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Permit CITY OF TIGARD BUILDING PERMIT 111111 COMMUNITY DEVELOPMENT Permit #: BUP2013 -00125 T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/22/2013 Parcel: 1 S 135DA03500 Jurisdiction: Tigard Site address: 11481 SW HALL BLVD 200 Project: Serenity Subdivision: METZGER ACRE TRACTS Lot: 19 Project Description: TI for new tenant, create offices and conference room in existing space. Contractor: LANSING DESIGN CONSTRUCTION INC Owner: BECKAL LLC 7409 SW TECH CENTER DR., #135 7100 SW GABLE PKWY PORTLAND, OR 97223 PORTLAND, OR 97225 PHONE: 503 - 734 -8910 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: Vg DC Provision Review, COM TI - Ping 05/22/2013 $67.00 Occupancy Grp: B Occupancy Load: 60 DC Provision Review, COM TI - LRP 05/22/2013 $10.00 Dwelling Units: 0 Permit Fee - Additions, Alterations, 05/22/2013 $408.32 Demolition Stories: 2 Height: 0 ft 12% State Surcharge - Building 05/22/2013 $49.00 Bedrooms: 0 Bathrooms: 0 Plan Review 05/22/2013 $265.41 Value: $22,000 Plan Review - Fire Life Safety 05/22/2013 $163.33 Info Process /Archiving - Lg $2.00 (over 05/22/2013 $2.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $965.06 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. Issued By: de PermitteeSignature: D N /92 - ��/✓ 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. 4 Building Permit Application „ Commercial REC1 FOR OFFICE USE ONLY Received Is►i 1 permit No City of Tigard MAY 2 2 2013 Dat / �3'W d��� —,067/AS • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review � i r .11 Phone: 503- 718 -2439 Fax: 503 -598 -1960 Date/By: / �.' r r Permit TI C. I: p Ins Line: 503-6394175 CITY OF i IGARD Date ReadyBy: tun ®See Page 2 for Internet: www.tigard - or.gov BUILDING. 1�ISIO Notified/Method: � Supplemental Info rm ation i.J 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 ,s Commerciallindustrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: El Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: OF! 94 HALL 13,1-1/0 New dwelling area: square feet City /State /ZIP: T I r kp ok?..._ q-nve Garage /carport area: square feet Suite/bldg. /apt. no.: 2(O I Project name: .4 v/' ry Covered porch area: square feet Cross street/directions to job site: 149(1 v I r 2 17 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 ( rotnded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK 1 rewire-TACO-iv work indicated on this application. le/0 I - titlAt A . AA D S ltd Valuation: $ 71/000 eVAa -Mt , se9ce • ' Existing building area 31 7o square feet -, New building area: 5126 square feet al PROPERTY OWNER ❑ TENANT Number of stories: L Name: I r � �to Type of construction: 5 1 S 4) ` ^t cut Y r� Address: Occupancy groups: a City/State /ZIP: Existing: Phone: ( ) Fax: ( ) New: ❑ APPLICANT CONTACT PERSON BUILDING PERMIT FEES* Business name: LM ►S /N (Please refer to fee schedule) C 7 �)� /C_v7_uc-'fl Structural plan review fee (or deposit): Contact name: r..(ux-/' �E ' //d / "`� 7 FLS plan review fee (if applicable): Address: City /State /ZIP: Total fees due upon application: Phone: ( ) Fax:: ( ) Amount received: E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Business name: Low (N 0 / ,, f s. * u Submit two (2) sets of roof plan with connection details '` and fire department access, along with the 2010 Oregon Address: 2630 5 j 2/1) AAVL cit. Solar Installation Specialty Code checklist. City /State /ZIP: ��. ( Q 7 �U Permi fee (includes plan review $180.00 a and administrative fees): Phone: (�)) 7 3y (/ qio Fax: ( ) State surcharge (12% of permit fee): $21.60 CCB tic.: I yo q�p 3 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Ciftcci [ IN Date: S zi /1 3 * Fee methodology set by Tri -County Building Industry Service Board i I:\ Building \Permits\BUP_COM_PermitApp.doc Rev. 12/11/2012 440 -4613T(I 1/02 /COM/WEB) 1 111 Building Division C Accessibility: Barrier Removal Improvement Plan TIGARD 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] $ 22_ 06 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: \ Buil ding \Permits \BUP_COM_PermitApp.doc Rev. 12/11/2012 i llki 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. ❑ map & tax lot # ❑ project name ❑ site address ❑ suite number ❑ zoning ❑ 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. 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. I:\ Building \Permits \BUP_COM_PermitApp.doc Rev. 12 /11/2012 Ph Building Division ® Plan Submittal Requirement Matrix - T I G A R D Commercial & Multi- Family - New, Additions or Alterations Type of Submittal # of Plans (Includes new, additions and alterations.) Required at Submittal Demolition Permit 3 (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. I:\ Building \Permits \BUP_COM_PermitApp.doc Rev. 12/11/2012 a Building Division Over -The- Counter (OTC) Building Permit T«AR° Check List Project Description: �t APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION p � *Class of Work: NCB- j Occupancy Group: Type of Construction: *Type of Use: (,( Occupancy Load: Oregon Specialty Code: 6)10 SPECIFICS Number of Stories: 2.■ 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: 'S Fire Alarms: Smoke Detectors: Parapet: Manual Pull Stations: Protected Corridors: Total Project Valuation: $ 2 2_ FEES DUE $ 00 DC Prov Rvw, COM TI — Ping $ (Q p CO DC Prov Rvw, COM TI — LRP DC Provision Review Fee for COM TI $ -� Permit Fee — Add, Alt, Demo Project Valuation Planning LRP $ ' ' , CO 12% State Surcharge Up to $4,999 $0.00 $0.00 $j, • Plan Review, Structural $5,000 - $74,999 $67.00 $10.00 $ [. Plan Review, Fire Life Safety $75,000 - $149,999 $167.00 $25.00 $ 2, dc) 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: $ ( 1( 0 5, oe, 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. I: \Building \forms \OTC - BUP.docx 07/01/2012 111 n Building Division Development Code Provision Review T I GARD Commercial Projects - No Associated Land Use Case Building Permit No: £e€i°.2_0/3 — EPExpedited Review Project Name: - SE72 -En/ Site Address: //' ? /S-t) � /7"4 , Suite /Bldg #: aCZ Plans Routed: Original Plan Submittal Date: ...c/2 .2/3 Routed By: 1" Revision Submittal Date: Routed By: 2n Revision Submittal Date: Routed By: 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 f%j11/ at (503) 718- zYSy or @tigard or.gov) Proposal: //4- 74'""4 -C 77 �G��r / e--; 5 vs e vt'SS vs- Zoning L ' Permitted Use Yes-4a' No ❑ Land Use Required: Yes ❑ No.-O' Notes: D Approved ❑ Not Approved ❑ DCPR Not Required — No DCPR Fees Due Date Routed to Building: I: \CURPLN\Masters\Development Code Provision RevieW■DCPR_COM NoLandUse.doc Rev. 01/16/13 Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 11481 SW HALL BLVD 200, TIGARD, OR, 97223 Commercial - Building 299 Final inspection 06/19/2013 00:00 BUP2013-00125 FAIL Sprinkler final approval needed Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 11481 SW HALL BLVD 200, TIGARD, OR, 97223 Commercial - Building 275 Framing 06/03/2013 00:00 BUP2013-00125 PASS Previous corrections have been completed, as per the Approved set of drawings Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 11481 SW HALL BLVD 200, TIGARD, OR, 97223 Commercial - Building 275 Framing 05/30/2013 00:00 BUP2013-00125 FAIL 1. Remove all screws from top plate to T-bar ceiling 2. Adequately attach kicker braces to top plate. Note: Kickers shall not be attached to ceiling tile. Remove screws from ceiling tiles. Note: Remove ceiling tiles to allow inspection of kicker braces All above corrections shall comply to Oregon State Interpretation 403.1 Suspended ceiling and OSSC 2010 chp. 22 Violation Summary: Inspector Contractor