Permit (47) CITY OF TIGARD BUILDING PERMIT
s COMMUNITY DEVELOPMENT Permit#: BUP2014-00074
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/02/2014
Parcel: 1 S135BD00100
Jurisdiction: Tigard
Site address: 9600 SW OAK ST 570
Project: Houser&Allison Subdivision: ASHBROOK FARM Lot: PTS 5&
Project Description: TI:Combining suites 570 and 575;Existing tenant expanding into adjacent suite;Office reconfiguration and
breakroom addition.
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 04/02/2014 $70.00
Occupancy Grp: B Occupancy Load: 12 DC Provision Review,COM TI-LRP 04/02/2014 $10.00
Permit Fee-Additions,Alterations, 04/02/2014 $332.27
Dwelling Units: 0 Demolition
Stories: 5 Height: 0 ft 12%State Surcharge-Building 04/02/2014 $39.87
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/02/2014 $132.91
Value: $16,819 Info Process/Archiving-Lg$2.00(over 04/02/2014 $4.00
11x17)
Plan Review 04/02/2014 $215.98
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $805.03
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No 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 ma •• . • ••y of the • direct questions to OUNC by calling 503. 2.1987 or 1.800.332.2344.
Issued By: , Permittee Signature:
.175 by 7:00 a.m.for the next available Inspection date.
This pens a •s al 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
Commercial R FOR OFFICE USE 0 N 1
City of Tigard ,v Received I 169tk� / 7 Permit No.: >//
Date/B 11111 : 13125 SW Hall Blvd.,Tigard, •, 1 Plan Review 1/Y I.
Phone: 503.639.4171 Fax: 50 . 'p'. �Q Date/B : L� �' ''��� Other Permit:
T I G AR D Inspection Line: 503.639.4175 Q (� Date Read'°': See Page 2 far
Internet: www.tigard-or.gov ` `' 1V`t Notified/Method: �. Supplemental Information
TYPE OF 't' •t REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction k '"olition 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 CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
❑Accessory building ❑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:97224 Garage/carport area: square feet
Suite/bldg./apt.no.:570 Project name:Houser&Allison 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.
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.
Minor interior work for tenant improvement. Valuation: $$16,819.00
Existing building area: 1229 square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 5
Name:Norris Beggs&Simpson Type of construction: II-A
Address: 121 SW Morrison,Suite 200 Occupancy groups:
City/State/ZIP:Portland,Oregon 97204 Existing: B
Phone:(503)636-0893 Fax:(503)626-7942 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/State/ZIP: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 (Please refer to fee schedule)
City/State/ZIP:Ridgefield,WA 98642 Structural plan review fee(or deposit):
Phone:(503)227-4440 Fax:(503)227-6644 FLS plan review fee(if applicable):
CCB lie.:123729 Total fees due upon application:
Amount received: $
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,ALA Date:04/02/2014 * Fee methodology set by Tri-County Building Industry
Service Board.
l:\Building\Pemrits\BUP-COM PermitApp.doc 10/01/09 440-46131(1l/02/COM/WEB)
III • ' Building Division
Over-The-Counter (OTC) Building Permit
rlc.AlLI) Check List
Project Description: 71
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: CC�1'V l Occupancy Group: �.- Type of Construction:
Type of Use**: Occupancy Load: Oregon Specialty Code: r' (D
SPECIFICS
Number of Stories: G- 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: lit , 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: $ (&)6(9 FEES DUE
$ 7e),6r, DC Prov Rvw,COM TI-Ping
$ , 0 i DC Prov Rvw,COM TI-LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ "tT Permit Fee-Add,Alt,Demo
Project Valuation Planning LRP $ "� Mit 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ 1 3 Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ omir Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ Willi 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: $ 805,03 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).
I:\Building\Forms\O"l'C-BUP.docx 07/01/2013
Building Permit Number: 6(,v0g(j/'C p`7
Building Permit Review
Commercial Project —No Associated Land Use Case
TIGARD
Side Address: 9600 SW Oak S+. 14.570
IliSt Verify site address is valid.
Project Name : House( 2. Nil i son
Planning Review { �L ,1 r( 1
Proposal: EXpoorl<c n OT ice_ Idly acklac-42XJf Vacarr office. suite- an8 aSsoiio.E
4-enoan-}. i mp,r11rnre rr�ent.
L�1 oning: MU E—t
Permitted Use Yes 0/No ❑ Spec Space
XLand Use Required ❑ Yes Ig No
Notes: EXI 5-1 iril -kxki't+
Approved by: Tim Leh rbae Date: 1211
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 Plan Submittal: Date.�f By: _
Site Plans: ,r//,1
Building Plans: # 3
Create Case Record#: note case# above for Building Permit Number.
Workflow Routing: lan ❑ Engineering ❑ Permit Coordinator Building
Workflow Sign-off: ,i -off for Planning staff,including notes from planning review(page 1)
Route Application Documents: uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: (I / Date: 92A/7
Notes: U
1:\Building\Fonns\BldgPermitRvw_COM_NoLandUse_I23013.docx
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 570, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2014-00074
Chip Barnett
Violation Summary:
Inspector Contractor