Permit CITY BNER
COMMUNITY OF DEVELOPMENTTIGARD Permi #UILDI
t BUP2018GP00108MIT
T f RDr 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/12/2018
iri'j
Parcel: 2S 114AA00100
Site address: 9000 SW DURHAM RD Jurisdiction: Tigard
Project: Tigard High School Subdivision: None
Project Description: MDF room relocation:Construction of(2)walls and ceiling modifications for a new MDF room in Tigard High Lot: None
School.
Contractor: LCG PENCE CONSTRUCTION LLC Owner:
TIGARD-TUALATIN SCHOOL DISTRICT
2720 SW CORBETT AVENUE 6960 SW SANDBURG ST
PORTLAND, OR 97201 TIGARD, OR 97223
PHONE: 503-252-3802 PHONE:
FAX: 503-256-3684
Specifics: FEES
Description
Type of Use: COM Date Amount
DC Provision Review,COM TI-Ping 04/12/2018 $361.00
Class of Work: ALT Type of Const: VB
Permit Fee-Additions,Alterations, 04/12/2018 $2,319.99
Occupancy Grp: E Occupancy Load: 2
Dwelling Units: Demolition
Stories: 1 12%State Surcharge-Building 04/12/2018 $278.40
Height: ft Plan Review
Bedrooms: Bathrooms: 04/12/2018 $1,507.99
Plan Review-Fire Life Safety 04/12/2018 $828.00
Value: $300,195 Metro Const.Excise Tax
04/12/2018 $360.23
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $5,755.61
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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 1.800.33 3--.
VOWIssued By: /
l� - ittee Signature: l
Cal .03.639.4175 by 7:00 a.m.for the next available inspect n dat
This permit card shall be kept in a conspicuous place on the job site until completi n of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial roll orrlcl I_SI.o11.1
City of Tigard ' i ', " 111RDate/B Perm
eceived ,{kf
Permit No.: ' ,Fs ld — A •
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review /
Phone: 503-718-2439 Fax: 503-598-1960 Date/B : ) b Related Permit: ' R -C
,ra. , , — 0
T I c A R D Inspection Line: 503-6394175 ,e, t ')°, '--11F`', Date Ready/By: / 1i�^S: _ Ea See Page 2 for
Internet: www.tigard-or.gov �' Notified/Method: of l r ) >.irk ' Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
.offflT' § "IITNION
❑New construction 0 Demolition 'ermit fees*are based on the value of the work perform-::
Ina• ate the value(rounded to the nearest dollar)of al
\AfrAdditi alterati9eplacement 0 Other: equip -nt,materials,labor,overhead,and the pro for the
CATEGORY OF CONSTRUCTION work indt•.ted on this application.
❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: $
❑Accessory building ElMulti-familyNumber of bedroo •
❑Master builder I,..E1 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 4000 SvcYv `pcm Qn�t �`Y b� New dwelling area: sq e feet
�
City/State/ZIP: -T\ �p O . 'KO
Garage/carpo . ea: square .-t
Suite/bldg./apt.#: Project._name:V3V RO MA. Covered .arch area: square feet
Cross street/directions to job site:` 1 g2y4.-- A� p� T Dec area: square feet
5 v V VOh�17"�M nV�[t/ •ther structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
1\. lick CO t DO Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#:
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
/� 3O0 -1 °°
/ipi�rei f r,iec AliON: Get l'J YL ic",P->lt-- (4 ,:.,,a11,4- 1 �•
CtVA /d, �ri"lr 47ei7�A,v.3 ✓ or ,V€tom ® Existing building area:' 23square feet
yJ j:i -t'z i�j 'ik 1.4.41--t. New building area: MZ,323 square feet
VtIrPROPERTY OWNER 0 TENANT Number of stories: 2
Name: 11g-I)— lk.)k�"rl ^ %�L 'ItTKc Type of construction: V(s) I—t5
Address: cRGO sw 3 & 33�6 'T(EE-[ Occupancy
�/'± S) C)p P y groups:
City/State/ZIP: - tG� _1i 22.3 Existing: E
Phone:(5)3\p‘ 4000 Fax:( ) New: >�
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: ��\ Ckil" J'rs (Please refer to fee schedule)
A t1, `) i p Structural plan review fee(or deposit):
Contact name: /� C, J�( 1�
Address: 12.1 \�W -V" 2��0 FLS plan review fee(if applicable):
T7o�-Il A w D O. '11 ✓n 0 Total fees due upon application:
City/State/ZIP: C 1. tC�\l �-t/
Phone: ) 2_2_4 ot`6.2_ Fax::( ) Amount received:
E-mail: Clbh�`ro ► �O\NCCh a r�ynn PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR �•� ) Commercial and residential prescriptive installation of
`1� roof-top mounted PhotoVoltaic Solar Panel System.
Business name: LCC=�' E WTA1JC_-IASubmit two(2)sets of roof plan with connection details
' ^ and fire department access,along with the 2010 Oregon
2'
Address: 41 `� - 1_DO? S'E. Solar Installation Specialty Code checklist.
k
City/State/ZIP: Ltx l c. q1 2 Permit fee(includes plan review $180.00
3.161 n2 and administrative fees):
Phone:
- 2 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB Lic.: 1531 - , Total fee due upon application: $201.60
Authorized signature: \1►"'+'lin
t,A'/• This permit application expires if a permit is not obtained
` within 180 days after it has been accepted as complete.
Print name:DESA T ' ' ' l w►`MK Date: 4 k0/2-EJ1'D * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
w
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
q Accessibility: Barrier Removal Improvement Plan
C
Commercial & Multi-Family - Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
STING h z9I131-
�AT�r
VEL ..Oz( (1) Every project for renovation,alteration or modification to affected buildings and related
l facilities shall be made to insure that the path of travel to the altered area and the restroom,
RDA c CE, A.)\‘1) an. telephones and drinking fountains are readily accessible to individuals with disabilities unless
ktE5 K �A such alterations are disproportionate to the overall alterations in terms of cost and scope.
