Permit (115) CITY OF TIGARD BUILDING PERMIT
F` ! • COMMUNITY DEVELOPMENT Permit#: BUP2016-00070
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/02/2016
Parcel: 1S 135DC00200
Jurisdiction: Tigard
Site address: 11825 SW GREENBURG RD 100
Project: Spec Space Subdivision: TIGARDVILLE PARK Lot: 8
Project Description: Converting existing office space into smaller offices for a total of(9)new suites.
Contractor: GENERAL CONSTRUCTION SERVICES Owner: TWO G'S REAL ESTATE LLC
18395 WOOD THRUSH ST 18395 WOOD THRUSH ST
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035
PHONE: 503-684-0550 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 03/02/2016 $119.33
Demolition
Occupancy Grp: B Occupancy Load: 17 12%State Surcharge-Building 03/02/2016 $14.32
Dwelling Units: 0 Plan Review 03/02/2016 $77.56
Stories: 2 Height: 0 ft Plan Review-Fire Life Safety 03/02/2016 $47.73
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 03/02/2016 $2.00
Value: $3,000 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $260.94
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 Cod-- - d 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 iss • ce, ,r if work is s pended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifica'.n Cer er. Thos= are sel 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. 03.232 :7 or 1.81. „/344.
Issued By: 'tee Signature:
eta?
-C-:1Z-9-.4175 by 7:00 a.m.for the next available in p: ion d.
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.
City of Tigard • BUILDING DIVISION
1 ,
Over-The-Counter (OTC) Building & Fire Protection System Permit
TIGARD Appointment Checklist
Permit Record#: 8(,�„al/(o--0007C
Contact Name: ,,``tet -Ls._s` Phone #: r"- .: -(x f50-4 chi 4/
Business Name: 'lam i3)e: �b--�� �.`�" Appointment Date: 3 fa ala:Thi.
Site Address: ( I Sac , . I V-A5 #l oU Bldg/Suite #: /oc
Project Name: -,(.L.-,-c__ `d(0v--0._.-
Project Description: --TT_ C a„.k-- Jam,, �4 spo-ck_ ,6_C) `c3 r~•
l 4 6,A1-41:—.2.- )
Existing Use: Glee-e,
co New Use: J!
MMD Required: E Yes 111 No Related Record #: %%°°"
` LICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work: Occupancy Group: �� Type of Construction: , ✓
Type of Use: GLk Occupancy Load: 1.7 Oregon Specialty Code: (A
SPECIFICS
Number of Stories: 2- 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: iclL' 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`[ ).,C FEES DUE
$ DC Prov Rvw,COM TI-Ping
$ .CI ..._ Permit Fee-Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ I, " 12%State Surcharge
Project Valuation $ `7, , t 4., Plan Review,Structural
Up to$4,999 $0.00 $ •`7, - ` Plan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ z-,_.,CC.) 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:
Building Staff: $ `Other:
Date/Time: $ 2. -314--T TAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_020916.docx
Building Permit Application
Commercial rcial FOR 01 f ICE USE O\L1
r
City of Tigard Received
Permit No.:A /`-t li _ 74
14 el 13125 SW Hall Blvd.,Tigard,OR 9722 v�1 Plan Review 1l
io
I. Phone: 503.718.2439 Fax: 503.59 �LIN
y Date/B : - .4b NI cher Permit
T I G A R D Inspection Line: 503.639.4175 Date Rea, ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 3 . ION Supplemental Information
�q 2 ?A
TYPE OF WORK �'�{ `y REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑ olAins"'; � Permit fees*are based on the value of the work performed.
rte' �1 � Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement ❑ W I• equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling to Commercial/industrial Valuation: $
❑Accessory building IDMulti-familyNumber of bedrooms:
El Master builder ID Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11825 SW Greenburg Rd New dwelling area: square feet
City/State/ZIP:Tigard OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Jla, Project name:Greenburg Business Park 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.
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.
New interior Partition Walls to create Executive Offices Valuation: $ t QOO
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 2
Name:Two G's Real Estate,LLC Type of construction: VB
Address: 18395 Wood Thrush St Occupancy groups:
City/State/ZIP:Lake Oswego OR 97035 Existing: B
Phone:( ) Fax:( ) New: B
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:NW Precision Design (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: Darin Bouska
FLS plan review fee(if applicable):
Address:22605 SW Pinehurst Ct
Total fees due upon application:
City/State/ZIP:Sherwood OR 97140
Amount received:
Phone:(503)680-6444 Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:Darin@NW-Precision.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:GCS General Client Services,Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 18395 Wood Thrush St Solar Installation Specialty Code checklist.
City/State/ZIP:Lake Oswego OR 97035 Permit fee(includes plan review $180.00
and administrative fees): _
Phone:(503)684-0550 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: 186091
0Total fee due upon application: $201.60
This
Authorized signature: permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Darin Bouska Date:2/29/2016 * Fee methodology set by Tri-County Building Industrc
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 l/02/COM/WEB)
'i
III _ 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] $ 3, 0 O 0
MULTIPLIER(25%barrier removal requirement): x .25
tita
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ /50
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: $ Z 2.S • d0
(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 PennitApp.doc 03/03/2011
City of Tigard
II ■ r COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 5jp /&--0007o
Site Address: //a2c c_WO �J-�71jr`, pcAuite/Bldg#:
Project Name: c3:60,2hig jiip� k
(Name of commebusiness occupying the space. 1 f vacant,enter Spec Space.)
Planning Review
Proposal: C'Av0r'71' j c.?�i`Scie ii97'�� S'F'v '?nsv( S'11v/,0;^ (X��'7c:c2
Sr s' - V
Existing Business Activity: ( j)C:e
Proposed Business Activity: e _s
Verify site address/suite#exists and active in permit syst .
fa''.ver Terrace Neighborhood: ❑ Yes NNo
f&iZoning: c-),
permitted Use: CIYes ❑ No Spec Space
nfirm no land use required.
Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
41111114t
Approved by Planning: ,‘ Date: //4,
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: 3././Vie
Site Plans: #
Building Plans: #
Building Permit#: D•�nt building permit#above.
Workflow Routing: ILJ'I'lanning 0 Permit Coordinator B--Bu 'ng
Workflow Sign-off: Eill -off for Planning(include notes from planning review)
Route Application Documents: E Bu Wig, original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: 0 j 3
By Permit Technician: - ..
_ Date:
I:\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:
I:'.Building\Fonns\B1dgPermitRvw_COM_Noland Use_070915.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
11825 SW GREENBURG RD 100, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2016-00070
Jeff Grove
Violation Summary:
Inspector Contractor