Permit (49) 111 CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2017-00277
R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/18/2017
�t '� g Parcel: 2S101DA00104
Jurisdiction: Tigard
Site address: 13333 SW 68TH PKWY, STE#100
Project: Xerox Subdivision: VARNS ACRES Lot: 9
Project Description: TI for existing tenant:Demolition and new partition walls for offices.
Contractor: GUARANTEE CONSTRUCTION LLC Owner: TRIANGLE POINTE TWO LLC
2924 LOCUST ST 901 NE GLISAN ST, STE 100
SAINT LOUIS, MO 63103 PORTLAND, OR 97232
PHONE: 314-446-4100 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Ig DC Provision Review,COM TI-Ping 10/18/2017 $91.00
Occupancy Grp: B Occupancy Load: 8 Permit Fee-Additions,Alterations, 10/18/2017 $564.15
Demolition
Dwelling Units: 0 12%State Surcharge-Building 10/18/2017 $67.70
Stories: 0 Height: 0 ft Plan Review 10/18/2017 $366.70
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/18/2017 $225.66
Value: $35,000 Info Process/Archiving-Lg$2.00(over 10/18/2017 $30.00
11x17)
Floor Areas:
Total Area: 721
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,345.21
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 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.-e; or 1.800.332.2 .
Issued By: Xfiroe...._ Permittee Signature:
f
all 503.639.4175 by 7:00 a.m.for the next available i J.1110111111111fi.lailtre7
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.
A
Building Permit Application
Commercial
CI of Tigard Received Permit No.: -7 7'7
`J g _ Date/By: /CI jI , � � /� �!/
14 13125 SW Hall Blvd.,Tigard,OR 972230 k Plan Review
• a Phone: 503-718-2439 Fax: 503-598-1 Date/By: )Q _, 8 — j Related Permit:
T I G A R D Inspection Line: 503-639-4175 p 5 Date Ready/By: Juris: EA See Page 2 for
Internet: www.tigard-or.gov . r /0 Notified/Method:w/f diSupplemental Information
TYPE OF WO ®t isREQUIRED DATA:I-AND 2-FAMILY DWELLING
❑New construction ElDeiG�� s� Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Addition/alteration/replacement ❑ er: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling Commercial/industrial Valuation: $
ElAccessory building ElMulti-familyNumber of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: r g 3`<-. SL,L., rt.,t,+y New dwelling area: square feet
City/State/ZIP: ' 1 iejcs-ce C,9""_ G1 7 Z Z-3 Garage/carport area: square feet
Suite/bldg./apt.#: /0 0 Project name: c,y n 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#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 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.
�t
i--;
Valuation:
$ -35, L ?6-1-,4,-/-:,- p d2-toce' c `, S r,) 0fc , f---511,c, Existingbuildingarea: 0y() square feet•1�tcc/ve(i •1) `riS-i-r�( -�.G,• T;.C4C.r.:/ C ,R���p1 C A, Flit SLe-5
New building area: /6 square feet
0 PROPERTY OWNER ,TENANT` Number of stories:
Name: xe 6'C x /C(MC(i c„.1 ( Type of construction:
Address: / . 33 S(-3 6_7,,feks ek t..t3 f/ .•f V 0 Occupancy groups:
City/State/ZIP: r f -c.( c)e..... 7 2 Z_3 Existing: g
Phone:( ) Fax:( ) New:
APPLICANT 0 CONTACT PERSON BUILDING rERRMIT FEES*
1 (Please refer to fee schedule)
Business name: -rect..,
f-Uc-c--tc-t , 13 ,
Structural plan review fee(or deposit):
Contact name: Tel,,t —P,`,..14-tL FLS plan review fee(if applicable):
Address: ZOOS) SSD i<1- .4'. ita.6
City/State/ZIP: -R�-�-.c C..5 _ ? 7`Z c., Total fees due upon application:
Phone:(5e,j) �f("4 (61- Fax::( ) Amount received:
E-mail: r yarie s.4er ft-Tyyt.j-/- PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:6 (+Gt .tee 9 n C'�+e Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 2'i ZLf L Oel.).5-1- .54- Solar Installation Specialty Code checklist.
City/State/ZIP: 5 f-- Lc t 1,.S l I, 6 3 f C)3 Permit fee(includes plan review $180.00
i and administrative fees):
Phone:(31' ) 7 2.- 5�"" 3 W Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 2!6,.:, 2 p`6
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: �C�<._ p,c_ k r., / Date: /U4�L i * Fee methodology set by Tri-County Building Industry
!! Service Board.
I:\Building\Permits\BUP_COM_PemiitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
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 percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $ 35, 0 c
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 750
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_PemvtApp.doc Rev.12/18/2014
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
111 ° Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
T I GARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with:
A. 0 map&tax lot# 0 project name 0 site address ❑ suite number
0 zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations,plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit-based on valuation of project.
4. ADDITIONAL INFORMATION AS FOLLOWS:
A. Fire Department Building Survey with (1) additional full set of architecture
drawings.
I:\Building\Permits\BUP_COM_PemutApp.doc Rev.12/18/2014
•
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
1114 '1
_ Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal # of Plans
(Includes new,additions and alterations) Required at
Submittal
Demolition Permit 2
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington
County,and Tualatin Valley Fire&Rescue),if applicable.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
City of Tigard
IN
Q " COMMUNITY DEVELOPMENT DEPARTMENT
TICARD Building Permit Review — Commercial - No Land Use
Building Permit #: , i( ?t i/7 -7 7
Site Address: 133 33 S uJ c$th ?L soy Suite/Bldg#:
Project Name: YQ�x /Can cLa."is
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: -7-en ant- I m.p re,Eve yr►Gn 4.
Existing Business Activity: d PC;G e
Proposed Business Activity: 6 uG,e
erify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes ,Ir No
❑ Zoning: /14 0 E
❑ Permitted Use: /0" Yes El No ❑ Spec Space
❑infirm no land use required.
'Business License:
Exists: ❑ Yes IZ No,applicant notified to obtain business license
Notes: SPR Q0/7-4000/ nalC`��/„.' 2°
Approved by Planning: Date: /D/3/7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: El Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: f .7
Site Plans: #
s
Building Plans: #
Building Permit#: p building permit#above.
Workflow Routing: ❑—Ptng ❑ Permit Coordinator CYBniuldin
Workflow Sign-off: g _off for Planning(include notes from planning review)
Route Application Documents: Q.--trrilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: 0%e-
By Permit Technician: .0_ ,..., Date: /4//ll/, )
I:\Building\Forms\BldgPermitRvw COM_NoLandUse 060116.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:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes Cl N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPefl itRvw_COM_NolandUse_070915.docx
City of Tigard • BUILDING DIVISION
i '
Over-The-Counter (OTC) Building & Fire Protection System Permit
l l c A R D Appointment Checklist
Permit Record#: I¢aol 7- v -?7 Phone --
Contact Name: Na"7/W 2 #: 5O 2—3',20 ,50 3 0
Business Name: , ,1y-p l... A /T Appt. Date/Time: /d�i�//9 ( /0,`,6,,41
Site Address: /3333 54, 6,,,!-4--- Pavy' Bldg/Suite #: /az)
Project Name: )(moi New Tenant? 0 Yes ,2 No
Project Description: AC-,1,0L,77Oiu p c 1.c.i,9-L`i-
Existing Use: (JJjC C c New Use: e, � C
MMD Required: 0 Yes , 1\10 Related Record#:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work: Al I Occupancy Group: 13Type of Construction: 1 j—
Type of Use: o Occupancy Load: O' Oregon SpecialtyCode: ii 0 j Li—
SPECIFICS
Number of Stories: 6 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: ) 9 p Ij( Accessory Structure: Covered Porch:
Basement Garage: Deck:
Total Square Footage: 72.) 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:
REQUIRED ITEMS Access.Parking Spaces:
Fire Sprinklers: 1/es 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: $ -35;0001 FEES DUE SriEt
$ C DC Prov Rvw,COM TI—Ping e #r2
$S6 it. is- Permit Fee—Add,Alt,Demo ace d
DC Provision Review Fee for COM TI(effective 7/1/2017) $ O 12%State Surcharge
Project Valuation $ Plan Review,Structural
Up to$4,999 $0.00
$5,000-$74,999 $eat a � Plan Review,Fire Life Safety
$91.00 $ 3c) Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $226.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $361.00
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $i 31s',ad TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070117.docx
Dianna Howse
From: Dianna Howse
Sent: Tuesday, October 10, 2017 1:59 PM
To: Rob Humphrey
Cc: #Building Permit Technicians
Subject: RE:Over the counter permits?
Hello Rob,
Yes,we need at least(1) wet stamped set of plans, and (2)copies.
Here is an estimate of the permit fees based on a project valuation of$35,000.00:
.. . , _0*^ , w:'
Please add $2.00 per page for pages over 11x17, and$0.50 per page for pages up to and including 11x17 for archiving
fees.
I have your appointment scheduled for Wednesday,October 18th, at 10:00 am. Please check in at the counter for
planning review when you arrive.
Thank you.
Dianna Howse
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd.,Tigard, OR 97223
503-718-2430
From: Rob Humphrey [mailto:rob@fasterpermits.com]
Sent: Tuesday, October 10, 2017 1:15 PM
To: Dianna Howse
Cc: #Building Permit Technicians
Subject: Re: Over the counter permits?
Dianna,
We'd like to secure the 10/18 appointment please.
Site Address/Suite#: 13333 SW 68th Parkway Suite No: 100 Tigard, OR 97223
1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13333 SW 68TH PKWY STE 100, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Building BUP2017-00277
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor