Permit (59) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2018-00334
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/28/2018
T I i.A li 1s g Parcel: 2S101BBO1500
Jurisdiction: Tigard
Site address: 12250 SW GARDEN PL
Project: Language Solutions Subdivision: CROW PARK 217 Lot: 3
Project Description: Interior demolition and adding new walls for TI.
Contractor: ROBERT TODD CONSTRUCTION INC Owner: ICON OWNER POOL 1 WEST LLC
4080 SE INTERNATIONAL WAY B113 BY RYAN
MILWAUKIE, OR 97222 PO BOX 460169
HOUSTON,TX 77056
PHONE: 503-653-5704 PHONE:
FAX: 503-653-5729
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 11/28/2018 $98.00
Occupancy Grp: B Occupancy Load: 81 Permit Fee-Additions,Alterations, 11/28/2018 $718.43
Demolition
Dwelling Units: 0 12%State Surcharge-Building 11/28/2018 $86.21
Stories: 0 Height: 0 ft Plan Review 11/28/2018 $466.98
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/28/2018 $287.37
Value: $48,200 Info Process/Archiving-Lg$2.00(over 11/28/2018 $8.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,664.99
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 obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: \./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.
Y
•
Building Permit Applicationi., ?0_ q
Commercial a f �l `' FOR UI 1 1(I. L SI:O.\1,1
City of Tigard Received Etiri - �� t
IlliNOV 28 rJ'� P `
� 13125 SW Hall Blvd.,Tigard,OR 97223 ` 2�R(�� Date/B : / / �� �'ji y �_ ��,�„
e Plan Review ; Related Permit:
Phone: 503-718-2439 Fax: 503-598-1960 Date/B : 1 c'' .�
Inspection Line: 503-639-4175 i ° w 1, l ' a ,`
T I G A R D 6 F' `<, LI Date Ready/By: f+ ® See Page 2 for
Internet: www.tigard-or.gov g3 q at ;WV!
s ry I-Notified/Method: „id/ / /� Supplemental Information
ritil)
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Ad dition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling g ommercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
ElMaster builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: \Z L5 Q Ski.) lle_►J \ .k.. New dwelling area: square feet
City/State/ZIP: cs,,,pc)., Ck'• `-l-L L- Garage/carport area: square feet
Suite/bldg./apt.#: Project name: .Lc.M.,cV � �.nit...) Covered porch area: square feet
Cross street/directions to job site: \..V .'Qatck Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 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.
'"�°t_v,J 4........A- aak)-R•PdJ�U�s '-` Valuation: $ /et ZCrIc-j°
.1 -Xt ,� ,- 0.04?...,,..) c Existing building area: I square feet (,Qr�
New building area: tv square feet
t
PROPERTY OWNER [] TENANT Number of stories:
Name: V..„0„Aa.,.( WS Type of construction: V
Address: \Q\ 5``")t�L- 4.1 4. * 0...00 Occupancy groups:
City/State/ZIP: .O C VtCM Existing:
Phone:( ) Fax:( )
New:
IN APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: 1.�7`ti6[', (Please refer to lee schedule)
Structural plan review fee(or deposit):
Contact name: SLS
Address: t t SE 7rU ;w...� w et Z-`13 FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP: 0,,v `e Ckt cc`ZZ
Phone:((O )35S,g¢LL. Fax::( ) Amount received:
E-mail: s Q U`�`O �St.�CtO�h..�. 63 w\._ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: Ww.7 A�" Submit two(2)sets of roof plan with connection details
ite. aaLL,^� and fire department access,along with the 2010 Oregon
Address: II
`1t, Z N i vwi it E“.) -1 f 3 Solar Installation Specialty Code checklist.
1 `. ' Permit fee(includes plan review
City/State/ZIP:
G` '"� �'� �� �"�` and administrative fees): $180.00
Phone:(S®'J ) 3 � ® Z Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: RC65\-\ Total fee due upon application: $201.60
Authorized signature:
�6r This permit application expires if a permit is not obtained
{�,/�- within 180 days after it has been accepted as complete.
/ Gi^f �
Print name: , Date:/4/ 4 if * 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)
•
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
q Accessibility: Barrier Removal Improvement Plan
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.
(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 percent(25%).
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: $
(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): $
1:\Building\Permits\BUP_COM_PermitApp.doc Rev.11/5/2018
r
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
; 1! " Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with:
A. El map&tax lot# ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations,plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit-based on valuation of project.
4. ADDITIONAL INFORMATION AS FOLLOWS:
A. Fire Department Building Survey.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.11/5/2018
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
` Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal #of Plans
(Includes new,additions and alterations) Required at
Submittal
Demolition Permit 2
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing(building fixtures) 2
Electrical 2
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington
County, and Tualatin Valley Fire&Rescue),if applicable.
