Permit (274) CITY OF TIGARD BUILDING PERMIT
Ill _ COMMUNITY DEVELOPMENT Permit#: BUP2014-00134
T(G A R L3 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/10/2014
Parcel: 2S115BA02500
Jurisdiction: TIGARD
Site address: 16200 SW PACIFIC HWY Z3
Project: HomeStreet Bank Subdivision: 2004-015 PARTITION PLAT Lot: 1
Project Description: TI for existing tenant:Demolition and construction of interior partitions.
Contractor: LEASE CRUTCHER LEWIS Owner: SN PROPERTIES PARTNERSHIP
550 SW 12TH AVENUE 1121 SW SALMON ST
PORTLAND, OR 97205 PORTLAND, OR 97205
PHONE: 503-223-0500 PHONE:
FAX: 503-223-2874
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg DC Provision Review,COM TI-Ping 06/10/2014 $174.00
Occupancy Grp: B Occupancy Load: 22 DC Provision Review,COM TI-LRP 06/10/2014 $26.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 06/10/2014 $1,256.95
Demolition
Stories: 1 Height: 0 ft 12%State Surcharge-Building 06/10/2014 $150.83
Bedrooms: 0 Bathrooms: 0 Plan Review 06/10/2014 $817.02
Value: $125,000 Plan Review-Fire Life Safety 06/10/2014 $502.78
Info Process/Archiving-Lg$2.00(over 06/10/2014 $18.00
11x17)
Floor Areas: Metro Const.Excise Tax-Commercial 06/10/2014 $150.00
Use
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,095.58
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 503.232.1987 or 1.80'.332.2344.
Issued By: eP�Ritttee Signature: AILM`U=.
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.
Buildin Permit Application
C
SNO
ommercial i b I (1R OFFICE USE ON 1
11,1 City of Tigard RtC1`"`d � / Permit No.:A N I , % —,,,,,
a 13125 SW Hall Blvd.,Tigard,OR 9j )Z O i N n r Plan Review /'�,'
I Phone: 503.718.2439 Fax: 50 960 Date/B S y���m'"-'
I 1 C,,r It a Inspection Line: g 03.639g4175 J,t Date ed/MeBy- S pSee Page l for
Internet: www.ti ardor. ov Notified/Method: Su lemeobl tu[ormatiou
REQUIRED DATA:1-AND 2-FAMILY DWELL ,
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ®Other:Minor TI equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial
Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
Total number of floors:
Job site address:16200 SW Pacific Highway New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 2 3 l Project name:HomeStreet Bank Covered porch area: square feet
Cross street/directions to job site:SW Durham Rd Deck area: square feet
Located in Tigard Towne Square between SW Durham Rd and SW Royal Villa Dr. Other structure area: square feet
Free standing building in the SW corner of the lot REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2SI15AB01901 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
_< work indicated on this application.
Demolition of two interior partitions,construction of new interior partitions, Valuation: $125,000.00
new APC ceiling tile,new lighting and new finishes including paint,carpet and Existing building area: 2,165 square feet
wall base. New building area: 2,165 square feet
Number of stories: 1
Name:HomeStreet Bank Type of construction: V-B
Address:601 Union Street,Suite 2000 Occupancy groups:
City/State/ZIP:Seattle,WA 98101 Existing: B
Phone:(206)264.41 64 Fax:( 1 New: B
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:MulvannyG2 Architecture ( e1mlmle)
Structural plan review fee(or deposit):
Contact name:Elisha Person
FLS plan review fee(if applicable):
Address:1110 112th Ave NE,Suite 500
Total fees due upon application:
City/State/ZIP:Bellevue,WA 98004
Phone:(425)463.1342 Fax::( )
Amount received:
r
E-mail:elisha.person a mulvannyg2.com
- - „_-.. Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Lease Crutcher Lewis Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:550 SW 12th Avenue Solar Installation Specialty Code checklist.
City/State/ZIP:Portland,OR 97205 Permit fee(includes plan review
$180.00
and administrative fees):
Phone:(503)223.0500 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:92919
I Total fee due upon application: $201.60
Authorized signature: ackitA, /94.44,-s-2.- This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Elisha Person Date:06.10.14 I * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COMUWEB)
11111 ■
• Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per-cent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering. [1] $ 125,000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 31,250
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 $ Accessible
(b) An accessible entrance: $ 2,500
(c) An accessible route to the altered area: $ Accessible
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ 28,750
(e) Accessible telephones: $ NA
(f) Accessible drinking fountains:and, $ NA
(g) When possible,additional accessible elements such as storage and
alarms: $ NA
TOTAL(shall equal line [2] of Valuation Computation): $ 31,250
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
City of Tigard
74 ■ COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: 0(490'1— 00( cj
Site Address: 16200 SW Pooei-cic Hwy Suite/Bldg#: Cii/ 23
Project Name: H orn esFret gan k Hwy
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review demo and repkcemetr1' (Y �r
Proposal: TI -- i n-1-e r i or pa r4i-I-i orbs within �X i s1 nq cc-f ice spo ct,
ne,v4 CA:Ai r� i-ik e, 1 i 9hk( , pai n+, cotrpP*, vial l .sP_
9 �
II Verify site address/suite #exists and active in permit system.
VZoning: C—G
I� ermitted Use: ( Yes 0/No ❑ Spec Space
2 Land Use Required: ❑ Yes LJ No Type Required
Notes: no eX+eYior Work or c„hanse. in Use, pcopose,O
Approved by Planning: Ti 1'Y� l�hrbo(e,h Date: 61101 I y
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: Co(POY
Site Plans: # j/4
Building Plans: # 3
Building Permit#: enter building permit# above.
Workflow Routing: ing ❑ Engineering ❑ Permit Coordinator g
Workflow Sign-off: I��J-'S�i f for Planning(include notes from planning review)
Route Application Documents: L�Buildtng: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes: C [
By Permit Technician: 87- Date: ,/10//y
(:\Building\Forms\BldgPerm itRvw_COM_NoLandUse_042914.docx
74 ' Building Division
Over-The-Counter (OTC) Building Permit
T i c'A K n Check List
Project Description: T1
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: ( Occupancy Group: Type of Construction: 13
Type of Use**: C'CD{A.. Occupancy Load: 2''L Oregon Specialty Code: 2d 10
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: 00 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: $ (2b) ,CC. I FEES DUE
$ (74,x) DC Prov Rvw,COM TI—Ping
$ '26 LX DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ [25 45 Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ J,D 12%State Surcharge
d
Up to$4,999 $0.00 $0.00 $ —7,OZ,Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ Qr2 Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ eon Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $278.00 $41.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$ 1 t),co Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ Other:
Building Staff: $ Other:
Date/Time: $ l`5,'a TOTAL FEES DUE
*TYPE OF USE: COM=commercial;CMS=commercial manufactured structure.
**CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling unit,ALT=alteration;DEM=demo;NEW=new;
OTR=other(use for fences,decks,retaining walls,signs,awnings or canopies).
I:\Building\Forms\OTC-BUP.docx 07/01/2013
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
16200 SW PACIFIC HWY Z3, TIGARD, OR,
97224
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2014-00134
Chip Barnett
Violation Summary:
Inspector Contractor