Permit (168) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2018-00015
13125 SW Hall Blvd.,Ti Date Issued: 02/01/2018
TttaaIt. and OR 97223 503.718.2439 9
Parcel: 2S102AA00490
Jurisdiction: Tigard
Site address: 12085 SW HALL BLVD 120
Project: Spec Space Subdivision: None Lot: None
Project Description: Landlord work:New demising wall to create suites 120 and 130.
Contractor: ROBERT HAKES CONSTRUCTION Owner: HALL STREET CROSSING LLC
PO BOX 894 BY MR&MRS ROGER W TOM
CAMAS,WA 98607 8067 SW RIGERT COURT
BEAVERTON, OR 97007
PHONE: 503-318-1863 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee Additions,Alterations, 02/01/2018 $70.22
Occupancy Grp: B Occupancy Load: 49 Demolition
12/o State Surcharge-Building 02/01/2018 $8.43
Dwelling Units: 0 Plan Review 02/01/2018 $45.64
Stories: 1 Height: 24 ft Plan Review-Fire Life Safety 02/01/2018 $28.09
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 02/01/2018 $2.00
Value: $1,000 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $154.38
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 obtain a copy of the rules or direct questions to OUNC by calling T3.2 2.1987 or 1.800.332.2344.
Issued By;...
111111111."".....01111111m......
- ittee Signature:
Call 503.639.417 4.00 a.m.for the next available inspection -t..
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
City of Tigard
and .: ,, ivedI Permit No.: - '.1
g r 1 ,� e'. . •:lam 1 • .I .G
4 13125 SW Hall Blvd.,Tigard,OR 97223 P: Review-
: ' Phone: 503.718.2439 Fax: 503.598.1960 Date B : / Other Permit.
T I GARD Inspection Line: 503.639.4175 Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov F"F:[3 2,01 Notified/Method: dl Supplemental Information
;TYPE'OF 1 qRK C xs y I IvIREI DA'll-`Aa',1 AND#FAMILY OWELLI1 G
' ❑New construction ❑De uI 6n Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
E'1Cddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
OA11IGORY OF CONSTRUCT O work indicated on this application.
Valuation: $
❑ 1-and 2-family dwellingCommercial/industrial
111Accessory building 111Multi-familyNumber of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
'3i`OI SITE,;INFOIIMATIoI 'i n .LQCA�N Total number of floors:
Job site address: lf T *'i 4 __ �1j New dwelling area: square feet
City/State/ZIP: /'-r E
, � A- _ Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: ij'le, s vvCovered porch area: square feet
Cross street/directions to job site: J. PCch Deck area: square feet
V1/41,1"kl... 1 j.i4LL. Other structure area: square feet
RE#tJRED DATA:COMMERCIAL-USE CI•IECKLIST
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.
itsilt.; A. ` l p1%-I- N4 1.14 Valuation: $ s7
W —, Existing building area: square feet
New building area: square feet
O
PRPERTY OWES 0 TENANT Number of stories:
Name: % qap47--%G. A . iType of construction:
f
Address: Com/' 4i) 'I ‘70.0Occupancy groups:
City/State/ZIP: 11 .7 D, 2491 Existing:
Phone:503 .2.,-z.-5,-51,—,4 Fax:( .�'1 New:
APPCANT '" '
1 " 0 CONTACT PERSON : BUILDINGPERMIT FEES*
® r � ' (Plea ser er1ofee selleduk)
Business name:
-rrTt "L Structural plan review fee(or deposit):
Contact name: P42_,Ptii:i4
4FLS plan review fee(if applicable):
Address: (? ( i Total fees due upon application:
City/State/ZIP: }�� -
t � ` Amount received:
Phon 3) .....9-14.,t7 __�����//Fax: :( ) --- ----
E-mail: G l G or�Ji .AT�V I�C:�'t�ti PUOTOVOLTAIC, AR PANEL SYSTEM,FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: {'r7eC`> OjSubmit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: —; � (Z.(,� ir- SO Solar Installation Specialty Code checklist.
City/State/ZIP: � 151� ,. Permit fee(includes plan review
and administrative fees $180.00
�--- �d �� ):
Phone: ) 1of Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: ..-f.C,t . ` Total fee due upon application: $201.60
Authorized signature: ) This permit application expires if a permit is not obtained
/-� , _ within 180 days after it has been accepted as complete.
