Permit (12) CITY OF TIGARD BUILDING PERMIT
2:. COMMUNITY DEVELOPMENT Permit#: BUP2016-00305
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/26/2016
TE[- t• 9 Parcel: 2S112DC01400
Jurisdiction: Tigard
Site address: 15865 SW 74TH AVE 105
Project: Cognex Conference Room TI Suite 105 Subdivision: FANNO CREEK ACRE TRACTS Lot: 4
Project Description: TI for existing tenant:(2)new conference rooms.
Contractor: PERLO CONSTRUCTION LLC Owner: JDS LLC
16101 SW 72ND AVE SUITE 200 CRITERION CREEKVIEW LLC
TIGARD, OR 97224 BY SPECTRUM REAL ESTATE ADVISORS
1125 SE DIVISION ST#209
PORTLAND, OR 97202
PHONE: 503-624-2090 PHONE:
FAX: 503-639-4134
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 10/26/2016 $224.00
Occupancy Grp: B Occupancy Load: 145 Permit Fee-Additions,Alterations, 10/26/2016 $932.76
Demolition
Dwelling Units: 0 12%State Surcharge-Building 10/26/2016 $111.93
Stories: 0 Height: 0 ft Plan Review 10/26/2016 $606.29
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/26/2016 $373.10
Value: $77,000 Info Process/Archiving-Lg$2.00(over 10/26/2016 $6.00
11x17)
Floor Areas:
Total Area: 19518
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,254.08
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. 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.
'...---7 ..."'
Issued By: ���-��^-/ Permittee Signature: ?��i✓Ln
03.639.4175 by 7:00 a.m.for the next available inspection date. te^
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()RACE USE()NEN'
City of Tigard .i. `""' �Q\ _ ,AZ"' •ermitNo.:` #- ' i
ill 4 13125 SW Hall Blvd.,Tigard,OR 972 �y is
_ N O En Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960iz.
T I G ARD Inspection Line: 503.639.4175 �� �a 'eady See Page 2 for
Internet: www.tigard-or.gov ,,j . -,otifed/Method: i, Supplemental Information
TYPE flF WORK
REQUIRED DATA AND 2-FA IILY DWEL ING
El New construction ❑Demtn Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement El Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF`CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
- Number of bedrooms:
1=IAccessory building El Multi-family
1=I Master builder El Other:
Number of bathrooms:
„IOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15865 SW 74th Avenue New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:105 Project name:Tenant Improvement Cognex Covered porch area: square feet
Cross street/directions to job site:SW Durham Road and SW 74th Avenue, Deck area: square feet
Approximately 1 block north of intersection on west side of SW 74th Avenue. Other structure area: square feet
REIN/RED >AT4t COMMERCIAL-USECU CKLI T
Subdivision:Fanno Creek Acre Tracts Lot no.:2 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S112DC01400 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
-,DESCRIPTION OF WORK"-:,:,,,,,,.Swork indicated on this application.
Tenant improvement.Addition of 2 conference rooms. Valuation: $77,000.00
Existing building area: 19518 square feet
New building area: 0 square feet
PROPERTY OWNER. 0 =TENANT Number of stories: 1
Name:Cognex Corporation-Portland Type of construction: II-B
Address:15865 SW 74th Avenue Suite 105 Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing: B
Phone:(503)431-8730 Fax:( ) New: B
6!APPLICANT r' CONTACT PERSON, ' BUILDING PERMIT FEES'
Business name:Mildren Design Group,P.C. GPteusa �t tarefie&ule
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,OR 97223 Total fees due upon application:
Phone:(503)244-0552 Fax::(503)244-0417 Amount received:
tY@ gP 'IIOTQVOLTAIC SOS rANEL SYSTEM FEES
E-mail:bet and c.com -'','.. ..
� + '_
Commercial and residential prescriptive installation of
e,-.1',.:, „. , C(�TElwT�� �
. ,. - . roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Perlo Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:16101 SW 72"Avenue,Suite 200 Solar Installation Specialty Code checklist.
City/State/ZIP:Portland,OR 97224 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)624-2090 Fax:(503)639-4134 State surcharge(12%of permit fee): $21.60
CCB lic.:189245
Total fee due upon application: $201.60
This permit application expires if a permit is not obtained
Authorized signature:
Rt7Z----- 9v within 180 days after it has been accepted as complete.
Print name:Betty Sheppeard Date:26 Oct 2016 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
IIICOMMUNITY DEVELOPMENT DEPARTMENT
IC
T I G A RD Building Permit Review — Commercial - No Land Use
Building Permit #: /�l.,,a//6, C )3c)c-
Site Address: l` ? 4/4 /5'y Suite/Bldg#: /ac
Project Name: (70e 12ey
(N..••- .f commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 77./- er, A' 4,44--
V ,
Existing Business Activity: L J��- indusirlai
Proposed Business Activity: ``/ // /1
Verify site address/suite# exists and active in permit system.
'ver Terrace Neighborhood: ❑ Yes ❑ No 1
r oning: /--P
Vermitted Use: WY i Yes ❑ No ❑ Spec Space
nfirm no land use required.
Business License.
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: ��y Date: /0��(ph `
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: /'(3 ; //r
Site Plans: # /%
Building Plans: # �
Building Permit#: tyte' r'b—uilding permit#above.
Workflow Routing: Planning ❑ Permit Coordinator .- 4ttilding
Workflow Sign-off: align-off for Planning(include notes from planning review)
Route Application Documents: QY iilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes: e3`_
By Permit Technician: ",..---/.."4„..6 ,,,,,--4„. Date: `e A, (i`'
I:\Building\Fonns\BldgPermitRvw_COM_NoLandUse 060116.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 E N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Fonns\BldgPennitRvwCOM NoLandUse 070915.docx
14 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] $
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): $
Note: This tenant space is in full ADA compliance.
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
111 Building Division
Plan Submittal Requirements
TI GARD Commercial&Multi-Family-New,Additions or Alterations
1. SITE PLAN (fully dimensional, drawn to scale) labeled with:
A. ❑ map&tax lot# ❑ project name ❑ site address ❑ suite number
0 zoning ❑ applicant name 0 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. EXTRA SET OF THE FOLLOWING:
A. Two (2) copies of site plan to include vicinity map.
B. One (1) copy of erosion control plan with details.
C. Fire Department Building Survey, and full set of architecture drawings.
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
_ Building Division
Plan Submittal Requirement Matrix
TIGARD Commercial&Multi-Family-New,Additions or Alterations
Type of Submittal of Plans
(Includes-new,additi6es and alterations) Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
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
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\BUP-COM PermitApp.doc 03/03/2011
City of Tigard • BUILDING DIVISION
11114
Over-The-Counter (OTC) Building & Fire Protection System Permit
Appointment Checklist
Permit Record#: 611;2614 —w3o5
Contact Name: L y Phone#: Vim/''4-575:2.,
Business Name: /y/44/e.... ./v. , `6,kr Appt. Date/Time: //Z , @.
Site Address: /5 .Set) 7 Bldg/Suite #: /0.5-
Project Name: Gi✓�}G
Project Description: 77.Z '. ,V ot, /I_pd/j 7 ) ,j7'
Existing Use: New Use:
MMD Required: 0 Yes No Related Record#:
GENERAL INFORMATION
Class of Work: �{ Occupancy Group: Type of Construction: ]
Type of Use: ( Occupancy Load: Oregon Specialty Code: -20
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: (' 'j f8 Carport: Mezzanine:
SETBACKS J
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: $ '77�COD
o
$ _ 1 414 C Prov Rvw,COM TI—Ping
$ 2, Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2016) $ ( e 12%State Surcharge
Project Valuation $ Plan Review,Structural
Up to$4,999 $0.00 $ 7` + le) Plan Review,Fire Life Safety
$5,000-$74,999 $90.00 $ b,t Info Proc/Arch,Lg(over 11x17$2.00)
$75,000 $149,999 $224.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $357.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ r:
Building Staff: $ i)ther:
Date/Time: $( 24I4POTAL ES DUE
I:\Building\Forms\OTC_BUP_FPS_070116.docx