Permit i i
CITY OF TIGARD BUILDING PERMIT
ip
COMMUNITY DEVELOPMENT Permit #: BUP2009-00091
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/29/2009
Parcel: 2S101 DA00104
Jurisdiction: Tigard
Site address: 13333 SW 68TH PKWY
Subdivision: FARMERS INSURANCE Lot: 0
Project: Triangle Pointe
Project Description: Exterior entry, main lobby, and restroom improvements and addition.
Owner: FEES
TRIANGLE POINTE LLC Description Date Amount
901 NE GLISAN ST #100 Permit Fee - COM 07/29/2009 $1,397.40
PORTLAND, OR 97232 Plan Review 05/21/2009 $908.31
PHONE: Plan Review - Fire Life Safety 05/21/2009 $558.96
12% State Surcharge - Building 07/29/2009 $167.69
Contractor: Metro Const. Excise Tax - Commercial 07/29/2009 $432.00
SD DEACON ENTERPRISES Cse
901 NE GLISAN ST #100 CDC Bldg Review, COM 07/29/2009 $143.50
CDC Plan Review, COM 07/29/2009 $143.50
PORTLAND, OR 97232 CDC Plan Review, COM - LRP 07/29/2009 $42.00
PHONE: 503- 297 -8791 Erosion Control 07/29/2009 $92.00
FAX: 503 - 297 -8997 Erosion Plan Review CWS 07/29/2009 $29.90
Erosion Plan Review COT 07/29/2009 $29.90
Specifics:
Type of Use: COM
Class of Work: ADD
Dwelling Units: 0
Stories: 4 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $360,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,945.16
Required: Required Items and Reports (Conditions)
1 Pln Gen REVISED SITE PLAN
Fire Sprinkler: No Parapet: No 2 Pln Gen REVISED LANDSCAPE PLAN -PHASE I
Fire Alarm: Yes Protected Corridors: Yes
Smoke Detectors: Yes Manual Pull Stations: Yes
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 . : • - - - with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is su,ended for more the 180
days. • ENTION: Orego aw requi • • u to follow the rules adopted by the Oregon Utility Notification Center. Those rules are -et forth in OAR
952-101-0010 through OAR 9 -0.1 -0101. Y. • may obtain a copy of the rules or direct questions to OUNC by calling ¢03.2_. • 699 or 1.800.332.2344_
Issue. :y: I /// PermitteeSignature: / `/ L �/C . ...f
Call 503.839.4175 by 7:00 a.m. for an inspection that busine: d y.
This permit card shall be kept in a conspicuous place on the job site until completion of the pr. ec
Approved plans are required on the job site at the time of each inspection.
•
- Buil4ing Permit Application , fr
Commercial FoR OFFICE USE ONLY
MAY 21 2009 Receive
City of Tigard Permit No
_� .: 1 ; t .. • ., 004
tY g Date /B :
. 13125 SW Hall Blvd., Tigard, OR 97223 Plan RevieTj �, ,�•
II Phone: 503.639.4171 Fax: 503.598.1960 r� �> t 'h,� - Mr1 Other Permit:
:: Date /B : t f� ) 2 s - l: • 7
T I G iA It l7 Inspection Line: 503.639 r i t )j�P . )! - ;ate Ready B Ea See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ 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: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building ID Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13333 SW 68 Parkway New dwelling area: square feet
City/State /ZIP: Tigard, Oregon 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: I Project name: Triangle Pointe . Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 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.
Exterior Entry and Main Lobby and Toilet Room Improvement Valuation: $360,000.00
Existing building area: IL, 4 3(03 square feet
New building area: (04 , — t - 1 g square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 5
Name: Deacon Development Group Type of construction: I -B
Address: 901 NE Glisan Street, Suite 100 Occupancy groups:
City/State /ZIP: Portland, Oregon 97232 Existing: B / A -3
Phone: (503)2974791 Fax: (503)2974997 New: B
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Group Mackenzie K_Ckr ( All contractors and subcontractors are required to be
Contact name: Scott Moore AM !� ` 4 1 licensed with the Oregon Construction Contractors Board
uT t under ORS 701 and may be required to be licensed in the
Address: 1515 SE Water Ave, Suite 100 jurisdiction in which work is being performed. If the
City/State /ZIP: Portland, Oregon 97293 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 224 -9560 Fax: : (503) 228-1285
E -mail: smoore @grpmack.com
CONTRACTOR
Business name: SD Deacon Enterprises BUILDING PERMIT FEES*
Address: 901 NE Ginn Street, Suite 100 (Please refer to jee schedul
City/State/ZIP: Portland, Oregon 97232 Structural plan review fee (or deposit):
FLS plan review fee (if applicable):
Phone: (503) 297 -8791 Fax: (503) 297 -8997 I � �' 3 CCB lic.: OR 7787 Total fees due upon application:
Amount received:
Authorized signature: C This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete. /(7l Print name: Scott J. oore Date: 05/07/09 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Pennits\BUP-COM PertnitApp.doc 2 /23/07 440-4613T(1 I /02/COM/WEB)
1 0
Building Division
Accessibility: Barrier Removal Improvement Plan
T1Gr \RD
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 akered 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] $ 476,000
MULTIPLIER (25% barrier removal requirement): x 15
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 119,000
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 $ ?91
(b) An accessible entrance: $ 44//4"
(c) An accessible route to the akered area $ (o /G4'
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ �a
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $ I6.'
(g) When possible, additional accessible elements such as storage and In',
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $ I 7)
I:\ Building \ Permits \ BUP-COM Pe mitApp.doc 10/30/07