Permit CITY OF TIGARD BUILDING PERMIT
'1 V COMMUNITY DEVELOPMENT Permit# BUP2011 -00227
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Date Issued 10/27/2011
Parcel 1 $ 135BD00100
Jurisdiction Tigard
Site address 9600 SW OAK ST 330
Project Parsons 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 $72945
Stories 5 Height 0 ft Demolition
Bedrooms 0 Bathrooms 0 12% State Surcharge - Building 10/27/2011 $87 53
Value $49,867 Plan Review 10/27/2011 $474 14
Plan Review - Fire Life Safety 10/27/2011 $291 78
Info Process /Archiving - Lg Sheet (over 10/27/2011 58 00
Floor Areas: 11x17)
Total Area 0
Accessory Struct 0
Basement 0
Carport 0
Covered Porch 0
Deck 0
Garage 0
Mezzanine 0
Total $1,663 90
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 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 • •e-sal - • • erect questions to OUNC by calling 50387 or 1 800 332 2344
Issued By ��� Permttee Signature
e ll 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 q q FOR OFFICE USE ONLY
114 City of Tigard 1 p n Atli. i + j aecei,ed ® // 6
13125 SW Hall Blvd , Tigard, OR 97223 I d �"
Plan Revre
P
ara llinrrirM
hone 503 639 4171 Fax 503 598 1960 Date/B ' / Other Permit
TIGARD
Inspection Line 503 639 4175
OCT 2 7 201 Date Ready /By ® See Page 2 for
Internet www tigard-or gm/ Noufied/Meihod � Supplemental Information
CITY OF TIGARD
TYPE OF WO AIDING UIVIJIUI'1 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
N Addition/alteration/replacement ❑ Other equipment, materials labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application
❑ I and 2-family dwelling ® Commercial /industrial Valuation $
❑ Accessory building III 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 97224 Garage/carport area square feet
Smle/bldg /apt no 330 Project name Parsons Covered porch area square feet
Cross street/directions to job site SW Greenburg 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 $$49,867.00
Existing building area 2380 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, MA 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 jurisdiction 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 S 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 180 days after it has been accepted as complete
Print name Whit MiddlecotT, AIA Date 10/27/2011 * Fee methodology set by Tn- County Building Industry
Service Board
I A Building V Permits VBUP - COM PernutApp doe 10 /01/09 440- 4613T( I 1 /02 /COM/WF_B)
Er Building Division
Over - The - Counter (OTC) Building Permit
TIGARD
Check List
Project Descnpnon Z 1
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work -ArlT Occupancy Group ,1% Type of Construction
*Type of Use C1f9q Occupancy Load 24 Oregon Specialty Code 7 0
SPECIFICS
Number of Stones -5- 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
Sideyatd Setback — Left Sideyard Setback — Front
Sidcyard Setback — Right Sideyaid Setback — Back
CONSTRUCTION
Exterior Walls Openings Protected Firewall Separation
N S N: S Occupancy Separation
L W E W Access Parking Spaces
REQUIRED ITEMS
Fire Sprinklers Fire Alarms iitn Smoke Detectors
Parapet Manual Pull Stations Protected Corridors
Total Project Valuation: $ 4 1 Iota t i � FEES DUE
$ CC DC Prov Rvw, COM TI — Ping
$ �`� DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for CONI TI $ el T , > Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ a ,.j 12% State Surcharge
Up to $4,999 $0 00 $0 00 $ QM Plan Review, Structural
$5,000 - $74,999 $64 00 $9 00 $ • Plan Review, Fire Life Safety
$75,000 - $149,999 $160 00 $24 00 $ ' G Info Pmc /Arch, Lg (over 1 1x17 $2 00)
$150,000 and over $256 00 $38 00 $ Info Proc /Arch, Sin (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
BuildingStaff $ Other
Date /Tune $ Imo, = .. TOTAL FEES DUE .
L -9d
*OPTIONS:
TYPE OF USE COM = commercial, CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory, ADD = addition, ALT = alteration, PND = foundation, DENT = demo;
END = foundation, FPS = fire protection system, NEW = new, O'I'!t = other (use for fences, decks, retaining walls, signs, awnings or canopies),
REP = repair
I \ Building V Foams AO IC-BUP docx 01 /13/2011
Ill " Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: er tno'60 Did - 9--7 ft<edited Review
Plan Submittal Date. - h /?7 ///
To the Applicant:
9b6 yul � a ' sr - 3' 34 ?
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
> 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 -7184 `' Y o or @ngard -or gov)
El WU Cs - / Permitted Use Yes V No ❑
❑ Land Use Required Yes ❑ No E3 (explain below)
c
Notes /- A � ■ / .. - r -
Eric proved ❑ Not Approved Date. lSX/i/
Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @ugard -or gov)
Notes t\) A
Routed back to Building Division Date.
f \CURPLN