents: t mg: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: / /G
I:\Building\Forms\BidgPermit Rvw_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:
1:\Building\Forms\BldgPermitRvw_COM_NoL.andUse_070915.docx