Permit (159) CITY OF TIGARD BUILDING PERMIT
I ' COMMUNITY DEVELOPMENT Permit#: BUP2019-00074
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/10/2019
Tic;..1 R E? g Parcel: 25101 DC03900
Jurisdiction: Tigard
Site address: 7150 SW SANDBURG ST
Project: Immunology Consultants Laboratory(ICL) Subdivision: SALEM FREEWAY SUBDIVISION Lot: 4
Project Description: Interior alteration only for new tenant. Exterior work for parking will be submitted under separate site work permit
after receiving approval for land use(see MMD2019-00009).
Contractor: DURUS CONSTRUCTION LLC Owner: LESLIE SANDBURG LLC
15836 UPPER BOONES FERRY RD ATTN: JOHN G LESLIE
LAKE OSWEGO, OR 97035 14056 GOODALL RD
LAKE OSWEGO, OR 97034
PHONE: 503-320-5633 PHONE:
FAX: 503-244-4318
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VBPermit Fee-Additions,Alterations, 04/09/2019 $4,285.45
Demolition
Occupancy Grp: B Occupancy Load: 358 12%State Surcharge-Building 04/09/2019 $514.25
Dwelling Units: 0 Plan Review 04/01/2019 $2,785.54
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 04/09/2019 $388.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/09/2019 $1,714.18
Value: $650,000 Info Process/Archiving-Lg$2.00(over 04/09/2019 $60.00
11x17)
Info Process/Archiving-Sm$0.50(up to 04/09/2019 $30.50
Floor Areas: 11x17)
Metro Const.Excise Tax 04/09/2019 $780.00
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $10,557.92
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet: 1 Special Inspection(see plans)
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 I
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 obtainnaa copy of theemrulesQor direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. I
Issued By: // ' �f.�/J'ji���^�%�`�, Permittee Signature:
„i4
1� r 1 ' r j� , Q
�iLC �K 77l 50fivc� iTi� t .. t ly i
Call 503.539.4175 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.
F
Building Permit Applicati°NG CE VED
Commercial _ 1 �Q19
FOR OFFICE USE ONLY
City of Tigard APR Received / ,,p
Date/By: 9 Permit Nu/��7—
46°79 QO'l y
'� 13125 SW Hall Blvd.,Tigard,OR 9722 OF TIGARD `
'NG Plan Ry e ~ 8
Mil
1. Phone: 503-718-2439 Fax: 503-59 DIVISION
Date/By: Related Permit:
TIGARD Inspection Line: 503-639 4175 Date Ready By: / ,Juris. ® See Page 2 for
a Internet: www.tigard-or.gov ified/Method: T Supplemental Information
TYPE OF WORK REQUIRED 1 TA 1-AND 2-FAMILY DWELLING
❑New construction D Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
gAddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling *g Conunerciallindustrial Valuation: $
111Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 71 5 0 SW SA Nty5T 31},i 6a, C,_,- New dwelling area: square feet
City/State/ZIP: 'r 1 V gP 0 f& lit 23 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: r G L I M 11 tkrQ 0 L o G y Covered porch area: square feet
Cross street/directions to job site: S W 72ND £ 0AJSu.L-1.74--10TS Deck area: square feet
#14`6.----7,-/ 6A. [ JO 4(C , /L.. Oy 1.44-80 A'(7172--/ Other structure area: square feet
1C7-4'ne0/L, tL'fI, - £ 7 ,t9 E toe71-C1'1 REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:: //07,4N ff.-f/ , t#: 310 0 Permit fees*are based on the value of the work performed.