I:\Building\Permits\BUP_COM_PemritApp.doc Rev.11/5/2018
City of Tigard • BUILDING DIVISION
III
Over-The-Counter (OTC) Building & Fire Protection System Permit
TR,C n RD Appointment Checklist
Permit Record#:
33
Contact Name: £p, ,..S-A.). //t/ / Phone # 3-3S F0 a,
Business Name: ,eD0�ZTT0j 4 CONS772cc[vpn/ Appt. Date/Time: /0ae/ef• Ct la,Q-)
Site Address: ;-L2_5n 5.a „rV+.. per_ Bldg/Suite #:
Project Name: Z.f}-4/6-u46-6- SO 770n S New Tenant? , Yes 0 No
Project Description: 77 F-p-j2, 4/E-A) 7-----/v/.9-7v7- a,' amsj /4/.7- 72.._(0/2_.
.23-f77:04-/7704/, -b iJ ale-44_5s
Existing Use: eir- e-Z- New Use: CVA C r
MMD Required: 0 Yes WNo Related Record#:
APPLICATION C FORMATION
GENERAL INFORMATION
Class of Work: J\j -r Occupancy Group: e Type of Construction: V—
Type of Use: fiN Occupancy Load: S. ) Oregon Specialty Code: 1,0
SPECIFICS
Number of Stories: j 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: C 4 (2),•• 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: Ve
S 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: $ L{ E D..0Or
$ ¢ �x V DC Prov Rvw,COM TI Ping
$ .7) S , 43 Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2018) $ 86. I 12%State Surcharge
Project Valuation $ . . . • ; Plan Review,Structural
Up to$4,999 $0.00 $ Plan Review,Fire Life Safety
$5,000-$74,999 $98.00
$75,000-$149,999 $ • Info Proc/Arch,Lg(over 11x17$2.00)
$243.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $388.00
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $ j g 6 9, 99 TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070118.docx
Front1 DSTS
Subject: Bob Swain, Robert Todd Construction, 503-358-9022, 12250 SW Garden PI
Location: CR 3 Permit Center
Start: Wed 11/28/2018 10:00 AM
End: Wed 11/28/2018 11:00 AM
Recurrence: Weekly
Recurrence Pattern: every Tuesday,Wednesday, and Thursday from 10:00 AM to 11:00 AM
Meeting Status: Meeting organizer
Organizer: -Building_OTC
Resources: CR 3 Permit Center
Scope of Work: TI for new tenant offices, interior demolition and add new walls.
New Tenant Name: Language Solutions
Existing Use: Office
New Use: Office
1
City of Tigard
II " COMMUNITY DEVELOPMENT DEPARTMENT
■
T l c a RD Building Permit Review — Commercial - No Land Use
,
Building Permit #: X4//(00/P7,&33I/
Site Address: 12,4S0 S k✓ Garzdk Place Suite/Bldg#:
Project Name: r vagi Sdj\- i
(Name of codhmercial business occupying the space. If vacant,enter Spec Space.)
Planning Review All 11 j'4,',r 'l,,nJ — Luh `+ -n, c1"- hsw L�ll1, All ;4tr,ar'
Existing Business Activity: o'�'1Zt
Proposed Business Activity: () j ,
1' v- .fy site address/suite#exists and active in permit system
A ''ver Terrace Neighborhood: ❑ Yes LW No
LiY ontrig. C^E LiJ'
ermitted Use: Yes CINo CISpec Space
Confirm no land use required.
Business License/
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: SLDate: 1)-Z'--1,c
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: /r 4Ri7/r
Site Plans: #
Building Plans: #
Building Permit#: ► ''nter building permit#above.
Workflow Routing: R.' lanning ❑,rirlar ator 9.Building
Workflow Sign-off: P' Sign-off for Planning(include notes fro planning review)
Route Application Documents: ► Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes: �� �/
By Permit Technician: ,��` p[ j"�'r� Date: I /47/1---
I::\Building\Forms\BldgPermitRvwCOM 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 A.: 'cant:
Revision Notice 2: Date Sent t. 'pplicant:
Revision Notice 3: Date Se. to Applicant:
❑ SDC Fees Entered: W. Co Trans Dev Tax: 0 Yes 0 N/A
igard Trans SDC: 0 Yes 0 N/A
Parks SDC: 0 Yes 0 N/A
❑ OK to Issue .'ermit
Approv- • by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM NoLandUse 070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12250 SW GARDEN PL, TIGARD, OR, 97223 March 14, 2019 at
11 :08:08 AM
Record Type: Record ID:
Commercial - Building BUP2018-00334
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor