Permit CITY OF TIGARD BUILDING PERMIT
r'1 a COMMUNITY DEVELOPMENT Permit#: BUP2013-00273
T k GA R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/06/2013
Parcel: 2S112ACO2100
Jurisdiction: Tigard
Site address: 14875 SW 72ND AVE
Project: Ortho-Med Subdivision: FANNO CREEK ACRE TRACTS Lot: 48
Project Description: TI:Constructing(2)walls in warehouse for existing tenant.
Contractor: D&B COMPANY Owner: RSD PROPERTY LLC
5521 SE WOODSTOCK BLVD 3208 SE 13TH AVE
PORTLAND, OR 97206 PORTLAND,OR 97202
PHONE: 503-232-1974 PHONE:
FAX:
Specifics: FEES •
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 11/06/2013 $70.00
Occupancy Grp: B Occupancy Load: DC Provision Review,COM TI-LRP 11/06/2013 $10.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 11/06/2013 $842.40
Demolition
Stories: 1 Height: 0 ft 12%State Surcharge-Building 11/06/2013 $101.09
Bedrooms: 0 Bathrooms: 0 Plan Review 11/06/2013 $547.56
Value: $65,000 Plan Review-Fire Life Safety 11/06/2013 $336.96
Info Process/Archiving-Sm$0.50(up to 11/06/2013 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,912.01
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No 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 503.232.19 1.800.332 44.
Issued By: -41111111b� •ermittee Signature: -4��enom
Call 5,4 : _." 5 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
��� Received !!ff
City of Tigard Date/B : ._ ii /� Permit No.. I / / .�
° 13125 SW Hall Blvd.,Tigard,OR 97223 V` `103 Plan Review 11
C: Phone: 503-718-2439 Fax: 503-598-1960 0 Date/B : �!,L_�j� • Other Permit
I'I G A R D Inspection Line: 503-639-4175 \` ,k1 a ate Ready :y: See Page 2 for
Internet: www.tigard-or.gov `��Di�,G y. -led/Method: ,� Supplemental Information
•
TYPE OF WORK�x`1����� 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
XAddition/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 CommerciaUindustrial
Valuation: $ 4
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder El Other: Number of bathrooms:
JOB-SITE 'INFORMATION AND LOCATION Total number of floors:
Job site address: 1 LM--)S' S • 1 2r4r, New dwelling area: square feet
City/State/ZIP: -n C;A RID Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: ��}Ho 4 TD 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.: i 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 work indicated on this application.
1-2-k -M\ K-1 1 17 1,. •r- -eirct. S GC'_ Valuation: $
Existing building area square feet
New building area: square feet
❑.PROPERTY OWNER ❑ TENANT Number of stories:
Name: )tst.NQ " tap Type of construction:
Address: j 9€ )S' S `72`" Occupancy groups:
City/State/ZIP: T% (kyzY b 4-Nt.f10 Existing:
Phone:( '. 3) 23 1. -69 ) Fax:( ) New:
. 0 APPLICANT ' -❑ CONTACT PERSON - - ' BUILDING PERMIT'FEES*
Business name: Gvw • (Please refer to fee schedule,
Structural plan review fee(or deposit):
Contact name: Dicr-...) N Aj FLS plan review fee(if applicable):
Address: E S21 S T S V 5• Qc.)c lit\i
City/State/ZIP: Total fees due upon application:
�� °�"JZ'��o Amount received:
Phone:( ) .,S.. ..3-- 23'-z-1-5-)I Fax: :( )
E-mail: PHOTOVOLTAIC SOLARPANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR . • • roof-top mounted PhotoVoltaic Solar Panel System.
Business name: .>orY1� YJ6 ,A, ,-1 1 C.O-QT., Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
and administrative fees): _
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: Total fee due upon application: $201.60
Authorized signature: ° This permit application expires if a permit is not obtained
*.( NI p i d2 within 180 days after it has been accepted as complete.
Print name: y1.J Date: j J ' 4 j r 3 * Fee methodology set by Tri-County Building Industry
Service Board.
I:Building\PermitsTUP_COM_PermitApp.doc Rev.12/11/2012 440-4613T(11/02/COM/WEB)
Building Division
: .
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] $
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:\Bull ding\Permits\BUP_COM_PermitApp.doc Rev.12/11/2012
1111 a 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.
1:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/11/2012
M
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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:\Buil ding\Permits\BUP_COM_PetmitApp.doc Rev.12/11/2012
Building Division
• °. Development Code Provision Review
T I G A RD Commercial Projects - No Associated Land Use Case
Building Permit No: 6 FPM 13-00,271 O xpedited Review 077--
Project Name: _0 Ofvied
Site Address: /'t 8'75" ,yc.) -7626 1.4ve,. , Suite/Bldg #:
Plans Routed:
Original Plan Submittal Date: ///(0%3 Routed By: 6-T-
1st Revision Submittal Date: Routed By:
2°d 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.
f
Planning Review (contact 1n ( at (503) 71 8- Zl or Orilnr1g- @tigard-or.gov)
Proposal: I atE-rl u r r g"nOcW -f a W U1-thal 1-F064.
-FYP 16 pYl(a/tnte-k+ -�°l��l rr1-•
J•
Zoning 1
Permitted Use Yes No ❑
Land Use Required: Yes ❑ NoX
Notes: C\J IOJS 1, V\IGK 011 SC) \1461\t YAKC` Re IGlln+'MOVe-nl.Q . NO cJ/icAv ie, vP.
Approved ❑ Not Approved ❑ DCPR Not Required—No DCPR Fees Due
Date Routed to Building:
1:\CURPLN Masters\Development-Code Provision Review‘DCPR_COM_NoLandUse.doc Rev.01/16/13 - _
•
N q Building Division
Over-The-Counter (OTC) Building Permit
T 1 c A RD Check List
Project Description: t
•
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: LT Occupancy Group: (j Type of Construction:
Type of Use**: _011.A Occupancy Load: Oregon Specialty Code: '7C)(Q
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: LID Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ : ✓1CCO FEES DUE
$ 70,CO DC Prov Rvw,COM TI-Ping
$ II •f' DC Prov Rvw,COM TI—LRP ,
DC Provision Review Fee for COM TI(effective 7/1/2013) $ aAZ,'re Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ A I ,•• 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ Vx 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 $ 4.00 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: $ I y co TOTAL 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
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
14875 SW 72ND AVE, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
2014-02-05 00:00:00
BUP2013-00273
PASS - C of O
Violation Summary:
Inspector Contractor