Permit (32) CITY OF TIGARD BUILDING PERMIT
11
i." COMMUNITY DEVELOPMENT Permit#: BUP2016 00307
Date Issued: 10/27/2016
T f,GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 25101 DA00101
Jurisdiction: Tigard
Site address: 13190 SW 68TH PKWY 110
Project: Stearns Lending Subdivision: VARNS ACRES Lot: 9
Project Description: TI for existing tenant. Office demolition and doorway construction.
Contractor: VANOSDEL CONSTRUCTION Owner: PACIFIC NW PROPERTIES LIMITED PA
PO BOX 1057 STERN FAMILY LIMITED PARTNERSHIP
BATTLEGROUND,WA 98604 STERN, HELEN R REVOCABLE TRUST
6600 SW 105TH AVE#175
BEAVERTON, OR 97008
PHONE: 360-600-9916 PHONE:
FAX: 360-687-7677
Specifics: FEES
Description Date Amount
Type of Use: COM DC Provision Review,COM TI-Ping 10/27/2016 $90.00
Class of Work: ALT Type of Const: IIIB
Occupancy Grp: B Occupancy Load: 38 Permit Fee-Additions,Alterations, 10/27/2016 $195.38
Demolition
Dwelling Units: 0 12%State Surcharge-Building 10/27/2016 $23.45
Stories: 2 Height: 0 ft Plan Review 10/27/2016 $127.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/27/2016 $78.15
Value: $7,300 Info Process/Archiving-Lg$2.00(over 10/27/2016 $4.00
11x17)
Floor Areas:
Total Area: 3748
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $517.98
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 Notif`tion 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 calli •'.11112.1987 or 1.800.332.2344.
i
c. 1
Issued By:Lj,1 ",f-,— ` Rermitl:.ee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available insp-, on date.
This permit card shall be kept in a conspicuous place on the job site u- it completio of the project.
Approved plans are required on the job site at the time•'each inspecti• .
Building Permit Application
Commercial FOR OFFICE USE ONLY
City of Tigard teBed 6 l(0 ''
�� Permit No.: -r p`
,liN
13125 SW Hall Blvd.,Tigard,OR 97223 �{ t Plan Revie. � �
_ Other Permit
Phone: 503.718.2439 Fax: 503.598.1960III Date/B_ i1ti
T t G A R D Inspection Line: 503.639.4175 �l�+'Date R �t"r Juris: ® See Page 2 for
Internet: www.tigard-or.gov 4!(' Notified/Method: 0 a 'fi'• o Supplemental Information
3 "
TYPE OF WORK .,..rti REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 Demoliti +� � Permit fees*are based on the value of the work performed.
1 Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
ElAccessory building 0 Multi-family Number of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:13190 SW 68th Parkway New dwelling area: square feet
City/State/ZIP:Tigard,Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:110 Project name:Sterns Tenant Improvement Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Building on the corner of SW 68th Pkwy and SW 66th Pkwy 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.
Wall removal and wall opening from corridor into Suite 110 for door and relite. Valuation: $$7,300.00
Existing building area: 3,748 square feet
New building area: - square feet
0 PROPERTY OWNER 0 TENANT Number of stories: 2
Name:Pacific NW Properties Type of construction: III-B
Address:6600 SW 105th Ave,Ste 175 Occupancy groups:
City/State/ZIP:Beaverton,Oregon 97008 Existing: B
Phone:( ) Fax:( ) New: B
.: APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Mildren Design Group,PC (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Curt Trolan
FLS plan review fee(if applicable):
Address:7650 SW Beveland St,Ste 120
Total fees due upon application:
City/State/ZIP:Tigard,Oregon 76223
Phone:(503)244-0552 Fax: :(503)244-0417 Amount received:
E-mail:curt@mdgpc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:VanOsdel Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:PO Box 1057 Solar Installation Specialty Code checklist.
City/State/ZIP:Battle Ground,WA 98604 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(360)687-8636 Fax:(360)687-7677 State surcharge(12%of permit fee): $21.60
11
CCB lic.:164073
Total fee due upon application: $201.60
Authorized signature: -' ' This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name , h4 l 1,Lp,ri>,j- Date:10/20/2016 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BU' COM Permi • .p.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
Appointment Checklist
Permit Record#: Z41/943..C A ;—00 307
Contact Name: OM i leireit) Phone #: (ce3) ?1/2 –0$'6
Business Name: "i kiiz✓t.) �r_j,' ., Appt. Date/Time: /i f;.7//(p ft,-'00 et "0,
Site Address: /3/9) (S'z....) a . c gL,1 ijv Bldg/Suite #: `/o
Project Name: c K .sitar t5 Levett1
Project Description: pig €e,- j, /- } c olcvT Ge J v c/ CIA),
Existing Use: e New Use: IJ
MMD Required: El Yes [lPICro– Related Record#:
GENERAL INFORMATION ;
r
Class of Work: 't Occupancy Group: Type of Construction: c-6 e5
Type of Use: # l Occupancy Load: Oregon Specialty Code: �Q
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: #..a- 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: Ce�''L' 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: $ +7 t
cs -
$ •l,0 DC Prov Rvw,COM TI—Ping
$ , ' 'ermit Fee-Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2016) $ % 6j' L 4,5- 12%State Surcharge
Project Valuation $ 1'2--7,1 ) Plan Review,Structural
Up to$4,999 $0.00 $ 7.E,1"5-- Plan Review,Fire Life Safety
$5,000-$74,999 $90.00 $ , Z" 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
$ Other:
Building Staff: $ Other:
Date/Time: $ ' 17 t'TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070116.docx
City of Tigard
" COMMUNITY DEVELOPMENT DEPARTMENT
111
T 1 c A R D Building Permit Review — Commercial - No Land U s e
Building Permit #: etAPAC)1(0., `3C `7
Site Address: 310 0 S%AI 8 "ft'' Suite/Bldg#: I I 0
Project Name: S ft°r n S TZ
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: -En t rrb l Tr w a g 1 tf MCS stu / t Wall d 9-Pitt
Existing Business Activity: C 0 ftatiAti`ca.
Proposed Business Activity: c,,0 (Y)(YL -a
je Verify site address/suite# exists and active in permit system.
7 River Terrace Neighborhood: ❑ Yes No
Zoning: Y" ' U G.
17 Permitted Use: VYes ❑ No ❑ Spec Space
I. Confirm no land use required.
// Business License:
Exists: /Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning:. Date: I D/2-7/
i (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: f1
Site Plans: #
Building Plans:
Building Permit#: [nter building permit#above.
Workflow Routing: Tanning ❑ Permit Coordinator a ding
Workflow Sign-off: [zYSign-off for Planning(include notes from planning review)
Route Application Documents: d ng: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: on_
By Permit Technician:' - Date: /04.7/4,
I:\Building\Forms\B1dgPermitRvw_COM_NoIandUse_060116.docx
Permit Coordinator Review
El 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\Forms\BldgPennitRvw_COM NoLandUse 070915.docx