Permit (100) CITY OF TIGARD BUILDING PERMIT
a: 'S. COMMUNITY DEVELOPMENTIN Permit#: BUP2017-00028
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/02/2017
T[C9�'+ g Parcel: 2S101 BB01400
Jurisdiction: Tigard
Site address: 12072 SW GARDEN PL
Project: 3 Point Brand Management Subdivision: CROW PARK 217 Lot: 2
Project Description: New full height wall separating office from new warehouse,replace storefront with new OHD.
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 02/02/2017 $90.00
Occupancy Grp: B Occupancy Load: 81 Permit Fee-Additions,Alterations, 02/02/2017 $520.07
Demolition
Dwelling Units: 0 12%State Surcharge-Building 02/02/2017 $62.41
Stories: 1 Height: 0 ft Plan Review 02/02/2017 $338.05
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 02/02/2017 $208.03
Value: $30,420 Info Process/Archiving-Lg$2.00(over 02/02/2017 $8.00
11x17)
Address Fee 02/02/2017 $50.00
Floor Areas:
Total Area: 10235
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,276.56
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
952-0 10 through 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.
I sued By: f\ ��f v 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
- /•-- Received 1 ► / q Ir
City of Tigard .x2.,,i ;__, ', d I p Receiv/B : '2 7 �� Permit No.: - �f7 X02�t
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ,
= Phone: 503.718.2439 Fax: 503.598.1960_ Date/B : -` ,,k,_ ,v 1 ME Other Permit:
T I G A R D Inspection Line: 503.639.4175 F L& 2 %2p1-:1 ' Date Ready Jugs: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
It Aii A
TYPD10FJr�� I REQUIRED DATA:1-AND 2-FAMILY DWELLING
El New construction 0 Demo[tion'4'-' .4 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.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
ElMaster builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:12072 SW Garden Place New dwelling area: square feet
City/State/ZIP:Tigard,OR Garage/carport area: square feet
Suite/bldg./apt.no.:5 Project name:3Point Brand Management Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Park 217 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 remodel:new full height wall separating office from new warehouse, Valuation: $$30,420.00
replace storefornt with new OHD.No plumbing work. Existing building area: 10235 square feet
New building area: 10235 square feet
® PROPERTY OWNER 0 TENANT Number of stories: 1
Name:GLP c/o Kidder Mathews Type of construction: VB
Address:One SW Columbia-Suite 950 Occupancy groups:
City/State/ZIP:Portland,OR 97258 Existing: B
Phone:(503)221.2293 Fax:( ) New: B/S1
® APPLICANT or: 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 St.-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*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Robert Todd Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:4080 SE International WAy-Suite B-113 Solar Installation Specialty Code checklist.
City/State/ZIP:Milwaukie,OR 97222 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)653.5704 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:98517
�� ^ f Total fee due upon application: $201.60
V
Authorized signature: ` \ � `t"�k. This permit application expires if a permit is not obtained
C within 180 days after it has been accepted as complete.
Print name:Betty K.Sheppeard Date:02.02.17 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pemiits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
is
INIIBuilding Division
I
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] $ ✓U i q-l-'O
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [21 $ -7 6-C .
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: $ IV
(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): $
/ bDe VEALT. (LA 13
F.%.)-fLC ` o A-r_ _c'SSl 13t-e S1avL'
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
741 City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
> Appointment Checklist
Permit Record#: Pc9./:>/ 7--t0o2-g'
Contact Name: 6j Phone #: 3 -a944--O�� -
Business Name: c% ,t.� ,f,ro. Appt. Date/Time: �2i� a( ( OO Pi'l'l
Site Address: /a.6,7 a- �,..( � Pc... Bldg/Suite#:
Project Name: 3 P.-�,. - {13r"a-ws.2 1'1laA...s�¢„.a „.--
Project Description: tu��o �l
• . n• ���n��.0��./ tc.aa.�a a�tau.,ae 8Pa+.-c�� �c.,R�?a-�k.e A .
Existing Use: New Use:
MMD Required: D Yes No Related Record#: //
GENERAL INFORMATION ,
Class of Work: ALT Occupancy Group: Type of Construction: j (
Type of Use: Occupancy Load: A Oregon Specialty Code: �`,.,��_
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: 1 .s7 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: 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: $ '42O1
$ 4 DC Prov Rvw,COM TI—Ping
$ 'J', %C5`? Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2016) $ • A 12%State Surcharge
Project Valuation $ i��.' an Review,Structural
Up to$4,999 $0.00 $ :0,,r,„ omorPlan Review,Fire Life Safety
$5,000-$74,999 $90.00 $ 6' Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $224.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $357.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
t UA) D $ Hourly Rate Fee
•Q (1.)-(2_
' $ Hourly Rate State Surcharge
c $ Misc.Admin Fee
$ \rjD,00 Other: AVDLESS 6ee-
Building Staff: $ Other:
Date/Time: $ 'ZC,. OTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070116.docx
City of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A R D Building Permit Review — Commercial - No Land U s e
Building Permit #: +2OrA P c9-&f 7 -poo ac
, .
Site Address: tkCfia. ,) ) 2c e__ Suite/Bldg#:
Project Name Ori1 lend(_ ic. o � pi r*
(Name of commercial business occupying the space. If ydc nt,enter Spec Space.)
Planning Review l
Proposal: 171• 1f ' -72"e'
'}Wt – e7r1 e. /1.g4) ,-d/ U/..) dr)or-
Existing Business Activity: �-
osed Business Activity: ( ��� G� /
ProVerifysite address suite# exists and active inpermit s st .
� y
I] S`.ver Terrace Neighborhood: ❑ Yes ®'No
VI oning: C—Permitted Use: Yes ❑ No ❑ Spec Space
Confirm no land us required.
Business Licens .
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Date: Qjahl 9-
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: A/7
Site Plans: # 2
Building Plans: #
Building Permit#: Dnter building permit#above.
Workflow Routing: Planning at wilding
Workflow Sign-off: Ei -off for Planning(include notes from planning review)
Route Application Documents: ar ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: C3 (-0_,
By Permit Technician: CP' ___.) 0 / Date: /7
I:\Building\Forms\BldgPennitRyw_COM_NoLandUse_060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal onl
Revision Notice 1: Date Sent to • ..licant:
Revision Notice 2: Date Sent to App nt:
Revision Notice 3: Date Sent to Applicant
❑ SDC Fees Entered: Wash Co Tr. - P ev Tax: M Yes ❑ N/A
Tisa rans SDC: ❑ ❑ N/A
arks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordina or: Date:
I:\Building\Forms\BldgPermitRvw COM_NoLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12072 SW GARDEN PL, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2017-00028
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor