Permit _ CITY OF TIGARD BUILDING PERMIT
Is r COMMUNITY DEVELOPMENT Permit#: BUP2015 00245
Date Issued: 08/20/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101 DA00104
Jurisdiction: TIGARD
Site address: 13333 SW 68TH PKWY, STE#230
Project: NW Capital Management Subdivision: VARNS ACRES Lot: 9
Project Description: TI for new tenant. 11/16/15:Reprinted permit to show address correction from suite 210 to suite 230.
Contractor: SD DEACON CORP OF OREGON Owner: TRIANGLE POINTE TWO LLC
901 NE GLISAN ST SUITE 100 901 NE GLISAN ST, STE 100
PORTLAND, OR 97232 PORTLAND, OR 97232
PHONE: 503-297-8791 PHONE:
FAX: 503-297-8997
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIA DC Provision Review,COM TI-Ping 08/20/2015 $351.00
Occupancy Grp: B Occupancy Load: 86 Permit Fee-Additions,Alterations, 08/20/2015 $1,728.07
Demolition
Dwelling Units: 0 12%State Surcharge-Building 08/20/2015 $207.37
Stories: 5 Height: 0 ft Plan Review 08/20/2015 $1,123.25
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 08/20/2015 $691.23
Value: $202,850 Info Process/Archiving-Lg$2.00(over 08/20/2015 $12.00
11x17)
Metro Const.Excise Tax 08/20/2015 $243.42
Floor Areas: Misc Administration Fee 11/16/2015 $45.00
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4.401.34
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 at 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 Cen: hi s: rules are set forth in OAR
952-OC1-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 501232 1. .8 . 32.2344.
Issued By: Permittee Signature: ∎
.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 completio a pr.ect.
Approved plans are required on the job site at the time of each inspection.
114 q CITY OF TIGARD BUILDING PERMIT
I COMMUNITY DEVELOPMENT Permit#: BUP2015-00245
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/20/2015
Parcel: 2S 101 DA00104
Jurisdiction: TIGARD
Site address: 13333 SW 68TH PKWY,STE#210
Project: NW Capital Management Subdivision: VARNS ACRES Lot: 9
Project Description: TI for new tenant.
Contractor: SD DEACON CORP OF OREGON Owner: TRIANGLE POINTE TWO LLC
901 NE GLISAN ST SUITE 100 901 NE GLISAN ST, STE 100
PORTLAND,OR 97232 PORTLAND, OR 97232
PHONE: 503-297-8791 PHONE:
FAX: 503-297-8997
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIA DC Provision Review,COM TI-Ping 08/20/2015 $351.00
Occupancy Grp: B Occupancy Load: 86 Permit Fee-Additions,Alterations, 08/20/2015 $1,728.07
Demolition
Dwelling Units: 0 12%State Surcharge-Building 08/20/2015 $207.37
Stories: 5 Height: 0 ft Plan Review 08/20/2015 $1,123.25
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 08/20/2015 $691.23
Value: $202,850 Info Process/Archiving-Lg$2.00(over 08/20/2015 $12.00
11x17)
Metro Const.Excise Tax 08/20/2015 $243.42
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,356.34
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 • ••: Cr-..- law re.uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-00 1010 through OAR 952-1, -6090. you may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
I sued By: Ao`/ 1 00 - Permittee Signature: i-
Call 503.639.4175 by 7:00 a.m.for the next available insp
This permit card shall be kept in a conspicuous place on the job site unt completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application [l ED n
Commercial CEI�` FOR OFFICE USE ONLY
III City of Tigard ^^II'' Q Received
• 13125 SW Hall Blvd.,Tigard,OR 972R9�6 3 2015 Date/B : .,� �'• Permit N_ 020/�G+ ,?
Phone: 503.718.2439 Fax: 503.598.1960 Date/geview��,� Other Permit:
1 1 t, \it I t Inspection Line: 503.639.4175 CITY OF TIGARI) Date Ready':? _furls. la See Page 2 for
Internet: www.tigard-or.gov BUI DSTG�IVISION 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:
El Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13333 SW 68th Parkway New dwelling area: square feet
City/State/ZIP:Tigard,Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:210 Project name:NW Capital Management T.1 Covered porch area: square feet
Cross street/directions to job site:SW66th Avenue to SW 68th Parkway Deck area: square feet
(Near the junction of 1-5 and 217) Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:W262787 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.
•
New tenant in an existing vacant suite on the 2nd floor of Triangle Pointe. Valuation: $$202,850.00
Existing building area: 5,955 square feet
New building area: N/C square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 5
Name:Deacon Development Group Type of construction: II-A
Address:901 NE Glisan,Suite 100 Occupancy groups:
City/State/ZIP:Portland,Oregon 97232 Existing: B
Phone:(503)297-8791 Fax:( ) New: N/C
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:LRS Architects (Please rejer:ojee schedule)
Structural plan review fee(or deposit):
Contact name:Darcie McConnaha
• FLS plan review fee(if applicable):
Address:720 NW Davis,Suite 300
Total fees due upon application:
City/State/ZIP:Portland,Oregon 97209
Phone:(503)221-1121 Fax: :( )
Amount received:
E-mail:dmcconnaha @Irsarchitects.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Deacon Corp Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:901 NE Glisan,Suite 100 Solar Installation Specialty Code checklist.
City/State/ZIP:Portland,Oregon 97232 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)297-8791 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:134328 p / / /� Total fee due upon application: $201.60
Authorized signature: 159 p Q / /' /L9Aiu This permit application expires if a permit is not obtained
I�C.C�I (� within 180 days after it has been accepted as complete.
Print name: Darcie McConnaha Date:08.13.15 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
•
COMMUNITY DEVELOPMENT DEPARTMENT
T1cARn Building Permit Review — Commercial - No Land Use
Building Permit #: — ao .2 4/j
Site Address: 13333 s 6 e 44. Suite/Bldg#: 2. 10
Project Name: h/ Cap; I Al a n c g-cr w
(Name of commercial business occupying the space. 1 f vacant,enter Spec Space.)
Planning Review
Proposal: New./ n ,1.,, i () V U CGt ei 4- S v i It
Existing Business Activity: C/d M 014...4'1,+-24.L.
Proposed Business Activity: GO
Verify site address/suite# exists and active in permit system.
.a`River Terrace Neighborhood: ❑ Yes ado
Zoning: (yi (f e
Permitted Use: Yes ❑ No ❑ Spec Space
)2'Confirm no land use required.
7Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: /1/7 0 tom) rZ_ e! 1 o S.Q cwt Date: /13 It S
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: GFA3/..
Site Plans: # .2
Building Plans: # (P-
Building Permit#: O--Enter building permit#above.
Workflow Routing. 2--Planning ❑ Permit Coordinator '2—Building
Workflow Sign-off: &—Sign-off for Planning(include notes from planning review)
Route Application Documents: Building original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: rj 7—C--
By Permit Technician: Date: /-3%_
L\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
El 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:
El SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes 0 N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw COM_NoLandUse_070915.docx
Building Division
TIGARD Over-The-Counter (OTC) Building Permit
Check List
V
Project Description: 5
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Tk(r Occupancy Group: Type of Construction: 2.
Type of Use**: Occupancy Load: Oregon Specialty Code: 2_6
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: i�� 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: $ 2-02-Pap, FEES DUE
$ P (_0C)DC Prov Rvw,COM TI-Ping
$ I?Pao? Permit Fee-Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ 2.C)'?.3'7 12%State Surcharge
Project Valuation Planning $ (23,25-Ilan Review,Structural
Up to$4,999 $0.00 $ (9l( •2'1an Review,Fire Life Safety
$5,000-$74,999 $88.00 $ t ,XC)Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $220.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $351.00 $ '�k 3 ft2Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ Other:
$ Other:
Building Staff: $ Other:
Date/Time: v $ 4 %. 4TOTAL 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_070115.docx