Print name: G� * Fee methodology set by Tri-County Building Industry
y y Date_ _ Service Board.
J
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard • BUILDING DIVISION
1 1,114
L ■ Over-The-Counter (OTC) Building& Fire Protection System Permit
T1 R n R n Appointment Checklist
Permit Record#: ✓?q/(c_ l 5--
Contact
Contact Name: �j�/ /er / Phone#: jO3--70 5 S
Business Name: e2 nit' ..e(,(flj/2. ' , 9 'i ' Appt. Date/Time: ,2,/jf� @ ,' v * /
Site Address: /'DJS' S� /09-4‘._ # Bldg/Suite#: /' 0 c /V
Project Name: Diaz _S',49- 7 New Tenant? 0 1Zes 0 No V9(1 V 7---
Project
Project Description: v' L 77 C/ Tz' 71./dc"'uT--r/4��
/),-.6-' 49.-"Z€ --/-4-!% ,1/67--.) 7J1 -/7ce'
T
Existing Use: 26S /d l% /11,41'2f New Use: �'�9-/G-
MMD Required: 0 Yes 0 No c 'i zrt 1,m/6-Related Record#:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION ) d
Class of Work: %- -
- Occupancy Group: 2i Type of Construction:
Type of Use: Occupancy Load: T q Oregon Specialty Code: 0 1
SPECIFICS
Number of Stories: 1 Building Height: 'j.9 Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: j 1j 9 9 1 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: no Fire Alarms: Smoke Detectors:
Sprinkler Type: 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: $ / 7Z' , 4-0 r „ FEES UE ,`
$ ( DC Prov Rvw,COM TI—Ping
$ 70 - Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2017) $ S. ,11 g 12%State Surcharge
Project Valuation $ 1.46 . 69 Plan Review,Structural
Up to$4,999 $0.00 $ ,Q3$ , Co Plan Review,Fire Life Safety
$5,000-$74,999 $91.00 $ a. 0.0 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: $ Other:
Date/Time: $ f 3 y,3$ TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070117.docx
City of Tigard
■
® COMMUNITY DEVELOPMENT DEPARTMENT
T r c A R o Building Permit Review — Commercial - No Land Use
Building Permit #: ei r i _ t,;"--
Site
Site Address: 12085 SW -1-+r/Uk. 8 kicit Suite/Bldg#: 12-0
Project Name: l..6)no(lord d WO r'k S pQ c s q(Q
(Name of commercial business occupying the pace. If vacant,enter Spec Space.)
Planning Review ,� " '
Proposal: 1 (7 (�1 ( 1-7 �o�' i h ()2,s'1 f- GCS' ii S 1►'19 (iv
Existing Business Activity: ' Dar alti l cwt. Spec S po �
c/o!Yl l'Yl�r�l
Proposed Business Activity: u/L C
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes /No
Zoning:
Permitted Use: 'r l I/ C BO
❑ Yes El No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: WI °'w' ��
Date: 2/ i
Revisions (after Building Submittal only)
Reviewer Date
Revision 1:
❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submitta
Original Submittal Date:
/i
Site Plans: „
Building Plans: # AirBuilding Permit#: me building permit#above.
Workflow Routing: ming. ❑ Permit Coordinator building
Workflow Sign-off: ell' f for Planning(include notes from planning review)
Route Application Documents: fg: original permit application, site plans,buildingplans, engineer
beam calculations and trust details,if applicable, etc. and
Notes: Oa,
By Permit Technician: Aic
—• �l Date: /tl�
I:\Building\Forms\B1dgPermitRvw COM_NoLandUse 060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
ElApproved,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 El N/A
Tigard Trans SDC: ❑ Yes El N/A
Parks SDC: ❑ Yes ❑ N/A
El OK to Issue Permit
Approved by Permit Coordinator:
Date:
I:\BuildingWorms\BldgPermitRvw_COM_NoLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12085 SW HALL BLVD 120, TIGARD, OR, 97223 February 6, 2018 at
9:00:30 AM
Record Type: Record ID:
Commercial - Building BUP2018-00015
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor