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Permit (134)
CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2016-00332 T I c:;A it T) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/29/2016 Parcel: 2S113AB00500 Site address: 16083 SW UPPER BOONES FERRY RD 100 Jurisdiction: Tigard Project: Healthy Living Subdivision: FANNO CREEK ACRE TRACTS Lot: PT 37 Project Description: Minor demo of some existing walls,erect new interior walls to create office areas and enclosed staff room. Contractor: BARTEL CONTRACTING INC Owner: PG&S FC LLC O BOX 160 GLADSTONE,OR 97027 16083 SW UPPER BOONES FERRY RD, STE TIGARD, OR 97224 PHONE: 503-650-4084 PHONE: FAX: 503-650-4104 Specifics: FEES Type Date Amount of Use: COM DC Provision Review,COM TI-Ping 11/29/2016 $90.00 Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 11/29/2016 $630.27 Occupancy Grp: B Occupancy Load: 42 Dwelling Units: 0 Demolition Stories: 3 12%State Surcharge-Building 11/29/2016 $75.63 Height: 0 ft Plan Review Bedrooms: 0 Bathrooms: 0 11/29/2016 $409.68 Plan Review-Fire Life Safety 11/29/2016 $252.11 Value: $40,916 Info Process/Archiving-Lg$2.00(over 11/29/2016 11x17) $6.00 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,463.69 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 Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00 10 through R 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. Is ued By: •• Permittee Signature: 16e4vaL, Call 503.6 39.4175 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 ,, ii, FOR OFFICE usH.onLY City of Tigard ' r 4 r 3 N Received qq 13125 SW Hall Blvd.,Tigard,OR 97223 1 'A/ /j] ill : ■. Dan R J Permit No.: _ �j�1��/�� 11111 Phone: 503.718.2439 Fax: 503 59 IJi Plan Review.-1.---� , w TIGARD Inspection Line: 503.639.4175 ��� ���� DateR __ Internet: Line:www.tigard-or.gov ,t Date Ready'M' l�" d '1 s 9 .....3,,:::,',.-": Notified Method: �f A9���t'� 1,411111111 ® See Page 2 for 1 �t8 °,d � I® Supplementallnformation TYPE OF WORK 0 New construction REQUIRED DATA.1- 2-FAMILY DWELLING 0 Demolition Permit fees*are based on the value of the work performed. ®Addition/alteration/replacement 0 Indicate the value(rounded to the nearest dollar)of all Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. CATEGORY OF CONSTRUCTION ❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Job site address:16083 SW Upper Boones Ferry Road Total number of floors: City/State/ZIP:Tigard,OR 97224 New dwelling area: square feet Suite/bldg./apt.no.:100 Project name:Healthy Living T.I. Garage/carport area: square feet Cross street/directions to job site: Covered porch area: square feet SW Upper Boones Ferry Rd&SW 72"d Ave. Deck area: square feet Other structure area: square feet Subdivision: REQUIRED DATA:COMMERCIAL-USE CHECKLIST Tax map/parcel no.:W248495 Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORKwork indicated on this a.. Tenant improvement:minor demo of existing walls. Erect new interior walls to Valuation: n. $ 0, 16 create office areas and enclosed staff room. $40,916.00 Existing building area: 3,383 square feet IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIINNNNI IEJPROPERTY OWNER New building area: p square feet Name:Parkland Development,LLC(Su Moran) 0 TENANT Number of stories: 3 Type Address:16083 SW Upper Boones Ferry Rd.,Suite 120 cu of construction: II-B City/State/ZIP:Tigard,OR 97224 Occupancy groups: Phone:(503)639-0108 Existing: B T ►� APPLICANT New: B Business name:LRS ArchitectsLNT 0 CONTACT PERSONBUILDING PERMIT FEES* Contact name:Darcie McConnaha Please reerro re schedule Structural plan review fee(or deposit): IIIIIIIIIIIII Address:720 NW Davis St.,Suite 300 FLS plan review fee(if applicable): IIIIIIIIIIII City/State/ZIP:Portland,OR 97209 Total fees due upon application: IIIIIIIIIIII Phone:(503)221-1121 E-mail:dmcconnaha@lrsarchitects.com Amount received: 11111111111 11111111 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name:Built Environment NW Submit two(2)sets of roof plan with connection details Address: 135 East Hereford Street and fire department access,along with the 2010 Oregon City/State/ZIP:Gladstone,OR 97027 Solar Installation S.eclal Code checklist. Phone:(503)650-4086 Permit fee(includes plan review Fax:(503)650-4104 and administrative fees : $180.00 CCB lic.:79970 State surcharge(12%of permit fee): $21.60 Authorized signature: Total fee due upon application: $201.60 / �� This permit application expires if a permit is not obtained Print name:Darcie McConnaha within 180 days after it has been accepted as complete. Date:11.29.2016 * 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) , _ 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] $ 40,916 MULTIPLIER(25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 10,229 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): $ Building is 100% accessible and no ADA upgrade is required. I:\Building\Peanuts\BUP-COM PermitApp.doc 03/03/2011 Commercial Application Checklist City of Tigard 13125 SW Hall Blvd., Tigard,OR 97223 r 1 c n Phone: 503.718.2439,Fax: 503.598.1960 Internet address: www.tigard-or.gov Project name: Healthy Living T.I. PROJECT INFORMATION Date: 11.29.2016 Address: 16083 SW Upper Boones Ferry Rd. City: Tigard State: R Scope of work: Interior T.I.: Minor interior demo and new interior wall constructionioZIP: 97224 Reference no.: Map and tax-lot no.: W248495 Contact person name: Darcie McConnaha Company: LRS Architects Phone: 503-221-1121 Cellular phone: 503-550-4453 , E-mail: dmcconnaha©lrsarchitects.com NOTES AND■ The purpose of this checklist is to help define a complete Rsubmittal NS review will not take place until a complete package is submitted. package for the scope of work. Plan • This checklist can be used for all commercial construction projects, including new constructs alterations and tenant improvements. on, additions, • For complex projects, applicants should use the "location" space to note the item's location number from the plans or the specification book. and page • It is not necessary to duplicate submittal information, even if it is asked for in multiple sects • In the checklist, "Required"means that the applicant must provide this information forplan review.. • In the checklist, "P"means— • if checked by the applicant—the information is provided for the plan review. • if checked by the plans reviewer—this information is required for the plan review. • In the checklist, "NA"means that the information does not apply. • Choose only those sections of the checklist that apply to your scope of work. Section 1.0, "General Data "must be included with each .ro'ect submitted. Project An applicant may request a pre-submittal meeting with representativesPROCESS will be built. The meeting may take place during the conceptual, schemat c, or in-progress phase whichsdiction in the project applicant has completed plans. phase, or when the INDEX OF CHECKLIST SECTIONS 1.0 General project data 2.0 Civil data Page 2 7.0 Mechanical data(Types I and II 2.0 Architectural data Page 2 kitchen-hood permits) 4.0 Structural data Page 3 8.0 Plumbing data Page 6 8 5.0 Mechanical data(new construction, tenant Page 4 9.0 Electrical data Page 7 10.0 Fire-suppression data Page 9 improvement, gas-piping permits) Page 9 ••••,•.......Page 5 11.0 Fire-detection and fire-alarm data Page 9 6.0 Mechanical data(additional or replacement rooftop-equipment installation ermits 12.0 Re-roof installation data p ).....Page 6 13.0 Jurisdictional requirements Page 10 This checklist is for building department jurisdictions in Clackamas,Multnomah, and Washington counties. 10 g ounties. 440-2734(8/01/WEB/COM) I:\Building\Forms\COM-Checklist.doc 05/21/15 SECTION 1.0 — GENERAL PROJECT DATA Location(sheet number or spec section) Construction documents 1.1 ® Required No. of sets of plans: New: 3 TI: 3 — 1.2 II Required Cover sheet title block 1.3 ® Required Cover sheet vicinity map 1.4 ® Required Cover sheet plan index — 1.5 0P El NA Code summary 1.6 ❑x P ❑ NA Deferred submittal summary 1.7 El P ❑ NA Professional stamp and signature 1.8 0 P ❑ NA Fire and life-safety plan — 1.9 ❑ P x❑ NA Landscape plan 1.10 ❑ P El NA Landscape specifications Notes Supporting documents 1.20 ❑ P 0 NA Land-use or planning actions 1.21 ❑ P 0 NA Required fire-flow calculations — 1 22 ❑ P 0 NA Fire-hydrant flow-test report 1.23 0 P El NA Fire department or fire district building survey report...... 1.24 ❑ P 0 NA Material safety data sheets (MSDS) SECTION 2.0 — CIVIL DATA Location(sheet number or spec section) Construction documents 2.1 ® Required Site plan 2.2 /4 Required Site utility plan _ 2.3 Il Required Grading plan 2.4 ►1 Required Erosion-control plan 2.5 ❑ P x❑ NA Utility-vault location and details Notes Supporting documents 2.20 ❑ P 0 NA Geotechnical/soil engineer report 2.21 ❑ P ❑x NA Storm-water calculations 2 22 ❑ P 0 NA Site retaining-wall structural calculations 2 23 ❑ P 0 NA "Assurance of Compliance"with environmental rules .... • 2 440-2734(8/01/WEB/COM) Tri-County Commercial Application Checklist For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties I:\Building\Forms\COM-Checklist.doc SECTION 3.0 — ARCHITECTURAL DATA Construction documents ® Required FloorLocation(s 3 2 plan(s) (sheet number or spec section) 3. ® Required Transverse �'��""":""""' and longitudinal cross sections........ 3.3 ® Required OSSC Chapter 11 accessibility requirements.......... 3.4 ❑ P 0 NA Interior elevations Exterior elevations.......................................................... f plans.... 3.7 ❑ P 0 NA Exterior wall sections and details. 3.8 x❑ P ❑ NA Reflect .................................. 3.9 ed ceiling plan(s)................................................. ❑ P 0 NA Fire-rated construction details........................................ 3.10 0 DNA Energy code compliant construction details and specifications.................................................................. 3.11 ❑ P x❑ NA Door schedule............... 3.12 3.13 ❑ P 1J NA Glazing schedule P ❑ NA Furniture plan................................................................. Supporting documents 3.20 ❑ P 0 NA Energy code compliance forms/calculations...... Notes 3.21 ❑ P EJ NA Material safety data sheets (MSDS)............. 3.22 ❑ P 0 NA Hazardous materials inventory statement(HMIS .. 3.23 ❑ P 0 NA Hazardous materials management plan (HMMP)).. 3.24 ❑ P 0 NA Written fire and life-safety evacuation plan for area 3.25 of rescue assistance ............ . . .. .. . . .. ❑ P 0 NA Active and passive smoke-control information.............. 440-2734(8/01/WEB/COM) unty ial For use in building department jurisdictionts in�ClacckamtasttMultnomah Checkliston i:\Building\Forms\COM-Checklist.doc 3 and Washington Counties SECTION 4.0 — STRUCTURAL DATA Location(sheet number or spec section) Construction documents 4.1 ® Required Structural cover sheet..................................................... x NA Foundation plan......... 4.2 ❑ P ❑ Under-slab mechanical plan........................................... 4.3 ❑ P ❑x NA 4.4 0 P 0 NA Under-slab electrical plan..•.•.•. ...•.•................................ 4.5 ❑ P 0 NA Under-slab plumbing plan. Floor framing plan.......................................................... 4.6 0 P 1 NA x NA Roof framing plan .......................................................... 4.8 0 P 0 NA Structural elevations................ Structural details and cross sections.............................., 4.9 ❑ P SNA . ......................... 4.10 0 P X❑ NA Standpipe information........................• • 4.11 0 P 0 NA Special inspector/structural observation matrix....•••................................. Notes Supporting documents 4.20 0 P 0NA Geotechnical/soil engineer report................................... 4.21 0 P 0 NA Site-specific seismic hazard report................................. 4.22 0 ❑ X NA Design narrative ......................................................... ..................................................., 4.23 0 P 0 NA Structural calculations 4 440-2734(8/01/WEB/COM) Tri-County Commercial Application Checklist For use in building department jurisdictions in Clackamas,Multnomah, and Washington Counties I:\Building\'orms\COM-Checklist.doc . . , SECTION 5.0 — MECHANICAL DATA (New construction, tenant improvement, gas piping permits) Construction documents Location(sheet number or spec section) 5.1 El Required Floor plan 5.2 El Required Equipment schedule 5.3 0 P El NA Site plan _ 5.4 0 P 0 NA Under-slab mechanical plan 5.5 0 P 0 NA Roofplan 5.6 0 P 0 NA Fuel gas piping plan 5.7 0 P 0 NA HVAC equipment and duct plan(s) — 5.8 El P 0 NA Roof access details 5.9 0 P 0 NA Duct smoke detector plans 5.10 0 P 0 NA Fire/smoke damper locations 5.11 0 P 0 NA Smoke control plan 5.12 0 P 0 NA Outside air(OSA) table 5.13 0 P 0 NA Refrigeration equipment and piping plan _ 5.14 0 P 0 NA Kitchen equipment plan 5.15 0 P 0 NA Type I and/or Type H kitchen hood plan (see Section 7.0—Mechanical Data) — 5.16 0 P 0 NA Fume/vapor hood plan 5.17 0 P 0 NA Process piping/product and/or exhaust-conveying duct plan _ 5.18 0 P 0 NA Fire-rated construction details 5.19 0 P 0 NA Equipment hanger/fastener details Supporting documents Notes 5.20 [E] Required Structural calculations for vertical loads and lateral loads for equipment weighing over 400 pounds _ 5.21 0 P 0 NA Equipment manufacturers' catalog "cut sheets" or specifications 5.22 0 P 0 NA Outside air (OSA) calculations 5.23 0 P 0 NA Smoke-control calculations 5.24 0 P 0 NA Combustion air calculations 5.25 0 P 0 NA Fuel gas piping sizing calculations 5.26 El P 0 NA Make-up air calculations 5.27 D P 0 NA Energy code compliance forms 5.28 0 P 0 NA Boiler information 440-2734(8/01/WEB/COM) Tri-County Commercial Application Checklist 5 For use in building department jurisdictions in Clackamas,Multnomah, and Washington Counties i:\BuildingWorms\COM-Checklist.doc SECTION 6.0 — MECHANICAL DATA (Additional or replacement rooftopainstallation permp s)cseerion) Construction documents 6.1 ® Required Roof plan 6.2 ❑ P ❑ NA Roof framing plan 6.3 ❑ P ❑ NA Fuel gas piping plan --- 6.4 ❑ P ❑ NA Roof access details I Notes Supporting documents 6.20 ® Required Structural calculations for vertical loads and lateral loads for equipment weighing over 400 pounds 6.21 ❑ P ❑ NA Equipment manufacturers' catalog"cut sheets" or specifications 6.22 ❑ P ❑ NA Fuel gas piping sizing calculations 6.23 ❑ P ❑ NA Energy code compliance forms SECTION 7.0 — MECHANICAL DATA (Type I and Type II kitchen hood permits) Location(sheet number or spec section) Construction documents 7.1 ® Required Site plan 7.2 ® Required Floor plan(s) 7.3 ® Required Kitchen equipment plan 7.4 ® Required Kitchen equipment and hood elevations 7.5 ❑ P ❑ NA Roof plan 7.6 ❑ P ❑ NA Cross sections through hoods, ducts and shafts 7.7 ❑ P ❑ NA Fire-rated construction details 7.8 ❑ P ❑ NA Fire suppression details I Notes Supporting documents 7.20 ® Required Structural calculations for vertical loads and lateral loads for equipment weighing over 400 pounds 7.21 ® Required Make-up air calculations 7.22 ❑ P ❑ NA Equipment manufacturers' catalog"cut sheets" or specifications 7.23 ❑ P ❑ NA Hood/grease extractor listing documentation 7.24 ❑ P ❑ NA Hood/grease duct sizing calculations ____ 7.25 ❑ P ❑ NA Fire suppression information 6 440-2734(8/01/WEB/COM) Tri-County Commercial Application Checklist For use in building department jurisdictions in Clackamas,Multnomah, and Washington Counties I:\Building\Forms\COM-Checklist.doc SECTION 8.0— PLUMBING DATA Construction documents Location(sheet number or spec section) 8.1 ® Required Floor plan(s) 8.2 ® Required Piping and material schedule 8.3 ® Required Equipment layout plan 8.4 ® Required Fixture schedule 8.5 ❑ P ❑ NA Site utility plan 8.6 ❑ P ❑ NA Building cross section 8.7 ❑ P ❑ NA Rise diagram 8.8 ❑ P ❑ NA Roof plan 8.9 ❑ P ❑ NA Back flow prevention location 8.10 ❑ P ❑ NA Irrigation plan 8.11 ❑ P ❑ NA Fire-rated construction details 8.12 ❑ P ❑ NA Under-slab plumbing plan Supporting documents 8.20 ® Required Structural calculations for vertical loads and lateral Notes loads for equipment weighing over 400 pounds 8.21 ❑ P ❑ NA Equipment manufacturers' catalog "cut sheets" or specifications 8.22 ❑ P ❑ NA Utility maintenance agreements 8.23 ❑ P ❑ NA Water supply calculations 8.24 ❑ P ❑ NA Sanitary system calculations 8.25 ❑ P ❑ NA Irrigation demand calculations 8.26 ❑ P ❑ NA Roof drain and storm water calculations 440-2734(8/01/WEB/COM) Tri-County Commercial Application Checklist For use in building department jurisdictions in Clackamas,Multnomah, and Washington Counties 7 i:\Building\Forms\COM-Checklist.doc SECTION 9.0 —ELECTRICAL DATA Location(sheet number or spec section) Construction documents 9.1 ® Required No. of sets of plans: 2 9.2 ® Required Floor plan(s) 9.3 ® Required Electrical load calculations 9.4 ® Required One line diagram 9.5 ® Required Feeder riser diagram 9.6 ® Required Available fault current information 9.7 ® Required Panel schedule(s) 9.8 ❑ P ❑ NA Site electrical plan 9.9 ❑ P ❑ NA Fire-rated construction details 9.10 ❑ P ❑ NA Lighting plan 9.11 ❑ P ❑ NA Emergency power system and emergency lighting plan 9.12 ❑ P ❑ NA Under-slab electrical plan -- Notes Supporting documents 9.20 ® Required Structural calculations for vertical loads and lateral loads for equipment weighing over 400 pounds 9.21 ❑ P ❑ NA Energy code compliance forms and calculations for lighting 9.22 ❑ P ❑ NA Emergency power system specifications 9.23 ❑ P ❑ NA Feeder riser information 9.24 ❑ P ❑ NA Lighting equipment manufacturers' catalog "cut sheets" or specifications 8 440-2734(8/01/WEB/COM) Tri-County Commercial Application Checklist For use in building department jurisdictions in Clackamas,Multnomah, and Washington Counties I:\Building\Forms\COM-Checklist.doc SECTION 10.0 - FIRE SUPPRESSION DATA Construction documents Location(sheet number or spec section) 10.1 i4 Required Floor plan(s) 10.2 [E Required Sprinkler piping plan(s) 10.3 0 P 0 NA Site plan 10.4 0 P 0 NA Standpipe information 10.5 Li P 0 NA Back flow prevention information 10.6 0 P 0 NA Reflected ceiling plan(s) 10.7 0 P 0 NA Transverse and longitudinal cross sections 10.8 0 P ED NA Fire-rated construction details 10.9 0 P Li NA Specialty fire suppression system plans and list of systems Supporting documents Notes 10.20 [E] Required Structural calculations for vertical loads and lateral loads for equipment weighing over 400 pounds 10.21 E Required Equipment manufacturers' catalog"cut sheets" 10.22 0 P 0 NA Hydraulic calculations 10.23 0 P 0 NA Specialty fire suppression system information SECTION 11.0 - FIRE DETECTION AND ALARM DATA Construction documents Location(sheet number or spec section) 11.1 ORequired Floor plan(s) 11.2 0 P 0 NA Site plan 11.3 0 P 0 NA Reflected ceiling plan(s) 11.4 0 P 0 NA Transverse and longitudinal cross sections 11.5 Li P 0 NA Wiring schematic 11.6 0 P 0 NA Elevator recall information 11.7 0 P 0 NA Operational matrix 11.8 0 P 0 NA Fire-rated construction details 11.9 0 P 0 NA Standard electrical notes Supporting documents Notes 11.20 i4 Required Structural calculations for vertical loads and lateral loads for equipment weighing over 400 pounds 11.21 [El Required Equipment manufacturers' catalog "cut sheets" 11.22 Required Installer certification information 11.23 Li P 0 NA Battery calculations 11.24 0 P 0 NA Sample fire alarm log book 11.25 Li P 0 NA Emergency power system specifications 11.26 0 P 0 NA Monitoring station information 11.27 0 P 0 NA Voltage drop calculations 440-2734(8/01/WEB/COM) Tri-County Commercial Application Checklist 9 For use in building department jurisdictions in Clackamas,Multnomah, and Washington Counties \BuildingWorms\COM-Checklist.doc SECTION 12.0 — RE-ROOF INSTALLATION DATA Location(sheet number or spec section) Construction documents 12.1 ® Required Site plan or building location map 12.2 ►1 Required Occupancy classification 12.3 ® Required Type of construction 12.4 ® Required Minimum roof class required 12.5 ® Required Class of roofing to be installed 12.6 ® Required Roof plan 12.7 ❑ P ❑ NA Parapet and scupper cross section(s) Notes Supporting documents 12.20 ® Required Pre-re-roof inspection report 12.21 ® Required Roofing system listing information 12.22 ® Required Roofing manufacturer's catalog"cut sheets" 12.23 ❑ P ❑ NA Structural calculations 12.25 ❑ P ❑ NA Structural engineer's report SECTION 13.0 — JURISDICTIONAL–SPECIFIC REQUIREMENTS Construction documents Item Location(sheet number or spec section 13.1 ❑ P ❑ NA ❑ Required 13.2 ❑ P ❑ NA ❑ Required 13.3 ❑ P ❑ NA ❑ Required 13.4 ❑ P ❑ NA ❑ Required 13.5 ❑ P ❑ NA ❑ Required 13.6 ❑ P ❑ NA ❑ Required 13.7 ❑ P ❑ NA ❑ Required 13.8 ❑ P ❑ NA ❑ Required 13.9 ❑ P ❑ NA ❑ Required 13.10 ❑ P ❑ NA ❑ Required 10 440-2734(8/01/WEB/COM) Tri-County Commercial Application Checklist For use in building department jurisdictions in Clackamas,Multnomah, and Washington Counties I:\Building\Forms\COM-Checklist.doc City of Tigard II C 'I COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Commercial - No Land Use Building Permit #: 13 LL.Pav I Cp—oC 3 Sat Site Address: /600 9 0 5 ,s-,,t) Zipper Suite/Bldg#: Project Name:.,/ iv) '✓ - Pet (Name of comial business occup g e space. If vacant,enter Spec Space.) Planning Review Proposal: 77/ nito 4 1— Existing Business Activity: (-) , Pro osed Business Activity: // . Verify site address/suite#exists and active in permit syst 3 I1 0''ver Terrace Neighborhood: El Yes Ia No Zoning: aliPermitted Use: 0 Yes ❑ No ❑ Spec Space onfirm no land use required. p Business License Exists: ] Yes ❑ No,applicant notified to obtain business license Notes: Approved by Planning: Date: // 02 / Revisions (after Building Submittal only) Reviewer Revision 1: El Approved ❑ Not Approved Date Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: l(/0291/�o Site Plans: # .3 Building Plans: # 3 Building Permit#: 12—Enter building ermit#above. Workflow Routing: a Planning 7 Workflow Sign-off: ���dltlg CfiSign-off for Planning(include notes from planning review) Route Application Documents: I2---Building: original permit application,site plans, buildingplans, beam calculations and trust details,if applicable,etc. engineer and Notes: lr 1 By Permit Technician: ell `' 4 Date: 04544, I:\Building\Forms\BldgpermitRvw COM_NoLandUse 060116.docx Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit Date: ❑ Approved,NO', Released: "' Notes: Revisions (after Building Submi only) Revision Notice 1: Date Se to Applicant: Revision Notice 2: Date Sent to k.••licant: Revision Notice 3: Date Sent to App i...tnt: ❑ SDC Fees E-tered: Wash Co Trans Dev Tax: ■ Yes 0 N/A Tigard Trans SDC: 0 es 0 N/A Parks SDC: 0 Yes 0 N/A 0 OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_070915.docx City of Tigard • BUILDING DIVISION Over-The-Counter (OTC) Building & Fire Protection System Permit Appointment Checklist Permit Record#: u-P09-0 t to -DO )'32-- Contact Name: `>a.n eiil , ( Q 01 Phone #: p -2(oS l S[V Business Name: c-)9..5 Q i Appt. Date/Time: ti a q a:Gi� /4'1 Site Address: (Logs k ..e_ut Bldg/Suite #: ItO Project Name: t l� Project Description: }...-im-115- Q:_bt.?0 ---&-.J Existing Use: -PD New Use: --e-.) MMD Required: 0 Yes 0 No Related Record#: GENERAL INFORMATION Class of Work: LT Occupancy Group: Type of Construction: Type of Use: I � ,� I Occupancy Load: z SPECIFICS I Oregon Specialty Code: I `7 Number of Stories: IBuilding Height: I I I 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: SETBACKS Mezzanine: Sideyard Setback—LeftSideyard Setback—Front Sideyard Setback—Right I Sideyard Setback—Back CONSTRUCTION J I Exterior Walls: Openings Protected: Firewall Separation: E: S: N: S: Occupancy Separation: W: E: W: Access.Parking Spaces: REQUIRED ITEMS Fire Sprinklers: it/ Fire Alarms: Smoke Detectors: Sprinkler Type: Alarm Type: Protected Corridors: Standpipe Required: Pull Stations Required: Parapet: : p Hazard Group: Battery Calcs Provided: Density: Cut Sheets Provided: Design Area: K Factor: Total Project Valuation: $ AO '?I ` $ ow.„.,� DC Prov Rvw,COM TI—Ping DC Provision Review Fee for COM TI(effective 7/1/2016) $ % Permit Fee—Add,Alt,Demo 12%State Surcharge Project Valuation $ ,,. Up to$4,999 �� erhio Plan Review,Structural $0.00 $ ,.f2_.( Plan Review,Fire Life Safety $5,000-$74,999 $90.00 $ M` 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 Building Staff $ Other: $ Other: Date/Time: $ (.4kTOTAL FEES DUE I:\Building\Forms\OTC_BUP FPS_070116.docx 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 16083 SW UPPER BOONES FERRY RD 100, TIGARD, OR, 97224 Record Type: Commercial - Building Inspection Type: 299 Final inspection Result: PASS- NoCofO Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: Record ID: B U P2016-00332 Inspector: Jeff Grove Contractor