Permit (217) 114CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT
Permit#: BUP2016-00345
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/13/2016
T C r'a`�T� Parcel: 2S112DC01400
Jurisdiction: Tigard
Site address: 15865 SW 74TH AVE 110
Project: SC Labs Subdivision: FANNO CREEK ACRE TRACTS Lot: 4
Project Description: TI for existing tenant:Adding(3)walls and moving interior doors.
Contractor: PACIFIC CREST STRUCTURES INC Owner: JDS LLC
17750 SW UPPER BOONES FERRY RD SUITE CRITERION CREEKVIEW LLC
190 BY SPECTRUM REAL ESTATE ADVISORS
DURHAM, OR 97224 1125 SE DIVISION ST#209
PORTLAND, OR 97202
PHONE: 503-968-8949 PHONE:
FAX: 503-598-6658
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations, 12/13/2016 $377.90
Demolition
Occupancy Grp: B Occupancy Load: 71 12%State Surcharge-Building 12/13/2016 $45.35
Dwelling Units: 0 Plan Review 12/13/2016 $245.64
Stories: 1 Height: 0 ft Plan Review-Fire Life Safety 12/13/2016 $151.16
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 12/13/2016 $90.00
Value: $20,000 Info Process/Archiving-Lg$2.00(over 12/13/2016 $4.00
11x17)
Floor Areas:
Total Area: 7026
Accessory Structs 0
Basement: 0
Carport 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $914.05
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 Notifi lion Center. T ,se 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 . .23 . 1.'••± 3
Issued By: Permittee Signature: `
lii i 1 ill
6I v 1If?v f
1503.539.4175 by 7:00 a.m.for the next available inspection.kat- ').-
at-.
This permit card shall be kept in a conspicuous place on the job site until completion of the proj•
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
CommercialVAFOR OFFICE USE ONLY'
Cityof Tigard Received Permit No.: I ?
g
Tc
# DateB • s.13125 SW Hall Blvd.,Tigard,OR- Plan Review yam' �' �
' Phone: 503.718.2439 Fax: 503.598.1960 . c Date/B : 't ,��fl _ 1\��Other Permit:
Inspection Line: 503.639.4175 1)V-'-" 1 Date Ready G3 See Page 2 for
T I GAR DNotified/Method: IA Supplemental Information
Internet: www ttgard or gov i G'1i�
,„
*E OF.� X� REQUIRED DATA;1-AND2 FAMILY'DWELLING
❑New construction Zs Iee olition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
XAdditton/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CA,)'Efi Q1 .�,-O CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling Commercial/industrial
❑Accessory building [7]Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
.10.1, SITE,INFOR�MATIONAND-LOCATION Total number of floors:
Job site address: (���Ge �'
' i -4- (. .71-i A-Lr-e... New dwelling area: square feet
City/State/ZIP: "r'1!'-,tri Garage/carport area: square feet
uite/bl /apt.no.: 1�71�"" Project name: �� �''5 t, (' Covered porch area: square feet
Cross street/directions to jjo-bite: C om, F2 '4=F—igN Deck area: square feet
f'GAD - \ki 3t 1:V17-441-4/1 .P --1-11— Other structure area: square feet
! t4 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
pp � �-�j DESCRIPTION OF=WORK= work indicated on this application.
_ dhL,T -1 CV31i1r -(_ ' A Valuation: $ 2Pt etc)
q rr - - IL.. Existing building area: square feet
New building area: square feet
PROPERTY-OWNER TENANT❑ Number of stories:Name: ----Z, ' ' 1.)-c,(, Type of construction:
Address: I G - 14)44 E„ Occupancy groups: _
City/State/ZIP: • r . i (i Existing:
Phone: Fax:( )
Cz-v- f f New:
APPLICANT I CONTACT PERSW' BJII N PE1tM1IT FEES*
Business name: 6��✓ '�� f'G -milt t. ,plan . •ie Ore(orb eposit): ¢
' -- !�' Structural review fee(or deposit):
Contact name: Vtikli6,...), _ -
FLS plan review fee(if applicable):
Address: '7'C- �) o
� - Total fees due upon application:
City/State/ZIP: 'y � 1�` - ---------
• Amount received:
Phone: Fax: : e-72 A -- -
f ?,� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: _i t314A., —
Commercial and residential prescriptive installation of
CONTRACTOR„ _ roof-top mounted PhotoVoltaic Solar Panel System.
Business name: ' Submit two(2)sets of roof plan with connection details
��� -"- - � -" — - and fire department access,along with the 2010 Oregon
Address: ‘`-i ^'1°s"� r _, _, 7 /` Solar Installation Specialty Code checklist._
t Permit fee includes plan review
City/State/ZIP: — $180.00
�� — - -__ and administrative fees)
Phone: )--y,"1"-z-`2:-.' Fax ( �
59 a State surcharge(12%of permit fee): $21.60
CCB lic.
: ( 2.5.1.1f -"-±--.-- -------- -- _-- --._.__-- __---- ._i Total fee due upon application: $201.60
Authorized signature: 'Phis permit application expires if a permit is not obtained
1 - -- - c— within 180 days after it has been accepted as complete.
Print name: T-46‘411,J J Date: (lt: �� * Fee methodology set by'Fri-County Building industry
- '�/t —_— --•— - Service Board.
L\Building\Permits\SUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard • BUILDING DIVISION
_ Over-The-Counter (OTC) Building & Fire Protection System Permit
< 1, Appointment Checklist
Permit Record#: ''I 2C 1L0(X) 5 i
Contact Name: 10 Phone #: �3-70 3 - Ste- �3
Business Name: v Appt. Date/Time: lyLf- e P/1
Site Address: ),5$ (Q t...) 7 4 eBldg/Suite#: //p
Project Name: Sn ' t,.tc}-,
Project Description: -11 bice' - .a.,00402.44 io-�
Existing Use: --6 ' New Use: o
MMD Required: 0 Yes No Related Record#:
GENERAL INFORMATION
Class of Work: ,( Occupancy Group: Type of Construction: -j
Type of Use: EA-
Occupancy Load: 1 Oregon Specialty Code: ,
SPECIFICS �G�'
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: 702c-, 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: Fire Alarms: Smoke Detectors:
Sprinkler Type: 1,,eo 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: $ 29
/$ ilio 4146 DC Prov Rvw,COM TI—Ping
to" Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2016) 4 ,'1Cj 2%State Surcharge
Project Valuation ;/,$ 2' o 4 Plan Review,Structural
Up to$4,999 $0.00 �')r, Plan Review,Fire Life Safety
$5,000-$74,999 $90.00 J$ , 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: $ '/14, pr' TOTAL FEES DUE
I:\Building\Forms\OTC BUP_FPS_070116.docx
City of Tigard
111 COMMUNITY DEVELOPMENT DEPARTMENT
l
TIGARD Building Permit Review - Commercial - No Land Use
Building Permit #: 8 ippA6/( _063/6—
Site Address: /c-F349, --- g/() ?I/..-LA ,;�.�? Suite/Bldg#: 1/0
Project Name: C)C I inc.
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: "7/ /te) •-kiloIS-
Existing Business Activity: 0A).6. °
Proposed Business Activity: 1/
114 Verify site address/suite# exists and active in permit syst .
Illi,'.ver Terrace Neighborhood: ❑ Yes I'a No
VIG oning: I-P
/ermitted Use: Yes CINo CISpec Space
onfirm no land use required.
jr
Business License.
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: c-------___L—s----- —.... 4 Date: /.'1//ghe/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: El Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: /9V/3/110
Site Plans: #
Building Plans: # 7
Building Permit#: g-tenter building permit#above.
Workflow Routing: [ .tinning El Permit Coordinator H ding
Workflow Sign-off: le�i -off for Planning(include notes from planning review)
Route Application Documents: 2Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
ett
By Permit Technician: �7Ti1,- Date: /03�G
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 060 1 16.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:
E 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\B1dgPennitRvw_COM_NoLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15865 SW 74TH AVE 110, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Building BUP2016-00345
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor