Permit / 6 / 6 , / / o 7 a • (�.�
q CITY OF TI ARD BUILDING PERMIT
11 • COMMUNITY DEVELOPMENT Permit #: BUP2010 -00210
Ti GA R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/14/2010
Parcel: 2S113BA00400
Jurisdiction: Tigard
Site address: 7632 SW DURHAM RD 300
Subdivision: Lot: 0
Project: Optum Health
Project Description: TI
Owner: FEES
BEHRINGER HARVARD WESTERN Description Date Amount
PORTFOLIO LP, BY EASLEY MCCALEB & Permit Fee - Additions, Alterations, 09/14/2010 $1,293.19
ASSOCIATES I PO BOX 190700 Demolition
PHONE: 12% State Surcharge - Building 09/14/2010 $155.18
Plan Review 09/14/2010 $840.57
Plan Review - Fire Life Safety 09/14/2010 $517.28
Contractor: Metro Const. Excise Tax - Commercial 09/21/2010 $156.15
COMMERCIAL CONTRACTORS INC Use
1265 SOUTH 35TH PLACE
RIDGEFIELD, WA 98642
PHONE: 503 - 227 -4440
FAX: 503 - 227 -6644
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $130,122
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,962.37
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: No
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 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2010-00210
T [ G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/14/2010
Parcel: 2S113BA00400
Jurisdiction: Tigard
Site address: 7630 SW DURHAM RD
Subdivision: Lot: 0
Project: Opium Health
Project Description: TI
Owner: FEES
BEHRINGER HARVARD WESTERN Description Date Amount
PORTFOLIO LP, BY EASLEY MCCALEB & Permit Fee - Additions, Alterations, 09/14/2010 $1,293.19
ASSOCIATES I, PO BOX 190700 Demolition
PHONE: 12% State Surcharge - Building 09/14/2010 $155.18
Plan Review 09/14/2010 $840.57
Plan Review - Fire Life Safety 09/14/2010 $517.28
Contractor:
COMMERCIAL CONTRACTORS INC
1265 SOUTH 35TH PLACE
RIDGEFIELD, WA 98642
PHONE: 503 - 227 -4440
FAX: 503- 227 -6644
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $130,122
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,806.22
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: No
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 ado, e Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952- 001 -0100. Y • - - - — • • r direct questions to OUNC by calling 503.246.6699 or 1. 0.33 344.
Issued By: - Signature: Y
• 9.4175 by 7:00 a.m. for an inspection that business day.
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 Application
Commercial f0) 1:012 USE ONLY'
1/
City of Tigard Received
� Date/B : q PermitNo.: Si, /A.4o ._
° 13125 SW Hall Blvd., Tigard, • : -' Plan Review
C Phone: 503.639.4171 Fax: 50 " :T.!, 1 r 01O Date/B Other Permit:
A
T I G A R D Ins Line: 503.639.4175 Q 1 �i Date Ready /By: El See Page 2 for
Internet: www.tigard- or.gov V\ � 1P ` w ". Notified/Method: M Supplemental Information
Or
TYPE OF V 90 a . 5� REQUIRED DATA: 1- AND 2- FAMILY DWELLING
Permit fees* are based on the value of the work performed.
o f
❑ New construction gm olition P
Indicate the value (rounded to the nearest dollar) of all
f ' Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I- and 2- family dwelling (Commercial /industrial Valuation: $
❑ 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: 7030 SV v Dui ylafM Vd New dwelling area: square feet
cc City /State /ZIP: acted og Garage /carport area: square feet
Suite/bldg./apt. no.: Project name: OFIlki }}6 LTit 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.
DPt`1 DM 1 OV1 o-f . 064 Sfivici sal a rfiti AU Valuation: $ /14/2a
C OV\ Y
1A( i C4 L k i Cv l (AL ti) 1! f k 1 P rfi ti cos Existing building area: square feet
C 1` New building area: t5iCi7 L square feet
af PROPERTY OWNER ❑ TENANT Number of stories: —I
Name: C E p to 1 LS Type of construction: i 1 S,
Address: 7 c t (V c_s vl ti D UJ St . Occupancy groups:
City /State /ZIP: -V u61, � + ca gc
i G Existing: i ,
Phone: (503) S'S D �s S I`1 ` Fax: (50.71 ' r2 5 O New: G.
Qi APPLICANT ❑ CONTACT PERSON NOTICE
Business name: CUM �l �Q I . COVAynctaY -DAC, . All contractors and subcontractors are required to be
Contact name: �yI licensed with the Oregon Construction Contractors Board
`l (- to under ORS 701 and may be required to be licensed in the
Address: 12 �,5 s ou. Q� jurisdiction in which work is being performed. If the
City/State/ZIP: Qtd�p�j q2 applicant is exempt from licensing, the following reasons
' ` , r 1 apply:
Phone: ( j )22 � Fax: : c5(8) 727 hf _
ell
E -mail: 1 L �V CC J`-' • LOM
'\�An p CONTRACTOR TA,.
Business name: Cvlvll t �Ct &\ C , . BUILDING PERMIT.FEES•
Address: \ 2 C7 L a \"
S , Y ` ` ? f '- P act (Please refer to fee schedule)
City/State/ZIP: r, d P 1 1 f C� �l' Structural plan review fee (or deposit):
`� l' 11 '' "'' "�/ T ( I I (� FLS plan review fee (if applicable):
Phone: flT) L4t4_O Fax: ( 3 2 27 , IOc_1 `1'
CCB lie.: Total fees due upon application: � �c0 1.
l � Amount received:
Authorized signature: - ,( � - � ^ f
�' This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: ovt Date: ?Igo ' 1 L! iO • Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building \Permits \BUP -COM PermitApp.doc 10/01/09 440- 4613T(11/02 /COM/WEB) •
II P4
0 ° Building Division
Over- The - Counter (OTC) Building Permit
ricnrzD Check List
Description of Project:
GENERAL INFORMATION
Class of Work:* ALT Floor Areas (sq. ft.): Exterior Wall Construction:
Type of Use:* C First floor: N: S:
Type of Construction: „ g '; Second floor: E: W:
Occupancy Group: • Third floor: Openings Protected Y /N ?:
Occupancy Load: 9 Total sq ft.: N: S:
Stories: Note: Combine total floor area for E: E:
Height: .. — all floors above third floor and Roof Construction:
Floor Load: add to the third floor s . ft. Fire Retardant:
Basement: Basement: Area Separation Rated:
Mezzanine: Garage: Occu. Separation Rated:
REQUIRED ITEMS
Fire sprinkler: .< Handicap access:
Smoke detector: Protected corridors: AJO
Fire alarm: Parking spaces ( #):
Notes:
Total Valuation: $ 1 301 1 a `vv
INSPECTIONS 1 1 FEES DUE
Footing /foundation Firewall $ / d q 3 , 1' Permit Fee
Post /beam structural Smoke detector $ 155", State Surcharge
Shear wall Misc. inspection $ f) , S7 Plan Review Fee
Masonry Approach /sidewalk $ S j -7 , D FLS Plan Review Fee
__> Framing $ Additional Permit Fee
Insulation Sprinkler rough -in $ Additional Plan Review Fee
Gyp board Fire alarm $ Metro Construction Excise Tax
4 Suspended ceiling Sprinkler final $ School Construction Excise Tax
Final inspection $ Misc. Fee
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Other:
$ ? , -}0, Total Fees Due
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings
or canopies); REP = repair.
I: \Building \Forms \OTC - BUP.doc 08/19/08