Permit CITY OF TIGARD it BUILDING PERMIT
' - COMMUNITY DEVELOPMENT Permit #: BUP2011-00167
•
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/27/2011
Parcel: 1S126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 505
Project: SFA Design Group Subdivision: Lot:
Project Description: TI. 8/16/11, reprinted to correct suite number. 8/18/11, reprinted to change suite number.
Contractor: BLUE LAKE CONSTRUCTION LLC Owner: WISCO REAL ESTATE EQUITY FUND I
4605 SW HOMESTEADER RD 1501 SW TAYLOR ST STE 100
WILSONVILLE, OR 97070 PORTLAND, OR 97205
PHONE: 503 - 475 -6172 PHONE:
FAX: 503 - 673 -0338
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 07/27/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 07/27/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 07/27/2011 $317.06
Stories: 5 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 07/27/2011 $38.05
Value: $15,400 Plan Review 07/27/2011 $206.09
Info Process/Archiving - Lg Sheet (over 07/27/2011 $4.00
11x17)
Floor Areas: Plan Review - Fire Life Safety 07/27/2011 $126.82
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $765.02
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 thr. = • • 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 01002/44A Permittee Signature
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.
IV CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT i Permit #: BUP2011 -00167
TIG 13 125 SW Hall Blvd., Tigard OR 97223 503.718.2439 r � Da I ssued: 07/2712011
Parcel: 1 S126BCO15o6
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 500
Project: SFA Design Group Subdivision: Lot:
Project Description: TI. 8/16/11, reprinted to correct suite number.
Contractor: BLUE LAKE CONSTRUCTION LLC Owner: WISCO REAL ESTATE EQUITY FUND I
4605 SW HOMESTEADER RD 1501 SW TAYLOR ST STE 100
WILSONVILLE, OR 97070 PORTLAND, OR 97205
PHONE: 503 - 475 -6172 PHONE:
FAX: 503 - 673 -0338
FEES
Specifics:,
Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 07/27/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 07/27/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 07/27/2011 $317.06
Stories: 5 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 07/27/2011 $38.05
Value: $15,400 Plan Review 07/27/2011 $206.09
Info Process /Archiving - Lg Sheet (over 07/27/2011 $4.00
11x17)
Floor Areas: Plan Review - Fire Life Safety 07/27/2011 $126.82
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $765.02
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. ATTE . •. • egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0% 0 through OA' '52 -001 -11 You may obtain a copy of the rules or direct questions to OUNC by calling 13.232.1987 or 1.800.332.2344.
i0 1
Issued�y: f / / Permittee Signatur:illak
Call 503.639.4175 by 7:00 a.m. for the next available inspec on 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.
CITY OF TIGARD BUILDING PERMIT
"g:- COMMUNITY DEVELOPMENT Permit #: BUP2011 -00167
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/27/2011
Parcel: 1 S126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 550
Project: SFA Design Group Subdivision: Lot:
Project Description: TI
Contractor: BLUE LAKE CONSTRUCTION LLC Owner: WISCO REAL ESTATE EQUITY FUND I
4605 SW HOMESTEADER RD 1501 SW TAYLOR ST STE 100
WILSONVILLE, OR 97070 PORTLAND, OR 97205
PHONE: 503 - 475 -6172 PHONE:
FAX: 503 - 673 -0338
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 07/27/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 07/27/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 07/27/2011 $317.06
Stories: 5 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 07/27/2011 $38.05
Value: $15,400 Plan Review 07/27/2011 $206.09
Info Process /Archiving - Lg Sheet (over 07/27/2011 $4.00
11x17)
Floor Areas: Plan Review - Fire Life Safety 07/27/2011 $126.82
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $765.02
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 -00 S through 0AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issue. By: Permittee Signature: /l
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 � � _ - FOR Ohf• I(► ; I,LSI' QN.L
City of Tigard �� p'V\ Received : Permit No.: f - o — ) l
�' 6 7
�
13125 SW Hall Blvd., Tigard, OR 99 23 P lan Revie�v� / d
Phone: 503.718.2439 Fax: 503.598.196t ', \, 0 Date/By: /v'Q J 7._ 7--// Other Permit:
T I G AR D Inspection Line: 503.639.4175 J G G C`OV Date Ready/By: Juris: ® See Page 2 for
Internet www. tigard or Q * ' Notified/Method: Supplemental Information • NACI
- _ : TYPE, OF " R' - _ - _ :.. ° j2EQUIRED`DATA: 1 AND °2- FAMILYDWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
_ Indicate the value (rounded to the nearest dollar) of all
ddition/alteration/replacement [ Other: T5N, - N I melt() e M aµ75 equipment, materials, labor, overhead, and the profit for e
_ CATEGORY - Ot. CONSTRUCTION 1 '. - s- 4- - 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 -1-. ,. Total number of floors:
Job site address: 70). o S 1 /I 6 T,/ Al S p, M. New dwelling area: square feet
City/State /ZIP: /2 k/ L41ND OR q-)2.1.-3 Garage /carport area: square feet
Suite/bldg. /apt. no.: -- �1 Project name: EM BR'SS y OA/L" rEktki 7/ HOddI'mews Covered porch area: square feet
Cross street/directions to job site: N9 / / /SChaf /S Deck area: f square feet
Other structure area: / square feet
, REQUIRED DATA: COINMERCIAL-USE CIhECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: , 5 \ 7 .3C_... ` 5 Q b 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.
S7 Ftda r'NA -Ar % 2,419.0aAteNrc - Off %et= Valuation: $ 1 5I1--Lt 0
Existing building area: square feet
New building area: Al ! o square feet
PROPERTY_ OWNER ` . '.❑. =T ENANT" Number of stories: 5
Name: ,,4/,/ S i N iffy t4 GNr ,S`-/Z e// e x Type of construction: cam w. rt
v-AcA \ 1 TL S
Address: 15 S4 Tc ytac 5 q t/ e 1e0 Occupancy groups:
City/State /ZIP: / k fl d 6 A- 97:2--e,5 Existing:
Phone: (503);- ;Ili- 0 go d Fax: ( ) New:
: APPLICANT 1? - - - ®, 'CONTAC =T PERSON '' `7'' . - :; BUILDING PERMIT FEES * =
Business name: 5 F,4 /20576,4 (/1.0 A P "" - (Pleasee iejei,to jee,sebedu[e) ' ; '° ,
Structural plan review fee (or deposit):
Contact name: 114-77 57 -C 14 t
Al, LS plan review fee (if applicable):
Address: qD �d S W 1N�Sjt ", K
City/State /ZIP: IOC ll_-N 0 � r x: Total fees due upon application:
Amount received: 76 � y Phone: (563 yt - 3 �� : ( JPG -3) 6 y 7 l/ , . , - ,. _ .
M S . P ,�� j �� n Sr ��� G � . PHOTOVOLTAICiSQLAR'RANEL:SYSTEM FEES*
E -mail: y (� 7 :_..
C ON T RA CTOR - , ° . `? = ° , Commercial and residential prescriptive installation of
, . , - - - roof -top mounted Photo Voltaic Solar Panel System.
Business name: 3 ` ,� \....„.\,.... L A` S } r - uC_�∎ can Li— 1_ C Submit two (2) sets of roof plan with connection details
► \ and fire dep, t access, along with the 2010 Or -.
Address: 1-\ l. Os (W ,k-v A- S AA-v. .r c. Solar Installation ' , ecialty Code checklist
City/State /ZIP: \,\) ' t, \\..e_ (>(\ on 0 7 o Permit fee (inc . es plan re.
and admim , .: a fees):
Phone: (507) 1.--‘1S -C, \ Z Fax: ( 3) (0 73 - 0 33 State surchar.- % of perm'
CCB lic.: % k 5,A T. , ee due upon application: , ' •
Authorized signature: T his permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
��A * Fee methodology set by Tri -County Building Industry
Print name: rv/ a S� rq� Date: ] /jam / Service Board.
Building Division
Development Code Provision Review
TlGARD 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. , /
Planing Review (contact at 503 -718 yt) or . @tigard - or.gov)
Zoning _ 44C- Permitted Use Yes No ❑
/Land Use Required: Yes ❑ No V ( ex P lain below)
/ 6
Notes:
4 pproved ❑ Not Approved Date: . 2 ' a���
Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard - or.gov)
Notes:
ORM
A
Routed back to Building Division Date:
I: \CURPLN