Permit (14) III CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016-00128
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/13/2016
Parcel: 2S101AA03800
Jurisdiction: Tigard
Site address: 12259 SW 69TH AVE
Project: Consumer Cellular Subdivision: WEST PORTLAND HEIGHTS Lot: B
Project Description: TI for new tenant:Office demolition and construction.
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: 557 Permit Fee-Additions,Alterations, 04/13/2016 $2,289.79
Demolition
Dwelling Units: 0 12%State Surcharge-Building 04/13/2016 $274.77
Stories: 2 Height: 0 ft Plan Review 04/13/2016 $1,488.36
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/13/2016 $915.92
Value: $296,000 Info Process/Archiving-Lg$2.00(over 04/13/2016 $26.00
11x17)
Metro Const. Excise Tax 04/13/2016 $355.20
Floor Areas: 1
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $5,701.04
Required: Required Items and Reports(Conditions)
Fire Sprinkler: 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: • AL e____ er Signature:
C. 09.4175 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 roject.
Approved plans are required on the job site at the time of each inspection.
f
wilding Permit Application 4/i 10
Commercial (�,G`��U FOR OFFICE USE ONLY
City of Tigard ck— ^016 Re eived i Permit No.• -A I, '
Il 13125 SW Hall Blvd.,Tigard,OR R23�3 !- '
1� Plan Review ��I t ��
= Phone: 503.718.2439 Fax: 503`k( 9 PRID Date%B : id�,L'iW J ril!l.11-��Other Permit:
T I G A R D Inspection Line: 503.639.4175 ` OC 11 f"+S`O� Date Ready/:y: ® See Page 2 for
Internet: www.tigard-or.gov G � ,A Notified/Method: H �yi' Supplemental Information
OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 Demolition 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:TI 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 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12259 SW 69th Avenue New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:Bldg B Project name:Consumer Cellular TI Covered porch area: square feet
Cross street/directions to job site:SW Dartmoth Street,SW 69'h 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.:W262962 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: $$296,000.00
finish updates,remove offices,add new offices,update lighting to LED Existing building area: 41010 square feet
New building area: 41010 square feet
0 PROPERTY OWNER ® TENANT Number of stories: 2
Name:Consumer Cellular Type of construction: VB
Address:7204 SW Durham Road Occupancy groups:
City/State/ZIP:Portland,OR 97209 Existing: B
Phone:(888)345-5509 Fax:( ) New: B
0 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:LRS Architects (Please refer to fee schedule)
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 mounted Photo Voltaic Solar Panel System.
Business name:Swinerton Builders Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:308 SW Second Avenue,Suite 210 Solar Installation Specialty Code checklist.
City/State/ZIP: Portland,OR 97204 Permit fee(includes plan review $180.00
and administrative fees): _
Phone:(503)224-6888 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: 7r ?
Total fee due upon application: $201.60
Authorized s /• This permit application expires if a permit is not obtained
y�,q� �� / within 180 days after it has been accepted as complete.
Print name: f � � 'H f,;(..,ie Date: i /3447 * Fee methodology set by Tri-County Building Industry
�'t/`b� /` [t(( Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB)
4IS
11111
mi
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: Ill S 296,000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 74,000
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 fr 5(G'1N I°KlE aN �- $ 1 •O()
(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: $ �1—I bi -
(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
Building Division
Plan Submittal Requirements
TIGARD Commercial & Multi-Family- New,Additions or Alterations
1. SITE PLAN (fully dimensional, drawn to scale) 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. EXTRA SET OF THE FOLLOWING:
A. Two (2) copies of site plan to include vicinity map.
B. One (1) copy of erosion control plan with details.
C. Fire Department Building Survey, and full set of architecture drawings.
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
41111.
II _ Building Division
Plan Submittal Requirement Matrix
TI G A R D Commercial & Multi-Family- New,Additions or Alterations
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
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
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:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
City of Tigard
COMMUNITY DEVFI OPMENT DEPARTMENT
IN
T! R Building Permit Review — Commercial - No Land Use
D
Building Permit #: /020 i 6---UD/I'
Site Address: 122559 SW 6R-1 Ave. Suite/Bldg#:
Project Name: Consumer Cellt,l0.(
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: ink-exiof T1
Existing Business Activity: çj ce
Proposed Business Activity: I cp
..
vVerify site address/suite# exists and active in permit system.
Xi/River Terrace Neighborhood: ❑ Yes "as'No
fit/Zoning: A JE
'ermitted Use: 6/Yes 0 No 0 Spec Space
Ionfirm no land use required.
IJ Business License:
Exists: 0 Yes No,applicant notified to obtain business license
Notes:
Approved by Planning: I1 I A - •
11, Date: 3129 . ►6
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: 17//j//
Site Plans: # —4.g- -4g-¢
Building Plans: #
Building Permit#: KY�nt building permit#above.
Workflow Routing: [IE.-Planning 0 Permit Coordinator ❑ i['duig
Workflow Sign-off: - of for Planning(include 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: O7-c.
By Permit Technician: ��'"" Date: /11/3/k
I:\Building\Forms\BldgPermitRvw_COM_NolandUse_o709I 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: 0 Yes ❑ N/A
Tigard Trans SDC: 0 Yes 0 N/A
Parks SDC: 0 Yes 0 N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms`.BldgPermitRvw COM_NoLandUse_070915.docx
City of Tigard • BUILDING DIVISION
.104
Over-The-Counter (OTC) Building & Fire Protection System Permit
T 16 \R n Appointment Checklist
Permit Record#: Q + (( --oD i as
Contact Name: "1")c..../,c„ii 1-"Ie e.,,,...„ha1...,,, Phone #: 5o 3-;4'. la ate' Ig-5 i 4i
Business Name: LC..6 C,.?.a.e% : t. Appointment Date: ./A3 (1W /p ,'
Site Address: /?-3-6q 6t,a. tele. ; t'LM G-_ •S Bldg/Suite #:
Project Name: .,t ....
Project Description:
Existing Use: 1 _. , =.,a . .. New Use: „;. r Jeb,
MMD Required: ❑ Yes [X No Related Record #:
APPLICATION SPECI WO 1:0;9;1:').:ii
GENERAL INFORMATION
Class of Work: ( Occupancy Group: Type of Construction: !�
Type of Use: (A Occupancy Load: r Oregon Specialty Code: 2"D
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: 5: Occupancy Separation:
E: W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: -e ? 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: $ 2'( .1 FEES DUE
$ "_j .(X DC Prov Rvw,COM TI—Ping
$ 2�ef, 3 Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ 2.7 12%State Surcharge
Project Valuation $ i it Ian Review,Structural
Up to$4,999 $0.00 $ diPigle Plan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ ,CSO 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 $ ,2'7Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $.. _
K -other:
Date/Time: $ �j 7 ' , TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_020916.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
12259 SW 69TH AVE, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2016-00128
Chip Barnett
Violation Summary:
Inspector Contractor