Permit CITY OF TIGARD BUILDING PERMIT
F COMMUNITY DEVELOPMENT Permit#: BUP2014-00002
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/07/2014
Parcel: 1S126BC01506
Jurisdiction: TIGARD
Site address: 9020 SW WASHINGTON SQUARE RD 250
Project: LoanStar Home Lending Subdivision:CONDO,THE SUPPLEMENTAL PLAT Lot: 25-4
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
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IB DC Provision Review,COM TI-Ping 01/07/2014 $174.00
Occupancy Grp: B Occupancy Load: 49 DC Provision Review,COM TI-LRP 01/07/2014 $26.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 01/07/2014 $1,269.03
Demolition
Stories: 5 Height: 0 ft 12%State Surcharge-Building 01/07/2014 $152.28
Bedrooms: 0 Bathrooms: 0 Plan Review 01/07/2014 $824.87
Value: $127,000 Plan Review-Fire Life Safety 01/07/2014 $507.61
Metro Const.Excise Tax-Commercial 01/07/2014 $152.40
Use
Floor Areas: Misc Administration Fee 01/07/2014 $50.00
Info Process/Archiving-Lg$2.00(over 01/07/2014 $14.00
Total Area: 0 11x17)
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,170.19
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 don= ' accor.a = 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
day . ATTENTION: Oreg•• law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
9: -001-0010 through OAR 95 a. •.•i You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
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 FOR OFFICE USE ONLY
City of Tigard Received
v ��� Date/B : //runt � i
13125 SW Hall Blvd.,Tigard,ORS�-�� % " Plan Review
Phone: 503.718.2439 Fax: 503.H','.j !".'1\ ��' Date/B : �)� s
T I G A R D Inspection Line: 503.639.4175 \ - Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov PN® Notified/Method: Supplemental Information
TYPE OF WQ e%N.11Cl• REQUIRED DATA:1-AND 2-FAMILY DWELLING
\ ci Permit fees*are based on the value of the work performed.
❑New construction ■ t`='3 .. on P
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 ®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:9020 SW Washington Square Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:250 Project name: LoanStar Home Lending Covered porch area: square feet
Cross street/directions to job site:SW Hall Blvd,east of HWY 217 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.: 1 S126BC01506 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.
Non-structural interior office improvements. Valuation: $$127,000.00
Existing building area: 3,966 square feet
New building area: 0 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 5
Name:Wyse Investment Services Co. - Kathi Pearce Type of construction: 1-B
Address: 1501 SW Taylor Street,Suite 100 Occupancy groups:
City/State/ZIP: Portland,OR 97205 Existing: B
Phone:(503)294-0400 Fax:(503)227-2507 New: B
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:LRS Architects (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: Byron Balogh
FLS plan review fee(if applicable):
Address:720 NW Davis,Suite 300
City/State/ZIP: Portland,OR 97209 Total fees due upon application:
Phone:(503)221-1121 Fax: :(503)221-2077 Amount received:
E-mail:bbalogh @Irsarchitects.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Pacific Crest Structures - Alan Volm Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 17750 SW Upper Boones Ferry Rd.,Suite 190 Solar Installation Specialty Code checklist.
City/State/ZIP:Durham,OR 97224 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)968-8949 Fax:(503)598-6658
State surcharge(12%of permit fee): $21.60
CCB tic.:66915 Total fee due upon application: $201.60
Authorized signatur • This permit application expires if a permit is not obtained
• �{L� within 180 days after it has been accepted as complete.
Print name Date: ' * Fee methodology set by Tn-County Building Industry
1 `� r'J�Y� �� `� (� I/� Service Board.
I:\Building\Permits\BUP-COM PennitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
111 _ Building Division
Over-The-Counter (OTC) Building Permit
TIGARD Check List
Project Description:
•
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: I . Occupancy Group: =• _Type of Construction: l, 1E$
Type of Use**: e Occupancy Load: .141, Oregon Specialty Code: 7._Cf c)
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
Fire Sprinklers: � j Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ t2-t FEES DUE
l $ Pk-0n DC Prov Rvw,COM TI—Ping
$ Z(Q, DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ '2,,,- O ' Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ W,.Wy 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ MM. Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ e , „ Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ A CC Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $278.00 $41.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$ W etro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
Planning Staff: $ Hourly Rate State Surcharge
$ 7).8° Misc.Admin Fee 0.4212.4.42-4-6 ite--•
Permit Coordinator: $ Other:
$ Other:
Building Staff: $ Other:
Date/Time: OTAL FEES DUE
5( 70. 0
"TYPE OF USE: COM=commercial;CMS=commercial manufactured structure.
**CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
OTR=other(use for fences,decks,retaining walls,signs,awnings or canopies).
L:\Building\Forms\OTC-BUP.docx 07/01/2013
Building Permit Number: 'u Po?o/e/-ooGo
III Building Permit Review
Commercial Project —No Associated Land Use Case
TIGARD
Site Address: 67()`"46 S if° 1jcS4vi i (mot,
❑Verify site address is valid.
Project Name : Ax-e_
7`l
Planning Review
Proposal:
_ ing: il4 kJ
❑ Permitted Use re Yes ❑ No ❑ Spec Space
❑ Land Use Required ❑ Yes //❑ No
Notes: 'YC-C.� /a 4P`e
Approved by: // Date: 4S,Zc-"o/%'
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Building Permit Submittal
Original Plan Submittal: Date: By:
Site Plans: #
Building Plans:
Create Case Record#: ❑ Enter case# above for Building Permit Number.
Workflow Routing: ❑ Planning ❑ Engineering ❑ Permit Coordinator El Building
Workflow Sign-off: ❑ Sign-off for Planning staff,including notes from planning review(page 1)
Route Application Documents: ❑ Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
❑ Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: Date:
Notes:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_123013.docx
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9020 SW WASHINGTON SQUARE RD 250,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
2014-02-24 00:00:00
BUP2014-00002
PASS - C of O
Violation Summary:
Inspector Contractor