Permit ill CITY OF TIGARD BUILDING PERMIT
' ` 2 ' ' COMMUNITY DEVELOPMENT Permit #: BUP2011 -00176
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/10/2011
Parcel: 25101 DB00103
Jurisdiction: Tigard
Site address: 7360 SW HUNZIKER RD 106
Project: Dale Carnegie Training Subdivision:CONDO SUPPLEMENTAL PLAT NO.4: Lot: 22830 -2
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 08/10/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 08/10/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 08/10/2011 $149.75
Stories: 0 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 08/10/2011 $17.97
Value: $5,000 Plan Review 08/10/2011 $97.34
Plan Review - Fire Life Safety 08/10/2011 $59.90
Info Process /Archiving - Lg Sheet (over 08/10/2011 $4.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $401.96
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No 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 Notifica Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 9 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by callin i ' . 87 or 1.800.332.2344.
Issued By: f _ , Permittee Signature: i
• Call75 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
r /
Commercial ! " FOR OFFIC USE ONLY .
City of Tigard #c)
Date Received 7 i JOT Permit No.: ■ , / r
a Tigard, I 3125 SW Hall Blvd., Ti , OR 97 r
g an Revie �'
1 I.• ' Phone: 503.639.4171 Fax: 503 i,''`t''! �0�\ Date/13 : j�(( � Other Permit:
TI G A R D Inspection Line: 503.639.4175 ,, 10 Date Ready/B : ® S e e page 2 for
Internet: www.tigard - or.gov � G4����
- Notified/Method: a Su pplemental Information
' ( YY" ,�"
TYPE'�OF WO " " ��", ,; :REQUIRED DATA: 1 AND 2= FA "
❑ New construction ❑ ton Permit fees* are based on the value of the work performed.
vvv "' Indicate the value (rounded to the nearest dollar) of all
® Addition/alteration/replacement ❑ ther: 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: 7360 SW Hunziker Rd New dwelling area: square feet
City /State /ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: 106 • Project name: Dale Carnegie Training 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
REQUIREDrDATA: COMMERCIAL- USE;.iCHECKLIST : '
Subdivision: Lot no.: 103 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 25101DB 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: $$5,000.00
. Existing building area: 15835 square feet
New building area: 0 square feet
'® PROPERTYn`OWNER _... ❑ TENANT" Number of stories: 2
Name: Robinson Family Trust Type of construction: III -A
Address: 21360 NW Amberwood Dr Occupancy groups:
City /State /ZIP: Hillsboro, OR 97214 Existing: B
Phone: (503)645.8531 Fax: (503)645.5357 New: B
®. APPLICANT ■ CONTACT PERSON .. " °` ` NO TICE - .
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 (Pledcetre feescheauiej ? ° :'.
Structural plan review fee (or deposit):
City /State /ZIP: Hillsboro, OR 97214
FLS plan review fee (if applicable):
Phone: (503) 645.8531 Fax: (503) 645.5357
CCB lie.: 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 trong Date: 08.09.2011 * Fee methodology set by Tri County Building Industry
Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 10/01/09 440 4613T(I I /02/COM/WEB)
•
11 _ 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: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
I:\ Building \Permits \BUP -COM PcrmitApp.doc 06/25/08
" Building Division
Over - The - Counter (OTC) Building Permit
TIGARD Check List
Project Description: — F(
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: Occupancy Group: Type of Construction:
*Type of Use: COM Occupancy Load: 1 Oregon Specialty Code: 2t1(C)
SPECIFICS
Number of Stories: 7.--' 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: A ) Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
>6
Total Project Valuation: $ ' 4 FEES DUE
$ ,OD DC Prov Rvw, COM TI — Ping
$ w CO DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ `M Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ 1 ` 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ ° NO, Plan Review, Structural
$5,000 - $74,999 $64.00 $9.00 $ "`` - NC) Plan Review, Fire Life Safety
$75,000 - $149,999 $160.00 $24.00 $ i CO 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
$ Ailisc. Admin Fee
Permit Coordinator: $ Other:
$ Other:
Building Staff: $ Other:
Date /Time: $ ' , ?1 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.
I: \Building \Forms \OTC- BUP.docx 01/13/2011
Building Division
Development Code Provision Review
TIGAlt° Commercial Projects - No Associated Land Use Case
Building Permit No: 61AP2O 1 - c6 -� ( Lf' Expedited Review
Plan Submittal Date: 9-4/
To the Applicant: 4413i
➢ 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 th_i/) at 503 - 718 -2LN or @tigard- or.gov)
d Zoning e- P n
Permitted Use Yes ( -No ❑
Land Use Required: Yes ❑ No 111 (explain below)
/ r r
Notes: ��1�[.% � 1
Approved ❑ Not Approved Date: D ' U 'It
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard- or.gov)
Notes:
)
Routed back to Building Division Date:
I: \CURPLN