Permit CITY OF TIGARD BUILDING PERMIT
III 2 COMMUNITY DEVELOPMENT Permit#: BUP2013-00224
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/05/2013
Parcel: 2S101DC03800
Jurisdiction: TIGARD
Site address: 7190 SW SANDBURG ST 10
Project: Spec Space Subdivision: SALEM FREEWAY SUBDIVISION Lot: 4
Project Description: TI
Contractor: OWNER Owner: MCCORMACK PROPERTIES LP
WL MCCORMACK&CO 7190 SW SANDBURG ST
7190 SW SANDBURG ST SUITE 5 TIGARD, OR 97223
TIGARD, OR 97223
PHONE: 503-624-4649 PHONE: 503-624-4649
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 09/05/2013 $70.00
Occupancy Grp: B Occupancy Load: DC Provision Review,COM TI-LRP 09/05/2013 $10.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 09/05/2013 $362.69
Demolition
Stories: 2 Height: 0 ft 12%State Surcharge-Building 09/05/2013 $43.52
Bedrooms: 0 Bathrooms: 0 Plan Review 09/05/2013 $235.75
Value: $19,000 Plan Review-Fire Life Safety 09/05/2013 $145.08
Info Process/Archiving-Lg$2.00(over 09/05/2013 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $873.04
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. ATTEN ••: •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0, 0 through OA" •52-00 ''90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issue. By: I/ / Oa_ateLftb- ermittee Signature: k- A-019r.fitd 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
RECET FOR OFFICE USE ONLY
City of Tigard S ED Date/Bea A � Permit No.: I ,A45-66 r
III = • 13125 SW Hall Blvd.,Tigard,OR 97223 EP 9 Plan Review �,��/ r
Phone: 503.718.2439 Fax: 503.598. CU13 Date/B : `�>♦,,' �n
TI G A R D Inspection Line: 503.639.4175 O Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Sul t'O NG TJC,q� 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.
❑ I-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:7190 SW Sandburg Street New dwelling area: square feet
City/State/ZIP:Tigard,Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:#10 Project name:Sandburg Center Remodel Covered porch area: square feet
Cross street/directions to job site:Drive south on 72nd Avenue(heading Deck area: square feet
away from 217),about I mile south you'll come to SW Sandburg Street. Other structure area: square feet
Building is located on the corner of SW Sandburg and 72nd Avenue. 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.
Remove non-bearing interior walls to create more open office areas. Relocate Valuation: $$19,000.00
coffee bar and break room sink and casework. Existing building area: 9,093 square feet
New building area: 0 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: McCormack Properties Limited Partnership Type of construction: V-B
Address:7190 SW Sandburg Street,Suite#5 Occupancy groups:
City/State/ZIP:Tigard,Oregon 97223 Existing: B,S2
• Phone:(503)624-4649 Fax:(503)624-8949 New: B,S2
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:McCormack Properties Limited Partnership (Please refer ro fee schedule
Structural plan review fee(or deposit):
Contact name:Scott McCormack -- --
FLS plan review fee(if applicable):
Address:7190 SW Sandburg Street,Suite#5
City/State/ZIP:Tigard,Oregon 97223 Total fees due upon application:
Phone:(503)624-4649 Fax::(503)624-8949
Amount received: g7 rQ(f
E-mail:scott@mccormackprop.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:W.L.McCormack&
f)(2....../ Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:7190 SW Sandburg eet,Suite#5 7LA) Solar Installation Specialty Code checklist.
City/State/ZIP:Tigar regon 97223 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)62 -4649 Fax:(503)624-8949 State surcharge(12%of permit fee): $21.60
CCB lic.:63106
Total fee due upon application: $201.60
Authorized signature: Rdow714 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Scott McCormack Date:9/5/13 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-461 3T(1 I/02/COM/WEB)
III Building Division
Over-The-Counter (OTC) Building Permit
TIGARD
Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION _
Class of Work*: ALT Occupancy Group: Type of Construction: -.
Type of Use**: COM Occupancy Load: Oregon Specialty Code: Z)I 0
SPECIFICS /�"
Number of Stories: v 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: 00 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 ACM,00' FEES DUE
. $ '742,OQ DC Prov Rvw,COM TI—Ping
$ O.CC DCProvRvw,COMTI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ -IMO' Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ i 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ 2.:35.7-5 Plan Review,Structural
•$5,000-$74,999 $70.00 $10.00 $ ,/►S, Plan Review,Fire Life Safety
$75,000'-$149,999 $174.00 $26.00 $ /' 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)
$ 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: $ 67j,P OTAL FEES DUE
*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
Building Division
Development Code Provision Review
T IG A RD Commercial Projects - No Associated Land Use Case
Building Permit No P.r 15 `moo�2- Expedited Review
Project Name: a. 6 E nth
Site Address: _7__LE , Suite/Bldg #:
Plans Routed:
Original Plan Submittal Date: 9 6— / Routed By:
1st Revision Submittal Date: Routed By:
2nd Revision Submittal Date: Routed By:
To the Applicant:
D 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.
D. 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. I/
Planning Review (contact�/� at (503) 718-242-'?or�� f— @tigard-or.gov)
Proposal: Vi4&i if & c-e, I Vrel'1(SY remociei
Zoning '-P
Permitted Use Yes ❑ No ❑ /14
Land Use Required: Yes ❑ No
Notes: 5 C., ,C'F(Ge f D 4 k Yl+ 'tVl tl MC".
)3:Approved ❑ Not Approved ❑ DCPR Not Required—No DCPR Fees Due
Date Routed to Building:
•
1:\CURPLN\Masters\Development Code Provision RevievkkDCPR_COM_NoLandUse.doc Rev.01/16/13