Permit q CITY OF TIGARDi 311:
' COMMUNITY DEVELOPMENT
BUILDING PERMIT
Permit
#. BUP2017 00221
Tt GAR 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/08/2017
Parcel: 2S 101 DC04300
Site address: 7180 SW FIR LOOP 150 Jurisdiction: Tigard
Project: Evergreen Home Loan Subdivision: 72ND BUSINESS CENTER Lot: 3&PT 2
Project Description: TI-Remove/add interior wall partitions.
Contractor: BNK CONSTRUCTION INC Owner:
BROWN CASTILLO FAMILY LLC
45 82ND DR, SUITE 53B 5750 SW ALFRED
GLADSTONE, OR 97027 PORTLAND, OR 97219
PHONE: 503-557-0866 PHONE:
FAX: 503-557-1085
Specifics: FEES
Description Date Amount
Type of Use: COM
DC Provision Review,COM TI-Ping 08/08/2017 $91.00
Class of Work: ALT Type of Const: VB
Permit Fee-Additions,Alterations, 08/08/2017 $301.85
Occupancy Grp: B Occupancy Load: 39
Dwelling Units: 0 Demolition
Stories: 2 12%State Surcharge-Building 08/08/2017 $36.22
Height: 0 ft Plan Review
Bedrooms: 0 Bathrooms: 0 08/08/2017 $196.20
Plan Review-Fire Life Safety 08/08/2017 $120.74
Value: $15,000 Info Process/Archiving-Lg$2.00(over 08/08/2017
11 x 17) $4.00
Address Fee 08/08/2017 $50.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $800.01
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 througt_OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling ! 1.1987 or 1.800.3 2344.
Issued By:
(1\_____)C2c0�--r Permittee Signature:
...
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 Applica ' GENE
Commercial FOR OFFICE: I SF O\1,1
City of Tigard AUG 8 2017 Received: fe ' /
DateB .. Permit No.: • /190/ �'-',
13125 SW Hall Blvd.,Tigard,OIi,.9743Plan Review
IIIPhone: 503.718.2439 Fax: 50 1 6�
S � �� D Date/B : • a . Other Permit:
1 i c i A R D Inspection Line: 503.639.417BUILDING DIVISION
t✓ Date Ready/By: Juris: 63 See page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 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.
❑ i-and 2-family dwelling liq Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: -i 1 cts co 51.x.1 n 1.-06 p New dwelling area: square feet
City/State/ZIP: -` (...A►(L.1. v A— 9 11.1..3 Garage/carport area: square feet
5Q
Suite/bldg./apt.no.: / ' Project name: 6."v y t`�`1 cliwi Lou.) Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
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.
N•TEctV,.. RA n..--c1 tt J,� %,„)A t.4.1 C�R h4'/VlaldApra Valuation: $ Q p
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
New:
git APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
, (Please refer to fee schedrde)
Business name: r1 (a P fLi�L1 s i O �-^�—l.A s% L t,
� Structural plan review fee(or deposit):
!V
Contact name: A AA 6.1 !2 JSK.A
l� FLS plan review fee(if applicable):
Address: ZZL 0 S s4„, pt tJ1i 4*V'-c'T c.T
Total fees due upon application:
City/State/ZIP: St4&rpyJ4)Ql) A.. cr7 11n
Phone:( ) (O So �, c 4' f Fax::( ) 'i Amount received:
E-mail: q0Atk.t� V.... )4 t..) - P tt-G CA $1 0 J . CO �- PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: Submit two(2)sets of roof plan with connection details
1"I1'e..- CO#vZ w 4. 7taJ/ 1',J t... and fire department access,along with the 2010 Oregon
Address: 45 $.,pIP bit% (, ! `,1 . 5 3 13 Solar Installation Specialty Code checklist.
City/State/ZIP: 1 7� Permit fee(includes plan review
1""p T>S 7 0 0 L ti` RI o 27 and administrative fees): $180.00
Phone:($01) 7/ 5 1. a ce c 6, Fax:( ) State surcharge(12%of permit fee): $21.60
1
CCB lic.: 1 0 S S S Total fee due upon application: $201.60
/2
Authorized signature This This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
` Date: * Fee methodology set by Tri-County Building Industry
Print name:
�OA t r• 3 V vs 1' 7 ? Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
IIICity of Tigard
" COMMUNITY DEVELOPMENT DEPARTMENT
T1cARD Building PPermit Review — Commercial - No Land Use
Building Permit #: 1)&tCPte/7-00?-. '-/
Site Address: 7 J '2 0 s W .Fir 10010 Suite/Bldg#: 050
Project Name: &perrezel Hi rYtL, 1.10 CI in
(Name of commercial ess occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T y)14I' r 1-1. 1 rl4A4 12 N rii ha n vv 61 1 1
Existing Business Activity: (Im rytka1'Zto r) ,,, eh,,,,,,,r.