9 it tNg WA-rEK & (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
"TEITKpNrzt, ‘5 Myr the overall alteration when the cost exceeds twenty-five percent(25%).
tEIIAG
A� VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
,n (d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
City of Tigard • BUILDING DIVISION
!Pi • Over-The-Counter (OTC) Building & Fire Protection System Permit
i Appointment Checklist
Permit Record#: f 14624`t- l6t
Contact Name: , , Phone #: (� I) ate(-.9 15,;2
Business Name: e `GAppt. Date/Time: //ff £ //AA;
Site Address: °kw 5c.,ieiSszr'1 I. Bldg/Suite #:
Project Name: 7.-14..zA ik,di J New Tenant? ❑ Yes Pic No
Project Description: (ravv, .cc(i1iln/ ®f(z) Ci► S 60v4,4 ce,%,w , no,,/,,kc.,,,75?ys/.f -Is, a,,
Nvcw /VP .24,j,,,1 .3,, 7 -" ' A�� J /
Existing Use: New Use: g_
MMDRequired: 0 Yes ,,No Related Record#:
APPLICATION-SPECIFIC INFORMATION
N- 1ION
GENERAL INFORMATION
Class of Work: Ari Occupancy Group: E. Type of Construction: V. q��
Type of Use: a Occupancy Load: 'L Oregon Specialty Code: 29 1 i-
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: 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: 1J GS 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:
cPa
Total Project Valuation: $ 3Wi jq� {-'" . �.F ;ES ,, .�:
$ 3 g I -^ DC Prov Rvw,COM TI Ping
$a_3 19 9 9 Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2017) $ a 7 $,4.0 12%State Surcharge
Project Valuation $ . • • Plan Review,Structural
Up to$4,999 $0.00 $ • - 7 , 00 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 $ 3 CO .a?1 Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $3 7 C 3 . 6) TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070117.docx
Value(Contractor4300,195.00 N.01 Fee Total $5,755.61
Fee Item Quantity Unit Fees
DC Provision Review,COM TI-Ping 1 Each $361.00
Permit Fee-Additions.Alterations,Demolition 1 Each $2,319.99
Plan Review-Fire Life Safely 1 Each $928.00
Plan Review 1 Each $1,507.99
Metro Const. Excise Tax 1 Each $360.23
12%State Surcharge-Building 1 Each $278.40
Dianna Howse
From: Deepa Bharatkumar <DBharatkumar@bassettiarch.com>
Sent: Monday,April 9, 2018 9:16 AM
To: Branden Taggart
Cc: #Building Permit Technicians
Subject: RE:Tigard High School - Minor TI Permit for relocating MDF Room p
Branden, ;S 17 , 1 j1
In preparation of Thursday's intake appointment: A {
toy
For a valuation amount of$300,195.00, could you provide us the amount for the permit fee due on intake? If under
$5000.00 then the District would like to pay it out of the account.
Also, please confirm you will need 3 sets of drawings and the Commercial Building Permit Application form filled out.Are
there any other requirements?
Thank you,
Deepa Bharatkumar LEED AP BD+C
Bassetti Architects
t 503 224 9162
www.bassettiarch.com
721 NW 9th Avenue/Suite 350/Portland OR 97209
Need to send me files?Click Here
From: Branden Taggart<brandent@tigard-or.gov>
Sent:Tuesday,April 03, 2018 7:55 AM
To: Deepa Bharatkumar<DBharatkumar@bassettiarch.com>
Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: RE:Tigard High School - Minor TI Permit for relocating MDF Room
Hi Deepa,
I have scheduled you for the OTC appointment on Thursday, April 12 at 10:00. See you then.
Thanks,
City of Tigard
IIIN COMMUNITY DEVELOPMENT DEPARTMENT
TiGARD Building Permit Review — Commercial - No Land Use
Building Permit #: _DA 01e--a)rod'
Site Address: C 000 SW Du4iciM at- Suite/Bldg#:
Project Name: MDF e.00IfY1 �l OCGIt1Q h 'fl ojcifcJ 1�h SCiloo
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: i 11{ i-0 i TT / PI tnOVti i i911 hnl 1 Cei)illq _ Fixlv$'e.
d ZXfl 0 ci n it. tlet cn C r coi-c.- new w i.i IL cif- "i v I A( roe°i'7.
Existing Business Activity: 1 0 f
Proposed Business Activity: oh 00 I i . ' ' /;
Verify site address/suite# exists and active in permit system.
VRiver Terrace Neighborhood: ❑ Yes I No
CI Zoning: iZ , 4 ,s
V4 Permitted Use: 0 Yes ❑ No ❑ Spec Space
VConfirm no land use required.
$ Business License:
Exists: ❑ Yes~--- ;applicant notified to obtain business license
Notes:
Approved by Planning: pi0/1A,...-, vim.. Date: 1/ I s
12/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: y/eit/i1r
Site Plans:
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: Dnning ❑ Permit Coordinator Errilding
Workflow Sign-off: L1ign-off for Planning(include notes from planning review)
Route Application Documents: wilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: U1 t✓
By Permit Technician: ,,---- .".. ---5.,.. ":"1"
� Date: Vigyfir
I:\Building\Forms\BldgPernritRvwCOM NoLandUse_060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
O 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 0 N/A
Tigard Trans SDC: ❑ Yes 0 N/A
Parks SDC: ❑ Yes 0 N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Fonns\BldgPermitRvw_COM NoLandUse_070915.docx