Permit CITY OF TIGARD BUILDING PERMIT
• COMMUNITY DEVELOPMENT Permit #: BUP2011 -00044
Date Issued: 03/01/2011
TIGAR 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S101DB00100
Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 200
Project: Angel Vision Subdivision: Lot: 0
Project Description: TI
Contractor: ROBINSON CONSTRUCTION Owner: ROBINSON FAMILY TRUST
21360 NW AMBERWOOD DR 21360 NW AMBERWOOD DR
HILLSBORO, OR 97124 -9321 HILLSBORO, OR 97124
PHONE: 503 - 645 -8531 PHONE: 503 - 645 -8531
FAX: 503 - 645 -5397
FEES
Specifics:
Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 03/01/2011 $149.75
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 03/01/2011 $17.97
Stories: 0 Height: 0 ft Plan Review 03/01/2011 $97.34
Bedrooms: 0 Bathrooms: 0 Info Process /Archiving - Lg Sheet (over 03/01/2011 $6.00
Value: $4,500 11x17)
Plan Review - Fire Life Safety 03/01/2011 $59.90
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $330.96
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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. TENTION: egon law requires you to follow the rules adopted by the Oregon Utility Notifica Center. Those rules are set forth in OAR
9 - 001 -0010 through 0 95 •41 -0090. You may obtain a copy of the rules or direct questions to OUNC by calli ■ 503.23 4 7 or 1.800.332.23' •
Issued By: / r � L � , Permittee Signature: oo, •
Call 503.639.4175 by 7:00 a.m. for the next available inspection 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.
Building Permit Application
Commercial RECEIVED ( l t,i II( I l. ()NIA City of Tigard Received / /( � � � Permit No.:
13125 SW Hall Blvd., Tigard, OR 972 p 20 �' Plan Review IIMMI�
II - Phone: 503.639.4171 Fax: 503.598.1 `�: t t � 1 DateB : g ' Other Permit:
T I t n I: 11 Inspection Line: 503.639.4175 Date Ready/BY: kris: ® See Page 2 for
Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK 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 CONSTRUCTION work indicated on this application.
❑ 1- 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: 7320 SW Hunziker Rd New dwelling area: square feet
City /State /ZIP: Portland, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: 200 Project name: Angel Vision Tech TI Covered porch area: square feet
Cross street/directions to job site: SW Hunziker Rd & SW 72 " Ave Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: 100 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 2S101DB 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.
Tenant Improvement minor remodel of exisitng office space. Valuation: $$4,500.00
Existing building area: 47320 square feet
New building area: 0 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 3
Name: Robinson Family Trust Type of construction: III -B
Address: 21360 NW Amberwood Dr Occupancy groups:
City /State/ZIP: Hillsboro, OR 97214 Existing: B/M
Phone: (503)645.8531 Fax: (503)645.5357 New: N/A
® APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: CIDA, Inc All contractors and subcontractors are required to be
Contact name: Kourtney Strong licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 15895 SW 72 " Ave Suite 200 jurisdiction in which work is being performed. If the
City / State/ZIP: Portland, OR 97224 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 226.1285 Fax: : (503) 226.1670
E -mail: kourtneys @cidainc.com
CONTRACTOR
Business name: Robinson Construction Co. BUILDING PERMIT FEES*
Address: 21360 NW Amberwood Dr (Please refer to fee sehedu/e)
City/State/ZIP: Hillsboro, OR 97214 Structural plan review fee (or deposit):
Phone: (503) 645.8531 Fax: (503) 6455357 FLS plan review fee (if applicable):
CCB lic.: 63147 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: Kourtney Strong Date: 02.24.2011 * 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)
IN Building Division
Development Code Provision Review
T I G A R D Commercial Projects - No Associated Land Use Case
Building Permit No: ❑ Expedited Review
Plan Submittal Date: W/ //I
To the Applicant:
If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left on if approved. ��~ v a _
Planning Review (contact at 503-718-2 or @tigard- or.gov)
Er Zoning Permitted Use Yes,' No ❑
('Land Use Required: Yes ❑ No Er" (explain below)
Notes: ,
,tTNApproved ❑ Not Approved Date: J / 1(
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
Routed back to Building Division Date:
L \CURPLN