Permit (7) 1 ---- ,, CITY OF TIGARD BUILDING PERMIT
11 1' COMMUNITY DEVELOPMENT Permit#: BUP2016-00130
T 1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/13/2016
Parcel: 25101 AA09100
Jurisdiction: Tigard
Site address: 12447 SW 69TH AVE
Project: Consumer Cellular-Building C Subdivision: WEST PORTLAND HEIGHTS Lot: A
Project Description: TI-Finish updates,remove offices,add offices.
Contractor: SWINERTON BUILDERS INC Owner: SDC TIGARD CORPORATE CENTER INC
308 SW SECOND AVE, SUITE 210 ATTN:ANDREW HARPER
PORTLAND, OR 97204 101 CALIFORNIA ST,26TH FLOOR
SAN FRANCISCO, CA 94111
PHONE: 503-224-6888 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VBDC Provision Review,COM TI-Ping 04/13/2016 $351.00
Occupancy Grp: B Occupancy Load: 504 Permit Fee-Additions,Alterations, 04/13/2016 $2,120.67
Demolition
Dwelling Units: 0 12%State Surcharge-Building 04/13/2016 $254.48
Stories: 2 Height: 0 ft Plan Review 04/13/2016 $1,378.44
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/13/2016 $848.27
Value: $268,000 Info Process/Archiving-Lg$2.00(over 04/13/2016 $26.00
11x17)
Metro Const.Excise Tax 04/13/2016 $321.60
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $5,300.46
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 0 thro�i gb OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 1.800.33 .2344.
�a' /
Issu d By: p�t4Permittee Signature:
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 proje .
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
ili-Commercial FOR OFFICE USE ONLY
City of Tigard Received ,/
g Date B : 'T Arb IIIIPM Permit No.: 4 u �016►2,0-`30
13125 SW Hall Blvd.,Tigard,OR 97223 3Plan Revie
Phone: 503.718.2439 Fax: 503 598:19 2016 Date/B : rl Other Permit:
T I GA RD Inspection Line: 503.639.4175 ' . . Date Ready':y: luris: ® See Page 2 for
Internet: www.tigard-or.gov `' �iy TIG AO Notified/Method: Supplemental Information
TMISI
TYPE OF WORK Q> 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
0 Addition/alteration/replacement ®Other:TI equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling 0 Commercial/industrial Valuation: $
❑ Accessory building ElMulti-familyNumber of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12447 SW 691h Avenue New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:Bldg C Project name:Consumer Cellular TI Covered porch area: square feet
Cross street/directions to job site:SW Dartmoth Street,SW 69`x'Avenue 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.:W262654 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.
Cellular company moving into location of former cellular company location, Valuation: $$268,000.00
finish updates,remove offices,add new offices,update existing lighting to LED Existing building area: 41070 square feet
New building area: 41070 square feet
0 PROPERTY OWNER ® TENANT Number of stories: 2
Name:Consumer Cellular Type of construction: B
Address:7204 SW Durham Road Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing: B
Phone:(888)345-5509 Fax:( ) New: B
0 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:LRS Architects
Structural plan review fee(or deposit):
Contact name:Jacquie Flahive
FLS plan review fee(if applicable):
Address:720 NW Davis Street
Total fees due upon application:
City/State/ZIP:Portland,OR 97209
Amount received:
Phone:(503)221-1121 Fax: :( )
E-mail:jflahive@Irsarchitects.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounte. • o 'Voltaic Solar Panel Sys -- .
Business name:Swinerton Builders Submit two(2)sets of roo , an with conn-• ion details
and fire department access,alo _wit e 2010 Oregon
Address:308 SW Second Avenue,Suite 210 Solar Installation Specialty Cod -- klist.
City/State/ZIP:Portland,OR 97204 Permit fee(include . an review $180.00
and a.• nistrative fees):
Phone:(503)224-6888 Fax:( ) State sure.: ge(12%of permit fee): $21.60
CCB lie.: 7 gzig
Total fee due upon application: $201.60
Authorized signature:)(c._.. ki This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: /`I,.fi /�p� Date: Vig//‘
* Fee methodology set by Tri-County Building Industry
�itvW 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
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] $ 268,000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 67,000
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 t %P SIC-nI � ' $ /i50'06
(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 03/03/2011
City of Tigard
1111 COMMUNITY DEVELOPMENT DEPARTMENT
r1cARo Building Permit Review — Commercial - No Land Use
Building Permit #: ID i-t 10,90 le, _001 30
Site Address: 4,7112/9- - y.t___) / ,4 Suite/Bldg#:
Project Name: Co-Act/Ater- Ce// 4,__
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review /
Proposal: .: ci Z7j
1 - 'Lek) iPrt 7/—
Existing Business Activity: OAC'
Proosed Business Activity:
2(13
Verify y site address suite # exists and active tive in permit sys
OA, .ver Terrace Neighborhood: ❑ Yes ICJ No
Ig oning: PM Zr&—
ermitted Use: V Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: !J/ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: - '�X,� r Date: 1-701 /1/9
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: E Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: y//V//p
Site Plans: # S
Building Plans: # 3
Building Permit#: [ Enter building permit# above.
Workflow Routing: C-Planning er Building
Workflow Sign-off: e ign-off for Planning (include notes from planning review)
Route Application Documents: DiBuilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: (D-rj...----
By
Permit Technician: C Date: S/ /3/6
I:\Bui(ding\Fonns\BldgPenni t Rvw_COM_No Land Use_0709 I 5.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:
I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_070915.docx
iiCity of Tigard • BUILDING DIVISION
IN
' Over-The-Counter (OTC) Building & Fire Protection System Permit
T I(,\i.D Appointment Checklist
Permit Record#: — I.... 0 -,9 I(D-c o 130
Contact Name: �,t.4, i `w\,t— r+..A-n.4-„,es,* Phone #: j' - A� /5/y
Business Name: L.R 5 a `-4i : '.Q Appointment Date: �///3 e o? ,oz)
Site Address: 19,44t4/ ctt.4 110,4''. 140E4 &(-J e Bldg/Suite #l7
Project Name: `au-ANL,12, a i.,.L„ln,t4C
Project Description:
Existing Use: C ,.R.1 ` New Use: ..itii ''° i -;,e 1 ..
MMD Required: ❑ Yes l !No ' Related Record #:
,,n APIMENT,N, "SPECIFIC IIV„I ' ON INF
GENERAL INFORMATION
Class of Work: A t---r- Occupancy Group: Type of Construction: V 5
Type of Use: Cc,11 Occupancy Load: lb', Oregon Specialty Code: f),.,
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: 11- 5 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: $ FEES DUE
$ DC Prov Rvw,COM TI—Ping
$ Permit 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: $ TOTAL FEES DUE
I:\B> ding\Forret\OTC_BUP_FPS_02091 G.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
12447 SW 69TH AVE, TIGARD, OR, 97223
Commercial - Building
275 Framing
PASS
BUP2016-00130
Jeff Grove
Violation Summary:
Inspector Contractor
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
12447 SW 69TH AVE, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2016-00130
Chip Barnett
Violation Summary:
Inspector Contractor