Permit 1
CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT11111
Permit#: BUP2019 00180
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/24/2019
Parcel: 2S101 DD00701
Jurisdiction: Tigard
Site address: 6960 SW SANDBURG ST
Project: Tigard-Tualatin School District Subdivision: SALEM FREEWAY SUBDIVISION Lot: 4
Project Description: TI for existing tenant:Adding(2)new offices and new partitions to the Larry Hibbard Administrative Center building.
Contractor: GNC CONSTRUCTION CORP Owner: TIGARD-TUALATIN SCHOOL
2505 NW DIVISION ST DISTRICT 23J
GRESHAM, OR 97030 6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE: 503-477-8988 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review, COM TI-Ping 07/24/2019 $102.00
Occupancy Grp: E Occupancy Load: 20 Permit Fee-Additions,Alterations, 07/24/2019 $149.75
Demolition
Dwelling Units: 0 12%State Surcharge-Building 07/24/2019 $17.97
Stories: 2 Height: 0 ft Plan Review 07/24/2019 $97.34
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 07/24/2019 $59.90
Value: $5,000 Info Process/Archiving-Sm$0.50(up to 07/24/2019 $2.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $429.46
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.
IP
Issued By: ro'--I sn � permittee Signature: C ' —=�IJT+'
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.
t
Building Permit Application
Commercial FOR OFFICE CSI:011.1
Cityillof Tigard � s Received 7 4,01# /� / /jy—eVj
Permit No.: / /�
g , � 4 Dale/B �j// / � —eV/4
13125 SW Hall Blvd.,Tigard,OR 4712 e 1, it L- Plan Review
I Phone: 503-718-2439 Fax: 503-598-1960 Date/B % Related Permit:
T 1 G A R D Inspection Line: 503-639-4175 ry n Date Ready/By: ` See Page 2 for
Internet: www.tigard-or.gov ;1.A. L J Notified/Method: ! ' lIM Supplemental Information
.in, - '-i!---,,,,t is. te)at
.
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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
Z. Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
o 1-and 2-family dwelling qCommerciallindustrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 4,160 SW 3/11tlper c4 --` New dwelling area: square feet
City/State/ZIP:11 A 0►r4 y C 9721;3 r Garage/carport area: square feet
Suite/bldg./apt.#: V Project name: 1719ArA / )V# L• Covered porch area: square feet
Cross street/directions to job site: S A14,10(11 11 r ' 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.
it ta
Ni S h d ft CG d okd o (7. ) Valuation: $ POO `
9 A. f A/ im S ' Existing building area: square feet
►ALVse oft _Fit fi
1 PIM'Ml' 1a 0(1) 1P61Y' • 1 New building area: 0 square feet
PROPERTY OWNER ti 0 TENANT Number of stories: 4
�/�MOO
1f' r v A�ij IA $ ' Type of construction: t A 61
Address: OO W SA In trjc.r Si— Occupancy groups: 46.
City/State/ZIP: QIi op- !ZZ' '
Existing:
q l
Phone:(3b ) l Pi S Li Fax:( )
New:
b APPLICANT td CONTACT PERSON BUILDING PERMIT FEES*
Business name: Tib A v ftA �t)r SD (Please refertofepe sit):schedule
Structural plan review fee(or deposit):
Contact name: Dk1 tt P24 rS
FLS plan review fee(if applicable):
Address: (j 1(d O tSW C A AA I F +
City/State/ZIP: ° ✓ l J 11 'u,3 Total fees due upon application:
Amount received:
Phone:( 1)) 41(e 1 1 S Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: /. G 66 e, r'`�, k (1!:'NI
.,, �' Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: 6 NC
(....-c", -r,,,,,,-.-
Submit two(2)sets of roof plan with connection details
J fi ,,r ll c., C:;1`rJ and fire department access,along with the 2010 Oregon
Address: g-5-6s- /ki. J Oi(-VS/ V. Solar Installation Specialty Code checklist.
