Permit � n CITY OF TIGARD BUILDING PERMIT
3 ' COMMUNITY DEVELOPMENT Permit#: BUP2015 00269
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/03/2015
Parcel: 251018801400
Jurisdiction: Tigard
Site address: 12078 SW GARDEN PL
Project: Spec Space Subdivision: CROW PARK 217 Lot: 2
Project Description: Remodel existing space for future tenant.
Contractor: ROBERT TODD CONSTRUCTION INC Owner: ICON OWNER POOL 1 WEST LLC
4080 SE INTERNATIONAL WAY 8113 BY RYAN
MILWAUKIE,OR 97222 PO BOX 460169
HOUSTON,TX 77056
PHONE: 503-653-5704 PHONE:
FAX: 503-653-5729
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB ' DC Provision Review,COM TI-Ping 09/03/2015 $88.00
Occupancy Grp: B Occupancy Load: 15 Permit Fee-Additions,Alterations, 09/03/2015 $842.40
Demolition
Dwelling Units: 0 12%State Surcharge-Building 09/03/2015 $101.09
Stories: 1 Height: 0 ft Plan Review 09/03/2015 $547.56
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 09/03/2015 $336.96
Value: $65,000 Info Process/Archiving-Lg$2.00(over 09/03/2015 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,922.01
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
952-001-00 OAR 9 2-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
•
Issu d By: Permittee Sign ture:
Call 503.639.4175 by 7:00 a.m.for the next available inspe. '•n 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 .t
Commercial i`EC l 1'ElVEP FOR OFFICE USE ONLY
City of Tigard ReceRed �/y�
b cC p Date/B _ / / - PermitNo.: r�(s-lrJal 6
13125 SW Hall Blvd.,Tigard,OR 58223 3 2 015 Plan Review r V1I��I MI
= Phone: 503.718.2439 Fax: 503.598.1960 ` p�� Date/B : ji��/, l Other Permit:
TI G A R D Inspection Line: 503.639.417 ITY OF f1GARU Date Ready : lures: VI See Page 2 for
Internet: www.tigard-or.goaUILDING DIVISION Notified/Method: Supplemental Information
(� 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 ®CommerciaUindustrial 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:12078 SW Garden Place New dwelling area: square feet
City/State/ZIP:Tigard,Oregon Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Spec.Office TI Covered porch area: square feet
Cross street/directions to job site:SW Garden Place and Hwy 99W Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: J 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.
Create new office/warehouse space in existing office and former warehouse space. Valuation: $x65,000.00
Existing building area: 3,292 square feet
New building area: 3,292 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:GLP Type of construction: V-B
Address:One SW Columbia-Suite 950 Occupancy groups:
City/State/ZIP:Portland,Oregon 97258 Existing: B/S1
Phone:(503)221-9900 Fax:( ) New: B/S1
® 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:
Phone:(503)244-0552 Fax::(503)244-0174 Amount received:
E-mail:betty @mdgpc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mount-• 'hotoVoltaic Solar Panel S .
Business name:Robert Todd Construction Submit two(2)sets • roof plan with con i-- ion details
and fire department a ess,along wi • e 2010 Oregon
Address:4080 SE International Way Solar Installation Spec:, ty Co, ecklist.
City/State/ZIP:Milwaukee,Oregon 97222 Permit fee(include an review $180.00
and ad 1 's• . 've fees):
Phone:(503)653-5704 I Fax:( ) State surchar (12%of pe 't fee): $21.60
CCB lic.:98517 `
Total fee due upon apply ation: $201.60
Authorized signature: lz-) 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 Date:09.03.15 * Fee methodology set by Tri-County Building Industry
Service Board.
l:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
■
Building Division
Accessibility: Barrier Removal Improvement Plan
1I(.,A1:1)
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] $ 62,000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 15,500
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 - $ Existing
(b) An accessible entrance: $ Existing
(c) An accessible route to the altered area: $ Existing
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ 10,000
(e) Accessible telephones: $ 0
(f) Accessible drinking fountains:and, $ 0
(g) When possible,additional accessible elements such as storage and
alarms: $ 5,400
TOTAL(shall equal line [2] of Valuation Computation): $ 15,400
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
111 ■ City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T I G A K[) Building Permit Review — Commercial - No Land Use
Building Permit # 64,t_ 0 as i 6-ao ace 9
Site Address: ( 207', SW ocirden et_ Suite/Bldg#:
Project Name:
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: NtW ocu(,t, I ofGrt,h0�1-e. Spy (A, ri 1 h
e i s h n v�-/�+ 0 Gh.CL Wo►z ho vd-� c(Ci(L .
Existing Business Activity C—GI 0 C t- e� 60 vn rYtaxc,,
Proposed Business Activity: C.,-G a pcIsce... (A7 m 0-kg/t,
/Verify site address/suite# exists and active in permit system.
$?fiver Terrace Neighborhood: ❑ Yes ,Er No
Zoning: Ci-6
Permitted Use: Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: /11 0 VIl gil o 62 Date: 9/3//..f
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: •
Site Plans: # '
Building Plans: #
Building Permit#: J'Enter building permit#above.
Workflow Routing: Q- Planning rmlt ❑—Building
Workflow Sign-off: 2 Sign-off for Planning(include notes from planning review)
Route Application Documents: E' Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: 0--r°
By Permit Technician: /_ J, � Date: (7/5/S�
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 070915.doex
Permit Coordinator Review
❑ Conditions"Met"prior to issuance of building permit
❑ Approved, NOT Released: Date:
Notes:
Revisions (after Building Sub 1. ' only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant
Revision Notice • Date Sent to Applicant
❑ SDC Fees rotered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
El OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPennitRvw_COM_NoLandUse_070915.docx
iiii . ' Building Division
r I G A R D Over-The-Counter (OTC) Building Permit
Check List
Project Description:
MIMIIIIIIIIMIIIMIIIIIIIIPION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Occupancy Group: pe of Construction: --j Type of Use**: kzik Type
Load: (J Oregon Specialty Code: _`'
SPECIFICS
Number of Stones: ` Building Height: Mixed Use:
Number of Dv/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: KY) 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: $E'614nf--)CC) F EES DUE
$ ((' DC Prov Rvw,COM TI—Ping
$ tmmre Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI (effective 7/1/2015) $ Al POI 12%State Surcharge
Project Valuation $ _A M Plan Review,Structural
Up to$4,999 $0.00 $ ' ' "�j'f lan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ 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 $ Metro 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: $ 19:2::41 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;
MR=other(use for fences,decks,retaining walls,signs,awnings or canopies).
I:\Building\Forms\OTC_BUP_070115.docx
I
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
12078 SW GARDEN PL, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00269
Jeff Grove
Violation Summary:
Inspector Contractor