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Permit (49) CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2015-00360 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/30/2015 Parcel: 1 S135BD01100 Jurisdiction: Tigard Site address: 9780 SW SHADY LN 100 Project: Anitian Subdivision: MEADOW VIEW Lot: 8 Project Description: TI for new tenant:Office space remodel. Contractor: RUSSELL CONSTRUCTION INC Owner: SHADY LANE COMMERCIAL BUILDING 20915 SW 105TH AVE LIMITED PARTNERSHIP TUALATIN, OR 97062 7720 SW WESTGATE PORTLAND, OR 97225 PHONE: 503-692-9002 PHONE: FAX: 503-692-9008 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 12/30/2015 $88.00 Occupancy Grp: B Occupancy Load: 46 Permit Fee-Additions,Alterations, 12/30/2015 $564.15 Demolition Dwelling Units: 0 12%State Surcharge-Building 12/30/2015 $67.70 Stories: 2 Height: 0 ft Plan Review 12/30/2015 $366.70 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 12/30/2015 $225.66 Value: $34,580 Info Process/Archiving-Lg$2.00(over 12/30/2015 $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 $1,316.21 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 callin 03. 32 1987 or 1.800.332.23�A,-- Issued By: ittee Signature: 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 Division Over-The-Counter (OTC) Building Permit --�— Check List Project Description: APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION Class of Work*: _ Occupancy Group: T e of Construction: Type of Use**: Occupancy Load: Oreon SpecialCode: SPECIFICS Number of Stories: Building Height:-== Mixed Use: Number of Dw Units: Number of Bathrooms: I 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 Side and Setback-Left Side and Setback-Front Side and Setback-Right Side and 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: $ � ;�Jr�, FEES DUE $ DC Prov Rvw,COM TI-Ping $ 1� Permit Fee-Add,Alt,Demo DC Provision Review Fee for COM TI(effective 7/1/2015) $ ?U 12%State Surcharge Project Valuation $ ( ,—7r—) Plan Review,Structural Up to$4,999 $0.00 $ Plan Review,Fire Life Safety $5,000-$74,999 $88.00 $ ,(j' 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: $ '` (v,.Z. TOTAL FEES DUE *TYPE OF USE: COM=commercial;CMS=commercial manufactured structure. **CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling unit;AU1'=alteration;DFM=demo;NEW,=new; OTR=other use for fences,decks,retaining walls,signs,awnings,or canopies). 1:\Building\Forms\OTC_BUP_070115.docx City of Tigard v COMMUNITY DEVELOPMI-N I'DEPAR'I'MEN'f' Building Permit Review — Commercial - No Land Use G _ _ Building Permit #: &,Q p 0(r----Cx�)3(a0 Site Address: 9 7 6//-,+n y Liv Suite/Bldg#: X00 Project Name: A n;-h U V1 T-T- (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: M I rl or f e (Y) 0 OW L E X I S t)0 G) o 1- G,'U— Existing Business Activity: (yl-trz t'ee'C Proposed Business Activir\: V �J`U_ COKYJ�'YU _4 r,Lk Verif}, site address/suite# exists and active in permit system. EHZiver"Terrace Neighborhood: ❑ Yes /No Zoning: M U C-.- Permitted -.-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: /y , V �(© Date: 2/3U//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: Site Plans: # Building Plans: am' Building Permit#: Lnter building permit# above. Workflow Routing: ff Planning ❑ Permit Coordinator ��iig Workflow Sign-off: 0 Sign-off for Planning(include notes from planning review) Route Application Documents: LT 'ilciing: original permit application, site plans, building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: I:ABuilding\For1is\B1dgPcrmi1Rvw_COM_NoLtmd Use_070915.docx Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building perrnit ❑ 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: I:\Building\Fonns\BIdgPennitRvw_COM_NoLandUse_070915.docx jpuilding Permit Application t O Commercial �� OOONLY RECEED City g Date/By:of Tigard Received � permit No.: 13125 SW Hall Blvd.,Tigard,OR 97�j�r Plan Review-} Phone: 503-718-2439 Fax: 503-5=60 3 0 2015 Date/By 2 Other Permit: Inspection Line: 503-639-4175 Date Ready/By Juris: ® See Page 2 for Internet: www.tigard-or.gov CITY OF TIC3AAD Notified/Method: /r Supplemental Information BUILDING DIVISION TYPE OF WORK REQUIRED DATA:I-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: -7 O S G1/ s New dwelling area: square feet City/State/ZIP: Ti L d 57 -L 351j Garage/carport area: square feet Suite/bldg./apt.no.: O 0 1 1 Project name: 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.: 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. s Valuation: $ 5 50 , 0 C) S- it Existing building area square feet New building area: a feet PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: tAl ,j Occupancy groups: City/State/ZIP: J Existing: Phone:( ) Fax:( ) New: APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: _S (Mme Nkto eeschedule Structural plan review fee or deposit): Contact name: p ( p ) FLS plan review fee(if applicable): Address: 6 City/State/ZIP: �5' Total fees due upon application: Phone:(S13107,11Fax: Amount received: E-mail: li 5#-;1 f- a - '- PHOTOVOLTAIC PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTkACT44R roof-top mounted PhotoVoltaic Solar Panel System. Business name: t Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: O Z Permit fee(includes plan review77 144 Ix,,6 $180.00 and administrative fees Phone:fo ) Q 11002_1 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: O Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained &ij d-f-IC 114,�J-1'7� within 180 days after it has been accepted as complete. Print name: �i Date: /Z� , v '� * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/11/2012 440-4613T(11/02/COM/WEB) MR", _ ° Building Division Accessibility: Barrier Removal Improvement Plan 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(259/6). 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): $ 1:\Building\Permits\BUP_C0M_PermitApp.doc Rev.12/11/2012 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 9780 SW SHADY LN 100, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - C of O BUP2015-00360 Jeff Grove Violation Summary: Inspector Contractor