Permit fee(includes plan review
City/State/ZIP: C,-e-SINA elC), `' )3}' and administrative fees): $180.00
Phone:(,b ,) .210' 1132— Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 7 71 Total fee due upon application: $201.60
Authorized signature: `k This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: t)c: bie 0 r So f DateN1 J / /017 * Fee methodology set by Tri-County Building Industry
` Service Board.
I:\Building\Permits\BUP_COM_Pern itApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
11‘ _ " 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): $
I:ABuilding\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
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. 0 map&tax lot# 0 project name 0 site address ❑ suite number
0 zoning 0 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.
I:\Building\Pemuts\BUP_COM_PemutApp.doc Rev.03/05/2019
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:ABuilding\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
• City of Tigard • BUILDING DIVISION
lig
Over-The-Counter (OTC) Building & Fire Protection System Permit
T 1 G A x 1) Appointment Checklist
Permit Record#: kiia )/T-06/370
Contact Name: hi`e f i r/„.ia / 60..,,rO,'Ci Phone #: 62/3 6 f'-s4' t/
Business Name: 7' j,L,i i,,, 5;4,
,- ✓7 Appt. Date/Time: '7 A ili
Site Address: q6,6 5"1../. Bldg/Suite #:
Project Name: %i /�t,4 44�1� cam! 0.J,. New Tenant? ❑ Yes No
Project Description: 6) �lso—) c>"r;"' �j .,...--e/ , , '/ [,i.lc ;..'v ...�
Aer.-1.7. .. 6....,,,Aefiii..4 .
Existing Use: , New Use: /?
MMD Required: ❑ Yes [ No Related Record #:
APPLIICATION SPECIFIC INFORMATION
GENERAL INFORMATIO
Class of Work: N) Occupancy Group: Type of Construction: j�
Type of Use: A Occupancy Load: ase Oregon Specialty Code: ''ac J /
SPECIFICS
Number of Stories: a...., J 1 Building Height: Mixed Use:
Number of Dw Units: 1 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: V-C.S Fire Alarms: Smoke Detectors:
Sprinkler Type: 1 ; 1 Alarm Type: Protected Corridors:
Standpipe Required: IPull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ 576,44J:t'4-- FEES DUE
$ )O2 DC Prov Rvw,COM TI—Ping
$ /y9, -- Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI-Effective 7/1/2019 $ 1• 9 12%State Surcharge
Project Valuation $ "A .3 y Plan Review,Structural
Up to$4,999 $0.00 $ S' . 9 O Plan Review,Fire Life Safety
$5,000-$74,999 $102.00 $ Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $254.00 $ cz),.,,S o Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $406.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $ 4 a9 .4( TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070119.docs %rw ^ � y�
711 City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: Gpjo aq-0t9/
Site Address: P60 C' 4b,13 SI- Suite/Bldg#:
Project Name: ark it -1- CeLe1 O zl
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review ""II �J� f� ^ ` f . - t
Proposal: TI 6,,34,E I.( ; JtU O ti a.,�, �er'fi t-1-N i� I�� /�`�+hisi'�1'�rt ��I J tni.
Existing Business Activity: 111i(t.
ProposedpoBusiness Activity: dckC
L_J�Y/Verify site address/suite# exists and active in permit system.
LI River Terrace Neighborhood: ❑ Yes EV-No
Zoning: _[
ermitted Use: 02 Yes ❑ No ❑ Spec Space
Confirm no land use required.
[ Business License:
Exists: LLY Yes El No, applicant notified to obtain business license
Notes:
Approved by Planning: „eDate:-�-�
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: 7/"" t I
Site Plans: #
Building Plans: #
Building Permit#: �ntter building permit#above.
Workflow Routing: L canning 0 Permit Coordinator C Building
Workflow Sign-off: -off for Planning(include notes from planning review)
Route Application Documents: L�"-Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date: -7
72.49/1
I:\Building\Forms\BldgPennitRvwCOM 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: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Fonns\BldgPennitRvw_COM_NoLandUse_070915.docx