Permit p CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2015-00131
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/06/2015
Parcel: 2S101AB02703
Jurisdiction: Tigard
Site address: 7450 SW BEVELAND RD 100
Project: Ameriprise Finacial Services Subdivision: HERMOSO PARK Lot: 27
Project Description: TI
Contractor: SAGE CONTRACTORS INC Owner: MCCAFFERY FAMILY TRUST
12210 SE 162ND 7450 SW BEVELAND RD, STE 100
CLACKAMAS, OR 97015 TIGARD, OR 97223
PHONE: 503-558-1009 PHONE:
FAX: 503-558-8009
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 05/06/2015 $75.00
Occupancy Grp: B Occupancy Load: 62 DC Provision Review,COM TI-LRP 05/06/2015 $11.00
Permit Fee-Additions,Alterations, 05/06/2015 $408.32
Dwelling Units: 0 Demolition
Stories: 1 Height: 0 It 12%State Surcharge-Building 05/06/2015 $49.00
Bedrooms: 0 Bathrooms: 0 Plan Review 05/06/2015 $265.41
Value: $22,000 Plan Review-Fire Life Safety 05/06/2015 $163.33
Info Process/Archiving-Lg$2.00(over 05/06/2015 $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 $976.06
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATT • : •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001 810 through 0•• 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800 332.2344.
Issued By: ; /�„ _n,� ,l 0 J Permittee Signature: it R
CX/yv�-'�,f 1
\ i
Call 503.639.4175 by 7:00 a.m.for the next available inspecti• date.
This permit card shall be kept in a conspicuous place on the job site until ompletion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application ONIQ71p8 FOR OFFICE USE ONLY
Commercial OHV9!11n
City of Tiara �,l l,) Received ` ) Permit No y Tigard m /5 /a�UP'
or
13125 SW Hall Blvd.,Tigard,OR 97223101 rr / �,/� ��5—��
Phone: 503.718.2439 Fax: 503.598.19 n !t Date/By: ' (f/—1 ' (J ,) Other Permit.
T 1 GA R D Inspection Line: 503.639.4175 Date Ready/By: Jaru: ® See Page 2 for
Internet: www.tigard-or.gov ' Notified/Method Supplemental Information
L iIM
TYPE t$i WO' 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 Valuation: $
®CommerciaUindustrial
El Accessory building ❑Multi-family _ Number of bedrooms:
El Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7450 SW Beveland-Suite 100 New dwelling area: square feet
City/State/ZIP:Tigard,Oregon 79223 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name:Ameriprise Financial Sery Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
SW 72nd Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I 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.
Interior Tenant Modification Valuation: $$22,000.00
Existing building area: 4,076 square feet
New building area: 4,076 square feet
❑ PROPERTY OWNER ® TENANT Number of stories: 1
Name:Ameriprise Financial Services,Inc. Type of construction: IIB
Address:10220 SW Greenburg Rd.-Suite 120 Occupancy groups:
City/State/ZIP:Portland,Oregon 97223 Existing: B
Phone:( ) Fax:( ) New: B
I ® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Mildren Design Group,P.C. (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Betty Sheppeard
FLS plan review fee(if applicable):
Address:7650 SW Beveland-Suite 120
City/State/ZIP:Tigard,Oregon 97223 Total fees due upon application:
Amount received:
Phone:(503)244.0552 Fax::(503)244.0417
E-mail:betty @mdgpc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Sage Contractors Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:12210 SW 162nd Solar Installation Specialty Code checklist.
City/State/ZIP:Clackamas,Oregon 97015 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)558.1009 Fax:(503)558.8009
State surcharge(12%of permit fee): $21.60
CCB lic.:127944 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 K.Sheppeard l Date:05/06/15 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\PermitslBUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
/ COMMUNITY DEVELOPMENT DEPARTMENT
Iii
ric.ARI )
Building Permit Review — Commercial - No Land Use
Building Permit #: ' P )/5=(x3/3/
Site Address: -' iLISO SW de edlarvJ 5+ . Suite/Bldg#: DO
Project Name: Amer i P r i se
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: ni-cri D,( Tt
Existing Business Activity: O['r i ,,e, (\latan'j--)
Proposed Business Activity: off i cit.,
CifLerify site address/suite#exists and active in permit syst .
Di/River Terrace Plan District El [NA No
voning: Mv\C
ermitted Use: 11d Yes ❑ No ❑ Spec Space
7 onfit'iu no land use required.
L� Business License:
Exists: L"J Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: 16 -1111f� Y hash Date: 51 6 I 1 5
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: 4.-/e A--
Plans: # 3
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: _a-Planning r building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: I-Building original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician. _ ., / Date: �5-1/5—
I:\BuildineForms\BIdgPermitRvw_COM_NoLandUse 031015.docx
Permit Coordinator Review
❑ Conditions"Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal o
Revision Notice 1: Date Sent • •pplicant:
Revision Notice 2: Date t to Applicant:
Revision Notice 3: : e Sent to Applicant:
❑ OK to Issue P rmit
Approved by Permit Coordinator: Date:
1:\Building\Forms\BldgPermitRvw_COM NoLandUse_031015.docx
_ p 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): $
.k)1 NC, [ s .P4)4 C--04``PLi T
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
II A II ' Building Division
I k, vi;n
Over-The-Counter (OTC) Building Permit
Check List
Project Description: / -
GENERAL INFORMATION
Class of Work*: et.rttk Occupancy Group: 1� Type of Construction: p
Type of Use**: 4("r Occupancy Load: � f— Oregon Specialty Code: cv/
SPECIFICS t
Number of Stories: I 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: Yes 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: $ FEES DUE
$ DC Prov Rvw,COM TI—Ping
$ DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ 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 $ 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: $ TOTAL FEES DUE
' OF USE: CO ;*., er �, i',a: =co.1t„. wt:-1, ■1 ' ., ,'-.*•r ,. _ . . e
...
F, addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
signs,awnings or canopies).
I:\Building\Forms\OTC_BUP_070114.docx