Permit (42) , CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016-00224
T[ ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/12/2016
Parcel: 2S101 AD00800
Jurisdiction: Tigard
Site address: 12550 SW 68TH AVE
Project: Cache Valley Electric Company Subdivision: WEST PORTLAND HEIGHTS Lot: 26
Project Description: TI-Remodel office
Contractor: DURUS CONSTRUCTION LLC Owner: CACHE VALLEY ELECTRIC CO
15806 UPPER BOONES FERRY RD 875 NO 1000 WEST
LAKE OSWEGO, OR 97035 LOGAN, UT 84321
PHONE: 503-320-8601 PHONE: 503-431-6600
FAX: 503-244-4318
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 07/12/2016 $224.00
Occupancy Grp: B Occupancy Load: gg Permit Fee-Additions,Alterations, 07/12/2016 $1,075.83
Dwelling Units: 0 Demolition
12%State Surcharge-Building 07/12/2016 $129.10
Stories: 1 Height: 0 ft Plan Review 07/12/2016 $699.29
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 07/12/2016 $430.33
Value: $96,000 Info Process/Archiving-Lg$2.00(over 07/12/2016 $20.00
11x17)
Floor Areas:
Total Area: 9836
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,578.55
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. ATT e+ Oregon la, requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-0 -0010 through•.R 9 -00 0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
( sued By: 104 e l/ 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 FOR OFFICE USE ONLY
Cityof Tigard A E � E Received
Permit No.: G
�� g
Date/By: 7 �� l� wlam Ai e �,
13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review --�
2 2 0 16
lig III Phone: 503.718.2439 Fax: 503.'4:11961 DateBy a ,aw � Other Permit:
T I GA RD Inspection Line: 503.639.4175 Date Ready:y: Juris: See Page 2 for
Internet: www.tigard-or.gov i =? � Notified/Method: Supplemental Information
ciTyA its x"' 9q1
F
! i r A
... .� Ol+ ;� '�'�t � .. �... '9,-, 1•3I3 0 �� ',:;,:t:;,'„,:1144',11, 'ILLI t;�
❑New construction ❑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: equipment,materials,labor,overhead,and the profit for the
w CA F GO ''':-if‘o r work indicated on this application.
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
ElAccessory building El Multi-family Number of bedrooms:
ElMaster builder ❑Other: Number of bathrooms:
r `.. J'O SIN RR7 API( § D' QIkT Total number of floors:
Job site address:12550 SW 680 Ave New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Cache Valley Electric,CO Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
,..
vi-,.._,
O ` E IIEC 1S
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, nead, nd th p oft for the
:,, d.7 Work ndica edon thishisapplicatioS�RT' af ® K
Tenant Improvments Valuation: $ q�/ DQQ
Existing building area: square feet
New building area: square feet
11 Ylilii, PRO RR O R , ' s I*: A Number of stories:
Name:Vine Street Type of construction:
Address:12550 SW 68'Ave Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:(503)431-6600 Fax:(503)624-1436 New:
F
i PIS
1LD t F ' * :i® ' A .., QN i, , r• . -- 2 , , . 01000fer.to%(oche Ai.,, .• ,.
Business name:Cache Valley Elective,Co.
Structural plan review fee(or deposit):
Contact name:Chareles Minich
FLS plan review fee(if applicable):
Address:12550 SW 68thAve
City/State/ZIP: fees due upon application:
ity/State/ZIP:Tigard,OR 97223
Phone:(503)431-6600 Fax::(503)624-1436
Amount received:
E-mail:charlesm@cve.com1411; +
Commercial and residential prescriptive installation of
-. : = .... .r : ' „ ..; roof-top mounted Photo Voltaic Solar Panel System.
Business name:DURUS Construction LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 15836 Upper Boones Ferry RD Solar Installation Specialty Code checklist.
City/State/ZIP:Lake Oswego,OR 97035 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)320-5633 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: asg Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
7.
within 180 days after it has been accepted as complete.
Print name:Charles Minich Date:July 12,2016 * Fee methodology set by Tri-County Building Industry
Service Board.
1:ABuilding\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
IIII q COMMUNITY DEVELOPMENT DEPARTMENT
0
T 1 c A R D Building Permit Review — Commercial - No Land Use
Building Permit #: Mt..P l to-009-24
Site Address: /QST &Pfit P yc Suite/Bldg#:
Project Name: evc Q . i 1
(Name of commercial bus' if occupying the space. If vacant,enter Spec Space.)
Planning Review �/f
Proposal: "P.-en/066i d1 6,7 S' r ',t',s 7'j
£
Existing Business Activity: 644I
osed Business Activity: i
ProVerisite address suite# exists and active inpermit s s .
Verify Y tin'
ever Terrace Neighborhood:
ElYes '0 No
oning: 1,(�
VI/ Use: Al Yes ❑ No ❑ Spec Space
I! Confirm no land use required.
/Business Licenss_e�
Exists: [ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: ------- . Date: -.//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: 7791/i'i c
Site Plans: #
Building Plans: #
Building Permit#: 2--"Enter building permit#above.
Workflow Routing: 9/Planning2--remit Q"Building
Workflow Sign-off: 0�'�Si -off for Planning(include notes from planning review)
4T
Route Application Documents: Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: C—r°---
By Permit Technician: Date: y r
I:\Building\Fonns\BldgPermitRvw_COM_NoLandUse 060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Su 9 •'tial only)
Revision Notice 1: Date :I t to Applic..- :
Revision Notice 2: Date Sent to - .,. cant:
Revision Notice 3: Date Sent . App I` i t:
❑ SDC Fees Entered: W.. Co Trans Dev Tax: ❑ Yes ❑ N/A
igard Trans SDC: ■ -s ❑ N/A
7 Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
Appointment Checklist
Permit Record#: — P 1 L —Q( ?-2-471
Contact Name:
(� Phone #:
Business Name: J,�_l F ► - 6.40_e_17,-'e, A p ointment Date: :00
l PP 7/�2 � 2
Site Address: 1 6-cJ LP. ' Bldg Suite #:
Project Name: 1, V 0 io, _ . ,
Project Description: _ —RD,(, ; , "��,
Existing Use: j • New Use:
MMD Required: 0 Yes 0 No Related Record#:
GENERAL INFORMATION
Class of Work: Occupancy Group: Or Type of Construction:
Type of Use: ," Occupancy Load: or s Oregon Specialty Code: gift___'
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: te49 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: $ 6471000
$ A DC Prov Rvw,COM TI—Ping
$ (D 5 Al Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ (i" j/ 12%State Surcharge
Project Valuation $ AN. �! Plan Review,Structural
Up to$4,999 $0.00 (� cp $ • _40, Plan Review,Fire Life Safety
$5,000-$74,999 8:6d" 7e,' $ TAO AV- Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $2220:10 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $3rS OT $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $ Z ,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
12550 SW 68TH AVE, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2016-00224
Chip Barnett
Violation Summary:
Inspector Contractor