Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2011 -00146
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/07/2011
Parcel: 25101 DB00104
Jurisdiction: Tigard
Site address: 7300 SW HUNZIKER RD 200
Project: MD's Subdivision: Lot:
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 07/07/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 07/07/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 07/07/2011 $332.27
Stories: 0 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 07/07/2011 $39.87
Value: $16,500 Plan Review 07/07/2011 $215.98
Plan Review - Fire Life Safety 07/07/2011 $132.91
Info Process /Archiving - Lg Sheet (over 07/07/2011 $6.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $800.03
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 Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952 - 001 -0090. You m_aynhtain - copy of the rules or direct questions to OUNC by calling 503.2 . •87 or 1.800.332.2344.
Issued By:j�, // . ' Permittee Signature:
503.639.4175 by 7:00 a.m. for the next available inspecti.n dat..
This permit card shall be kept in a conspicuous place on the job site until co pleti .n of the project.
Approved plans are required on the job site at the time of each irkspec ion.
Building Permit Application ,s
Commercial .. FOR OFFICE USE ONLY
City of Tigard JUL 0 7 20 1Bea f ; r'
1 Date Permit No.: , p, </ I t. a: ,
13125 SW Hall Blvd., Tigard, OR 97223
,
C Phone: 503.718.2439 Fax: 503.598.1960 CITY OF' h Plan DateB Review : wiz ;��� Other Permit:
Inspection Line: 503.639.4175 Q U ! ',RD Date Ready/By: PI See Page 2 for
TI GA RD BUI DIN(
Internet: www.tigard - or.gov LX , vi Sio r Notified/Method: -/ INPAVAIF WM Supplemental Information
' ' r TYPE OF WORK - ' . „ 'REQUIRED DATA:: I- 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
V Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY ` - ; CONSTRUC.TION_
work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling Commercial/industrial 4 _
El Accessory building ❑ Multi - family Number of bedrooms:
ID Master builder ❑ Other: Number of bathrooms:
Total number of floors:
JOB SIT INFORMATION AND LOCATION f � num er o oors:
Job site address: - j2 f7 c l, t ') ./41 f V P7; �. New dwelling area: square feet
City /State/ZIP: 7 D Ott- 1'�r-- c � -/ ' 1 Z�. Garage /carport area: square feet
Suite/bldg. /apt. no.: .Project name: M n'5 Lam. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
72 >,a e 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
`' 7 . # DESCRIPTION 'OF WORK , ' - - work indicated on this application.
N1 o - 7' P�17` /m DUa N�/� Valuation: $ ��8� �R7
Existing building area: square feet
New building area: j square feet
. 0' PROPERTY OWNER TENANT ry Number of stories:
Name: YAP .) u.X-- )'' tt rn l f-PeL ��4�, v A A Type of construction: J,I_
Address: `7a C�W �A21� / "Dt I I V Occupancy groups: 73
City/State/ZIP: / � �p,� 1 &- 071.-0.. Existing:
Phone: (c-)73 &21231..1 ' yon c Fax: ( ) New:
❑ APPLICANT ' -. ❑ CONTACT :PERSON ` �ttBUILDING PERMIT FEES* . -
- ` ` (P,lease refer to �'ee scliedul
Business name: C 177A W t' • Structural plan review fee (or deposit): J
Contact name: IV`a / C� 6
J FLS plan review fee (if applicable):
Address: 158 i c.,0
9 77_17 1 6 , Z i)
City /State/ZIP: // 1700-LA/ 1 p a. 572P-I
Total fees due upon application:
) 72 ! / Fax: : (0y2?, ) 22/ y
received:
Phone: I �
E-mail: Kp -he is a, 0; .0 w y n Commercial OTOVQ a TAl dent O ial pr
nstallation FEES *° r,e
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: )l \SoQ ON-10324.)0V14 Submit two (2) sets of roof plan with connection details
A j and fire department access, along with the 2010 Oregon
2 2
Address: ' J1.0 AiA) y t , D Solar Installation Specialty Code checklist.
City /State /ZIP: l Permit fee (includes plan revie $180.00
L�� l 972i� an d administrative fees):
Phone: ( 46 gc -- ( Fax: 73) (&Lf� 5 State surcharge (12% of permit fee): $21.60
CCB lic.: 4 119 Total fee due upon application: $201.60
Authorized signature:. i /_ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete. -
Print name: rAy A. . f—n I Date: 7. * Fee methodology set by Tri- County Building Industry
Service Board.
li r I:\Building \Permits \BUP -C . 02/24/2011 440- 4613T(11/02 /COM/WEB)
Building Division
C
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: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage arid •
alarms: $
•
TOTAL (shall equal line [2] of Valuation Computation): $
•
I: \Building \Permits \BUP -COM PermitApp.doc 03/03/2011
Building Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List
Project Description: �(
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: Nik � Occupancy Group: Type of Construction:
*Type of Use: Occupancy Load: -O 5 Oregon Specialty Code: 2 t Gj
SPECIFICS
Number of Stories: 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: Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ I f i r FEES DUE
/ $ C �LD DC Prov Rvw, COM TI — Ping
$ ' , 00 DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ 2 Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ 2. ( '` t Plan Review, Structural
$5,000 - $74,999 $64.00 $9.00 $ 2 , • Plan Review, Fire Life Safety
$75,000 - $149,999 $160.00 $24.00 $ - tt■ Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $256.00 $38.00 $ Info Proc /Arch, Sm (up to 11x17 $0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
Planning Staff: $ Hourly Rate State Surcharge
$ Misc. Admin Fee
Permit Coordinator: $ Other:
$ Other:
Building Staff: $ Other:
Date /Time: $ 6,0 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.
L \ Building \ Forms \ OTC- BUP.docx 01/13/2011
Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: , U II —()c.) (�I (o xpedited Review
Plan Submittal Date: -7 7 1/ /3 ,T
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 Q Poyd at 503-718-41W', or JO Ai 41"I @tigard - or.gov)
❑ Zoning C- Permitted Use Yes ❑ No ❑
❑ Land Use Required: Yes ❑ No L7 (explain below)
Notes: /00 Clutter, !h USG
CGYApproved ❑ Not Approved Date: Jv6p - ;9
Permit Coordinator Review (contact Albert Shields a _ : - 718 -2426 or albert @tigard - or.gov)
Notes:
Routed back to B . g Division Date:
I: \CURPLN