Permit CITY OF TIGARD BUILDING PERMIT
III
Permit#: BUP2018-00082
COMMUNITY DEVELOPMENT Date Issued: 03/27/2018
T.GMI.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 3/27/2 C01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 120
Project: Ricoh Subdivision: None Lot: None
Project Description: TI for new tenant:Demolition and office reconfiguration.
Contractor: DEACON CONSTRUCTION LLC Owner: TOWMAN ONE EMBASSY CENTRE LLC
901 NE GLISAN ST STE 100 BY TOWMAN LLC
PORTLAND, OR 97232 25425 BASCOM AVE STE 230
CAMPBELL, CA 95008
PHONE: 503-297-8791 PHONE:
FAX:
FEES
Specifics:
Description Date Amount
Type of Use: COM DC Provision Review,COM TI-Ping 03/27/2018 $91.00
Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations, 03/27/2018 $804.75
Occupancy Grp: B Occupancy Load: 53 Demolition
Dwelling Units: 0 12%State Surcharge-Building 03/27/2018 $96.57
Stories: 0 Height: 0 ft Plan Review 03/27/2018 $523.09
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 03/27/2018 $321.90
Value: $60,000 Info Process/Archiving-Lg$2.00(over 03/27/2018 $4.00
11x17)
Floor Areas:
Total Area: 90000
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
-Deck: _0
Garage: 0
Mezzanine: 0
Total $1,841.31
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may o• .'- - .•• of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By:,&,,,,p,......6._
�,_' ee Signature: 11f r' '
/Call 503.639.4175 by 7:00 a.m.for the next available inspection d, If r
F.
This permit card shall be kept in a conspicuous place on the job site until completion of the project
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial FOR OFFICE USE ONLY
C City of Tigard ( Date/BeaAi gra rig IIIIII../w' Permit No <`I
d 13125 SW Hall Blvd.,Tigard,OR 97223 T* Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : ....a....). Al Other Permit:
TIGARD Inspection Line: 503.639.4175 MAR 2 7 2018 Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 7 IT _ r Supplemental Information
•LtTY (J t$CKA D3 0,Z
TVPE OFbit
l_�:� �i4 SQUIRED�?A II A 2 PAI it
I E 1(II�Ic
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
&ddition/alteration/replacement 1=1 Other: equipment,materials,labor,overhead,and the profit for the
{ _ • ,_ work indicated on this application.
CATEGORY'OF CONSTRUCTION
Valuation: $
❑ 1-and 2-family dwelling Commercial/industrial —
Number of bedrooms:
❑Accessory building 111Multi-family❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION`,•AND LOCATION Total number of floors:
Job site address: efor, ..„C) t W lNew dwelling area: square feet
City/State/ZIP: •Ty:AgO _e_ �;� t Garage/carport area: square feet
Suite/bldg./apt.no.: /A 0 Project name: 12,,, Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAIJ4JSE CRECKLIST,
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OT WORK • work indicated on this application. _
Valuation: $ (e0-t'ee'
_ --rY o 6Mo- -a +2-Vt.6e4 _ Existing building area: square feet
New building area: square feet
.PROPERTY OWNER" 1 ' 0 TENANT, Number of stories:
Name: -t r — K1J—r- Type of construction:
Address: G Vi'* .
i �� � tip E. c li.icC) Occupancy groups:
City/State/ZIP_ j?) j% Z
C11 ' _ Existing:
Phone: ` E Fax:( ) New:
0 APPLICANT 'El CONTACT,PERSON BUILDING PERMIT FEES*
(;tease-reler tafee schedule)
Business name: crz,fa1 __ 1Li �� Xi Structural plan review fee(or deposit):
Contact name:
-------- FLS plan review fee(if applicable):
Address: — --
f" '' ( - -- Total fees due upon application:
City/State/ZIP: Fr1,2 (•Ael2..
�— — ----— — Amount received:
Phone:(. Z-7- eiiii 1Fax: :(e " )` 4',
F,-mail: ,- ,� PH?TOV(It) CAL SOLAR PANEL SYSTEM )
,,; Commercial and residential prescriptive installation of
CONTRACTOR. roof-top mounted PhotoVoltaic Solar Panel System.
Business name: ��-�. Submit two(2)sets of roof plan with connection details
_. -- G'-1` -- — — — and fire department access,along with the 2010 Oregon
Address: o_i_ism Solar Installation Specialty Code checklist. —
C '.� .r�c ,rrv� cA Permit fee(includes plan review $180.00
City/State/ZIP: 1 r F csst« I� �► —_ —_._.—.. _._______ __ and administrative fees):
Phone: 291-.479 i 1 Fax: +>) 2.--ii-getil-- State surcharge(12%of permit fee): $21.60
CCB lic_ `Zt`25 —_J Total fee due upon application: $201.60
This permit application expires if a permit is not obtained
Authorized signature:
'N 4 within 180 days after it has been accepted as complete.
"� Date: i �• * Fee methodology set by Tri-County Building Industry
Print name: '�(,j� �4�1AQ-C �r ( Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
11111 a COMMUNITY DEVELOPMENT DEPARTMENT
a
Building Permit Review — Commercial - No Land Use
TIGARD
rN
Building Permit #: f vt g- 8)
Site Address: 70L0 SW LigAi,66,v S�. R j. Suite/Bldg#: /24
Project Name: SPc, Yitte
(Name off commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
l ,� (.y^;
Proposal: TA/1-11U1-11U1 -11 ,l �� �, cril" �r
d �,'(.S.
Existing Business Activity: Ok?-,
Proposed Business Activity: Ogia-
erfy site address/suite#exists and active in permit syste
--//
LiX '' er Terrace Neighborhood:
❑ Yes of No
V M
Zoning: I U
//permitted Use: ❑ Yes ❑ No ltd Spec Space
rid onfirm no land use required.
l� Business License:
Exists: ❑ Yes 1 N?,applicant notified to obtain business license
Notes: ( "'1 T i�� t 4 �R 5 vlt( iSV/ .4.. -ik t Ott Gaff q dr IA �`r1 r
Lam AA. Z 7-I�'
Approved by Planning: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: 3/ /r
Site Plans: # MI
Building Plans: #1z.... 1___
Building Permit#: nter building permit#above.
Workflow Routing: fanning ❑ Permit Coordinator t trig
Workflow Sign-off: 2/51:0,1-off for Planning(include notes from planning review)
Route Application Documents: uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: 17
By Permit Technician: glel.r..4.-- ' / " Date: 1"j//3"
I:\Building\Forms\B1dgPermitRvw_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: 0 Yes 0 N/A
Tigard Trans SDC: 0 Yes 0 N/A
Parks SDC: 0 Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw COM NoL.andUse 070915.docx
•
City of Tigard • BUILDING DIVISION
III ■ Over-The-Counter QTc Building & Fire Protection System Permit
T I(, \is D Appointment Checklist
Permit Record#: tRafyir-rtbeg.Contact Name: t, 91Ut.Kir � Phone#: 0 - S
Business Name: Orr & - ss Al- Appt. Date/Time: , ^?�/ 6,2_ /LOv j
Site Address: ?(� Gt/u-S ,,„ _ K Bldg/Suite#: d
Project Name: New Tenant? Yes 0 No
Project Description: c )"4,f4 //r /,447..
Existing Use: 0 CkG� New Use: a t(.lGei
MMD Required: 0 Yes CrNo Related Record#:
,,.. Al F l T rei �T .
GENERAL INFORMATION
Class of Work: ""r Occupancy Group: Type of Construction: i 1 J• 8
Type of Use: .Occupancy Load: '" Oregon Specialty Code: ao j If
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: Joao 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: y e 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:
QTS 3^`y 7 �' S` .x i Y,�.,.c z.S.,b';v,
Totael
l Project Valuation: $ 60 ,(10 ._ o .. _._.
$ Cli �--- DC Prov Rvw,COM TI—Ping
$ g 04 , 7$' Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2017) $ 9 A . 1 12%State Surcharge
Project Valuation $ Zo . 0 q Plan Review,Structural
Up to$4,999 $0.00 $ 3 al q O Plan Review,Fire Life Safety
$5,000-$74,999 $91.00 $ 4 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. $ 1 ther:
Date/Time: $ j $i. 1,3 1 TOT•I FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070117.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9020 SW WASHINGTON SQUARE RD 120,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2018-00082
Inspection Type: Inspector:
275 Framing Jeff Grove
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9020 SW WASHINGTON SQUARE RD 120,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2018-00082
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor