Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2015-00118
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/22/2015
Parcel: 1 S136DA00101
Jurisdiction: Tigard
Site address: 11410 SW 68TH PKWY
Project: OREGON Subdivision: PFAFFLE PLAZA CONDO Lot: 2
Project Description: TI for existing tenant:Construction of(2)new offices on the third floor.
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:
FAX: 503-885-9368
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: DC Provision Review,COM TI-Ping 04/22/2015 $75.00
Occupancy Grp: Occupancy Load: DC Provision Review,COM TI-LRP 04/22/2015 $11.00
Permit Fee-Additions,Alterations, 04/22/2015 $347.48
Dwelling Units: 0 Demolition
Stories: 0 Height: 0 ft 12%State Surcharge-Building 04/22/2015 $41.70
Bedrooms: 0 Bathrooms: 0 Plan Review 04/22/2015 $225.86
Value: $17,237 Plan Review-Fire Life Safety 04/22/2015 $138.99
Info Process/Archiving-Sm$0.50(up to 04/22/2015 $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 $841.53
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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 -t 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: — L i`J, Permittee Signature: / '
/� �i -
all 503.639.4175 by 7:00 a.m.for the next available inspection d
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
City of Tigard Received
lig J
MINII Tigard Date/B Permit No.. . '. _ / j
- • 13125 SW Hall Blvd.,Tig: a Pla n Review
Phone: 503.718.2439 Fax it t yeeINIEIV
Date/By: Other Permit:
TI G A R D Inspection Line: 503.639.41 Date Ready/By: J�uri�s: � ® See Page 2 for
Internet: www.tigard-or.gov e nib Notified/Method: 'f i"Ct Supplemental Information
TYPE OF WOWS,Ito tyt (F REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction Ol �aliV4kS v- Permit fees*are based on the value of the work performed.
`= Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement AO Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
12 1-and 2-family dwelling 0 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 68th Parkway New dwelling area: square feet
City/State/ZIP:Tigard Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:PER's 3rd floor ti 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.: 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.
constuctin of 2 new office spaces on the 3rd floor Valuation: $17237
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories:
Name:PERS Type of construction:
Address:11410 sw 68th Parkway Occupancy groups:
City/State/ZIP:Tigard Oregon 97223 Existing:
Phone:(503)603-7776 Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Cedar Mill Construtin (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Jim Anderson
Address:19465 SW 89th Ave. FLS plan review fee(if applicable):
City/State/ZIP:Tualatin Oregon 97062 Total fees due upon application:
Phone:(503)885-9370 Fax::(503)8859360 Amount received:
E-mail:jima @cedarmillcc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic 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 Ave Solar Installation Specialty Code checklist.
City/State/ZIP:Tualation Oregon 97062 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)885-9370 Fax:(503)885-9360 State surcharge(12%of permit fee): $21.60
CCB lie.:131345 Total fee due upon application: $201.60
Authorized signature: I _ - This permit application expires if a permit is not obtained
Q\�-v- within 180 days after it has been accepted as complete.
Print name: --,A* f ANA e rs 0 Date: Y'LO .(S' * Fee methodology set by Tri-County Building Industry
i� Service Board.
I:\Building\Perrnits\BUP-COM PermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB)
I
• Building Division
Accessibility: Barrier Removal Improvement Plan
TIGAIU)
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: [21 $
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\Permits\BUP-COM PermitApp.doc 03/03/2011
City of Tigard
711 / COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Commercial - No Land Use
II(.-1RI)
Building Permit #: pj ls...uptl g'
Site Address: 11410 S W 6 9 tin Suite/Bldg#:
Project Name: PEAS
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Tent-01,n t \✓n P tip vr in tint3 , c Peat,ri 2 new c( i c s
p vi thz 1(-4 GL On
Existing Business Activity: `O Eci L2 / ( ) nee 01. _( C ica.
Proposed Business Activity: 0 F t j cc / G p M r1 iza-c4 otA.
giI Verify site address/suite#exists and active in permit system.
—5—River Terrace Plan District ❑ Yes ❑ No
p Zoning. NA u e
0 Permitted Use: 'Yes ❑ No ❑ Spec Space
J`'' Confirm no land use required.
7Business License:
Exists: %Yes ❑ No,applicant notified to obtain business license
Notes: NO al 01Y19 c.-., (t Use.._
Approved by Planning: (YLO✓1, 6 ill Date: 4J27_/I.
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: pah�Site Plans: N/4
Building Plans: # 3
Building Permit#: �r building permit#above.
Workflow Routing: R�pl ring ❑ Permit Coordinator R tiIlding
Workflow Sign-off: (� S�ign- ff for Planning(include notes from planning review)
Route Application Documents: wilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: r�/C
By Permit Technician: p � Date: 7y7/j s—
1:1 Building\Forms\BldgPermitRvw_COM_NoLandUse 03 1015.docx
Permit Coordinator Review
❑ Conditions"Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
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_031015.docx
71111 ' Building Division
Over-The-Counter (OTC) Building Permit
FIGARI)
Check List
Project Description:
GENERAL INFORMATION
Class of Work*: ,ti i Occupancy Group: Type of Construction:
Type of Use**: C M Occupancy Load: Oregon Specialty Code:
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: Y 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: $ liEES DUE
$ '7'2 DC Prov Rvw,COM TI–Ping
$ ii DC Prov Rvw,COM TI–LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ 3117, ' ' Permit Fee–Add,Alt,Demo
Project Valuation Planning LRP $ it!,)v 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ pis Kg Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ t Tr.4q 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 $ 41 /:/..1.% 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: $ Slid.53 TOTAL FEES DUE
*TYPE OF USWCOh 'commeraIrCMS ctuie ruc „..,.
44c, S O WORK: ACS-=accessory;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
taming walls,signs,awnings or canopies).
I:\Building\Forms\OTC_BUP_070114.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11410 SW 68TH PKWY, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2015-00118
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11410 SW 68TH PKWY, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
FAIL
BUP2015-00118
George Heimos
1. Provide fire sprinkler final approvaL. OSSC 2014 110.1.3.10 FPS2015-00078
2. Recall inspection when above correction has been completed. All else ok.
Michael.moylan@pers.state.or.us
Violation Summary:
Inspector Contractor