"e Tax map/parcel#: (
2616 ! D /2 6' QD u t 1 Indicate the value(rounded to the nearest dollar)of all
J equipment,materials,labor,overhead,and the profit for the
�
.,I DESCRIPTION OF WORK work indicated on this application.
l�`w a(I A/1-t!Icvi fp Cal Lxic1 f , 006 . Valuation: $ D501 o00
J Existing building area: uare feet
0 g
G !.t- GIGC. '�"D Gl C(Q tm �A�Y K S O Wit ✓1 rL
New building area: quare feet
�i e rr h t(44— rnsta�I. i '''''
PROPERTY OWN igr TENANT Number of stories:
Name: J o h h Lis lie, Type of construction: 5 B
Address: (5 s(Q Z SW 7iP14_ Auf, Om Occupancy groups:
City/State/ZIP: peverfajAdd 0 872,Z'1 gust
ee�� //�� /� Existing: ru�
Phone:(50 J 74 7'. 2i si9 Fax:G 31 7K7 `� 2 5 4 1 New: g
s FAPPLICANT XCONTACT PERSONPERMIT / S�
BUILDING FEES
C(
' r
(Please refer to fee schedule)
L
Business name:
I.e orl h�/ Structural plan review fee(or deposit):
Contact name: s -
58' \ f (S u to 2 00 FLS plan review fee(if applicable):
Address: `
n Total fees due upon application:
City/State/ZIP: pc&ta w( Q R i zzei
Cj,a) n n`_ - ��8 (503 Zl • ic. o Amount received:
Phone:t�J G.�,(X Fax:: iJ
E-mail: W t 5(a a da Int t -�'�K� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
/1 Commercial and residential prescriptive installation of
V CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: I)u w S Can s fi,,,,a,{,t; G Submit two(2)sets of roof plan with connection details
re � and fire department access,along with the 2010 Oregon
Address: 15 Solar Installation Specialty Code checklist.
City/State/ZIP: om'ldg. 177Z4 Permit fee(includes plan review $180.00
n ( S_ and administrative fees):
Phone:( �l 3^L.0 - 5(U 33 Fax: )
�j ! State surcharge(12%of permit fee): $21.60
Q�
CCB Lic.: I V5 �/5' 3 l /`l/e'r 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: IW`( 5,g Date: 3/2(,1 f I°( * 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)
1
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
111/1 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] $ 65o I opo
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 6 a , TOO
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 $ f5'1
000
(b) An accessible entrance: $ n f f f\
(c) An accessible route to the altered area: $ 1 . 1 000
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ 3A. 000
(e) Accessible telephones: $ N I A
(f) Accessible drinking fountains:and, $ NI I A
(g) When possible,additional accessible elements such as storage and
alarms: $ 15'1 000
TOTAL(shall equal line [2] of Valuation Computation): $ 71-1 000
j
# No o ADA0.rr;er-5
XLotzvt iG C XIS-
/
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard
o COMMUNITY DEVELOPMENT DEPARTMENT
i
T l c,A n Building Permit Review — Commercial - N o Land Use
Building Permit #: ,Q ,/9 (SOD 4f
Site Address: 1 15p Sw Suite/Bldg#:
Project Name: .l wivri o/9� �h5'a/G LaLc h 97
(Name of commercialb14mess occupying the space. If vacant,enter Spec ace.)
Planning Review
Proposal: Ts/ - ries 4J C /L fc
Existing Business Activity: c'c;L.Q
Proposed Business Activity: 0.c�:CQ
❑ erify site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ Yes ❑_d'o
] omng:
12-Permitted Use: ,0""Yes ❑ No ❑ Spec Space
ja"Confirm no land use required.
,Business License:
Exists: ❑ Yes lam'No,applicant notified to obtain business license
Notes: FOr 11'Iv'ir' 71- o4 e< �,�� Pnr��11 S' �( w��l (" n✓tt Tot c� l ani
S Lrk e e- l‘ . -SC
Approved by Planning: Date: -4////9
dp-
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date:
Site Plans: #
Building Plans: # .3
Building Permit#: [1 Enter building permit#above.
Workflow Routing: 4E-Planning 0'ermit Coordinator Building
Workflow Sign-off: Q-Sign-off for Planning(include notes from planning review)
Route Application Documents: 2--Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician:
Date: X//,'
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:
j SDC Fees E tered: Wash Co Trans Dev Tax: ❑ Yes /A
Tigard Trans SDC: 0 Yes L9'N
Parks SDC: 0 Yes N/A
OK to Issue Permit 7M/1
Approved by Permit Coordinator: 1/7/ Date:
I:\Building\Forms\BldgPermitRvwCOM NoLandUse_070915.doex