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Permit r ya CITY OF TIGARD BUILDING PERMIT 4 ... COMMUNITY DEVELOPMENT Permit #: BUP2010 -00279 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/22/2010 ,TIGARD Parcel: 1S126BC01506 Jurisdiction: Tigard Site address: 9020 SW WASHINGTON SQUARE RD 120 Project: Spec Space Subdivision: Lot: 0 Project Description: TI - Demolition of interior partitions for spec space. Contractor: CG CONSTRUCTION Owner: WISCO REAL ESTATE EQUITY 1801 NW UPSHUR ST SUITE 490 1501 SW TAYLOR STREET, SUITE 100 PORTLAND, OR 97209 PORTLAND, OR 97205 PHONE: 503 - 226 -1078 PHONE: 503 - 294 -0400 FAX: 503 - 226 -1088 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee - Additions, Alterations, 12/22/2010 $149.75 Class of Work: ALT Demolition Dwelling Units: 0 12% State Surcharge - Building 12/22/2010 $17.97 Stories: 5 Height: 0 ft Plan Review 12/22/2010 $97.34 Bedrooms: 0 Bathrooms: 0 Value: $4,500 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 . Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $265.06 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 Notificaton Center. Those rules are set forth in OAR 952 - 001 -00 • • • • • OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by callin.(i3.232.1987 or 800.332.2344. Issued =y: 1 /0 Permittee Signature: i / / / � A Call 503.639.4175 by 7:00 a.m. for the next available inspectio date. This permit card shall be kept in a conspicuous place on the job site until co pletion of the project. Approved plans are required on the job site at the time of each in pection. Building Permit Application Commercial FOR OFFICE USE ONLY City of Tigard pppp Received DateB : /R at R /0 Permit No.: ' 114 - " 13125 SW Hall Blvd., Tigard, OR RE Plan Revi . ► 7� i Phone: 503.639.4171 Fax: 503.598.1960 Date /B Other Permit: TIGARD Inspection Line: 503.639.4175 DEC 2 2 2010 Date Reiiy: Juris: ® See Page 2 for Internet: www.tigard - or.gov Notified /Method: Supplemental Information yy }p a b _ a 4 B ! V GD V i nc Ti 1l .r. r ,. °..',r�,,,: , ,i. ,, • •. . r, ,, TYPE OFD, � ' ' l ., , .., ,M <. » era: RE D. 1 y AND72 FAMILY'DWEiI;IN. , _ � � ' I AT A': ❑ 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 ` a `' `O AN' " ; ... work indicated on this application. ;; ; , ;.a . C `OF CONSTR , , r ❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $ El Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: ''° ' r . , JOBt 7IE INFORMATION, AND LOCATION Total number of floors: ter ... , .m s 1 NF ... 1. � Job site address: 9020 SW Washington Square Road New dwelling area: square feet City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet Suite/bldg. /apt. no.: 120 Project name: Vacanr Covered porch area: square feet Cross street/directions to job site: SW Scholls Ferry Road Deck area square feet Other structure area: square feet REQUIRED?DATA COMMERCIAL USErCHECKLIST ; Subdivision: Lot no.: 01500 Permit fees* are based on the value of the work performed. Tax map /parcel no.: 1S126BC 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. Selective demolition within previously defined suite. Valuation: $4,500.00 Existing building area: 92315 square feet New building area: 0 square feet s ' ®PROPERTY OWNERt ` '- ❑TENANT - + Number of stories: 5 Name: WISCO Real Estate Equity Fund Type of construction: I1 -B Address: 1501 SW Taylor Street, SUite 100 Occupancy groups: City /State /ZIP: Portland, OR 97205 Existing: B Phone: (503)294 -0400 Fax: (503)227 -2507 New: B ,, , .: a.: s ®aAPPLICANT , . r .... ®; CONTACT PERSON y e ,x :, Business name: Robert Simpson Architect, PC All contractors and subcontractors are required to be Contact name: Robert C. Simpson licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 31177 SW Simpson Road jurisdiction in which work is being performed. If the City /State /ZIP: Cornelius, OR 97113 applicant is exempt from licensing, the following reasons apply: Phone: (503) 709 -9653 Fax::( ) E -mail: rsapc @frontier.com ire," !; ;x s- CON ` _ Business name: CG Constructions :'. a -.,." ,, - ' , , , Address: 1801 NW Upshur Street . ' (Please refer >-toJeesc/r "edule • ` .� - Cit /State /ZIP: Portland OR 97209 Structural plan review fee (or deposit): Y FLS plan review fee (if applicable): Phone: (503) 226 -1078 Fax: (503) 226 -1088 j Total fees due upon application: CCB lic.: 1156 2.{ � Amount received: Authorized signature. — This permit application expires if a permit is not obtained v ' within 180 days after it has been accepted as complete. Print name: Robert C. Simpson Date: 12/22/2010 * Fee methodology set by Tri- County Building Industry • Service Board. L• \Building\Permits \BUP -COM PermitApp.doc 10/01/09 440- 4613T(I I /02 /COM /WEB) Il IN Building Division . . Over- The - Counter (OTC) Building Permit TIGARD Check List Description of Project: +1'_� v' � li.TF'ti � � "�� cr r» -, ; � y ' .f— p4 a S'-' t ` , :it 2. Mi ‹ x ea ;,. ' s. , • `: + ;. . GEN:E „I�NFORMAkM , 4 � r` 't i ._ :' �" .a Class of Work:* -A1, . i Floor Areas (sq. ft.): X .. Exterior Wall Construction: Type of Use:* -1 J +- ` , First floor: ,l.' : N: S: Type of Construction: rj .0 x, ` Second floor: ; *- E: W: Occupancy Group: Third floor: , ' Openings Protected Y /N ?: z r .S Occupancy Load: 5`3''4 Total sq ft.: L N: S: �, %% E: E: Stories: t •---- ;•-' Note: Combine total floor area for t Height: -. all floors above third floor and , ° !f Roof Construction: Floor Load: _„ add to the third floor sq. ft. ?ti • ' F Retardant: Basement: N, Basement: �`t `' Area Separation Rated: �, Mezzanine: r'c Garage: ' I Occu. Separation Rated: nkt r ffr Yit ; N ' � e itt—Ta IT EMS, y r V r '' ' :.� !, . - f "TY Fire sprinkler: 1 i w r Handicap access: r ° Smoke detector: �,,1�,44 y .fn : Protected corridors: ii., "; Fire alarm: _ ,- }?,;f;,, Parking spaces ( #): Notes: Total Valuation: $ A OD 4 r v I4S : :MttactliS F ' * _O 7� a FEES D W �, i +_ 4.,r , , r Footing /foundation Firewall - $ ', 7l" Permit Fee Post /beam structural Smoke detector $ 4 - 7 , State Surcharge Shear wall Misc. inspection $ 'v-- Plan Review Fee Masonry Approach /sidewalk $ FLS Plan Review Fee Framing $ Additional Permit Fee Insulation Sprinkler rough -in $ Additional Plan Review Fee Gyp board Fire alarm $ Metro Construction Excise Tax Suspended ceiling Sprinkler final $ School Construction Excise Tax Final inspection $ Misc. Fee $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Other: $" r j t Total Fees Due ©�1-s1M1�©l�l.S it '! ' '-�_" -•; +t!- r :,,fh v' 3' f ro ,` ti "0 � G i s �'�, A 'yea' , kk L �,C , -7 6 �+ r ' ' .,` } n . r • � A: { P a R � z . S 1 ik .i '4�_ � � a� , ; aT mg. k®M . commercial, co ma i ,r. ,t . - ,�, ."(0 WORK" . accesso \i1 D R addition i1LT a lteration FN �D`: fouridatt D ,,,:,p,_:_,,, e g oo, , _-' : ' ' - r_ s A t , ng t © foundation FPS fire protection NEW } , ' , o .� I3 ff fences' deks et ainin g s tg1,s, awriis E r: _�Y •°'',..4_,(:!:' s .`- ✓ a ; e nv � t" ` e r i t � �. t ' 3: 0 canopies) RE- repair f s'b_ - W ; + +; `r e-� ,- .. ' a ` s fr ' : n '44:kt � 3':'.� ru � ,� . n, ,�4 ,V ,4.- -`c ?r� -,.J_. ` I: \Building \Forms \OTC- BUP.doc 08/19/08