' ^ 1t
Proposed Business Activity: i t 1 1
Verify site address/suite#exists and active in permit system.
1
River Terrace Neighborhood: El Yes /No
XI: Zoning: C.- P
0 Permitted Use: Yes ❑ No El Spec Space
XI Confirm no land use required.
Business License:
Exists: El Yes El No,applicant notified to obtain business license
Notes:
Approved by Planning: t9 '-" '— Date: S/
0 / '-1
Revisions (after Building Submittal only) Reviewer
Revision 1: El Approved Ci Not Approved Date
Revision 2: El Approved ❑ Not Approved
Revision 3: El Approved Cl Not Approved
Building Permit Submittal
Original Submittal Date: 0/7
Site Plans: #
Building Plans: #
Building Permit#: 0 L",nter building permit#above.
Workflow Routing: Planning 0 Building
Workflow Sign-off: Er Sign-off for Planning(include notes from planning review)
Route Application Documents: u lig: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes: 07—e---
By
/ / e--
By Permit Technician:
.cz&_. Date: F '47
I:\BuildingFormskBldgPermitRvw COM_NoLandUse 060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
O Approved,NOT Released: Date:
Notes:
•
Revisions (after Building Submittal on
Revision Notice 1: Date Sent to App c.
•
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
❑ SDC Fees Entered: Wash Co_Trans Dev Tax: IC Ye 0.N/A
Tigard Trans SDC: ❑ Y-: uI N/A
Parks SDC: ❑ Y:s 0 N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPernutRvw_COM NoLandUse_070915.docx
?2/ /7-Do? /
II I 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] $ I COO
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 3 -7S Q
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): $
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
City of Tigard • BUILDING DIVISION
1
Over-The-Counter (OTC) Building & Fire Protection System Permit
Appointment Checklist
Permit Record#: Polo/7—o0 A
Contact Name:
Business Name: Phone#: 3 —4,,A0 --Z yyy
N �' _te'/-s/Q,ArA 63/7/ Appt. Date/Time: f F /) l4.e-p
Site Address: _�j�.o
Project Name: Bldg/Suite #: /So
Project Description: T6�2 /�� !-6/9y✓S New Tenant? ❑ yes No
Existing Use: _�e�
MMD Required: ❑ yeS T New Use: � �
7" 1•o Related Record#:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work:
11011W-11111111
►�–
Clas of Use: r Occu.an Grou.: �'L� T4.e of Construction. PAM
��, Occu.an Load: �•', Ore:on S.ecial Code: RCM'
Number of Stories: —
Number of Dw Units: Bim'• : of Bathrooms:
a : Mixed Use: —
BUILDING SQ FT-SCHOOL CET NumberTHEofQUAoo FII
OTHER SQUARE FOOTAG Number of Bedrooms:
Sto , S.uare Foota!e:
Accesso Structure: Covered Porch: —
Basement:
terallanilla
Total S.uare Foota.e: Deck: —
SETBACKS Ca .ort: —
— Mezzanine:
Side and Setback–Left —
Side and Setback–Ri-�ht Side and Setback–Front —
CONSTRUCTION —, Side and Setback–Back —,
Exterior Walls:
0.enin• Protected:
Firewall Se.aration:
N: S; -
N. : Occu.an Se.aration:
E: W:
E:
REQUIRED ITEMS Access.Parkin. S.aces:
Fire S.rinklers: Alarms:
—S.rinlder Ti.e: Fire Smoke Detectors:
Stand.i.e Re.uired: Protected Corridors:
Pull StationIEMVEs Re•uired: Para.et: —
Hazard Grou.: Batte Calcs Provided:
Densi Cut Sheets Provided: ---
Desi: Area: —
K Factor: ---
Total Project Valuation: $
FEES DUE
$ DC Prov Rvw,COM TI–Ping
DC Provision Review Fee for COM TI(effective 7/1/2017) $ Permit Fee–Add,Alt,Demo
Project Valuation �3�. Aa 12%State Surcharge
Up to$4,999 $ ( �q � Plan Review,Structural
$0.00
$5,000-$74,999 $91.00 $ 1 a o.7 if Plan Review,Fire Life Safety
$75,000-$149,999 $226.00 $ 4 ""— Info Proc/Arch,Lg(over 11x17$2.00)
$15,0000 and ,99r $226.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
Ili"-------- Misc.A Fee
Building Staff: $ . 73.x— Other:_ FX_:
44 �j �
$ Other:
Date/Time:
'OTAL FEES DUE
I:\Building\Forms\OTC_BUP FPS_070117.docx �fpD •G/