Permit CITY OF TIGARD BUILDING PERMIT
I .1
COMMUNITY DEVELOPMENT Permit #: BUP2009 -00050
TIG.ARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/26/2009
Parcel: 25101 DB00100
Jurisdiction: Tigard
Site address: 7340 SW HUNZIKER RD 103
Subdivision: Lot: 0
Project: Marriage Relationship Center
Project Description: TI
Owner: FEES
ROBINSON CONSTRUCTION Description Date Amount
21360 NW AMBERWOOD DR Permit Fee - COM 03/26/2009 $162.60
HILLSBORO, OR 97124 Tax - 12% State Surcharge 03/26/2009 $19.51
PHONE: 503 - 645 -8531 Plan Review 03/26/2009 $105.69
Plan Review - Fire Life Safety 03/26/2009 $65.04
Contractor:
ROBINSON CONSTRUCTION
21360 NW AMBERWOOD DR
HILLSBORO, OR 97124 -9321
PHONE: 503 - 645 -8531
FAX: 503 - 645 -5397
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $15,850
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $352.84
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: Yes Protected Corridors: Yes
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 donein- 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 hrough OAR 952'001- 10 . 'You may obtain a copy of the rules or direct questions to OUNC by calling 503 246.6699 or 1.800.332.23 4.
Issued By: r "KA Permittee Signature: /h .!l ,A(".44
Call 503.639.4175 by 7:00 a.m. for an Inspection that bu iness day.
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
Conftriercial RECEIVED FOR OFFICE USE ONLY
. . ° 13125 SW Hall Blvd., Tigard, OR 97223 2 6.
..
City of Tigard Received
UPI Z009 Date/B aid d. firtiallIM Om Permit Na:
-
MAR
. ..
. , .-- Phone: 503.639.4171 Fax: 503.598.1960 Plan Revie .. Permit. .
Da te/B : a Wait.. iv er er rermit.
TIGARD Inspection Line: 503.639.4175 or/ OF TIGARD Date Rea ' gi See Page 2 for
Internet: www.tigard-or.gov
BUILDING DIVISION Notified/Method: MI Supplemental Information
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El New construction El Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
0 Addition/alteration/replacement El Other: equipment, materials, labor, overhead, and the profit for the
'191!!!:°'.',1:7;71*":1k';'4',',OVI:Ofiqtlikpi:AtIrOl.:4000:1*0014140000;17010;100 work indicated on this application.
Valuation: $
El 1- and 2-family dwelling 0 Commercial/industrial
El Accessory building El Multi-family Number of bedrooms:
ID Master builder El Other: Number of bathrooms:
NMEN* , MANECLI2M/AtIONCAND :LOGATIO „,g Total number of floors:
Job site address: 7340 SW HUNZIKER RD New dwelling area: square feet
City/State/ZIP: TIGARD, OR 97223 Garage/carport area: square feet
Suite/bldg./apt. no.: 103 Project name: MARRIAGE RELATIONSHIP CTR Covered porch area: square feet
Cross street/directions to job site: Deck area: , square feet
Other structure area: square feet
'- EQUIREDDATA.,COMMERCIALMSE"CHECKLIST"-'
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
4 7ifirnItiatKoiK” 710111101111011090111051M work indicated on this application.
OFFICE TENANT IMPROVEMENT REMODEL AND NEW COMMON AREA ADA Valuation: $$15,850.00
RESTROOM
Existing building area: 638 square feet
New building area: 638 square feet
•
PRAPEIZO:.,::0:14 .17-t7t.:7 rr"f7:::::,ffitRXi..':Y:;:; :',:;.,.:,,i;, Number of stories: 2
Name: RANDY ROBINSON C/O ROBINSON CONSTRUCTION Type of construction: V-B
Address: 21360 NW AMBERWOOD DRIVE Occupancy groups:
City/State/ZIP: HILLSBORO, OR 97124 . Existing: B
Phone: (503)645-8531 Fax: ( ) New: B
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Business name: ANKROM MOISAN ASSOCIATED ARCHITECTS All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: MONIKA ARAUJO under ORS 701 and may be required to be licensed in the
Address: 6720 SW MACADAM AVE., SUITE 100 . jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State/ZIP: PORTLAND, OR 97219 apply:
Phone: (503) 245-7100 Fax: : (503) 246-0156
E-mail: monikaa@amaa.com
Wil ' .:i1-::1:281111V
Business name: ROBINSON CONSTRUCTION CO. :1,111.11111,11ZOKIILDINGTERMITAFE
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Address: 21360 NW AMBERWOOD DRIVE Structural plan review fee (or deposit):
City/State/ZIP: HILLSBORO, OR 97124
FLS plan review fee (if applicable):
Phone: (503) 645-8531 Fax: ( )
Total fees due upon application:
CCB lie.: 63147
Amount received: -P35 2, • ci
Authorized signature: This permit application expires if a permit is not obtained •
within 180 days after it has been accepted as complete.
Print name: Date: 3 /,..09
* Fee methodology set by Tri-County Building Industry
Service Board.
l:\Building\Permits\BUP-COM PermitApp.doc 2/23/07 440-4613T(11/02/COM/WEB)
I a Building Division
Over - The - Counter (OTC) Building Permit
TIGARD Check List
Description of Project: I f
GENERAL INFORMATION
Class of Work:* L,T— Floor Areas (sq. ft.): Exterior Wall Construction:
Type of Use:* Ca First floor: N: S:
Type of Construction: 6a, Second floor: E: W:
Occupancy Group: Third floor: Openings Protected Y /N ?:
Occupancy Load: Total sq ft.: N: S:
Stories: Note: Combine total floor area for E: E:
Height: all floors above third floor and Roof Construction:
Floor Load: add to the third floor sq. ft. Fire Retardant:
Basement: Basement: Area Separation Rated:
Mezzanine: Garage: Occu. Separation Rated:
REQUIRED ITEMS
Fire sprinkler: 00 Handicap access: q � ( �
Smoke detector: Protected corridors: t E �7
Fire alarm: .5 Parking spaces ( #):
Notes:
Total Valuation: $ 150 .
INSPECTIONS FEES DUE
Footing /foundation Firewall $ 1 , 6,0 Permit Fee
Post /beam structural Smoke detector $ , "ji State Surcharge
Shear wall Misc. inspection $ 0 , Plan Review Fee
Masonry Approach /sidewalk $ 0 ' FLS Plan Review Fee
Framing $ Additional Permit Fee
Insulation Sprinkler rough -in _ $ Additional Plan Review Fee
Gyp board Fire alarm $ Metro Construction Excise Tax
Suspended ceiling Sprinkler final $ School Construction Excise Tax
Final inspection $ Misc. Fee
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Other:
$ 352-.64 Tbtal 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.
1: \Bui]ding \Forms \OTC - BUP.doc 08 /19/08