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Permit (43) Ill CITY OF TIGARD BUILDING PERMIT i .-- q COMMUNITY DEVELOPMENT Permit#: BUP2014-00139 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/11/2014 Ti Ca A RD g Parcel: 1 S 135BD00100 Jurisdiction: Tigard Site address: 9600 SW OAK ST 325 Project: Carter Counseling Subdivision: ASHBROOK FARM Lot: PTS 5& Project Description: TI for existing tenant. Contractor: COMMERCIAL CONTRACTORS INC Owner: SUN LIFE ASSURANCE CO OF CANADA 1265 SOUTH 35TH PLACE BY NORRIS BEGGS&SIMPSON RIDGEFIELD,WA 98642 121 SW MORRISON ST#200 PORTLAND, OR 97204 PHONE: 503-227-4440 PHONE: FAX: 503-227-6644 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIA DC Provision Review,COM TI-Ping 06/11/2014 $70.00 Occupancy Grp: B Occupancy Load: 12 DC Provision Review,COM TI-LRP 06/11/2014 $10.00 Dwelling Units: 0 Permit Fee-Additions,Alterations, 06/11/2014 $408.32 Demolition Stories: 5 Height: 0 ft 12%State Surcharge-Building 06/11/2014 $49.00 Bedrooms: 0 Bathrooms: 0 Plan Review 06/11/2014 $265.41 Value: $22,000 Plan Review-Fire Life Safety 06/11/2014 $163.33 Info Process/Archiving-Lg$2.00(over 06/11/2014 $4.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $970.06 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 232. 987 or 1.800.332 2344 Issued By: Permittee Signature: s 4175 by 7:00 a.m.for the next available inspection date. This permit card shall .. ept 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. III City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Commercial - No Land Use Building Permit #: (3,,,,p it -0© /a l Site Address: 4006 510 *- Suite/Bldg#: Project Name: i✓fp /I'l/ (Name of commercial business occupying th•.pace. If vacant,enter Spec Space.) Planning Review Proposal: (: % I'/ / Verify site address/suite #exists and active in permit system. Zoning: /4 U - I 'Permitted Use: es ❑ No ❑ Spec Space ,Land Use Required: ❑ Yes 5 4o Type Required Notes: Approved by Planning: q.47-- Date: W//(7,0/11 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 Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: ❑ Enter building permit#above. Workflow Routing: ❑ Planning ❑ Engineering ❑ 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: Date: 1:\Building\Forms\B I dgPerm itRvw_COM_No L andUse_042914.docx Building Permit Application Commercial 01C1181 V� l ()R ()Fri( I. t SE ONLY 114 City of Tigard Date/B : Permit No.: ' • 13125 SW Hall Blvd.,Tigard,OR 97223 1 201�t �� ' �`1 �I `1 Plan Review r I���. m Phone: 503.639.4171 Fax: 503.598.1960 ,UN 1 Date/13 : V\-_�I l■ Other Permit: T I G A R D Inspection Line: 503.639.4175 ,` A� Date Ready/By: ® See Page 2 for Internet: www.tigard-or.gov 1 t1 . tified/Method: Supplemental Information TYPE OF W011010 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 ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF COIKSI'RU(TION work indicated on this application. CI I-and 2-family dwelling ® m Comercial/industrial Valuation: $ ❑ Accessory building El Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:Plaza West-9600 SW Oak Street New dwelling area: square feet City/State/ZIP:97223 Garage/carport area: square feet Suite/bldgJapt.no.:325 f Project name:Carter Counselling Covered porch area: square feet Cross street/directions to job site:SW Greenburg Road 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. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $$22,000.00 Existing building area: 1236 square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: 5 Name:Shorenstein Realty Services Type of construction: II-A Address:5335 Meadows Road,Suite 300 Occupancy groups: City/State/ZIP:Lake Oswego,Oregon 97035 Existing: B Phone:(503)619-3200 Fax:(503)619-3210 New: B ® APPLICANT ❑ CONTACT PERSON NOTICE Business name:GBD ARCHITECTS All contractors and subcontractors are required to be Contact name:Whit Middlecoff licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address:1120 NW Couch Street,Suite 300 jurisdiction in which work is being performed.If the City/StatefLIP:Portland,Oregon 97209 applicant is exempt from licensing,the following reasons apply: Phone:(503)224-9656 Fax::(503)299-6273 E-mail:whit @gbdarchitects.com CONTRACTOR Business name:Commercial Contractors Inc. BUILDING PERMIT FEES* Address:1265 S 35th Place (rbtae refirfojesrelY�lth) Structural plan review fee(or deposit): City/State/ZIP:Ridgefield,WA 98642 Phone:(503)227-4440 Fax:(503)227-6644 FLS plan review fee(if applicable): CCB lic.:123729 Total fees due upon application: C,'/g(A/ Amount received: S Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Whit Middlecoff,AIA Date:05/21/2014 * Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\BUP-COM PermitApp.doc 10/01/09 440-4613T(I l/02/COM/WEB) :' • ' Building Division Over-The-Counter (OTC) Building Permit TI c n lz a Check List Project Description: APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION Class of Work*: Occupancy Group: li Type of Construction: 'f Type of Use**: y Occupancy Load: V2-- Oregon Specialty Code: ZOt0 SPECIFICS Number of Stories: r.. 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: 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: 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: $ ,Z71 >C FEES DUE $ --70,0:3 DC Prov Rvw,COM TI—Ping $ • air DC Prov Rvw,COM TI—LRP DC Provision Review Fee for COM TI(effective 7/1/2013) $ 4a ?hermit Fee—Add,Alt,Demo Project Valuation Planning LRP $ -S'�t► 12%State Surcharge Up to$4,999 $0.00 $0.00 $ ' Plan Review,Structural ' $5,000-$74,999 $70.00 $10.00 $ Flu, Plan Review,Fire Life Safety $75,000-$149,999 $174.00 $26.00 $ 4110/1r Info Proc/Arch,Lg(over 11x17$2.00) $150,000 and over $278.00 $41.00 $ Info Proc/Arch,Sm(up to 11x17$0.50) $ Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee $ Other: $ Other: Building Staff: $ Other: Date/Time: $ ?7t06 TOTAL FEES DUE *TYPE OF USE: COM=commercial;CMS=commercial manufactured structure. **CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new; OTR=other(use for fences,decks,retaining walls,signs,awnings or canopies). l:\Building\Forms\OTC-BUP.docx 07/01/2013 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 9600 SW OAK ST 325, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - C of O July 11, 2014 at 8:40:48 AM BUP2014-00139 Jeff Grove Violation Summary: Inspector Contractor