Permit CITY OF TIGARD BUILDING PERMIT
111 r--
■' COMMUNITY DEVELOPMENT Permit#: BUP2016-00263
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/31/2016
I r f.;,h I<.C} 9 Parcel: 2S102CC00500
Jurisdiction: Tigard
Site address: 13500 SW PACIFIC HWY 86
Project: Go Wireless Subdivision: None Lot: None
Project Description: Removing(2)partition walls and suspended soffit.
Contractor: CPS CONSTRUCTION INC Owner: ROIC OREGON LLC
9825 SW DAY ST 8905 TOWNE CENTRE DR, STE 108
SHERWOOD, OR 97140 SAN DIEGO, CA 92122
PHONE: 503-320-0918 PHONE:
FAX: 503-570-8713
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 09/27/2016 $241.01
Demolition
Occupancy Grp: M Occupancy Load: 61 12%State Surcharge-Building 09/27/2016 $28.92
Dwelling Units: 0 Plan Review 08/31/2016 $156.66
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 09/27/2016 $90.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 09/27/2016 $96.40
Value: $10,500 Info Process/Archiving-Lg$2.00(over 09/27/2016 $20.00
11x17)
Floor Areas:
Total Area: 2081
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $632.99
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 co. • .- es or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ...ert..4 • Signature: /�(
c� c� 111/
3.639.4175 by 7:00 a.m.for the next available inspection date.
This perrnit 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.
�i
BuiPdint Permit Application t ,i ;,
Vt
Commercial °t i` N-
Cl of Tigard 8 ?�1 Received ,
- Permit No.: `�
III
13125 SW Hall Blvd.,Tigard,OR 97223�.�� ��` Date/By ) ; Si it; w,90/6.-L �",
Pla e/B vie^ 1 (s ik,
Phone: 503-718-2439 Fax: 503-598-1960 r 'f t>i; Date/By: I `�9�11` Related Permit:
Inspection Line: 503-639-4175 r 1 Date Rea. _ .Jars:
TIGARD -/� / / G /3� . Supplemental See Page In2 r
Internet: www.tigard-or.gov - ` a`` Notified/Method: `l �`, � Information
/La at
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction iiRrbemolition 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: /.w.c0 0 S 1 J ,L �J
(t /t C j New dwelling area: square feet
City/State/ZIP: ,4
l 71.J / Garage/carport area: square feet
Suite/bldg./apt.#: fp
) Project name: G D (.<j' z.eL�ss Covered 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
n lDESCRIPTION OF WORK /work indicated on this application.
&"14 p(/r� ( ) PATIL.f 7 r U i� GO els , SGy a,i ds-t .aluation: $Ace e 4)
Sr + Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
New:
M APPLICANT it CONTACT PERSON BUILDING PERMIT FEES*
Ps A; (Please refer to fee schedule)
Business name: _
C� �s " -�,� �' Structural plan review fee(or deposit):
Contact name: /2,c vi f i E p
Address: y,6. 5 L�c.J i);17 /7‘) plan review fee(if applicable):
L /7`�' Total fees due upon application:/`5 (p6
City/State/ZIP: .5 ti ,k„,zr:,cJ ce'✓6 Cit
Phone: S v c Amount received:
( �) 3 -c 7 16 Fax::( )
e� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:
/ZC•N SLE, C'0,t,t 0. t!
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: .S,4 4A JC Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: C'Z.Z v Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
r within 180 days after it has been accepted as complete.
Print name: ,v 56(1E. F Date: Ij// 6 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
4
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
11 p 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
s
City of Tigard
ilPile COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 c A R o Building Permit Review — Commercial - No Land Use
Building Permit #: ,e4,,,,,,,_„,,,,,,3)
Site Address: 1 35 0 0 S W PG'G4 Gi'C HA,y Suite/Bldg#:
Project Name: 7 0 W les S
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: TI PDI Q..Xi S tl ✓) vJ '4-jl0 r1 1--
Existing
—Existing Business Activity: 0 e(YtQ f CX&.L J` 13 cm
Proposed Business Activity: CA/1(i�/1�1.Q_'—c /
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes /`I No
Zoning: C— C
grPermitted Use: 117Yes ElNo ElSpec Space
AConfirm no land use required.
7 Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: ,`^ Date: e/3,/Ab
Revisions (after Building Submittal only) Reviewer Date
Revision 1: El Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: (/3 i//6,
Site Plans: ## /f/M°.
Building Plans: # 3
Building Permit#: Winter building permit#� above.
Workflow Routing: Ci'flanning LI'ertnit Coordinator a 'ng
Workflow Sign-off: Ergign-off for Planning(include notes from planning review)
Route Application Documents: Luilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
(-----By Permit Technician: _ _____,...0.(,_ Date: ,r-Ab(
40 -
I:\Building\Forms\B1dgPermitRvw_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:
DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 13- ' /A
Tigard Trans SDC: ❑ Yes hi— /A
Parks SDC: ❑ Yes ". /A
`�to Issue Permit
/ /
/ J
Approved by Permit Coordinator: Date: 9
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_070915.docx