Permit CITY OF TIGARD BUILDING PERMIT
III 8 COMMUNITY DEVELOPMENT Permit#: BUP2015-00019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/03/2015
Parcel: 1 S 136DA00101
Jurisdiction: Tigard
Site address: 11410 SW 68TH PKWY
Project: PERS Subdivision: PFAFFLE PLAZA CONDO Lot: 2
Project Description: Create new CIO office
Contractor: CEDAR MILL CONSTRUCTION COMPANY Owner: OREGON, STATE OF PUBLIC
19465 SW 89TH AVE EMPLOYEES' RETIREMENT FUND
TUALATIN, OR 97062 11410 SW 68TH PKWY
TIGARD, OR 97223
PHONE: 503-885-9370 PHONE: 503-603-7615
FAX: 503-885-9368
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg DC Provision Review,COM TI-Ping 02/03/2015 $75.00
Occupancy Grp: B Occupancy Load: DC Provision Review,COM TI-LRP 02/03/2015 $11.00
Permit Fee-Additions,Alterations, 02/03/2015 $225.80
Dwelling Units: 0 Demolition
Stories: 3 Height: 0 ft 12%State Surcharge-Building 02/03/2015 $27.10
Bedrooms: 0 Bathrooms: 0 Plan Review 02/03/2015 $146.77
Value: $9,700 Plan Review-Fire Life Safety 02/03/2015 $90.32
Info Process/Archiving-Sm$0.50(up to 02/03/2015 $1.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $577.49
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 he 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth f OAR
952-001- 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. 4 .
Is ed By: /t.i Permittee Signature: / ..i A, / / \
' lir
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 o the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial RECEIVED FOR OFFICE.USE ONLY
City of Tigard Received Permit No.: �1CiC(7
lig y g Date/B_1 L U (�0/5
. ° 13125 SW Hall Blvd.,Tigard,OR 97223cEB 3 2015 Plan Revie ��'
Phone: 503.718.2439 Fax: 503.598.19 Date/B :AIM;W� � r Paint:
T I G A RD Inspection Line: 503.639.4175 CITY OF TIGARD Date Rea. . Jima: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
P I I ■ I ►, i1.
TYPE O ' ORK 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 ®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:11410 SW 68"'Parkway New dwelling area: square feet
City/State/ZIP:Tigard Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:PERS 1st Floor Reconfigur Covered porch area: square feet
Cross street/directions to job site: SW Haines street 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
Tat map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New CIO Office 134 sqft
Valuation: $$9,700.00
Existing building area: square feet
New building area: 134 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 3
Name:PERS of Oregon Type of construction:
Address:11410 SW 68th Parkway Occupancy groups:
City/State/ZIP:Tigard Oregon 97223 Existing:
Phone:(503)6037615 Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Cedar Mill Construction (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Jim Anderson
FLS plan review fee(if applicable):
Address:19465 SW 89th
City/State/ZIP:Tualatin Oregon 97062 Total fees due upon application:
Phone:(503)8859370 Fax::(503)8859368
Amount received:
E-mail:jima @cedarmillcc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Cedar Mill Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:19465 SW 89th Solar Installation Specialty Code checklist.
Permit fee(includes plan review
City/State/ZIP:Tualatin Oregon 97062 and administrative fees): $180.00
Phone:(503)8859370 Fax:(503)8859368
State surcharge(12%of permit fee): $21.60
CCB lic.:131345
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.
Qti
Print name: � e- o
Z _ Date: I wZ slit 1 * Fee methodology set by Tri-County Building Industry
Service Board.
L1BuildingTermits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1l/02/COM/WEB)
71 • Building Division
s
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:\Building\Pemuts\BUP-COM PernvtApp.doc 03/03/2011 '
P . ' Building Division
Over-The-Counter (OTC) Building Permit
I i c,n i;n Check List
Project Description: T f
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Ac,.Ly�,�� Occupancy Group: V� Type of Construction:
Type of Use**: ll ", Occupancy Load: Oregon Specialty Code: _-zriek
SPECIFICS
Number of Stories: J 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: tkiD 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: $ 9 v 7C0 FEES DUE
$ 7.5-00 DC Prov Rvw,COM TI—Ping
$ t( Lir DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ 2'5 Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ Z7. C 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ •t • Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ ,----.2_. Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $299.00 $44.00 $ , , —xj 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: $ 7.7.-47 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_B U P_070114.docx
111111 City of Tigard
S COMMUNITY DEVELOPMENT DEPARTMENT'
T 1 G A It D Building Permit Review — Commercial - No Land Use
Building Permit #: 00 l S- 00/9
Site Address: // i S4/ ‘:fil- - Suite/Bldg#:
Project Name: Pk-ec
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: ConSri/WI-4,1 44 Ple • erc , —ho G4,s o"t,L !/k.
Existing Business Activity: 6 JCL
Proposed Business Activity: 00Ce
Ei Vpoerify site address/suite #exists and active in permit system.
[14 Wing: ,11
le Permitted Use: BrYes ❑ No ❑ Spec Space
❑ Confirm no land use required.
Notes:
—macc
Approved by Planning: � Date: p� ` —�J
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 0( /5
Site Plans: #
Building Plans: # 3
Building Permit#: Enter building permit#above.
Workflow Routing: 2Planning r a/Building
Workflow Sign-off: LAS' -off for Planning(include notes from planning review)
Route Application Documents: ding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: k z Date:
qLS-----
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_071514.docx
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
Notes:
•
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 071514.docx