Permit (165) CITY OF TIGARDBUILDING PERMIT
2 ':;. COMMUNITY DEVELOPMENT Permit#: BUP2017-00311
T GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/30/2017
Parcel: 25101 BB01400
Jurisdiction: Tigard L.--
Site address: 12070 SW GARDEN PL
Project: CryoPDX Subdivision: CROW PARK 217 Lot: 2
Project Description: TI for new tenant: (2)new offices.
Contractor: VANOSDEL CONSTRUCTION Owner: ICON OWNER POOL 1 WEST LLC
PO BOX 1057 BY RYAN
BATTLEGROUND,WA 98604 PO BOX 460169
HOUSTON, TX 77056
PHONE: 360-600-9916 PHONE:
FAX: 360-687-7677
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 11/30/2017 $91.00
Occupancy Grp: B Occupancy Load: 56 Permit Fee-Additions,Alterations, 11/30/2017 $225.80
Demolition
Dwelling Units: 0 12%State Surcharge-Building 11/30/2017 $27.10
Stories: 0 Height: 0 ft Plan Review 11/30/2017 $146.77
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/30/2017 $90.32
Value: $10,000 Info Process/Archiving-Lg$2.00(over 11/30/2017 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $586.99
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
952-001-0010 through OAR 952-001-0090. You may obtai .copy of the ru direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
"3.Issued By: .- _ Permittee Signature: R�7
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
IN 111- City of Tigard Received i j
1� � DateB : I I Permit No.: ,
13125 SW Hall Blvd.,Tigard,OR 972 i Plan Review
Phone: 503.718.2439 Fax: 503.598.1 Date/B : tO-- - ..)... Other Permit:
TI G A R D Inspection Line: 503.639.4175 Date Read B ® See Page 2 for
Internet: www.tigard-or.gov Y o ��
�� \I 2.07 Notified/Method: �/ ,_",� Supplemental Information
TYPE OF W Off+rfl(MU 1 REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 D-,..; ,,.t II1SIO . Permit fees*are based on the value of the work performed.
Y Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement L O er: 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: $
0 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:12070 SW Garden Place New dwelling area: square feet
City/State/ZIP:Tigard,OR Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:TI for CryoPDX Covered porch area: square feet
Cross street/directions to job site:
Deck area: square feet
SW Garden Place and Hwy 99.
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.
Valuation: $$10,000.00
(2)new rooms in an existing tenant space(Rokke)
Existing building area: 5600 square feet
New building area: 5600 square feet
® PROPERTY OWNER 0 TENANT Number of stories: 1
Name:Kidder Mathews for GLP 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
El APPLICANT 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
FLS plan review fee(if applicable):
Address:7650 SW Beveland-Suite 120
Total fees due upon application:
City/State/ZIP:Tiagerd,OR 97223
Phone:(503)244.0552 Fax:: Amount received:
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:VanOsedel Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:PO Box 1057 Solar Installation Specialty Code checklist.
City/State/ZIP:Battle Ground,WA 98604 Permit fee(includes plan review
and administrative fees): $180.00
Phone:(360)687.8636 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:164073
Total fee due upon application: $201.60
aL
Authorized signature: This permit application expires if a permit is not obtained
LI N... within 180 days after it has been accepted as complete.
Print name:Betty K.Sheppeard Cl'‘'c'/V2
Date: 11.30.17 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard • BUILDING DIVISION
NI Over-The-Counter (OTC) Building & Fire Protection System Permit
I It,n RI) Appointment Checklist
Permit Record#: PAY 7—0(:) I I
Contact Name: 6--7.,--/ __V Xj'9rz Phone #: So3 TY 0552
Business Name: /`f/1_, •N-g-S/EA/ Appt. Date/Time: l/3plyj 7 /0;01)
Site Address: 4,20 70 £ 2 ,d,Ept/ sow Bldg/Suite #:
Project Name: yO p1 New Tenant? Yes 0 No
Project Description: - �N () Weld'op--, ,,e-e--5 / ',6E EXfsr,A/6. 7"/2
', — (20.ex&-j TZ) .JCC/ - 1-6?95ig 7-6 A/E-4)
Existing Use: AfEil lei-4_ Qui CEs New Use: /yEZ/cam, ev- --
MMD Required: 0 YesTo Related Record #:
APPLICATION SPEC _ °. NFORMATION
GENERAL INFORMATION
Class of Work: V Occupancy Group: A Type of Construction: j)). 11
Type of Use:
SPECIFICS - Occupancy Load: ,,c .,COregon Specialty Code: am/ -7
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: S 610 Accessory Structure: Covered Porch:
Basement: Garage:�, Deck:
Total Square Footage: 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: • 1 0 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: $ J Oj O o O
$ g ) DC Prov Rvw,COM TI-Ping
$ aaS S. $0 Permit Fee-Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2017) $ _ . 12%State Surcharge
Project Valuation $ ) I Plan Review,Structural
Up to$4,999 $0.00 $ ' 0 , Plan Review,Fire Life Safety
$5,000-$74,999 $91.00 $ ..— Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $226.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $361.00
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ -
r:
Date/Time: $ 6 8 6 , 99 TOT FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070117.docx
City of Tigard
111111
COMMUNITY DEVELOPMENT DEPARTMENT
■
T1GARlJ Building Permit Review — Commercial - No Land Use
Building Permit #: 0 /7 U0 '3t�
Site Address: 11010 c w l o rd PX1 49L Suite/Bldg#:
Project Name: Cr ljo P D X
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review_
Proposal: 11'1 thin t)r T.L , 2 (L z-') ro s ►n C X ,S rn c9
+e.ncA n -k- Sec t
Existing Business Activity: n Q V►1 Cl y) P •
Proposed Business Activity: Q W' u
71 Verify site address/suite# exists and active in permit system.
River Terrace ei hborhood: CI Yes ANo
g Zoning: L- (1
Permitted Use: El Yes ❑ No ❑ Spec Space
Confirm no land use required.
26 Business License:
Exists: gf Yes No,applicant notified to obtain business license
Notes:
Approved by Planning: t' l Date: 1 l/30 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: /1/30 ?
Site Plans: # AM-
Building Plans: # 3
Building Permit#: titer building permit#above.
Workflow Routing: Panning -.15Coordinator ding
Workflow Sign-off: [YSign-off for Planning(include notes from planning review)
Route Application Documents: [iding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: .0-r. Ce-- Date: ///130;,j�7
`
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: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_070915.docx
FOR OFFICE USE ONLY—SITE ADDRESS:
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
1, al
111 >: Transmittal Letter
TI G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: 75tv't DATE RECEIVED:
DEPT: BUILDING DIVISION
REC n
FROM: Betty Sheppeard DEC ' Z017
COMPANY: Mildren Design Group, P.C. l ' t3�
:,_,PHONE: 503.244.0552 �
RE: 12070 SW Garden Place BUP2017-00311
3811(Site Address) (Permit Number)
CryoPDX T.I.
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 3 Revisions: New wall and door to create new office.
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS:
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: ) Z - C 0 Initials: --j-
Fees Due:Y1 Yes ❑No Fee Description: Amount Due:
• 4' )4r p)CY1 reAt. CW $ r-
$ ��
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: r` Date: G2-/1I r7 Initials: /3:7-1
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12070 SW GARDEN PL, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2017-00311
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor