Permit 14' CITY OF TIGARD BUILDING PERMIT
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COMMUNITY DEVELOPMENT Permit #: BUP2011 -00154
1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/19/2011
TIGARD Parcel: 1S126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 120
Project: Server Logic Subdivision: Lot: 0
Project Description: TI. Combine two suites into one.
Contractor: PACIFIC CREST STRUCTURES INC Owner: WISCO REAL ESTATE EQUITY
17750 SW UPPER BOONES FERRY RD SUITE 1501 SW TAYLOR STREET, SUITE 100
190 PORTLAND, OR 97205
DURHAM, OR 97224
PHONE: 503 - 968 -8949 PHONE: 503 - 294 -0400
FAX: 503 - 598 -6658
FEES
Specifics:, Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 07/19/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 07/19/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 07/19/2011 $685.37
Stories: 5 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 07/19/2011 $82.24
Value: $45,500 Plan Review 07/19/2011 $445.49
Plan Review - Fire Life Safety 07/19/2011 $274.15
• Info Process /Archiving - Lg Sheet (over 07/19/2011 $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 $1,570.25
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. 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 may obtain a copy of the rules or direct questions to OUNC by callin• .03.232.1987 or 1.800.332.2344.
Issued By: / . — Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspec ion date.
This permit card shall be kept in a conspicuous place on the job site until ompletion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application RECEIVED
Commercial FOR OFFICE USE ONLY
JUL 19 2011
City of Tigard . pa; ,Bed .07 j,..› �D a / / D�
D 3
PennitN
a 13125 SW Hall Blvd., Tigard, OR 972230 OF TIGARD '
P lan Review •e1 If Other Permitt(i 2c /Q DQ 7
' ; Phone: 503.718.2439 Fax: so3.s98.�ING DIVISION Date/B ii
TI GARD Inspection Line: 503.639.4175 Date Ready /By: See Page 2 for
Internet: www.tigard - or.gov Notified /Method: Supplemental Information
, ,. i
TYPE ; OFtWORK , 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
, — work indicated on this application.
CATEGORY OF CONSTRUCTION
❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $
1=1 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: 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: Server Logic 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-USE CHECKLIST
Subdivision: Lot no.: 01506 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 1 S126BC 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.
Alteration to existing tenant improvement within previously occupied space. Valuation: $$45,500.00
• . Existing building area: 92315 square feet
New building area: 0 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 5
Name: WISCO Real Estate Equity Fund Type of construction: Il -B
Address: 1501 SW Taylor Street, Suite 100 Occupancy groups:
City /State /ZIP: Portland, OR 97205 Existing: B
g�
Phone: (503)294 -0400 Fax: (503)227 -2507 New: B
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: Robert Simpson Architect, PC (Please refer ro fee schedule)
Structural plan review fee (or deposit):
Contact name: Robert C. Simpson
FLS plan review fee (if applicable):
Address: 31177 SW Simpson Road
Total fees due upon application:
City /State /ZIP: Cornelius, OR 97113 -6201
Phone: (503) 709-9653 Fax: : ( )
Amount received:
E -mail: RSApc @Frontier.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
, .'i'' , w „ CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: Pacific Crest Structures Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 17750 SW Uppeer Boones Ferry Road, Suite 190 Solar Installation Specialty Code checklist.
City /State /ZIP: Durham, OR 97224 Permit fee (includes plan review $180.00
and administrative fees):
Phone: (503) 968 -8949 Fax: (503) 598 -6658 State surcharge (12% of permit fee): $21.60
CCB lie.: 66915
Total fee due upon application: $201.60
Authorized signature 1 This permit application expires if a permit is not obtained
4
within 180 days after it has been accepted as complete.
Print name: Robert C. c impson Date: 7/19/2011 * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \BUP - COM PermitApp.doc 02/24/2011 440- 4613T(I 1 /02 /COM /WEB)
•
Building Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: &r Occupancy Group: Type of Construction:
*Type of Use: & Occupancy Load: f ` Oregon Specialty Code: 20(
SPECIFICS
Number of Stories: rj 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 Sprinlders: 4 ' CL Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ 45, 6 FEES DUE
$ ,05 DC Prov Rvw, COM TI — Ping
$ DC Prov Rvw, COM TI —LRP
DC Provision Review Fee for COM TI $ r ' Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ r S<T2— 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ • ' p Plan Review, Structural
$5,000 - $74,999 $64.00 $9.00 $ 2 i , ` Plan Review, Fire Life Safety
$75,000 - $149,999 $160.00 $24.00 $ (0, (Z) 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: ��j 7Q,2 COTAL FEES DUE
/ J � 70 , A.S 41--
*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. /f
r /
I: \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: ❑ Expedited Review
Plan Submittal Date:
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 at 503 - 718- o"ir_ or 0 /7 @ tigard- or.gov)
❑ Zoning /A� /Ci Permitted Use Yes LUG No ❑
❑ Land Use Required: Yes ❑ No Lei (explain below)
Notes: /Na 4 144,15e. A%` 'f€. — 01ffke M *eke,
E -Approved ❑ Not Approved Date: 7-1,-//
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN