Permit _; ,, CITY OF TIGARD BUILDING PERMIT
` COMMUNITY DEVELOPMENT Permit #: BUP2011 -00266
TG AD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/20/2011
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Parcel: 1S126BC01506
Jurisdiction: TIGARD
Site address: 9020 SW WASHINGTON SQUARE RD 300
Project: Aerotek Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108
Project Description: TI
Contractor: PACIFIC CREST STRUCTURES INC Owner: WISCO REAL ESTATE EQUITY FUND I
17750 SW UPPER BOONES FERRY RD SUITE 1501 SW TAYLOR ST STE 100
190 PORTLAND, OR 97205
DURHAM, OR 97224
PHONE: 503 - 968 -8949 PHONE:
FAX: 503 - 598 -6658
FEES
Specifics:
Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 12/20/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 12/20/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 12/20/2011 $225.80
Stories: 0 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 12/20/2011 $27.10
Value: $9,200 Plan Review 12/20/2011 $146.77
Plan Review - Fire Life Safety 12/20/2011 $90.32
Info Process /Archiving - Lg $2.00 (over 12/20/2011 $14.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $576.99
Required: Required Items and Reports (Conditions)
Fire Sprinkler: 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 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 uestions to OUNC by calling 503.232.1987 or 1 Oak., .80033 2.2344
Issued By: /ti. •_......—•,,,„,....._— "ermittee Signature: ��
t
Call 50 •.6 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 ApplicationRE
Com mercial e FOR OFFICE USE ONLY
City Tigard DEC 2 0 211 DateB n _ /
Ci of Ti a nd Ov �/ Permit No.: j
114 V 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
= Phone: 503.718.2439 Fax: 503.598.1 My �a n Other Permit:
PTY OF TIGARD ��
TIGARD Inspection Line. 503.639.4175 /,.0 4175 BUILDING DIVISION Date Ready turd ® PeePage 2for
Internet: www.tigard-or.gov ov Notified/Method: Supplemental information
T Y P E OF W REQUIRED'DATA: 1 - AND 2- FAMILY DWELLING
❑ ew 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 0 equipment, materials, labor, overhead, and the profit for the
' "'CATEGORY OF CON TRUCTION,.- - • = work indicated on this application.
❑ 1- and 2- family dwelling [ Commercial/industrial Valuation: $
El Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder E] Other: Number of bathrooms:
' ' 'JOB. SITE1NFORMAT[ON. A SID'LOCATION - ' - '' Total number of floors:
Job site address: C kOZa 5 (k ba « New dwelling area: square feet
City/State /ZIP: c Aar cy 23 Garage /carport area: square feet
(ite ldg. /apt. no.: Project name: ke<z,,_yck, Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
CD 1Je A-1,.TA �J c C� Other structure area: square feet
jj REQUIRED DATA COMMERCIAL- USE,CDECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
'.. w . `. DESCRIPTION OF WORK . ' ' ' . work indicated on this application.
�.S SKI. �¢r< t� <.:4 2 ece��� a ..�fa Valuation: $ °\.3.6L)
Existing building area: . square feet . . •
New building area: eg♦5, square feet F
['PROPERT OWNER. ' . ■:.TENANT , : v . Number of stories: E
Name: `_, 7 >/ S �„ jA ,) Q � �� Type of construction: ,\ -g
Address: \ fJ" O,,,t, S Ce.Y."-C- Vi/V7‘1.. Occupancy groups:
City /State /ZIP: - Po, c `A, ,a U I t "z(7 Z o S Existing:
Phone: (j c ` L) ,,e..., �lot'j Fax: (.d3) 22. - Z S 6 7 New:
0 APPLICANT, ; , • , - ❑ CONTACT PERSON ; .'. . . BUILDING PERMIT FEES*
Business name: ' - - . ' (Please refer to feeschedute) . .
p►c .`vt< c r c? 4 4 ve_� ,›A Q.5 Structural plan review fee (or deposit):
Contact name:
FLS plan review fee (if applicable):
Address:
Total fees due upon application:
City /State /ZIP:
Phone: ( ) Fax: : ( )
Amount received:
E -mail:
' - - P.HOTOVOLTAIC'SOLAR PANEL SYSTEM'FEES* "
Commercial and residential prescriptive installation of
CONTRACTOR' , roof -top mounted PhotoVoltaic Solar Panel System.
Submit two (2) sets of roof plan with connection details
Business name:
- Vf?,C '_ c C\--Q,-...5,--: s c5 C - �R.0 .• and fire department access, along with the 2010 Oregon
Address: v )'- 7 c , S Q X7 5 T / v:4 Solar Installation Specialty Code checklist.
City/State /ZIP: L 7), �� �� U �� ".-). y Permit fee (includes plan review $180.00
and administrative fees):
Phone: (5 S6,7,.. - C.t yam Fax: (Se., E % (12% ��� State surcha (12 /o of permit fee): $21.60
CCB lic.: (,<„, N 5 ,U (a I (? Total fee due upon application: $201.60
Authorized signature: � i � i s) This permit application expires if a permit is not obtained
`r, \ Gx.� within 180 days after it has been accepted as complete.
Print name: �S�A� \)§... Date: , - Z ,,, 5.,„ \1 * Fee methodology set by Tri- County Building Industry
Service Board.
Building Division
Development Code Provision Review
T IG ARD Commercial Projects - No Associated Land Use Case
Building Permit No: I�L1 Pot0 /I - 0€*_o(v ❑ Expedited Review
Plan Submittal Date: /a X 0 2 0 — I/
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 C, oh". Flrt/W at 503 - 718- 0 or y - @ @ard- or.gov)
❑ Zoning (/�/ d Permitted Use Yes V No ❑
❑ Land Use Required: Yes ❑ No V (explain below)
Notes: Aid &hAt+SG ► v1(,
IJ A roved ❑ Not Approved — 01 0 — 1/
pp Pp roved Date: !
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN