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Permit
CITY OF TIGARD BUILDING PERMIT 111 s' C OMMUNITY DEVELOPMENT P ermit #: BUP201200130 Date Issued: 07/03/2012 T [GA R O 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1 S 136DD05300 Jurisdiction: Tigard Site address: 11850 SW 67TH AVE, STE# 140 Project: Broad River Expansion Subdivision: WEST PORTLAND HEIGHTS Lot: 9 Project Description: TI Contractor: NORWEST CONTRACTORS INC Owner: PNWP LLC #2 PO BOX 25305 PNWP LLC PORTLAND, OR 97298 -0305 6600 SW 105TH AVE #175 BEAVERTON, OR 97008 PHONE: 503 - 291 -6986 PHONE: FAX: 503 - 291 -7036 FEES Specifics: Description Date Amount Type of Use: COM DC Provision Review, COM New - Ping 07/03/2012 $134.00 Class of Work: ALT DC Provision Review, COM New - LRP 07/03/2012 $39.00 Dwelling Units: 0 Permit Fee - Additions, Alterations, 07/03/2012 $819.81 Stories: 2 Height: 0 ft Demolition Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 07/03/2012 $98.38 Value: $62,000 Plan Review 07/03/2012 $532.88 Plan Review - Fire Life Safety 07/03/2012 $327.92 Info Process /Archiving - Lg $2.00 (over 07/03/2012 $6.00 Floor Areas: 11x17) Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,957.99 Required: Required Items and Reports (Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Yes 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: ieL ^lam J� �J Permittee Signature: r 41, i � / P OC9 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. Building Permit Application . Commercial RECEIVE i FOR OFFICE USE ONLY City of Tigard 3 Datate : -- eived (j 1 ` PermitNo.: " ' I i'7/ 2.- bp( 13125 SW Hall Blvd., Tigard, OR 97223 JUL 0 3 2012 Plan Review /' a ' Phone: 503.718.2439 Fax: 503.598.1960 D /B : A6 © El Other Permit: TI G A R D Inspection Line: 503.639.4175 filly OF TIGARD Date Ready /B ` 1 ® See Page 2 for Internet: www.tigard or.gov BUILDING DIVISIO 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 El Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 11850 SW 67 Ave.-Suite 140 New dwelling area: square feet City/State/ZIP: Tigard, Oregon 97223 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Broad River Expansion Covered porch area: square feet Cross street/directions to job site: SW 67 Ave. & SW Dartmouth Deck area: 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 the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Interior Tenenat Improvement - Valuation: $$62,000.00 new offices and training room and removal of existing offices Existing building area: 48667 square feet New building area: 4589 square feet ® PROPERTY OWNER ' I ❑ TENANT Number of stories: 2 Name: Pacific NW Properties Type of construction: III -B Address: 6600 SW 105 Ave. Occupancy groups: City/State /ZIP: Beaverton, Oregon 97005 Existing: B Phone: (503)236 -3500 Fax: (503)671 -0211 New: B CO APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* (Please refer Business name: Mildren Design Group, P.C. e) Structural plan review fee (or deposit): Contact name: Betty Sheppeard Address: 7650 SW Beveland St. - Suite 120 FLS plan review fee (if applicable): City/State/ZIP: Tigard, Oregon 97223 Total fees due upon application: Phone: (503) 244 -0552 Fax: : (503) 244 -0417 Amount received: E -mail: betty@mdgpc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System. Business name: Norwest General Contractors Submit two (2) sets of roof plan with connection details and fire department access, along with the 2010 Oregon Address: 7235 SW Stephen Lane Solar Installation Specialty Code checklist. City/State /ZIP: Portland, Oregon 97298 Permit fee (includes p lan review $180.00 and administrative fees): Phone: (503) 291 -6986 Fax: ( ) State surcharge (12% of permit fee): $21.60 CCB lic.: 89425 Total fee due upon application: $201.60 Authorized signature: �� r M "� �— � _ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Betty K. Sheppeard I Date: 07/02/2012 * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440 -4613T(I I /02 /COM/WEB) I_ : " B uilding Division Over- The - Counter (OTC) Building Permit TIGARD Check List {� Project Description: 17 &V t a`_ a O APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION *Class of Work: AI, Occupancy Group: Type of Construction: *Type of Use: Occupancy Load: Oregon Specialty Code: - 3 4 SPECIFICS Number of Stories: 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: 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: f{'e`� Fire Alarms: ( Smoke Detectors: Parapet: ` Manual Pull Stations: Protected Corridors: Total Project Valuation: $ eZiCC7E FEES DUE $ 60 DC Prov Rvw, COM TI — Ping $ , / 5 ; CO DC Prov Rvw, COM TI — LRP DC Provision Review Fee for COM TI $ Mc1,61 Permit Fee — Add, Alt, Demo Project Valuation Planning LRP $ j,F 12% State Surcharge Up to $4,999 $0.00 $0.00 $ 5 ��I Plan Review, Structural $5,000 - $74,999 $64.00 '' $9.00 $ / Plan Review, Fire Life Safety $75,000 - $149,999 $160.00 $24.00 $ Info Proc /Arch, Lg (over 11x17 $2.00) $150,000 and over $256.00 $38.00 $ Info Proc /Arch, Sm (up to 11x17 $0.50) $ Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee Planning Staff: $ Hourly Rate State Surcharge $ Misc. Admin Fee Permit Coordinator: $ Other: $ Other: Building Staff: $ Other: Date /Time: $ te-_A x i TOTAL FEES DUE *OPTIONS: TYPE OF USE: COM = commercial; CMS = commercial manufactured structure. CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo; FND = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies); REP = repair. 1: \Building \Forms \OTC- BUP.docx 01/13/2011 • ■ • flu. . ' Pq _ Building Division Accessibility :. Barrier Removal Improvement' P lan . TIGARD • . REQUIREMENT: , OREGON REVISED STATUTE (ORS) . (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 per cent (25 %). ; . VALUATION: 'Total of all renovation, alteration or modification being done, , - - ' . • excluding painting and wallpapering: [1] $ , - (P.71 000 MULTIPLIER (25 %b'arrier removal requirement): x. 25 TOTAL, BUDGET FOR BARRIER. REMOVAL: [2] $ ! S; 3o0 ` - • • ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given - to those elements that will the greatest access. Elements shall be provided in the .. - , following. order: • (a) • Parking - $ . , (b) ' An accessible.entrarice: _ - $ • (c) An acce route the altered area: (d) - At least one accessible restroom•for each sex or a single • restroom: $ • • . (e) Accessible telephones: $ t (f) Accessible drinking fountains: and $ (g) When possible, additional accessible elements such as storage and , ' - , • ' alarms $ (� TOTAL (shall equal line [2]' of Valuation Computation):' $ ' NA' - - - I:\ Building \Pecmim \BUP= COM:PermitApp.doc' 03/03/2011 III m Building Division Development Code Provision Review T I G A R D Commercial Projects - No Associated Land Use Case Building Permit No: e)w 0 a-` Iv ❑ Expedited Review Plan Submittal Date: To the Applicant: > If the proposed use is not permitted within the zone, please contact the Building Division to cancel the permit application. Building Permit Technicians (503) 718 -2439. If a land use is required and for all other questions, please contact the staff person listed above the Planning Review section. Staff: please check items along left only if approved. Planning Review (contact 7' 474/5 L at 503 - 718 -,VM/ or y @tigard- or.gov) 121 Zoning At UE Permitted Use Yes !7— No ❑ ❑ Land Use Required: Yes ❑ No ,0' (explain below) Notes: - r 1 54--iiiE c,S E Ey /WCs - l .Approved ❑ Not Approved Date: 7 -/'Z- . Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov) Notes: Routed back to Building Division Date: I: \CURPLN