Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2013 -00044
Date Issued: 02/21/2013
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718.2439 Parcel: 2S101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 410
Project: Spec Space Subdivision: VARNS ACRES Lot: 9
Project Description: TI for vacant space, including new interior walls, doors and relates.
Contractor: PACIFIC CREST STRUCTURES INC Owner: GK TRIANGLE CORPORATE PARK III L
17750 SW UPPER BOONES FERRY RD SUITE BY THOMSON REUTERS INC
190 ATTN: MEGAN DOWLING
DURHAM, OR 97224 PO BOX 130174
CARLSBAD, CA 92013
PHONE: 503 - 968 -8949 PHONE:
FAX 503 - 598 -6658
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: MB DC Provision Review, COM TI - Ping 02/21/2013 $67.00
Occupancy Grp: B Occupancy Load: 33 DC Provision Review, COM TI - LRP 02/21/2013 $10.00
Permit Fee - Additions, Alterations, 02/21/2013 $520 07
Dwelling Units: 0 Demolition
Stories: 5 Height: 0 ft 12% State Surcharge - Building 02/21/2013 $62 41
Bedrooms: 0 Bathrooms: 0 Plan Review 02/21/2013 $338 05
Value: $30,795 Plan Review - Fire Life Safety 02/21/2013 $208.03
Info Process /Archiving - Lg $2.00 (over 02/21/2013 $8.00
11x17) .
Floor Areas:
Total Area 0
Accessory Struct 0
Basement: 0
Carport 0
Covered Porch 0
Deck' 0
Garage: 0
Mezzanine" 0
Total $1,213 56
Required: Required Items and Reports (Conditions)
Fire Sprinkler: 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 rf 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: / • - Permittee Signature: '
Call 503.639.4175 by 7:00 a.m. for the next available inspecti • date.
This permit card shall be kept in a conspicuous place on the job site until completion of the ct
Approved plans are required on the job site at the time of each Inspection.
Building Permit Application
Commercial FOR OFFICE USE ONLY
City of Tigard RECEIVED Date /Bed .:„2 Permit No ;6 (/ 213 —0O09
q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
' Phone 503.718.2439 Fax: 503 598.19 Date /B . � JikyIM�� Other Permit
TIGARD
Inspection Line: 503.639.4175 ` �E B 21 2013 Date Ready /By See Page 2 for
Internet www tigard- or.gov Notified /Method , Supplemental Information
CITY OF TIGARD
TYPE OiB ID NG DIVISION 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: T.I. equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1- and 2- family dwelling ® Commercial /industrial Valuation: $
El 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: 13221 SW 68 PARKWAY New dwelling area: square feet
City /State /ZIP: TIGARD, OR 9223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 410 Project name: SPACE PREP 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: 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.
TENANT IMPROVEMENT WORK FOR VACANT SUITE ON THE 4 FLOOR. Valuation: $$30,795.00
NEW INTERIOR WALLS, DOORS, AND RELITES. Existing building area: 1,993 square feet
New building area: 1,993 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 5
Name: C/O CBRE Type of construction: I -B
Address: 101 SW MAIN STREET, SUITE 245 Occupancy groups:
City /State /ZIP: PORTLAND, OR 97204 Existing: B
Phone: (503)295 -5555 Fax:( ) New: B
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: GROUP MACKENZIE (Please refer lo fee schedule)
Structural plan review fee (or deposit):
Contact name: JANE CHAMBLISS
Address: 1515 SE WATER AVE., SUITE 100 FLS plan review fee (if applicable):
Total fees due upon application:
City /State /ZIP: PORTLAND, OR 97214
Phone: (503) 224 -9560 Fax: : (503) 228 -1285 Amount received:
E -mail: jchambliss @grpmack.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: PACIFIC CREST STUCTURES Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 17750 SW UPPER BOONES FERRY ROAD Solar Installation Specialty Code checklist.
City /State /ZIP: DURHAM, OR 97224 Permit fee (includes plan review $180.00
and administrative fees):
Phone: (503) 968 -8949 Fax: (503) 598 -6658
State surcharge (12% of permit fee): $21.60
CCB lic.: 66915
Total fee due upon application: $201.60
r _
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: JANE CHA 1 SS Date: 2/21/13 * Fee methodology set by Tri- County Building Industry
Service Board.
L \Building\Permits \BUP -COM PermitApp doc 02/24/2011 440- 4613T(11 /02 /COM/WEB)
i ..
Building Division
Accessibility: Barrier Removal Improvement Plan
TI,G
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 per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $ 30,795
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 7,698.75
ELEMENTS: In choosing which accessible elements to provide under this section, pnonty 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): $
1.A Building \ Permits \BUP -CO\d PermitApp doc 03/03/2011
Building Division
Plan Submittal Requirements
T I G A R D Commercial & Multi- Family - New, Additions or Alterations
1. SITE PLAN (fully dimensional, drawn to scale) labeled with:
A. El map & tax lot # ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ apphcant 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.
4. EXTRA SET OF THE FOLLOWING:
A. Two (2) copies of site plan to include vicinity map.
B. One (1) copy of erosion control plan with details.
C. Fire Department Building Survey, and full set of architecture drawings.
1 \Building \ Permits \BUP -CO\1 PermitApp doe 03/03/2011
.
, . ` ,. Building Division
`. , Plan Submittal Requirement Matrix
T I GARD; Commercial & Multi- Family - New, Additions or Alterations
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
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
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.
1 \Building \Pcrmits \BUP -CO\1 Pcrmitrlpp doc 03/03/2011
Building Division
Over- The - Counter (OTC) Building Permit
TIGARD
T Check List
Project Description: l
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: Occupancy Group: b.. Type of Construction: 8
*Type of Use:
ACJ
Occupancy Load: `Zj Oregon Specialty Code: `201C)
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: Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ 3 � FEES DUE
$ 7 , aQ DC Prov Rvw, COM TI — Ping
$ Q i 00 DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ '",ZO, 07 Permit Fee — Add, Alt, Demo
Protect Valuation Planning LRP $ (,32_. A i 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ '7 Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ 7,Q 3 Plan Review, Fire Life Safety
$75,000 - $149,999 $167.00 $25.00 $ a,Cir, Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $268.00 $39.00 $ 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: '2. (3, j C 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;
END = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies);
REP = repair.
I. \ Building \ Forms \ OTC-BUP docx 07/01/2012
III a Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
O TL
Building Permit No: e et o2D /.? —D 4 0 9`/ Expedited Review
Project Name: S /9EG - s'/
Site Address: /302/ $& l J' `- /' 7' , Suite /Bldg #: y/ 0
Plan Submittal Date: c2 2/020 /3 .< —
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 VII I � .1 I 'Al at 503 - 718 or I @tigard - or.gov)
Proposal: TAI i 11 V i i�/l �
Iii t AU: 4' . 0' � 4 ,04 � ■ �� '
Zoning M ilte
Permitted Use Yes ❑ No ❑ NO Vl fsC, Pro�c4 .
Land Use Required: Yes ❑ No ID"
Notes: N 0 now - f 'via ii+ I OP& TYOI d Ott 1i is "fil V►i.
. Approved ❑ Not Approved Date: 2-i1-1/ 13
I: \CURPLN\Masters\Development Code Provision RevieWNo Land Use Comm.doc REVISED 10/4/12