Permit CITY OF TIGARD BUILDING PERMIT
• ' COMMUNITY DEVELOPMENT Permit#: BUP2015 00284
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/01/2015
Parcel: 251018801500
Jurisdiction: Tigard
Site address: 12178 SW GARDEN PL
Project: Spec Space Subdivision: CROW PARK 217 Lot: 3
Project Description: Remove walls&ceiling to create warehouse space separate from front office.
Contractor: VANOSDEL CONSTRUCTION Owner: ICON OWNER POOL 1 WEST LLC
PO BOX 1057 BY RYAN
BATTLEGROUND, WA 98604 PO BOX 460169
HOUSTON,TX 77056
PHONE: 360-600-9916 PHONE.
FAX: 360-687-7677
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg DC Provision Review,COM TI-Ping 10/01/2015 $88.00
Occupancy Grp: B Occupancy Load: 18 Permit Fee-Additions,Alterations, 10/01/2015 $619.25
Demolition
Dwelling Units: 0 12%State Surcharge-Building 10/01/2015 $74.31
Stories: 1 Height: 0 ft Plan Review 10/01/2015 $402.51
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/01/2015 $247.70
Value: $39,395 Info Process/Archiving-Lg$2.00(over 10/01/2015 $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 $1,437.77
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 ATTE • : • egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-s c 0 through OA' '52-001-'090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issue' By: {0 ■04 ,i Permittee Signature:
A Alf. AdlIZIAAA‘6110Ba.
•
Call 503.639.4175 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 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 Received /e / "5 (� J PermitNo.. ��3.
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan R : / , �k���`�
III I g Plan Review �
Phone: 503.718.2439 Fax: 503.598.1 T 1 2015 Date'B : 2`'.0n11110 tither Permit:
T I c i AR l7 Inspection Line: 503.639.4175 Date Ready Juris: ® See Page 2 for
Internet: www.tigard-orgov CITY OF TIGARD Notified Method: Supplemental Information
BUILDING 01VISION
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.
❑ 1-and 2-family dwelling '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: 12 l 78 stAf -.nClj 'tAc. New dwelling area: square feet
City/State/ZIP: .-r 1 60/1,4242 4512.„, 9 7 223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 6135_6_ --r-su 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.
Tax map/parcel no.: 5 I O 12,( 01•400 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.
--MO'/ %A/ALL S , l�il;ILA i-10 rib Ctt2-5' � Valuation: $ 9 t S
VIA �U5� 5e A-1— Existing building areal t9 square feet
Wf `wr oc i c New building area:�` G'i g square feet
f V� g•PROPERTY�OWNER ❑ TENANT Number of stories: ' 1
Name: Iz_.i Dom. nc B 1 V_ w 5 Type of construction: V ai
,,
Address:O s w co(...4.)6,16i A sf• 36. C150 Occupancy groups: �+ (
City/State/ZIP: t� � J _1
�D(2_-VA IJ 0 Of— a'1'1—S 8 Existing: 4 / S ,_ l
Phone:(SO 1 2.1 ._ 21 y Fax:( ) New:
A S'_ 1(g APPLICANT l r CONTACT PERSON BUILDIN PERMIT FEES*
(Please refer ro fee schedul J
Business name: L.,Iz_s / a_c_ I 1-s csr S Structural plan review fee(or deposit):
Contact name: 1` J s S r1 0i.a/
FLS plan review fee(if applicable):
Address: -7 Zp ij W 7,p,,)( S STS- '30 O
City/State/ZIP: Fb�.j-L.A.N0 Of-- a 1 2.0 Q Total fees due upon application:
1 Amount received:
Phone:(SO2) 2O S- I S 2_I Fax: :( )
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
r 1 tnl @_ I rs gt/c.h+r ttc.'� rr co p'1 Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: V,� (/1 S L. c D L{ R�C_?1 O N Submit two(2)sets of roof plan with connection details
`N V and fire department access,along with the 2010 Oregon
Address: 2 0 ?'c K. Io 51 Solar Installation Specialty Code checklist.
y e�— f��OM° , /l� p p (oO 4 Permit fee(includes plan review $180.00
City/State/ZIP: `�L—'� W 1 O and administrative fees):
Phone:3(00) /_c,7 _ C pi i to Fax:( ) State surcharge(12%of permit fee): $21.60
CCB tic.: (o a 1
"..2. ` Total fee due upon application: $201.60
Authorized signature:(751,..e.-1•Z__ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: "f 1 S s G��l v Date: � 2-9. 1 S * Fee methodology set by Tri-County Building Industry
t�-�+► [ `�i I 1 Service Board.
l:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB)
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] $ S9 3`lc
MULTIPLIER(25%barrier removal requirement): a .25
TOTAL BUDGET FOR BARRIER REMOVAL: --[2] $ 9p
1
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: $
(1) 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
114 City of Tigard
■
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
e
Building Permit #: ' -u P /6--- .0,P-4/gr
Site Address: /211: SL/ n(,,,, "ke, Suite/Bldg#:
Project Name: 4ec "Titian f
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review (� _
Proposal: AJQ ■Spec SjJ4e', (.4
Existing Business Activity: L/kei..,.f
Proposed Business Activity: 1/4c4,C
64'Verify site address/suite#exists and active in permit syste .
f2"-River Terrace Neighborhood: ❑ Yes rE No
'loning: C—G-
L,, irmitted Use: ❑ Yes ❑ No Spec Space
L5'Con o land use required.
uL1 License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Date: 2P-. ..2 5—/j
Revisions (after Building Sub••'ttal only) Reviewer Dare
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: !o% // C
Site Plans: #
Building Plans: # -j
Building Permit#: a" Enter building permit#above.
Workflow Routing: B' Planning —Permit Coordinator wilding
Workflow Sign-off: a Sign-off for Planning(include notes from planning review)
Route Application Documents: B'Building. original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician —24, Date: /0/ /1 S-
l:\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 o
Revision Notice 1: Date nt to Applicant:
Revision Notice 2: D - Sent to Applicant:
Revision Notice 3: 4 ate 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 'ermit
Approved by Permit Coordinator: Date:
•
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
11111 " Building Division
Over-The-Counter (OTC) Building Permit
rrcnitD Check List
Project Description: T l
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: ` Occupancy Group: Type of Construction:
Type of Use**: +1 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: Yej 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: $ �j.7 �j�~J,4 FEES DUE
' $ DC Prov Rvw,COM TI—Ping
$ [/,2—j- Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ 4,�, ( 12%State Surcharge
Project Valuation $ �t1'2- Plan Review,Structural
Up to$4,999 $0.00 $ _ Plan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ 4r) 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: $ /14 ,7?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;
O'I'It=other(use for fences,decks,retaining walls,signs,awnings or canopies).
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
12178 SW GARDEN PL, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00284
Jeff Grove
Violation Summary:
Inspector Contractor