Permit (15) CITY OF TIGARD BUILDING PERMIT
I: . COMMUNITY DEVELOPMENT Permit#: BUP2018-00275
T f CJP ) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/04/2019
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Parcel: 2S 114AA00200
Jurisdiction: Tigard
Site address: 16285 SW 85TH AVE 302
Project: Andersen Mechanical Subdivision: None Lot: None
Project Description: Adding 112 sf tool room.
Contractor: ANDERSEN HEATING, INC. Owner: WH SHIPMAN LIMITED
16285 SW 85TH AVE STE 410 BY NORRIS&STEVENS INC
TIGARD, OR 97224 900 SW 5TH AVE STE 1700
PORTLAND, OR 97204
PHONE: 503-992-6664 PHONE:
FAX: 503-536-6615
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VBPermit Fee-Additions,Alterations, 10/10/2018 $119.33
Demolition
Occupancy Grp: Occupancy Load: 0 12%State Surcharge-Building 10/10/2018 $14.32
Dwelling Units: 0 Plan Review 10/01/2018 $77.56
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 10/10/2018 $4.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $3,000 Plan Review-Fire Life Safety 10/10/2018 $47.73
Cash Over 02/04/2019 $143.15
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $406.09
Required: Required Items and Reports(Conditions)
Fire Sprinkler: 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 503.232.1987 or 1.800.332.2344.
'7Issued By: Zgv.z.i.,..e. "-" —`"'—Permittee Signature: /s—��
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all 603.639.4176 by 7:00 a.m.for the next available ins.- ion 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.
Pr '
Building Permit Application
Commercial RECEIVE1) FOR OFFICE USE ONLY
' p ! iew
1j - 1 2 1U (>/1 l13125 SWHallBlvdTigard,OR 97223 ^ !/
' - Phone: 503.718.2439 Fax: 503.598. Date/By: Jo—' cit) Other Permit:
T I G ARD Inspection Line: 503.639.4175 Y OF I I(iHHD Date Ready/By: / fur ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method 7( -7 ,1 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
0 Addition/alteration/replacement 0 Other: 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: $• --
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:16285 SW 85th Ave ste 302 New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 36,07, Project name`C✓j.Lcr� Are‘y/��/ Covered porch area: square feet
Cross street/directions to job ste: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 1 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.
add tool room (-1 )< I641- -14444� 112 sg -14444Valuation: $ J4:0b.=—
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:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Andersen Mechanical,Inc (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Art Andersen
FLS plan review fee(if applicable):
Address:16285 SW 85th Ave Ste 410
City/State/ZIP:Tigard,OR 97224 Total fees due upon application:
Amount received:
Phone:(503)841-0742 - Fax: :( )
E-mail:art@andersenmechanical.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR
roof-top mounted Photovoltaic Solar Panel System.
Business name:Andersen Mechanical,Inc Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:16285 SW 85th Ave Ste 410 Solar Installation Specialty Code checklist.
City/State/ZIP:Tigard,OR 97224 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)841-0742 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 168214
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:Art Anderen Date:09/05/2018 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB)
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' 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] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
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:ABuilding\Permits\BUP-COM PermitApp.doc 03/03/2011
''4' City of Tigard
M COMMUNITY DEVELOPMENT DEPARTMENT
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T1cARD Building Permit Review — Commercial - No Land Use
Building Permit #: 8i,(Pg7,0 /3--&442 S
Site Address: 12SS SLJ 8 Suite/Bldg#: 302,
Project Name: A4triu‘ tAtit urN%A.,
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review (�
Proposal: 7)(16 St- ct- -121( rvdt, 61 1-4 � fh' lc^t"
r 14c 301.
Existing Business Activity: ti
Proposed Business Activity: (} 1'''
Q/ erify site address/suite# exists and active in permit systt .
er Terrace Neighborhood: ❑ Yes No
Lid Zoning: 1-
Ei( ermitted Use: C Yes ❑ No ❑ Spec Space
/Confirm no land use required.
Lid Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: 'yV C1Date: (0 - 11
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 hi
Original Submittal Date: i 67 if`
Site Plans: #
Building Plans: #
Building Permit#: ❑ Enter building permit#above.
Workflow Routing: ❑ Planning ❑ Permit Coordinator ❑ Building
Workflow Sign-off: ❑ Sign-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: •/ / . 1. fr4K.01t0 Date: (077 7(1-
I:\BuildingWorms\BldgPermitRvw_COM NoLandUse 060116.docx
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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:
Rev' ion Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: ❑ Yes VParks SDC: ElYes
K to Issue Permit
Approved by Permit Coordinator: Date: /0/71/19
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
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