Permit n CITY OF TIGARD BUILDING PERMIT
II ° COMMUNITY DEVELOPMENT Permit#: BUP2015-00282
T!GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/30/2015
Parcel: 2S103DD00950
Jurisdiction: Tigard
Site address: 13855 SW PACIFIC HWY
Project: Community of Christ Church Subdivision: MELROSE Lot: 7-8
Project Description: TI for existing tenant:Removing existing partition and constructing a permanent partition. Adding ADA compliant
cubicles and a door for egress.
Contractor: IERULLI CONSTRUCTION LLC Owner: REORGANIZED CHURCH OF JESUS
13851 SW ALPINE VIEW CT CHRIST OF LATTER DAY SAINTS
TIGARD, OR 97224 BY COMMUNITY OF CHRIST
13855 SW PACIFIC HWY
TIGARD, OR 97223
PHONE: 503-572-4250 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg DC Provision Review,COM TI-Ping 09/30/2015 $88.00
Occupancy Grp: B Occupancy Load: 5 Permit Fee-Additions,Alterations, 09/30/2015 $744.51
Demolition
Dwelling Units: 0 12%State Surcharge-Building 09/30/2015 $89.34
Stories: 1 Height: 0 ft Plan Review 09/30/2015 $483.93
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 09/30/2015 $297.80
Value: $52,000 Info Process/Archiving-Sm$0.50(up to 09/30/2015 $0.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,704.08
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
952-001-0010 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: perms Signature: jaw
Ca .4175 by 7:00 a.m.for the next available inspection dat
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 N� Received FOR OFFI("I t'SE ONLY
��11
City of Tigard �� DateB : �� T if Permit No.: • S —
13125 SW Hall Blvd.,Tigard,O Plan Review lir 0 Phone: 503-718-2439 Fax: 503-598-1960 DateB : ��I>i�� (�j Related Permit:
T I G A R D Inspection Line: 503-639-4175 ``p 3 Q �0�� Date ReadyBy. Jung ® See Page 2 for
Internet: www.tigard-or.gov S4 p�x\ Notified/Method: 9/3}/5—Orr— Supplemental Information
• ( _ VV J
l� REQ I' i
❑New construction NI. olition 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
CATEGOKI" OF CON work indicated on this application.
❑ 1-and 2-(family dwelling (N Commercial/industrial
Valuation: $
❑Accessory building El Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
n 1 Total number of floors:
Job site address: 1 3X55 S (' !- 1...x New dwelling area: square feet
City/State/ZIP: i i J tom,,� I o2 / ' 7 ZZ 3 Garage/carport area: square feet
Suite/bldg./apt.#: Pr(/Sleet name:3),,,,ate Ca,-e,- ems,-..o"i Covered porch area: square feet
Cross street/directions to job site: & w&_.,"""et y,_,c pt t`5 v.,�I Deck area: square feet
1-1wV ei 7
p e t ,e-e A. (,J ,L5'c 9". 5 4,,� Other structure area: square feet
6 e" — — ! C e - -
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Z S ' 3 Q j9 �j S Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
'DESCRH'TIO OF W'. ' work indicated on this application.
/J ` /. �7 Valuation: $
tCe."0.°.-Gy�rG.•� I,po.✓ t.- r fin actO.d,.v,.. d ekA", 3....,,,,51-4-CC 5'�1 o Ob
(4c;rei /90''r'i r`On/ L+r4- aw 16 ,A) t..+.. .-5 wit'1 c. yk,et•{,,4 ,Q Existing building area (Q3 (o p square feet
4D 4 co,-.,1.�,,,tect6`(.s ,�/ U.,'e A 5,449 A�t.-w/ .,,,o,94.. New building area: square feet•- PROPERTY OWNER ', Number of stories:
Name: C o On An cfnyt 4 y of- G i,ti15-t-- L e9 a ( Type of construction: 4✓oocQ c„-a
Address: r 00 i IAA (41 A.(..N L4 Occupancy groups:
City/State/ZIP: ;�, pe r��,v�,` /1 0 6+O SQ Existing: 3
Phone:( ) Fax:( ) New:
❑ APPLICANT • `;r grCONTACT PERSON BUILDING PERMIT FEES*
,:—...,..,,.4.--....:"d,c it n®(a aat'ufe loliaa.te de
Business name:
Structural plan review fee(or deposit):
Contact name: O, J i_a,, ,..0 w FLS plan review fee(if applicable):
Address: i z 5 W L c.v,... $f'
City/State/ZIP: j0'^-F-t- o/- q 7 z t G( Total fees due upon application:
Phone:(5'oj) 3 ciq 4- Fax: :( )
Amount received:
E-mail: d- 1 7 Z(1 wt,a,•L . G(9,--% FEES*
Commercial and residential prescriptive installation of
CONTRACTOR . roof-top mounted PhotoVoltaic Solar Panel System.
Business name: .1-e rt,(,t,L '�rw t;NU,, L` Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: l 3 1-5 1 S tai Ati,,,,,e- v,e,.✓ Cr Solar Installation Specialty Code checklist.
Permit fee(includes plan review
City/State/ZIP: j y��.� 1 a 1 7 ZZ� and administrative feesL $180.00
Phone:(5423) 5) Z y,2.,5-0 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 1 ,5 g.-",fO Z Total fee due upon appication: $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: (.t, t�� o � Date: 9/V p/ZO1S" * Fee methodology set by Tri-County Building Industry
Service Board.
L\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-46131(11/02/COM/WEB)
i
■
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
IIIIII
■ • Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T►c„\It D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 - www.tigard-or.gov
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 percent(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\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
N.
, •
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
i ` Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
l I c.ARP 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with:
A. ❑ map&tax lot# ❑ project name ❑ site address ❑ suite number
El zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations,plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit-based on valuation of project.
4. ADDITIONAL INFORMATION AS FOLLOWS:
A. Fire Department Building Survey with (1) additional full set of architecture
drawings.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
r
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
" Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
ype of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington
County, and Tualatin Valley Fire &Rescue),if applicable.
I:\Building\Permits\BUY_COM_PermitApp.doc Rev.12/18/2014
71 City of Tigard
■
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A K 17 Building Permit Review — Commercial - No Land Use
Building Permit #: � a Q/s-c
Site Address: 13 Q, 5c c vv Po C j C-i c Suite/Bldg#:
Project Name: cSl'1core_ and Core. •rer1OVc1t10in
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Tin iii01r TL new ADP Co^gyplic nt- (Nbi c1-e .t
1nfemcmr oLoor , roir1-i hb,-) /
Existing Business Activity: C - C, n 0 C h 61 r 1c7 { i n (If e
Proposed Business Activity: C - C-1
1 Verify site address/suite# exists and active in permit system.
JZI River Terrace Neighborhood: ❑ Yes —B—No
gr Zoning: C — C-I
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: Al 0 0 i g(l 0 01,0-Gt,c-A._ Date: 9/30/ /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: /.N.-- j
Site Plans: # A C'
Building Plans: #
Building Permit#: G me •ding permit#above. '
Workflow Routing lanntng ❑ Permit Coordinator LamBuilding
Workflow Sign-off: RS ff 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: a _
By Permit Technician: , . `� Date: 9/ ,/f
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.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:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
1:\Building\Forms\B1dgPermitRvw_COM_No Land Use_070915.docx
III Building Division
Over-The-Counter (OTC) Building Permit
TIGARD
Check List
Project Description: --7-(
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: A(- Occupancy Group: / Type of Construction:
j(�Type of Use**: (Y- Occupancy Load: f. Oregon Specialty Code: ��
SPECIFICS
Number of Stories: l 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: 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: $ 5Z).0C Z FEES DUE
$ - f, ) DC Prov Rvw,COM TI–Ping
$ ' ,7( Permit Fee–Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ 441 12%State Surcharge
Project Valuation $ ATalifpN j Plan Review,Structural
Up to$4,999 $0.00 $ '7,Iwo Plan 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: $ t,7C -.0 TAL FEES DUE
*TYPE OF USE: COM=commercial;CMS=commercial manufacture structure. ------/
**CLASS OF WORK ACS=accessory;ADD=addition;ADU=acces ory dwelling unit;ALT= eration;DEM=demo;NEW=new;
OTR=other(use for fences,decks,retaining walls,signs,awnings or canop s).
I:\Building\Forms\OTC_BUP_070115.docx _
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
13855 SW PACIFIC HWY, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00282
Jeff Grove
Violation Summary:
Inspector Contractor