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Permit (25) CITY OF TIGARD BUILDING PERMIT 11111 COMMUNITY DEVELOPMENT Permit#: BUP2016-00190 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/02/2016 Parcel: 25101 BB01400 Jurisdiction: Tigard Site address: 12176 SW GARDEN PL Project: FastSigns Subdivision: CROW PARK 217 Lot: 2 Project Description: TI Contractor: ROBERT TODD CONSTRUCTION INC Owner: ICON OWNER POOL 1 WEST LLC 4080 SE INTERNATIONAL WAY B113 BY RYAN MILWAUKIE, OR 97222 PO BOX 460169 HOUSTON,TX 77056 PHONE: 503-653-5704 PHONE: FAX: 503-653-5729 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 06/02/2016 $88.00 Occupancy Grp: B Occupancy Load: 22 Permit Fee-Additions,Alterations, 06/02/2016 $271.43 Demolition Dwelling Units: 0 12%State Surcharge-Building 06/02/2016 $32.57 Stories: 1 Height: 0 ft Plan Review 06/02/2016 $176.43 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 06/02/2016 $108.57 Value: $12,200 Info Process/Archiving-Lg$2.00(over 06/02/2016 $4.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $681.00 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 952-0e -0 I • eh 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. Is ued By: / `7 0,, / Permittee 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 project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Commercial RECEIVED FOR OFFICE['SE ONLY City of Tigard Date/Bed• r, i` (p OM Permit No.: �,i, I 404 `/l Ill - ° 13125 SW Hall Blvd.,Tigard,OR 97 Plan Revi \ Phone: 503.718.2439 Fax: 503.59 WD 4 2 '016 Date/ i! �r Other Permit: TIGARD Inspection Line: 503.639.4175 { `/ { Date Rea:"' Juris: ® See Page 2 for Internet: www.tigard-or.gov BUILDING c1I J (ii 11( ARDNotified/Method: Supplemental Information TYPE WODIVISION 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 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 0 1-and 2-family dwelling ®Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 12176 SW Garden Place New dwelling area: square feet City/State/ZIP:Tigard,OR Garage/carport area: square feet Suite/bldg./apt.no.:Bldg.3 Project name:FastSigns Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Park 217 at Hwy 99 and SW Garden Place 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. Interior tenant improvement Valuation: $$12,200.00 Existing building area: 4030 square feet New building area: 4030 square feet ® PROPERTY OWNER 0 TENANT Number of stories: 1 Name:GLP Type of construction: VB Address:One SW Columbia-Suite 950 Occupancy groups: City/State/ZIP:Portland,OR 97258 Existing: A/B/F/S Phone:(503)221.9900 Fax:( ) New: A/B/F/S ® APPLICANT g 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 97223 Total fees due upon application: Amount received: Phone:(503)244.0552 Fax: :( ) E-mail:betty@mdgpc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel Syste• . Business name:Robert Todd Construction Submit two(2)sets of roof plan with connec .: details and fire depar ent access,along with t = 010 Oregon Address:4080 SE International Way Solar Installation .ecialty Code ch-• list. City/State/ZIP:Milwaukie,OR 97222 Permit fee(incl .- plan iew $180.00 and administr.- e fees): Phone:(503)653.5704 Fax:( ) State surcharge(12'.of permit • : $21.60 CCB lie.:98517 Total fee .ue upon application: $201.60 Authorized signature: R This permit application expires if a permit is nndRobtained !/'v"v� t/ within 180 days after it has been accepted as complete. Print name:Betty K.Sheppeard Date:0.5:24:T6 (#.. Z•(Ci * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 1/02/COM/WEB) J 11,1 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] $ 12,200 MULTIPLIER(25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 3,050 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 $ 0.00 (b) An accessible entrance: $ 0.00 (c) An accessible route to the altered area: $ 0.00 (d) At least one accessible restroom for each sex or a single unisex restroom: $ 0.00 (e) Accessible telephones: $ 0.00 (f) Accessible drinking fountains:and, $ 0.00 (g) When possible,additional accessible elements such as storage and alarms: $ 0.00 TOTAL(shall equal line [2] of Valuation Computation): $ Add vertical grab bars to existing accessible restrooms $300 I:\Building\Permits\BUP-COM PemiitApp.doc 03/03/2011 City of Tigard N COMMUNITY DEVELOPMENT DEPARTMENT INs TIGARD Building Permit Review — Commercial - With Land Use Building Permit #: Li P aO 1 Lo-po/QD Site Address: /Q/, S �� ,42C, Suite/Bldg#: Project Name: iS-)4..S� S (Name of com(416tial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: 7:-/ AelA -e, 2L LI/ Verify site address/suite#exists and active in permit syst . /•':ver Terrace Neighborhood: ❑ Yes NNo L% /and Use Case#: /14/1/i .2C))(0 000f g Plaans/Match Approved Land Use: IV Site Plan P} andscape Plan ACIMUrban Forestry Plan tevation Plan DV Building Height: Maximum Height 4-/S-i Actual Height //.. .3 IS /, •nditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuan1 II Business Licens : Exists: Yes ❑ No,applicant notified to obtain business license PIublic Facilities Improvement(PFI) Permit: Required: ❑ Yes, applicant was notified 14/No Applied For: ❑ Yes ❑ No, stop intake Notes: Approved by Planning: i,..Z. Date: Off/ 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: Site Plans: # Building Plans: # Building Permit#: ❑ Enter building permit#above. Workflow Routing: ❑ Planning ❑ Engineering ❑ Permit Coordinator ❑ Building Workflow Sign-off: ❑ 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: Date: I:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_0709I 5.docx Engineering Review ❑ Slope at building pad: ❑ PFI Permit#: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments) per engineering conditions of approval and plat (not typical on SDR/CUP) ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date Notes: Approved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 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\BldgPermitRvw_COM_W ith LandUse_0709I 5.docx City of Tigard • BUILDING DIVISION 1111 Over-The-Counter (OTC) Building & Fire Protection System Permit 1 1, \R D Appointment Checklist Permit Record#: 73 LLP Obi 6 -cc ( 9 6 Contact Name: '13_, Cum- Phone #: 56'7'x4/4-055-2- Business Name: IM.� ta-y-- ` ,ti-- Appointment Date: - (o/al q_,_ c All Site Address: 1 ;L( 7 (, &w rb/4\(?>L, Pt. Bldg/Suite #: Project Name: f,,T- �i Project Description: - Off t e_t_ ;11-o 0--t- Existing Use: -8 New Use: MMD Required: ❑ Yes No Related Record #: N( H b' lit-UDC/g APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION _ Class of Work: L Occupancy Group: Type of Construction: �j�� � Type of Use: (,` Occupancy Load: y Oregon Specialty Code: -.I,,t1c.. SPECIFICS Number of Stories: 1 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: K., 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_i 2-C', FEES DUE $ ` _4411111 DC Prov Rvw,COM TI—Ping a- ,y1 $ •rmit Fee—Add,Alt,Demo DC Provision Review Fee for COM TI(effective 7/1/2015) 5a,5 $ _ ' 12%State Surcharge Project Valuation /7I/ $ file- Plan_ Review,Structural Up to$4,999 $0.00 /d 7,57 $ Lf�tr Ian Review,Fire Life Safety $5,000-$74,999 $88.00 $ A , ) 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: r _C_Date/Time: $ TOTAL FEES DUE I:\Building\Forms\OTC_BUP_FPS_020916.docx Z al.UD 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 12176 SW GARDEN PL, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - C of O BUP2016-00190 Chip Barnett Violation Summary: Inspector Contractor