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Permit
CITY OF TIGARD BUILDING PERMIT q Ilq 1:•.•. COMMUNITY DEVELOPMENT Permit #: BUP2013 -00141 Date Issued: 06/11/2013 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 6/11/2 D00100 Jurisdiction: Tigard Site address: 9600 SW OAK ST 570 Project: Houser & Allison Subdivision: ASHBROOK FARM Lot: PTS 5 & Project Description: TI to create new space for new tenant. 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 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIA DC Provision Review, COM TI - Ping 06/11/2013 $67.00 Occupancy Grp: B Occupancy Load: 8 DC Provision Review, COM TI - LRP 06/11/2013 $10.00 Dwelling Units: 0 Permit Fee - Additions, Alterations, 06/11/2013 $317.06 Demolition Stories: 5 Height: 0 ft 12% State Surcharge - Building 06/11/2013 $38.05 Bedrooms: 0 Bathrooms: 0 Plan Review 06/11/2013 $206.09 Value: $15,205 Plan Review- Fire Life Safety 06/11/2013 $126.82 Info Process /Archiving - Lg $2.00 (over 06/11/2013 $6.00 11x17) Floor Areas: COT Address Fee 06/11/2013 $50.00 Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $821.02 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 or direct questions to OUNC by calling 503.232.1987 r 1.800.332.2344. )544 Issued By: " Permittee Signature: c_tE; ._.16/1/4 C Call 603.639.4175 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 RECEIVE Commercial JUN 1 1 FOR OPPlci; USE O. ' City of Tigard 201 Date 111 • • - a 13125 SW Hall Blvd. Tigard, OR 97223 C[ 0 �� 'emit No.Q " aZ0v 3 t�, ,/, g TYOF Plan Review 7 ��J 1 LDI N r ll`jJ �Ja �� Other Permit: Phone: 503.639.4171 Fax: 503.598.1 n Date/B T I G A R u Inspection Line: 503.639.4175 G Di VI SION Date Ready : y: See Internet: www.tigard - or.gov Notified/Method: I r iM Supplemental ® Page 2 for 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. ❑ I- and 2- family dwelling Valuation: $ ® Commercial/industrial ❑ 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: Plaza West - 9600 SW Oak Street New dwelling area: square feet City / State/ZIP: 97224 Garage/carport area: square feet Suite/bldg. /apt 6 ') I Project name: Houser & Allison Covered porch area: square feet Cross street/directions to job site: SW Greenburg Road te_p Deck area: square feet ��O t a ,41) az IL/ („R J , Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE 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 DESCRIPTION OF WORK work indicated on this application. Valuation: $$15,205.00 Existing building area: 760 square feet New building area: square feet ® PROPERTY OWNER I ❑ TENANT Number of stories: 5 Name: Shorenstein Realty Services Type of construction: II -A Address: 5335 Meadows Road, Suite 300 Occupancy groups: City /State/ZIP: Lake Oswego, Oregon 97035 Existing: B Phone: (503)619 -3200 Fax: (503)619 -3210 New: B ® APPLICANT ❑ CONTACT PERSON NOTICE Business name: GBD ARCHITECTS All contractors and subcontractors are required to be Contact name: Whit Middlecoff 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 I Fax: (503) 227 -6644 FLS plan review fee (if applicable): CCB lic.: 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 Middleco , AIA Date: 06 /11/13 Fee methodology set by Tn - County Building Industry Service Board. I:\Building\Permits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(11 /02/COM/WEB) Building Division Over- The - Counter (OTC) Building Permit T I G n R D Check List Project Description: l i APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION *Class of Work: i LT Occupancy Group: Type of Construction: *Type of Use: Occupancy Load: Oregon Specialty Code: 2© (P) SPECIFICS Number of Stories: I- Building Height: Mixed Use: — Number of Div 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 Fire Sprinklers: Fire Alarms: Smoke Detectors: Parapet: Manual Pull Stations: Protected Corridors: Total Project Valuation: $ ( FEES DUE $ , &j DC Prov Rvw, COM TI — Ping $ • f) DC Prov Rvw, COM TI — LRP DC Provision Review Fee for COM TI $ •• r ♦ Permit Fee — Add, Alt, Demo Project Valuation Planning LRP $ "- .0s- 12% State Surcharge Up to $4,999 $0.00 $0.00 $ • w ' Plan Review, Structural $5,000 - $74,999 $67.00 $10.00 $ p2.—Plan Review, Fire Life Safety $75,000 - $149,999 $167.00 $25.00 $ , • b 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 ,02._ 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; I ND = 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 Building Division ° Development Code Provision Review T I G A R D Commercial Projects - No Associated Land Use Case Building Permit No: Dexpedited Review DTL Project Name: °_ r 0 Sit) Site Address: ,oz s - /* fL g o A/ Suite /Bldg Plans Routed: Original Plan Submittal Date: 67/1/3 Routed By: ..(_/24. 1St Revision Submittal Date: Routed By: 2nd Revision Submittal Date: Routed By: 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 please contact the staff person listed above the Planning Review section. Staff: please check items along left only if approved. / / Planning Review (contact 3d �t vl 0// at (503) 718 ; 1-1-5 or @tigard - or.gov) Proposal: OffIc& fu.d 00t4 ' h ei v !A-4 fS l eprafc T«efikki Cs /A, Zoning Permitted Use Yes/ No ❑ Land Use Required: Yes ❑ No' Notes: Approved ❑ Not roved ❑ DCPR Not Required — No DCPR Fees Due Date Routed to Building: / t 1: \CURPLN\Masters\Development Code Provision RevievADCPR_COM_NoLandUse.doc Rev. 01/16/13