Permit CITY OF TIGARD BUILDING PERMIT
C • - COMMUNITY DEVELOPMENT Permit #: BUP2013 -00191
Date Issued: 07/30/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1 S136DD05300
Jurisdiction: Tigard
Site address: 11850 SW 67TH AVE, STE# 200
Project: Kronos Subdivision: WEST PORTLAND HEIGHTS Lot: 9
Project Description: TI for interior office remodel for new tenant.
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
Class of Work: ALT Type of Const: IIIB DC Provision Review, COM TI - Ping 07/30/2013 $278.00
Occupancy Grp: B Occupancy Load: 168 DC Provision Review, COM TI - LRP 07/30/2013 $41.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 07/30/2013 $1,407.95
Demolition
Stories: 2 Height: 0 ft 12% State Surcharge - Building 07/30/2013 $168.95
Bedrooms: 0 Bathrooms: 0 Plan Review 07/30/2013 $915.17
Value: $150,000 Plan Review - Fire Life Safety 07/30/2013 $563.18
Info Process /Archiving - Lg $2.00 (over 07/30/2013 $8.00
11x17)
Floor Areas: Metro Const. Excise Tax - Commercial 07/30/2013 $180.00
Use
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,562.25
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 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: Permittee Signature:
Call 503.639.4176 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 FOR OFFICE USE ONLY
III City of Tigard Received Date /B : 7 -3 / . � daI Permit No,BU/A,240/3 _00,' /
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review WS
11 Phone: 503.718.2439 Fax: 503.598.1960 Date /B : � l► Other Permit:
TI G A R D Inspection Line: 503.639.4175 Date Ready Juris: ® 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.
El 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: 11850 SW 67 Ave. New dwelling area: square feet
City/State /ZIP: Portland, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 200 Project name: TI for KRONOS 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.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Interior office remodel. No structural work. M /E/P & sprinklers by separate Valuation: $ l St), ao4.,
permit. Existing building area: 16770 square feet
New building area: same square feet
0 PROPERTY OWNER ❑ TENANT Number of stories: 2
Name: Pacific NW Properties Type of construction: III -B
Address: 6600 SW 105 - Suite 173 Occupancy groups:
City/State /ZIP: Beaverton, OR 97005 Existing: B
Phone: (503)626.3500 Fax: ( ) New: B
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: Mildren Design Group, P.C. (Please refer ro fee schedule)
Structural plan review fee (or deposit):
Contact name: Betty Sheppeard
FLS plan review fee (if applicable):
Address: 7650 SW Beveland St. - Suite 120
Total fees due upon application:
City/State /ZIP: Tigard, OR 97223
Phone: (503) 244.0552 I Fax: : ( )
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: Nowest Contractora 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, OR 97298 Permit fee (includes plan 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: ? This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Betty Sheppeard Date: 7/30/13 * Fee methodology set by Tri-County Building Industry
Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T( /WEB)
Building Divisi ®n
Accessibility: Barrier Removal Improvement Plan
TIGA -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 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] $
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): $
AGG‘ST ( PAZ
I: \Building \Permits \BUY -COM PcrmitApp.doc 03/03 /2011
11,1 e Building Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List
Project Description: - 7(
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: j Occupancy Group: Type of Construction:
Type of Use * *: Occupancy Load: 1 6E3 Oregon Specialty Code: Z
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:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ 1 FEES DUE
$ 2.76 co DC Prov Rvw, COM TI — Ping
$ " j , t DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI (effective 7/1/2013) $ 079'5 Fee — Add, Alt, Demo
Project Valuation Planning LRP $ � �. 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ ['9, I Plan Review, Structural
$5,000 - $74,999 $70.00 $10.00 $ ,l Plan Review, Fire Life Safety
$75,000 - .$149,999 $174.00 $26.00 $ v Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $278.00 $41.00 $ Info Proc /Arch, Sm (up to 11x17 $0.50)
$ ( j,C2). Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc. Admin Fee
$ Other:
$ Other: .
Building Staff: $ Other: /
Date /Time: $ ' , 2 T OTAL FEES DUE 3510
"TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
**CLASS OF WORK: ACS = accessory; ADD = addition; ADU = accessory dwelling unit; ALT = alteration; DEM = demo; NEW = new;
OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies).
I: \ Building \Forms \OTC - BUP.docx 07/01/2013
IN a Building Division
Development Code Provision Review
T l G A R D Commercial Projects - No Associated Land Use Case
Building Permit No: ,Ou/ 3 - OD/9/ [ Expedited Review 07
Project Name: /cip
Site Address: //I' S& l 7 �` Suite /Bldg #: aO�
Plans Routed:
Original Plan Submittal Date: 0'0_3 Routed By:
1St Revision Submittal Date: Routed By:
2nd 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 ' 4/1 at (503) 718- aW hit @tigard- or.gov)
Proposal: ��//��))
-t/ r - I 1 / 1 . r / — /!'l/ / / / '
//
Zoning u r
Permitted Use Yes DI No ❑
Land Use Required: Yes ❑ No L9'
Notes:
0 Approved ❑ Not Approved ❑ DCPR Not Required — No DCPR Fees Due
Date Routed to Building: 7 r 3 P �3
I: \CURPLN\Masters\Development Code Provision RevievikDCPR_COM_NoLandUSe.doc Rev. 01/16/13