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Permit CITY OF TIGARD BUILDING PERMIT 1111 • COMMUNITY DEVELOPMENT Permit#: BUP2016-00237 T[ ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/20/2016 Parcel: 2S113AB00600 Jurisdiction: Tigard Site address: 16125 SW 72ND AVE Project: St.Jude Medical Center Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30 Project Description: TI for existing tenant:Removing interior wall. Contractor: HALLMARK INTERIORS INC Owner: PACIFIC REALTY ASSOCIATES LP PO BOX 1010 ATTN: N PIVEN CLACKAMAS, OR 97015 15350 SE SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-698-2438 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 07/20/2016 $90.00 Occupancy Grp: B Occupancy Load: 200 Permit Fee-Additions,Alterations, 07/20/2016 $210.59 Demolition Dwelling Units: 0 12%State Surcharge-Building 07/20/2016 $25.27 Stories: 1 Height: 0 ft Plan Review 07/20/2016 $136.88 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 07/20/2016 $84.24 Value: $9,000 Info Process/Archiving-Lg$2.00(over 07/20/2016 $2.00 11x17) Floor Areas: Total Area: 20000 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $548.98 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 952-001-0010 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: —""Permittee Signature: /IfLL/C/1/—c � 4'"II 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. Brllding Permit Application Commercial RtGEI F012 ou LICE: USE()NI.) City of Tigard Received g Date/B (f/ Permit No.: 13125 SW Hall Blvd.,Tigard,OR 9 /�/1 `� �� Date Bevies�7 . M Related Permit: ALf,. �I 1 Phone: 503-718-2439 Fax: 503-598-196042016 / T I G A R D Inspection Line: 503-639-4175C t y 0 t. Date Read Y s•d la See Page 2 for Internet: www.tigard-or ( $l i/4 q r . Notified/Method: I� �� Supplementallnformation TYPE 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 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. El1-and 2-family dwelling ❑Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: IDMaster builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:I G, f )-S- S C) '��. .tit.-0,e ^ New dwelling area: square feet City/State/ZIP: 4 r'$l 1^._D, Q t = 0)7)4- t. Garage/carport area: square feet Suite/bldg./apt.#: Project name: .61" 1.-J pctr\: i fit,\\ CQ tQovered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I 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. Re_w.xy.r� '^.\--ti's w� Valuation: $ Cif Oo Ca 00 Existing building area: f square feet New building area: square feet 0 PROPERTY OWNER © TENANT Number of stories: Name: GJ"C CS...) vie--c ..`C±1� r Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: 0 APPLICANT [l CONTACT PERSON BUILDING PERMIT FEES* Business name: +,, � � (Please refer to fee schedule) /��� UJ V� "�-�Z C --.. Structural plan review fee(or deposit): Contact name: t�0 11g 0 0 FLS plan review fee(if applicable): Address: I ( i)-c S W .7�,r9. ilst. � _ City/State/ZIP: _VA{--1 `\� CD t 9--) )._ t,� Total fees due upon application_ Phone: , y C Amount received: ) `1 j(4, 7 3 q �1 r Fax: ( ) E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: 4.41-1....-1_114.4 /LK\ ' .-CQIO 4 /liSubmit two(2)sets of roof plan with connection details Address: Po and fire department access,along with the 2010 Oregon X 1010 Solar Installation Specialty Code checklist. City/State/ZIP: C�L. k/A- fit- c12_ G l Permit fee(includes plan review $180.00 Phone:(3 J) big,7-•3.4 z g Fax:( ) and administrative fees): State surcharge(12%of permit fee): $21.60 CCB Lic.: i I '7 g$a f0/7//7 Total fee due upon application: $201.60 Authorized signature: /0/1/04,?r,0\ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Gey "i)o t,J -- Date: 7/e� 4 * Fee methodology set by Tri-County Building Industry ` Service Board. I:ABuilding\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 Commercial & Multi-Family - Additions or Alterations TIGARD® 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 • COMMUNITY DEVELOPMENT DEPARTMENT Plan Submittal Requirements Commercial & Multi-Family - New, Additions or Alterations TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov 1. SITE PLAN (3) copies - fully dimensional, drawn to scale and 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. ADDITIONAL INFORMATION AS FOLLOWS: A. Fire Department Building Survey with (1) additional full set of architecture drawings. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT )1111 11 Plan Submittal Requirements Matrix Commercial & Multi-Family - New, Additions or Alterations TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov Type of Submittal # of Plans (Includes new,additions and alterations.) Required at Submittal Demolition Permit 2 (site plan is required showing location and square footage of all buildings to be demolished,erosion control plan and tree protection,if applicable) 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 Solar Photovoltaic 2 (Requires check list for prescriptive installation. If not prescriptive installation,engineering is required.) 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:A Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014 City of Tigard I, COMMUNITY DEVELOPMENT DEPARTMENT r1cARD Building Permit Review — Commercial - No Land Use Building Permit #: Qtt,P,iv i b 00?-37 Site Address: 112125 SVS 2 u itbfei Suite/Bldg#: Project Name: &4 . Ivott 140,1crAA (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: YY)OV L v C/n- lol i 2 r'D S. Existing Business Activity: [,16Y—i Ind as')n 404 Proposed Business Activity: � (�JJ0 (Y rex(sit 1- 1 -je.rtc ,'i± Verify site address/suite# exists and active in permit system. `J . -River Terrace Neighborhood: ❑ Yes No t Zoning: I- P Permitted Use: ,Rt'Yes ❑ No ❑ Spec Space Confirm no land use required. Business License: Exists: elSrYes ❑ No,applicant notified to obtain business license Notes: Approved by Planning: C64 Date: /I?.D 1(b Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved ... nom.:. Building Permit Submittal Original Submittal Date: 7/t.//1 Site Plans: # Building Plans: # � Building Permit#: n�ter uilding permit#above. ., Workflow Routing: 7arming CI Permit Coordinator I�BgC—ling Workflow Sign-off: -o for Planning(include notes from planning review) Route Application Documents: ullding: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: 67Z- By Permit Technician: Date: 7/06 I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_060116.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 0 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\BldgPermitRvwCOM NoLandUse_070915.docx City of Tigard • BUILDING DIVISION s Over-The-Counter (OTC) Building & Fire Protection System Permit T I C;v R D Appointment Checklist Permit Record#: Bio)t 00 37 Contact Name: gc -iG. ,.fir,.(- Phone #: 56?— a21 j-q-c2-60 Business Name: Mc, /7,te____ Appointment Date: ---7/ioPG, e„.„:2 ;C/ca Site Address: /6R5 JI„J ? - j,t° Bldg/Suite #: Project Name: S7 752A61,2._ /Ycsa i^c.G'J Project Description: kainevfkeks, CoJ60 Existing Use: e New Use: 8 MMD Required: ❑ Yes ®-moo Related Record #: .µ GENERAL INFORMATION Class of Work: & Occupancy Group: Type of Construction: J Type of Use: lA„\ Occupancy Load: r Oregon Specialty Code: '.. (!)'.. (!) 4 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: `ZC f(C 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: l (--j 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: �3, Total Project Valuation: $ _ c j. et.'" ). °' $ 0,CC, DC Prov Rvw,COM TI—Ping $ '2f • ,5et 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 $ ,on 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: $ frA TOTAL FEES DUE I:\Building\Forms\OTC_BUP_FPS_020916.docx 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 16125 SW 72ND AVE, TIGARD, OR, 97224 Record Type: Commercial - Building Inspection Type: 299 Final inspection Result: PASS- NoCofO Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: November 21, 2016 at 12:08:45 PM Record ID: BUP2016-00237 Inspector: Mark VanDomelen Contractor