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Permit
CITY OF TIGARD BUILDING PERMIT ! 2. COMMUNITY DEVELOPMENT Permit #: BUP2009 -00111 I G A R O 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/16/2009 TIGARD Parcel: 25101 DB00103 Jurisdiction: Tigard Site address: 7360 SW HUNZIKER RD 207 Subdivision: Lot: 0 Project: Counseling Services Project Description: TI Owner: FEES HILLTOP BUSINESS CENTER LLC & Description Date Amount HUNZIKER LLC, 9430 NW KAISER RD Permit Fee - COM 06/16/2009 $91.10 PORTLAND, OR 97231 12% State Surcharge - Building 06/16/2009 $10.93 PHONE: Plan Review 06/16/2009 $59.22 Plan Review - Fire Life Safety 06/16/2009 $36.44 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: Stories: 2 Height: ft Bedrooms: Bathrooms: Value: $5,700 Floor Areas: Total Area: Accessory Struct: Basement: Carport: Covered Porch: Deck: Garage: Mezzanine: Total $197.69 Required: Required Items and Reports (Conditions) Fire Sprinkler: No Parapet: Fire Alarm: Protected Corridors: Yes Smoke Detectors: Manual Pull Stations: Accessible Parking: 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 actor• - - ' 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. ATT ION: Oregon .w req ' -s you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR , 952 -001 -1 10 through OAR 9 • -• • 1 -0 00. You may obtain a copy of the rules or direct questions to OUNC by calling 03.246.6699 or 1.800.332.2344. Issued =y: l /_, / ,, Permittee Signature: ! I / i CJ Call 503.639.4175 by 7:00 a.m. for an inspection th. busine day. This permit card shall be kept in a conspicuous place on the job sit, until c. pletion of the project. Approved plans are required on the job site at the time • each nspection. 11 b.. Permit Application Commercial FOR OFFICE USE ONLY City of d Ti an JUN 1 6 Tigard 200 Date/B :. �_ /� 4 Q 7 Permit No ��// • Er 13125 SW Hall Blvd., Tigard, OR 97223 9 Received Plan Review� Phone: 503.639.4171 Fax: 503.598.1960 Date/B : DIl1�� O ther Permit: I IGARD Inspection Line: 503.639.4175 Date Rea. ®See Page 2 for Internet: www.tigard - or.gov Notified/Method: IIMI Supplemental Information 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. 1:1 1- and 2- family dwelling Ni Commercial/industrial Valuation: $ ❑ 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: 7 36 SA) /y 1,Alz re,e s7.-- New dwelling area: square feet City /State /ZIP: , t . 9 3 Garage /carport area: square feet Suite/bldg. /apt. no.S Zet 7 Project name: ,, L Covered porch area: square feet Cross street/directions to job site: 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. n� Valuation: $ 5 7o p . od T I. ifeiA - ! 0 0 .1L. 7o EJr4S7'i — 42� U) o) ,�. • C1) . s7U. --- ,60"- -1 Existing building area: square feet New building area: square feet 16 PROPERTY / OWNER ❑ TENANT Number of stories: Name: �j f314/SOa./ (ol/SZeuc7/rt-) Type of construction: Address: 2/5 6,1) Nw p/ fl/) 0cto A . Occupancy groups: City /State /ZIP: (.LS60r0 OR • 9142• Existing: Phone: (C 2 oc?... S 535 Fax: ( ) New: K] APPLICANT [Fr CONTACT PERSON NOTICE Business name: A Mo4sAti Assoc/4 c ,,./ - All contractors and subcontractors are required to be �' licensed with the Oregon Construction Contractors Board Contact name: (%' ( .5-40./A.) under ORS 701 and may be required to be licensed in the Address: G 72 D BSc i /. f , . . d4A . I E _ ) „ /0 a jurisdiction in which work is being performed. If the City/State /ZIP: PQis7 ,�0 c3' 972/ 9 applicant is exempt from licensing, the following reasons �L� ,L `+ apply: Phone: (rj03 Z7 5. 7490 Fax:: (..3) 21 -4- 77'C) E -mail: CONTRACTOR Business name: / d.ZN/4 SBN „,s c 7 0 /J •.) BUILDING PERMIT FEES* Address: �`�� (Please refer to fee schedule) lS� Structural plan review fee (or deposit): City/State /ZIP: FLS plan review fee (if applicable): Phone:( ) Fax:( ) CCB lic.: Total fees due upon application: pp Amount received: Authorized signatur : � 4t--y` This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: /p�Z/v Date: (p . /(� _O S *Fee methodology set by Tri -County Building Industry VVV Service Board. 1:\Building\Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02 /COM/WEB) IW AP IN • Building Division Accessibility: Barrier Removal Improvement Plan TIGAI&D 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 PermitApp.doc 06/25/08 i WV , 1 101 _ • Building Division Plan Submittal Requirements T t G A R D Commercial & Multi- Family - New, Additions or Alterations 1. SITE PLAN (fully dimensional, drawn to scale) labeled with: A. ❑ map & tax lot # ❑ project name El site address ❑ suite number ❑ zoning El applicant name ❑ phone number B. North arrow. C. Scale (architectural or engineering only). D. Street names. E. Setbacks. F. Parking, including disabled access. G. Finished floor elevations. 2. EROSION CONTROL PLANS AND DETAILS. 3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of plans required based on submittal type (no redlines or tape -ons accepted). All details listed below shall be incorporated into the plans: A. Scale (architectural or engineering only). B. Foundation plan. C. Floor plan(s). D. Cross sections. E. Reflective ceiling plan. F. Seismic bracing detail for suspended ceiling. G. Roof plan. H. Exterior elevations. I. Structural calculations, plans, details and specifications. J. Accessibility barrier removal worksheet. K. Deposit - based on valuation of project. 4. EXTRA SET OF THE FOLLOWING: A. Two (2) copies of site plan to include vicinity map. B. One (1) copy of erosion control plan with details. C. Fire Department Building Survey, and full set of architecture drawings. I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08 NW i li Building Division • Plan Submittal Requirement Matrix r I ( A 1z D Commercial & Multi- Family - New, Additions or Alterations Type of Submittal # of Plans (Includes new, additions and alterations.) Required at Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 2 Fire Protection System 2 Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08 I N _ .1 Building Division Over- The - Counter (OTC) Building Permit TIGARD Check List D escription of Project: GENERAL INFORMATION Class of Work:* XLT Floor Areas (sq. ft.): Exterior Wall Construction: Type of Use:* First floor: N: S: Type of Construction: > Second floor: E: W: Occupancy Group: Third floor: Openings Protected Y /N ?: Occupancy Load: Total sq ft.: N: S: Stories: z� Note: Combine total floor area for E: E: _ Height: _ all floors above third floor and Roof Construction: _ Floor Load: add to the third floor s . ft. Fire Retardant: Basement: Basement: Area Separation Rated: Mezzanine: Garage: Occu. Separation Rated: REQUIRED ITEMS Fire sprinkler: Kkj Handicap access: Smoke detector: Protected corridors: Fire alarm: Parking spaces ( #): +— • Notes: Total Valuation: $ exp I INSPECTIONS FEES DUE Footing /foundation Firewall $ i © Permit Fee Post /beam structural Smoke detector $ ( State Surcharge Shear wall Misc. inspection $ Plan Review Fee Masonry Approach /sidewalk $ 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: $ ns) . (e'S 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. is \ Building \ Forms \OTC- BUP.doc 08/19/08