Permit CITY OF TIGARD BUILDING PERMIT
Is • COMMUNITY DEVELOPMENT Permit #: BUP2010 -00208
T 1 G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/23/2010
Parcel: 2S101 DA00104
Jurisdiction: Tigard
Site address: 13333 SW 68TH PKWY
Subdivision: FARMERS INSURANCE Lot: 0
Project: Triangle Pointe
Project Description: Shell - Phase 2, lobby and restroom upgrades, 2nd floor including ADA.
Owner: FEES
TRIANGLE POINTE LLC Description Date Amount
901 NE GLISAN ST #100 CDC Building Review, COM 09/23/2010 $128.00
PORTLAND, OR 97232 CDC Planning Review, COM 09/23/2010 $128.00
PHONE: 503 - 297 -8791 CDC Planning Review, COM - LRP 09/23/2010 $38.00
Permit Fee - Additions, Alterations, 09/23/2010 $1,758.27
Demolition
Contractor: 12% State Surcharge - Building 09/23/2010 $210.99
SD DEACON ENTERPRISES Plan Review 09/23/2010 $1,142.88
901 NE GLISAN ST #100 Plan Review - Fire Life Safety 09/23/2010 $703.31
PORTLAND, OR 97232 Metro Const. Excise Tax - Commercial 09/23/2010 $249.12
PHONE: 503 - 297 -8791 Use
FAX: 503- 297 -8997
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 5 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $207,600
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
• Garage: 0
Mezzanine: 0
Total $4,358.57
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: No
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 appli••= ble 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 sus • -nded for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules ar- s forth in OAR
952- 001 -0010 through •52- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.24.!. •9 or 1.800.33 .2344
Issued By: Permittee Signature: /
C ,ilti:ff'��.417s by 7:00 a.m. for an inspection that business • ay.
This permit card shall be kept in a conspicuous place on the job site until completion of the proje
Approved plans are required on the job site at the time of each inspection.
Building Permit Application RECEIVED SHELL PHASE 2
Commercial FOR OFFICE USE ONLY
S ° 10 2010
City of Tigard Reeei
DatelB ved ID i � Permit No.: 41, O o a -
° 13125 SW Hall Blvd., Tigard, OR 97223 (� Plan Revie �1�. / - y .
U P I
ll Phone: 503.639.4171 Fax: 503.598.1960- In OF TIGARD Date /B /j� ' (�L , '0 Other Permit:
• TIGARD
Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready /By:G / Juris: ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: • �g '" Supplemental Information
452 OW / 4 —
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 thc 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 ❑ 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, OR Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: TRIANGLE PTE. PH. 2 SHELL Covered porch area: square feet
Cross street /directions to job site: SW 68 PKWY AND 1 -5 Deck arca: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to thc nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
EXTERIOR SIDEWALK, GENERATOR PAD Valuation: $$207,600.00
ADA /CODE HANDRAIL UPGRADES IN STAIR TOWERS, EXTERIOR COVERED Existing building area: 10240 square feet
BIKE PARKING
LOBBY AND RESTROOM UPGRADES, 2ND FLOOR INCLUDING ADA New building area: 10240 square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 5
Name: TRIANGLE POINTE, LLC Type of construction: 11 -A
Address: 901 NE GLISAN ST Occupancy groups:
City/State /ZIP: PORTLAND, OR 97232 Existing: B
Phone: (503)2978791 Fax: (503)2978997 New: B
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: SAME AS ABOVE All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: KENDRA HOWELL under ORS 701 and may be required to be licensed in the
Address: SAME AS ABOVE jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State /ZIP: apply:
Phone: ( ) Fax:: ( )
E -mail:
CONTRACTOR
Business name: SD DEACON ENTERPRISES BUILDING PERMIT FEES*
(Please refer to fee schedule)
Address: 901 NE GLISAN ST Structural plan review fee (or deposit): $840.15
City /State /ZIP: PORTLAND OR 97232
FLS plan review fee (if applicable): 378.07
Phone: (503) 2978791 Fax: (503) 2978997
Total fees due upon application: 1218.2
CCB lic.: 77875
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: KENDRA OWELL I Date: 9.10.10 * Fee methodology set by Tri- County Building Industry
Service Board.
l: \Building \Permits \BUP -COM PermitApp.doc 10/01/09 440- 4613T(11/02/COM /WEB)