Permit U CITY OF TIGARD BUILDING PERMIT
' 2 C OMMUNITY DEVELOPMENT P #: BUP2011 00053
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/16/2011
Parcel: 25101 DB00100
Jurisdiction: Tigard
Site address: 7340 SW HUNZIKER RD 210
Project: Cornerstone Clinical Services Subdivision: Lot: 0
Project Description: TI
Contractor: ROBINSON CONSTRUCTION Owner: HILLTOP BUSINESS CENTER LLC &
21360 NW AMBERWOOD DR HUNZIKER LLC
HILLSBORO, OR 97124 -9321 9430 NW KAISER RD
PORTLAND, OR 97231
PHONE: 503 - 645 -8531 PHONE:
FAX: 503 - 645 -5397
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 03/16/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 03/16/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 03/16/2011 $619.25
Stories: 2 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 03/16/2011 $74.31
Value: $40,000 Plan Review 03/16/2011 $402.51
Plan Review - Fire Life Safety 03/16/2011 $247.70
Info Process /Archiving - Lg Sheet (over 03/16/2011 $10.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,426.77
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: Yes Protected Corridors: Yes
Smoke Detectors: Yes 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. AT ION: r n la .quires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -00 010 through OAR 9 - 001 -0r •rYou may obtain a copy of the rules or direct questions to OUNC by calling 50 .2 4687 or 1.800.332.2344.
Iss ed By: • Permittee Signature: t „ I
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 I OR (>rrl( 1: l SE Om.)
City of Tigard Date /B : I� yi Permit No... 1 4 90/1
11111 •
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
I Phone: 503.639.4171 Fax: 503.598.1960 Date/B : Other Permit:
l - _ �'` l Inspection Line: 503.639.4175 Date Ready /By: Alas: ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
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 Valuation: $
® 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: 7340 SW Hunziker Rd New dwelling area: square feet
City /State /ZIP: Portland, OR 97223 Garage/carport area: square feet
Suite/bidg. /apt. no.: 210 Project name: Cornerstone Clinical Sery Covered porch area: square feet
Cross street/directions to job site: SW Hunziker Rd & SW 72nd 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.
Relocate (E) teant into vacant office space Valuation: $$40,000.00
Existing building area: square feet
New building area: 0 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 2
Name: Robinson Family Trust Type of construction: V -A
Address: 21360 NW Amberwood Dr Occupancy groups:
City /State/ZIP: Hillsboro, OR 97214 Existing: B
Phone: (503)645.8531 Fax: (503)6455357 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 schedule)
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: � t/ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Kourtney trong Date: 03.15.2011 * 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)
■
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(I) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
' cLithl aa,t5S: let&
I: \Building \Permits \BUP -COM Penn itApp.doc 02/24/2011
Building Division
Development Code Provision Review
t t c A R Commercial Projects - No Associated Land Use Case
Building Permit No: ❑ Expedited Review
Plan Submittal Date: 3 - 0 I 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 only if approved.
Planning Review (contact CA/ICI-Li I Ca; A e f at 503 -718- .2437 or oPtert I C. @tigard - or.gov)
7°' Zoning C — 1 Permitted Use Yes No ❑
rid Land Use Required: Yes ❑ No p] (explain below)
Notes: 0 - c r - P c.Q. t tJt✓ rv.o vi i n 1 v.-+v vo ca-.., f- o'f-Ci c i sr 6c¢ .
I$ Approved ❑ Not Approved Date: 3 - I t ° - I f
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN