Permit V CITY OF TIGARD BUILDING PERMIT
IN C COMMUNITY DEVELOPMENT Permit #: BUP2013 -00026
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/31/2013
Parcel: 25101 DB00100
Jurisdiction: Tigard
Site address: 7340 SW HUNZIKER RD 101
Project: Illo Chiropractic Subdivision: VARNS ACRES Lot: 3
Project Description: Interior improvements for expansion of existing tenant suite 101 to encompass both suites 101 and 100.
Contractor: ROBINSON CONSTRUCTION Owner: HILLTOP BUSINESS CENTER LLC
21360 NW AMBERWOOD DR HUNZIKER LLC
HILLSBORO, OR 97124 -9321 9430 NW KAISER RD
PORTLAND, OR 97231
PHONE: 503 - 645 -8531 PHONE:
FAX: 503 - 645 -5397
Specifics: FEES
., Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg DC Provision Review, COM TI - Ping 01/31/2013 $67.00
Occupancy Grp: B Occupancy Load: DC Provision Review, COM TI - LRP 01/31/2013 $10.00
Permit Fee - Additions. Alterations, 01/31/2013 $301.85
Dwelling Units: 0 Demolition
Stories: 2 Height: 0 ft 12% State Surcharge - Building 01/31/2013 $36.22
Bedrooms: 0 Bathrooms: 0 Plan Review 01/31/2013 $196.20
Value: $14,700 Plan Review- Fire Life Safety 01/31/2013 $120.74
. Info Process /Archiving - Lg $2.00 (over 01/31/2013 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
• Deck: 0
Garage: 0
. Mezzanine: 0
Total $738.01
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes 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 Ce , . 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 .232 981.800.332.2344.
Issued By: Permittee Signature: .
Call 503.639.4175 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 RECEIVED FOR OFFICE USE ONLY
Cit of Ti and Received
. Y g Date/B /� ;I Permit No.: / �D
13125 SW Hall Blvd., Tigard, OR 97223 JAN 31 2013 Plan Revie �1
Phone: 503.718.2439 Fax: 503.598.1960 DateB : , �� Other Permit:
TIGARD
Inspection Line: 03 84175 CITY OF TIGARD Date Ready /By: ruris: See Page 2 for
Internet: www.tigard-or.gov ov I Notified/ Supplemental Information
BUILDING DIVISION
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- and 2- family dwelling ® 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: 7340 SW Hunziker Rd New dwelling area: square feet
City /State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: 101 Project name: Illo Chiropractic Covered porch area: square feet
Cross street/directions to job site: SW 72 at SW Hunziker Rd Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: 100 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.: 2S101DB = G Q i 0 0 equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Interior improvements for expansion of existing tenant suite Valuation: $$14,700.00
Existing building area: 15818 square feet
New building area: 0 square feet
® PROPERTY O ER ❑ TENANT Number of stories: 2
Name: Robinson Fam' Trust /9/4 L 77 S /NE:SS r �_ Type of construction: V -A
Address: 21360 Amberwood Dr /V #V 2f //EK. �e____ Occupancy groups:
City /State : Hillsboro, OR 97124 7 y3 0 'VA) , t 4 - / j &-A / Q/A / e PO- 7Z Existing: B
Phone 03)645.8531 Fax: (503)645.5357 Q ?
-7 7 a,J/ New: B
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: CIDA Inc (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name: Kourtney Strong
FLS plan review fee (if applicable):
Address: 15895 SW 72 " Ave Suite 200
Total fees due upon application:
City /State/ZIP: Portland, OR 97224
Phone: (503) 226.1285 Fax: : (503) 226.1670
Amount received:
E -mail: kourtneys @cidainc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: Robinson Construction Co Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 21360 NW Amberwood Dr Solar Installation Specialty Code checklist.
City /State/ZIP: Hillsboro, OR 97124 Permit fee (includes plan revie $180.00
and administrative fees):
Phone: (503) 645.8531 Fax: (503) 645.5357
State surcharge (12% of permit fee): $21.60
CCB lic.: 63147
I , Total fee due upon application: $201.60
Authorized signature:
k. This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Kourtney Strong Date: 01.31.2013 * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440 4613T(11 /02 /COM/WEB)
1111 Building Division
°. Development Code Provision Review
T I G A R D Commercial Projects - No Associated Land Use Case
Building Permit No: aUPo2D /3 �DDOc2 ,)Expedited Review
Project Name: XGLn C/f //Z0i2A.L77 c.-
Site Address: '73 4 /D emu) /fZu✓z,RZ /5 . Suite /Bldg #: /0/
Plan Submittal Date: / / /a0
To the Applicant:
If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
> If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approved.
Planning Review (contact Mar I SSu Dak1 QIS at 503 -718- 242$ or maXiss& @tigard - or.gov)
Proposal:
Mov ii n Waal 1 no (\Ll A 4+
Zoning C%
Permitted Use Yes ❑ No ❑
Land Use Required: Yes ❑ No ❑
Notes: No C1\1 mi. ck VsX (Yo pose A.
L21/ Approved ❑ Not Approved Date: 1 13 ( / 13
I: \CURPLN\Masters\Development Code Provision Review\No Land Use Comm.doc REVISED 10/4/12
I
Building Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: -r Occupancy Group: Type of Construction: 6-
*Type of Use: epRA` Occupancy Load: Oregon Specialty Code: ZQ v
SPECIFICS
Number of Stories: 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
Sideyard Setback - Right Sideyard Setback - Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access. Parking Spaces:
•
REQUIRED ITEMS r �
Fire Sprinklers: - �lO Fire Alarms: 7� Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ 14-7xo FEES DUE
$ CO DC Prov Rvw, COM TI - Ping
$ • aQ DC Prov Rvw, COM TI - LRP
DC Provision Review Fee for COM TI $ • , Permit Fee - Add, Alt, Demo
Project Valuation Planning LRP $ '22_ 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ 19 6,, LQ Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ 20, 7 Plan Review, Fire Life Safety
$75,000 - $149,999 $167.00 $25.00 $ , 00 Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $268.00 $39.00 $ 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
$ Misc. Admin Fee
•
Permit Coordinator: $ Other:
$ Other:
Building Staff: $ Other:
Date /Time: $ "7 , 0 ( TOTAL FEES DUE
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; END = 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.
I: \Building \Forms \OTC - BUP.docx 07/01/2012