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Permit (3)
wt CITY OF TIGARD BUILDING PERMIT 11111 COMMUNITY DEVELOPMENT Permit#: BUP2016-00124 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/06/2016 Parcel: 1 S136DD00801 Jurisdiction: Tigard Site address: 11565 SW 67TH AVE Project: Green Office Building Subdivision: WEST PORTLAND HEIGHTS Lot: 6 Project Description: TI-Return tenant space to original condition prior to BUP2014-00203. Contractor: JOE GREEN INVESTMENT CO Owner: GREEN OFFICE LLC 11560 SW 67TH AVE ATTN:JOESPH E GREEN TIGARD, OR 97223 11560 SW 67TH AVE TIGARD, OR 97223 PHONE: 503-970-2927 PHONE: 503-970-2927 FAX: 503-639-8210 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 04/06/2016 $88.00 Occupancy Grp: B Occupancy Load: 20 Permit Fee-Additions,Alterations, 04/06/2016 $509.05 Demolition Dwelling Units: 0 12%State Surcharge-Building 04/06/2016 $61.09 Stories: 2 Height: 0 ft Plan Review 04/06/2016 $330.88 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/06/2016 $203.62 Value: $30,000 Info Process/Archiving-Lg$2.00(over 04/06/2016 $28.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,220.64 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 nd all of -r 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 issua e, .r if wo• is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Ce er. ose rules are set forth in OAR 952-001-001 r • •h OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503, 32. •87• 800.332.2344. Issued B : /, w 4J�L/L/, y Permittee Signature: Ard ,Le Call 503.639.4175 by 7:00 a.m.for the next available ins,ect'.n date. This permit card shall be kept in a conspicuous place on the job site until ompletion of the project. Approved plans are required on the job site at the time of a ch inspection. Building Permit Application Commercial RECEIVED FOR OFFICE USE ONLY /- City of Tigard Received f/U ( Permit No.: 1o1 CU—�1?, Dateiv/B • i • 13125 SW Hall Blvd.,Tigard,OR 97223 A°R 6 2 016 Plan Review M �a� Phone: 503-718-2439 Fax: 503-598-1960U Date/B : A`%�% Related Permit: 1.i c n R D Inspection Line: 503-639-4175 CITY OFT�GAR[� Date Ready-7: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information BL J LD NG f ftI "fl!1 TYPE OF WORK REQUIRED DATA: I-AND 2-FAMILY DWELLING 0 New construction ❑ Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 7'Addition/alteration/replacement [11 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 1=1I-and 2-family dwelling jg Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 11]Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: /f 4 tj C S V C New dwelling area: square feet City/State/ZIP: r J CA f OK ?7 22 3 Garage/carport area: square feet Suite/bldg./apt.#: Project name: Tet- e.")(.;6�C 7-)1.-" Covered porch area: square feet Cross street/directions to job site: Deck area: square feet ./).i►! 0 v Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot#: Permit fees*are based on the value of the work performed. Tax map/parcel#: 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. /� ValuationYe a vo $ Existing building area:2,000 square feet New building area: square feet 0 PROPERTY OWNER 0 TENANT Number of stories: 2„ Name: ;ed} &gee Z L G Type of construction: Address: // tip I_ f GI 7 ilve Occupancy groups: City/State/ZIP: 4 r�We?,1 9 2 2 2 3 Existing: Phone:(5^03 9 2 a 91 7 Fax:( ) New: Ait APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application: Phone: Amount received: ( ) Fax: :( 1 E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR / roof-top mounted PhotoVoltaic Solar Panel System. Business name: oe �(Ll�, �w pr kev / CO Submit two(2)sets of roof plan with connection details Address: !� �GO �G••�?�C� /G, //` and fire department access,along with the 2010 Oregon �7t,a Solar Installation Specialty Code checklist. Permit fee(includes plan review City/State/ZIP: iii ©/e � '22 3 and administrative fees): $180.00 Phone:(5p3) 970 2 ¢ 2 7 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lic.: g 76 5' 2 Total fee due upon application: $201.60 Authorized signature: G� This permit application expires if a permit is not obtained HiQ4within 180 days after it has been accepted as complete. J Print name: f 0e r«w Date:y//6 * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ■ Accessibility: Barrier Removal Improvement Plan m Commercial & Multi-Family - Additions or Alterations T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-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 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 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): $ I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014 City of Tigard 1111 COMMUNITY DEVELOPMENT DEPARTMENT T1cARo Building Permit Review — Commercial - No Land Use ry, Building Permit #: Pi( -QCj l gq Site Address: //C-6'46- S' ) 6.7 -P Suite/Bldg#: Project Name: c'reril 0049cP / , (Name of commercial business occupying the spac•. If acant,enter Spec Space.) Planning Review Proposal: 7'4 Existing Business Activity: c 7g9cL ProposedopBusiness Activity: // IJd Verify site address/suite# exists and active in permit syst . 0 'ver Terrace Neighborhood: ❑ Yes L� No Toning: MU F. I ermitted Use: Yes ❑ No ❑ Spec Space firm no land use required. Business License: n : Exists: IJQ Yes ❑ No, applicant notified to obtain business license Notes: Approved by Planning: Date: 2/1/40///e Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved E Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: q/Ct 11 0 Site Plans: # '-3 Building Plans: # "j Building Permit#: [enter building permit# above. Workflow Routing: .0"PlanningC rdi for "Building Workflow Sign-off: (2-"Sign-off for Planning(include notes from planning review) Route Application Documents: Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: -l .. ��.__ _ Date: (�//�, t 1:\Building\Forms\BldgPermitRvw COM NoLandUse o7o915.docx Permit Coordinator Review ❑ Conditions "Met"prior to issuance of buil.; g permit ❑ Approved, NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to plicant: Revision Notice 2: Date Sent Applicant: Revision Notice 3: Date Se to Applicant: ❑ SDC Fees Entered: Wa Co Trans Dev Tax: ❑ " es ❑ N/A Bard Trans SDC: ❑ Y- El N/A Parks SDC: ❑ Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx !IL il City of Tigard • BUILDING DIVISION I Over-The-Counter (OTC) Building & Fire Protection System Permit r i c:A E I) Appointment Checklist Permit Record#: - Q c 1(O —OC /2.y Contact Name: 0 , /..."...e Phone #: co3-97O- d.4 -? Business Name: A+ .9.a�. r� �c{'k. Appointment Date: Site Address: r--:. ‘t-, Ole f}o-e— Bldg/Suite #: Project Name: .4 �e.e.„....._ D, 4{12_- Project Description: Existing Use: ;cf. New Use: 44:4, _ MMD Required: ❑ es Yr No Related Record #: APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION Class of Work: �L Y Occupancy Group: Type of Construction: t3 Type of Use: Jc,ik Occupancy Load: Oregon Specialty Code: '2‘.::::54 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: W.) 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: '50Total Project Valuation: $ ) O FEES DUE , $ DC Prov Rvw,COM TI—Ping $ ,CY---Permit Fee—Add,Alt,Demo DC Provision Review Fee for COM TI (effective 7/1/2015) $ 112%State Surcharge Project Valuation $ ) Plan Review,Structural Up to$4,999 $0.00 $ —7© h211an Review,Fire Life Safety $5,000-$74,999 $88.00 $ ..",e j45Info 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: $ [776, TOTAL FEES DUE I:\Building\Forms\OTC_BUP_FPS_020916.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11565 SW 67TH AVE, TIGARD, OR, 97223 June 20, 2017 at 11 :28:03 AM Record Type: Record ID: Commercial - Building BUP2016-00124 Inspection Type: Inspector: 299 Final inspection Jeff Grove Result: PASS - CofO Comments: Violation Summary: Inspector Contractor