Permit CITY OF TIGARD BUILDING PERMIT
a q, Permit#: BUP2016-00270
COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/23/2017
( �`� - Parcel: 2S112DB00500
Jurisdiction: Tigard
Site address: 15065 SW 74TH AVE
Project: Interstate Roofing Subdivision: FANNO CREEK ACRE TRACTS Lot: 15
Project Description: New 16,893 sq.ft.two-story building. TDT deferred to occupancy.
Contractor: YORKE&CURTIS Owner: INTERSTATE DEVELOPMENT LLC
4480 SW 101ST AVE 15065 SW 74TH AVE
BEAVERTON, OR 97005 PORTLAND, OR 97224
PHONE: 646-2123 PHONE:
FAX: FAX 643-5531
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: NEW Type of Const: IIIB Permit Fee-COM-New Construction 03/23/2017 $8,509.77
Occupancy Grp: S-1 Occupancy Load: 167 12%State Surcharge-Building 03/23/2017 $1,021.17
Plan Review 09/08/2016 $3,824.03
Dwelling Units: 0 Plan Review-Fire Life Safety 03/23/2017 $2,353.25
Stories: 2 Height: 29 ft DC Provision Review,COM New-Bldg 03/23/2017 $178.50
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM New-Ping 03/23/2017 $178.50
Value: $1,814,057 Additional Plan Review 03/23/2017 $400.00
Info Process/Archiving-Lg$2.00(over 03/23/2017 $124.00
11x17)
Floor Areas: Info Process/Archiving-Sm$0.50(up to 03/23/2017 $75.00
Total Area: 16893 11x17)
Metro Const.Excise Tax 03/23/2017 $2,176.87
Accessory Structs 0 Tig-Tual School CET-Non Residential 03/23/2017 $10,135.80
Basement: 0 Parks SDC Improvement 03/23/2017 $3,899.00
Carport: 0 Parks SDC Reimbursement 03/23/2017 $705.00
Covered Porch: 0 Plan Review 03/23/2017 $1,707.32
Deck: 0 Plan Review-Fire Life Safety 03/23/2017 $1,050.66
Garage: 0
Mezzanine: 0
Total $36,338.87
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No Parapet: Yes
Fire Alarm: Protected Corridors: No
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 2
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: '"
Call 3.639.4175 by 7:00 a.m.for the next available inspection date. dlIl
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.
.. t
City of Tigard
IIIU COMMUNITY DEVELOPMENT DEPARTMENT
1
T1cARD Building Permit Review — Commercial - With Land Use
Building Permit #: i,e, 01 <p_00 ;.10
Site Address: t'o' 5 5V\1 i L.. yl Ave. Suite/Bldg#:
Project Name: `r -laiel �
(Name of commercial business oc g the space. If vacant,enter Spec Space.)
Planning Review �,�
Proposal: s(,-Fe (itiicl pAlaI t(i /2.0v4Ikrpate.M"4 l i S •
Verify site address/suite#exists and active in permit system.
1K River Terrace Neighborhood: ❑ Yes IA No
I, Land Use Case#: 5VP-22,t69,.. p'3
Plans Match Approved Land Use:
g Site Plan g Landscape Plan ❑ Other:
,Urban Forestry Plan ,1K;Elevation Plan
Building Height: Maximum Height , Actual Height p.' S
g-Conditions Met: ❑ Prior to Submittal K Prior to Permit Issuance
,'Business License:
Exists: ❑ Yes ZNo,applicant notified to obtain business license
Public Facilities Improvement (PFI) Permit:
Required: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake
Notes: N(1 tS6U5L4 L ('b'N') llanJ 4
Approved by Planning: Av ll •.,i;, Date: q,$IRO
Revisions (after Building Submitt•only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 0//'
Site Plans: # j
Building Plans: # --3
Building Permit#: Q--Enter building permit#above.
Workflow Routing: $Planning -B—Engineering hermit Coordinator Building
Workflow Sign-off: 2—Sign-off for Planning(include notes from planning review)
Route Application Documents: 0 Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: CK ) -Je Date: /.'4
I:\Building\Forms\BldgPennitRvw_COM_WithLandUse_070915.docx
o -.
Engineering Review
j
Slope at building pad: lat
PFI Permit#: -.1a/6 -41X4t,j7/
❑ 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 • E gineering: Date
Notes: _ ?A7+ _ i.!' -- s.--1,Ar.A III
Approved by Engineering: !.. 0 Date: !�e�-g
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
) pproved,NOT Released: J, , pw�
• #lel Geoecc r / ' 'i ate: 9 2 t/i _
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: 'lP{es ❑ N/A
Tigard Trans SDC: ❑ Yes ' ieL"/A
Parks SDC: Yes CI N/A OK to Issue Permit / �/
4111 Approved by Permit Coordinator: p�a f W� 12C.�%Y Date: 1ll9/ie...
I:\Building\Forms\BldgPermitRvw_COM_WithLandUse 070915.docx
Site Address: .
• Building Division
TIGARD Deferred Submittal Transmittal Letter
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION
sVii'L;
//
MAY 8 2017
FROM: 5�,4 I-ye i Z S!GJ 2r CITY OF TIGARD
BUILDING DIVISION
COMPANY: Y®� �� �^Gr,d Cu J— i r'r
PHONE: 7—j Z 3 FBy:&-7---
RE: 1-f 6 C .5-t✓ 7 4" !¢ve
ate Address -lrenni ase um er
Z,te-rrriaEe RAF,,I
roject name or subdivision nanle/and lot num er
Valuation of Deferred Submittal: $ 15 0208�
ATTACHED IS THE FOLLOWING DEFERRED SUBMITTAL ITEM:
Copies: Description:
�7i ............
.....__ Cc ( ........F' .... ..................... .............:.................... .................--.........................._...........................................................................................
...
Remarks:
NOTE: Documents for deferred submittal items shall be submitted to the registered design professional in
responsible charge who shall review them and forward them to the building official with a notation indicating that
the deferred submittal documents have been reviewed and been found to be in general conformance to the design of
the building.The deferred submittal items shall not be installed until the design and submittal documents have been
approved by the building official. Oregon Structural Specialty Code Section 106.3.4.2
FOR OFFICt UNE ONLY
Routed to Permit T ician: Date: Initials:
Fees Due: es I ❑ No Fee Description: Amount e-
Deferred Submittal Fee: $
Additional fee based on valuation: $
Other:
Total Fees Due:
Special
Instructions:
Reprint Permit(per PE): ❑ Yes No ❑ Done
Applicant Notified: Date: f i, ✓ Initials:
The fee for processing and reviewing deferred plan submittal shall be an amount equal to 65%of the building based
on the valuation of the particular portion or portions of the project with a minimum$200.00 fee.This fee is in
addition to the project plan review fee based on the total project value.
I:Building\Forms\TransmittalLetter-DefrdSubmtl.doc 04/04/07
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15065 SW 74TH AVE, TIGARD, OR, 97224 January 4, 2018 at
2:50:13 PM
Record Type: Record ID:
Commercial - Building BUP2016-00270
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor