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Permit CITY OF TIGARD BUILDING PERMIT :11 ' COMMUNITY DEVELOPMENT Permit BUP2011 -00228 Date Issued 10/27/2011 T'GARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Parcel 15135BD00100 Jurisdiction Tigard Site address 9600 SW OAK ST 500 Project Spec Space Subdivision ASHBROOK FARM Lot PTS 5 & Project Description TI Contractor COMMERCIAL CONTRACTORS INC Owner. SUN LIFE ASSURANCE CO OF CANADA 1265 SOUTH 35TH PLACE BY NORRIS BEGGS & SIMPSON RIDGEFIELD, WA 98642 121 SW MORRISON ST #200 PORTLAND, OR 97204 PHONE 503 - 227 -4440 PHONE FAX 503- 227 -6644 FEES Specifics • Description Date Amount Type of Use COM DC Provision Review, COM TI - Ping 10/27/2011 $64 00 Class of Work ALT DC Provision Review, COM TI - LRP 10/27/2011 $9 00 Dwelling Units 0 Permit Fee - Additions, Alterations, 10/27/2011 $498 03 Stories 5 Height 0 ft Demolition Bedrooms 0 Bathrooms 0 12% State Surcharge - Building 10/27/2011 $59 76 Value $28,063 Plan Review 10/27/2011 $323 72 Plan Review - Fire Life Safety 10/27/2011 $199 21 Info Process /Archiving - Lg Sheet (over 10/27/2011 $8 00 Floor Areas 11x17) Total Area 0 Accessory Struct 0 Basement 0 Carport 0 Covered Porch 0 Deck 0 Garage 0 Mezzanine 0 Total $1,161 72 Required' Required Items and Reports (Conditions) Fire Sprinkler 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 160 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 calling 50 2 1 7 or 1 800 332 2344 issued By Permittee Signature Ae Call • — • 75 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 RECEIVE( FOR OFFICE USE ONLY City of Tigard !!ss " Date /B � J ` p /n�^ ^^11 / yay p / Permit No / (A /'O�� /�l..br700 • 13125 SW Hall Blvd , Tigard, OR 97223 OCT 2 / �Q 11 + Plan Review .1h111 � � r tO Egan Other Peanut � Phone 503 639 4171 Fax 503 598 1960CITY Date/B Review �� TIGAAD Inspection Line 503 639 4175 OF To Date Ready /By ®See Paget for Internet www tigard -or gov BUILD/kin p+� ' RD Notified/Method Supplemental Information U uiV/Sh —M0 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 Valuation $ ❑ I- and 2 -family dwelling ® 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 Plaza West - 9600 SW Oak New dwelling area square feet City / State/ZIP Tigard, OR 97224 Garage /carport area square feet Suite/bldg /apt no 500 Project name Vacant Covered porch area square feet Cross street/directions to job site SW Greenberg Road Deck area square feet 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 DESCRIPTION OF WORK work indicated on this application Valuation $$28,063.00 Existing budding arca 3890 square feet New building area square feet ® PROPERTY OWNER ❑ TENANT Number of stories 5 Name Norris, Beggs & Simpson Type of construction II -A Address 121 SW Morrison Street, Suite 200 Occupancy groups City /State/ZIP Portland, OR 97204 Existing B Phone (503)352 -8113 Fax (503)352 -9339 New B ® APPLICANT ❑ CONTACT PERSON NOTICE Business name GBD ARCHITECTS All contractors and subcontractors are required to be Contact name Whit Middlecoff, AIA licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address 1120 NW Couch Street, Suite 300 lunsdmtion in which work is being performed If the City/State/ZIP Portland, Oregon 97209 applicant is exempt from licensing, the following reasons apply - Phone (503) 224 -9656 Fax (503) 299 -6273 E-mail whit @gbdarchitects.com CONTRACTOR Business name Commercial Contractors, Inc. BUILDING PERMIT FEES* Address 1265 5 35th Place {Please refer to fee schedule) Structural plan review fee (or deposit) City /State/ZIP Ridgefield, WA 98642 Phone (503) 227 -4440 Fax (503) 227 - 6644 FLS plan review fee (if applicable) CCB lie 123729 Total fees due upon application Amount received Authorized signature- This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. Print name Whit Middlecoff, MA Date 10/27/2011 * Fee methodology set by To- County Budding Industry Service Board I \Budding\Pern \BUP -COM PermoApp doe 10/01/09 440 13T(I I /02/COM /WEB) I , 1111 Building Division Over- The - Counter (OTC) Building Permit TIGARD Check List Project Description T( APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION *Class of Work it(„( Occupancy Group {f Type of Consti uction Ztk *Type of Use e // A Occupancy Load in Oregon Specialty Code 26( 0 SPECIFICS Number of Stones :1- 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 Srdcyard Setback — Right Sideyard Setback — Back CONSTRUCTION Exterior Walls Openings Protected- Firewall Separation N S N S Occupancy Separation E \C/ E W Access Parking Spaces REQUIRED ITEMS Fire Sprinklers _, Fire Alarms . ___ 2 _ Smoke Detectors Parapet Manual Pull Stations Protected Corridors Total Project Valuation: $ 23 . FEES DUE $ ,C'Q^� DC Prov Rvw, COM TI — Ping $ _ DC Prov Rvw, COM TI — LRP DC Provision Review Fee for COM TI $ .18 ,CO5 Permit Fee — Add, Alt, Demo Project Valuation Planning LRP $ `r ,7' 12% State Surcharge Up to $4,999 $000 $0 00 $ "3:72._ Plan Review, Structural $5,000 - $74,999 $64 00 $9 00 $ sr. , Plan Review, Fire Life Safety $75,000 - $149,999 $160 00 $24 00 $ 1:00 Info Proc. /Arch, Lg (over I lx17 $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 $ iMisc Admire Fee Permit Coordinator $ Other $ Other Bu lding Staff $ Other Date /Time $ frjlict2TOTAL FEES DUE Lilal,'Z2_ *OPTIONS: TYPE OF USE COM = commercial, CMS = commercial manufactured structure CLASS OF WORK ACS = accessory; ADD = addition, ALT = alteration, END = foundation, DEM = demo, FNI) = foundation, FPS = fire protection system, NEW = new, OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies), REP = repair I A Building V Forms VOTC -BUY dos, 01/13/2011 lig Building Division Development Code Provision Review T.icnao Commercial Projects - No Associated Land Use Case Building Permit No: !! 00 c2) $ / B Lxped ted Review Plan Submittal Date / 0 2(7/ 1/ To the Applicant: * pp %) v4/4 <7- , o ^ D 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 D I f a land use is required and foi 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 41 at 503 -718 -2_fr» or @tigard- or.gov) Et mar & - / Permitted Use Yes V No ❑ ❑ ] ,and Use Requited Yes ❑ No ❑ (explain below) Notes �� , /.� U i �L e4-, y L a A'fr -2 El Apptoved ❑ Not Approved Date- / O /2c I - ,i Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard -or gov) Notes. 1 i Routed back to Building Division Date 1 \CUMIN