Permit (71) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2017-00195
T[t'h RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/26/2017
Parcel: 2S101AD03500
Jurisdiction: Tigard
Site address: 6600 SW HAMPTON ST
Project: Farmers Insurance Subdivision: WEST PORTLAND HEIGHTS Lot: None
Project Description: Tenant improvement,some demo,new walls,new finishes,limited structural(deferred).
Contractor: FORTIS CONSTRUCTION INC Owner: PACIFIC REALTY ASSOCIATES
1705 SW TAYLOR ST#200 ATTN: N PIVEN
PORTLAND, OR 97205 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-459-4477 PHONE:
FAX: 503-459-4478
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VBPermit Fee-Additions,Alterations, 09/26/2017 $4,321.08
Demolition
Occupancy Grp: Occupancy Load: 763 12%State Surcharge-Building 09/26/2017 $518.53
Dwelling Units: Plan Review 07/12/2017 $2,808.70
Stories: Height: ft DC Provision Review,COM TI-Ping 09/26/2017 $361.00
Bedrooms: Bathrooms: Plan Review-Fire Life Safety 09/26/2017 $1,728.43
Value: $656,900 Info Process/Archiving-Lg$2.00(over 09/26/2017 $196.00
11x17)
Info Process/Archiving-Sm$0.50(up to 09/26/2017 $12.50
Floor Areas: 11x17)
Metro Const.Excise Tax 09/26/2017 $788.28
Total Area: 39154 Additional Plan Review 09/26/2017 $45.00
Accessory Struct:
Basement: 3934
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine: 3571
Total $10,779.52
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors:
Smoke Detectors: Yes Manual Pull Stations:
Accessible Parking:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. S.- -- -.• all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within ••days • uance, or if k is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility ••ification Center. Thos- 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 OU • •. calling 503.232. •: or 1.800.332. 344.
Issued By: / • Permittee Signatu
iOr
Call 503.639.4175 by 7:00 a.m.for the next available'nspection date.
This permit card shall be kept in a conspicuous place on the job site , it comp-'o of the projec
Approved plans are required on the job site at the time of eac r =section:
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Phtute° 50i.:71/1-24'9 17'x.• 501:$98.1 1 t 13aatetltv,, S it a tAlL ,:i l
['[q Inspecti•on itn.,:.SCa3-foie-4.1"r5 iv .q1 Dalt R(;cl;:'By ,►..d auris ..a Seel ge 2 t»r'
Internet: sctcct�,tigardor.gov ��'�,,i� heli' dm,the,ty 44, 7 <74I • `j ;) Supplementalt»formation s
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TYPE`OF• Wki-RX, 0 % ,:k ' iRtoh,k- k 1 At'vD FA..m 17 ix N
„ 0 Nes+ cint,truction ❑Dem 1 ,1 Permit Cees*are based on the value of the work performed,
______ticr alteration replacement [�Ut e' Indicate the value(rounded to the nearest dollar)of all
Addi1 equipment,materials,labor,overhead.and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0 I-and e lice '4(omor'rcial"inlustrial Valuation: $
0 Accessory buildinL 0 itifulti family \_,
Number of bedrooms.
________
0"Master huilder I 0 ()thee �' Number of bathroom;,
JOB SITE INFORMATION AND LOC.:�T 1oti Total number of floors:
Job site address.'
C)0 5 � '21 t4 r _..__ _._ Nati d'aelling area. square feet
City Stat.,71P tt( ` . g7' ___ Garage.carport area: square feet
Suite bl.fg apt.z•-•-: Fre er noire 1 A Ir j,,; `' l Coffered porch area: square feet
C'ro'i�street directions to job site ) Deck area: square feet
Other structure area square feet
t t L''' i t.✓ 12EQCJRED DATA:CO\T MFRCIAL-GSE CDECIN1..JST
Stibilii ikirrn. Permit fees*are based on the♦alue of the work performed I,
i ln,i, to the value t rounded to the nearest dollar)of all
E:Tax map parcel=: i 1 equipment.rent r*r teriats.labor,t>.etheayi,and the profit for the
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DESCRIPTION OF `4iaki\ 1 ti=:oik rndieated on this application. L2s(.e}cipQ
'... tN 6,1,s- NPikV t le 0;; ,11 t: ,'P ., I Z'altiati xr: S
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hbt1 1\.t , I t_.-ijt (4114j611-11")(1...--- f"� [xi,t r 5 ttuldtna area. square feet
1 New building area: 0 square feet
' ❑_PROPERTV,OWNEtt( <�..*, _. Number of stories. 1 - 1-,kL}?.-i,72 1t� yU, . I
�b� N.rrne' 4f WC*. 1 l-.v 1 Ra ri(", p t N1. .f,''. ,' .�L N ( 1C�pe of construction: V S roti 4 .Ct'.t 1..3v...Q(( ,
qh Address t $o ~+.i�}1 A I 1.. C.C. 0._ Oeeupancy groups 1+}
oinkCit=:,Stater ZIP: 11,(f 6 12- i1-2,14- _ Existing: T
tar f
Phone:{5t), ) Z4- {p330fl Fax'.t 565) 24'-11 5 5 New: (
'0 APPLItA-...,IT ^,„f,: ""❑ Ci NTACTPERSON ' $U1LDINGPERMIT FEES
' , (Pleaserefer to fee schedule} . ,>
Business name: t t,/S Structural plan review fee(or deposit):
Contact name: r2-f'tj p',G'�Z.,.
FLS plan review fee(if applicable):
Address: CJ b U). .= ("'(i }Ni, _
i Total fees due upon application: ) a-,Q,,"�.
City"StatesZIP" ( JI,,QJt - ci- i e3O252 L (��1�?
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2 --L�e - tt �y s Amount received:
Phone: 1G,/ Fos: �t I � ...
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E-mail: #,.""tl 4,L}
�� '' Commercial and residential prescriptive installation of
cC1NTRAcTC?R
;• d.' 'I �.'° ro+�f-fpp mounted Phntot pltarc°Solar Panel System.
Submit two 1,2)sets.of roof plan with connection details
Bus"in ss u�z andfire department access,along with..the 2010 Oregon I,
Address Solar Installation Seeeiatts'Code checklist:
Permit fee,(rinclndes plan review • j
` �. and admtntxtra"ttve fees� $11)(1'00, !
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phone ) ' Fax:(, ) State•surcharge(12%of rtttrt fee): $21.60 I
C R t ae ,. Total fee due tapan appl tcation: , .,$ 201,60 j
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itbin I8T1 daps after it has heart acee ted'as.toatplete.
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1114 City of Tigard
■
COMMUNITY DEVELOPMENT DEPARTMENT
1 T 1 G A R D Building Permit Review — Commercial - With Land Use
Building Permit #: eted0/ ?_(x)/(75
Site Address: 6 6 00 g v 1l 1-4-ch rip+0✓) S I-- . Suite/Bldg#:
Project Name: F C4 r men L Sur 0u-
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T T ovni o akin/ W o f 1 S 2 f €'w e n ' J (Co o 7
ir-leA,,,/ ped 'Jt - n WCiI k vVCi )J
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes 2 No
Land Use Case#: BVI M V2oi 7 _ O002_.S
Plans Match Approved Land Use:
l`J Site Plan ❑ Landscape Plan ❑ Other:
❑ Urban Forestry Plan ❑ Elevation Plan
2( B ' r T Maximum Height Actual Height
�' on litiei M ❑ Prior to Submittal ❑ Prior to Permit Issuance
u l.v ...�ivia�-ivzcr--
12 Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
/Public Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified eNo Applied For: ❑ Yes ❑ No, stop intake
Notes:
Approved by Planning: &/) 9"-"—. L^--` Date: 7/ 12 J 1 -1
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: 7>� 7
Site Plans: # 'd`
Building Plans: #
Building Permit#: meter building permit--#--above.
Workflow Routing: L�-'Yenning 13<rineering 19'lsermit Coordinator ❑ Building
Workflow Sign-off: ff for Planning(include notes from planning review)
Route Application Documents: Riding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: _ '1� Date: 7/44//
I:\Building\Fonns\BldgPennitRvw_COM_WithLandUse_0709I 5.docx
Engineering Review
Slope at building pad:
111/ PFI Permit#:
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 by Engineering: Date
Notes:
Approved by Engineering: W.0 Date: f ~fl /
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
❑ 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:
C Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 311.N/A
Tigard Trans SDC: ❑ Yes W. N/A
Parks SDC: ❑ Yes IeN/A
bK to Issue Permit
/Approved by Permit Coordinator: Date: '7/9 l
1:\Building\Forms\BldgPennitRvw_COM_W ithLandUse_070915.docx
City of Tigard • BUILDING DIVISION
■ Over-The-Counter (OTC) Building & Fire Protection System Permit
r 1(, 1 E<1) Appointment Checklist
Permit Record#: , &voca ,7 —(x..)1 'S
Contact Name: / � ,l,;pl Phone #: j -(oaf 1o300
Business Name: ,Q. Appt. Date/Time: 7 /a ) /p,eo
Site Address: (D( j tot A(„o,p - _ Bldg/Suite#: fff
Project Name: .-a.A New Tenant? ('"` Yes 0 No
Project Description: A.de p (.Q)
Existing Use: � New Use: k
MMD Required: 0 Yes 0 No Related Record#:
tt .,,u ,.L * ,,- : e� �t* � .., � >ti;��P.w;tea;s .a.x+w 'Y 's �'"'�i;.`-�;".aat�`t,x�•z,_�.;c';�
GENERAL INFORMATION
Class of Work: c Occupancy Group: Type of Construction: 1
Type of Use: Occupancy Load: 71/3 Oregon Specialty Code: I.
SPECIFICS
Number of Stories: Building Height Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CST OTHER SQUARE FOOTAGES
Story Square Footage: l 6 Accessory Structure: Covered Porch:
Basement: 9 a Garage: Deck:
Total Square Footage: 9j is- 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: \):sal_ Fire Alarms: Smoke Detectors:
Sprinkler Type: //Nt,.L\ Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Caks Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ lo56 q _ .x
xi ��-,ar€.ib' E� � `� .ronueae. �:�2� � ',1wastintallosim1,44
DC Provision Review Fee for COM TI(effective 7/1/2017) $
Project Valuation $ '
Up to$4,999 $0.00 $
$5,000-$74,999 $91.00 $
$75,000-$149,999 $226.00 $ IiiiMMEMPROMMakeifiitap
$150,000 and over $361.00 MININTININEIMBINIMW
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $ TOTAL FEES DUE
•
I:\Building\Forms\OTC_BUP_FPS_070117.docx
FOR OFFICE USE ONLY—SITE ADDRESS: 6 D(1 5G€) /7 / f /6.)' v
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
N .!
Transmittal Letter
T I G A R D 13125 SW Hall Blvd. •Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov
TO: Dianna Howse DAT '
DEPT: BUILDING D ISION SEP 0 i 2017
CITY OF 1](AR
FROM: Jason Voss BUILDING DIVISION
COMPANY: HOK Architects
PHONE: (424) 298-4610 EMAIL: jA.son -\1 s f Ioey tops
RE: 6600 SW Hampton St. Tigard, OR 97223 P 2o17 ,0019
(Site Address) (Permit Number)
Farmers Insurance TI
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
x Beam calculations. Engineer's calculations.
x Other (explain): Beam calculations, structural drawings, and architectural plans C'Z 5r15
REMARKS: We're submitting this architectural and structural package for your review. It contains
architectural and structural details for the installation and support of a movable partition door.
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: Cj . a)_
1 Initial �'
Fees Due: X Yes ❑ No Fee Description: Amount Due:
Ar Pic" r4-V; e✓ $ �.c
Special
Instructions:
Reprint Permit (per PE): ❑ Yes No ❑ Done
Applicant Notified: --spJ Date: j/,,//7 Initials:
I:ABuilding\Forms\Transmittal).otter-Revisions.doc 05/25/2012
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6600 SW HAMPTON ST, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2017-00195
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor