Permit (162) CITY OF TIGARD BUILDING PERMIT
114
I COMMUNITY DEVELOPMENT Permit#: BUP2017-00053
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/02/2017
T f c,r Ii D9 Parcel: 2S112AA00900
Jurisdiction: Tigard
Site address: 14160 SW 72ND AVE 150
Project: CED Greentech Subdivision: 1992-007 PARTITION PLAT Lot: 1
Project Description: Demo some walls and casework,build(1)new wall,add(2)doors and(2)frames.
Contractor: ROBERT TODD CONSTRUCTION INC Owner: ICON OWNER POOL 1 WEST LLC
4080 SE INTERNATIONAL WAY B113 BY RYAN
MILWAUKIE, OR 97222 PO BOX 460169
HOUSTON, TX 77056
PHONE: 503-653-5704 PHONE:
FAX: 503-653-5729
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 03/02/2017 $90.00
Occupancy Grp: S-1 Occupancy Load: 44 Permit Fee-Additions,Alterations, 03/02/2017 $520.07
Demolition
Dwelling Units: 12%State Surcharge-Building 03/02/2017 $62.41
Stories: 1 Height: ft Plan Review 03/02/2017 $338.05
Bedrooms: Bathrooms: Plan Review-Fire Life Safety 03/02/2017 $208.03
Value: $31,000 Info Process/Archiving-Lg$2.00(over 03/02/2017 $4.00
11x17)
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $1,222.56
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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 • ••• ••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.
Issued :y: / / / Permittee Signature: �jn A
x'���_ .""l .tel
Call 503.639.4175 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 lEcET 1P
Commercial FOR OFFICE USE ONLY
City of Tigard MAR 2 2017 Received Permit No.: 64_494/7-QGO 5
Re eiv
13125 SW Hall Blvd.,Tigard,OR 97223
'4g Plan Revie -1,1091Z
' Phone: 503.718.2439 Fax: 503.598.1160 1 ,„s q .; DateB : �` 1111 Other Permit: / Al Ow t/3
TIGARD Inspection Line: 503.639.4175 ` " •'1) Date Ready74� Juris: ® 17/17 See Page 2for 1t.0
Internet: www.tigard-or.gov Notified/Method: Supplemental Information I
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
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.
Valuation: $
0 1-and 2-family dwelling ®Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
IDMaster builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:14160 SW 72" New dwelling area: square feet
City/State/ZIP:Tigard OR Garage/carport area: square feet
Suite/bldg./apt.no.:150 Project name:CED TI Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Nelson Business Center-SW 72i1 and Bonita Rd. Other structure area: square feet
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
DESCRIPTION OF WORK work indicated on this application.
Interior Tenant Improvement.Remove some walls and caseowork,build one new wall Valuation: $$31,000.00
add 2 doors and 2 frames,replace warehouse lighting with LED Existing building area: 18785 square feet
New building area: 18753 square feet
® PROPERTY OWNER 0 TENANT Number of stories: 1
Name:GLP do Kidder Mathews Type of construction: IIIB
Address:One SW Columbia-Suite 950 Occupancy groups:
City/State/ZIP:Portland OR 97258 Existing: B/S1
Phone:(503)221.2293 Fax:( ) New: B/Sl
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Mildren Design Group
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:
Amount received:
Phone:(503)244.0552 Fax::( )
E-mail:betty@mdgpc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Robert Todd Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:4080 SE International Way Solar Installation Specialty Code checklist.
City/StateZIP:Milwaukie,OR 97222 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)6535704 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:98517
&f—Af21Z3C1 /� Total fee due upon application: $201.60
Authorized signature: " `' 91' This permit application expires if a permit is not obtained
C) 1"� 1 within 180 days after it has been accepted as complete.
Print name:Betty K.Sheppeard Date:03.02.17 * 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
1111 COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: Isk,j c3C/?-fib S 3
Site Address: 11-WO (SV'I 1 :k-\ & Suite/Bldg#: \SD
Project Name: CE
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 1T t
Existing Business Activity: WeAV At/
Proposed Business Activity: w Aitykktk '
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes I No
,( Zoning:
Permitted Use: Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: ❑ Yes X No,applicant notified to obtain business license
Notes:
Approved by Planning: AT-LaL?( e.1k Date: .31 z1 1
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: c ?- / 7
Site Plans: # 3
Building Plans: #
Building Permit#: tenter building permit#above.
Workflow Routing: Manning er ' ding
Workflow Sign-off: off for Planning(include notes from planning review)
Route Application Documents: Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ��j Date: > /
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 0601 16.docx
Permit Coordinator Review
❑ Conditions "Met"prior to ' suance of building permit
❑ Approved, NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to A..scant:
Revision Notice 2: Date Sent to •pplicant:
Revision Notice 3: Date S-• to Applicant:
❑ SDC Fees Entered: sh Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: El Yes El N/A
El OK to Issue Per••
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NolandUse 070915.docx
City of Tigard • BUILDING DIVISION
, .
:1111
Over-The-Counter (OTC) Building & Fire Protection System Permit
r i<, \is n Appointment Checklist
Permit Record#: 6 /c9-e/ 753
Contact Name: 1 . 111► Phone #: Cji 2 — azi41-o55-7---
Business
1-OSs -Business Name: INVL1 I ' 4 I - . I Appt. Date/Time: 31p... ) /O rcc
Site Address: J L (607a.' A� Bldg/Suite #: /sp
Project Name: CET)
Project Description: i;A,,,,.1 ,jykvl (l� .ja..e,�� 1.Da�1�k V cQa-t 3, ✓[.¢.�f,
(t3 .s.1,.. s
Existing Use: w&-k. ati—, L New Use: ,:)C i
MD Required: nts II: N. Related Record#:
M. ** ,. :1!:;',) ) i c:), il' 3J I)' ',I ? it
GENERAL INFORMATION
Class of Work: kr Occupancy Group: .1 Type of Construction: '2
Type of Use: (LrtA Occupancy Load: 44 Oregon Specialty Code: 723/4
SPECIFICS `
Number of Stories: l 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: I !C - 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: 4 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: $ 3( ���' . . � ° .._.
$ C -, ..Q DC Prov Rvw,COM TI—Ping
$ "D,.Ii.6 Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI (effective 7/1/2016) $ Wir 12%State Surcharge
Project Valuation $ 'It Q`Mlan Review,Structural
Up to$4,999 $0.00 $ 7 p,,, Plan Review,Fire Life Safety
$5,000-$74,999 $90.00 $ /5 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: $ IL �,'OTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070116.docx
., 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] $ 31000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 7750
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: $ 450 *
TOTAL (shall equal line [2] of Valuation Computation): $ 450
Gl� ac e6' Kms '
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011