Permit CITY OF TIGARD BUILDING PERMIT
s COMMUNITY DEVELOPMENT Permit#: BUP2014 00090
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/24/2014
Parcel: 1S 126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 405
Project: Mutual of Omaha Subdivision:=CONDO,THE SUPPLEMENTAL PLAT Lot: 25-4
Project Description: Non-structural TI. Relocating existing tenant to new space.
Contractor: BNK CONSTRUCTION INC Owner: WISCO REAL ESTATE EQUITY FUND I
45 82ND DR, SUITE 53B 1501 SW TAYLOR ST STE 100
GLADSTONE,OR 97027 PORTLAND, OR 97205
PHONE: 503-557-0866 PHONE:
FAX: 503-557-1085
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 04/24/2014 $70.00
Occupancy Grp: B Occupancy Load: 21 DC Provision Review,COM TI-LRP 04/24/2014 $10.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 04/24/2014 $553.13
Demolition
Stories: 5 Height: 0 ft 12%State Surcharge-Building 04/24/2014 $66.38
Bedrooms: 0 Bathrooms: 0 Plan Review 04/24/2014 $359.53
Value: $33,997 Plan Review-Fire Life Safety 04/24/2014 $221.25
Info Process/Archiving-Lg$2.00(over 04/24/2014 $10.00
11x17)
Floor Areas: COT Address Fee 04/24/2014 $50.00
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,340.29
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes 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 C nter. Those rules are set forth in OAR
952-00 t,Irou R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 1987 or 1.800.332.2344.
Is ed By: IA , // , / Permittee Signature: I- , �i
\- ((( -
Call 503.639.4175 by 7:00 a.m.for the next available inspecti•n 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
City of Tigard Received el1111 zMIZIS I o/(t{Qe,1%)
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review i;' I
a Phone: 503.718.2439 Fax: 5019$04 2014 Date l3 : i f/ Min Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Rea,117y: Juris ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
WitaINGIIIVISION 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: $
El Accessory building El Multi-family Number of bedrooms:
l=1 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.:405 Project name:Mutual of Omaha 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: 1S126BC01506 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Non-structural interior office improvements. Valuation: $33,997.00
Existing building area: 2,026 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: II-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
Total fees due upon application: $1,340.20
City/State/ZIP:Portland,OR 97209
Phone:(503)221-1121 Fax::(503)221-2077 Amount received:
E-mail:bbslogh @Irsarchitects.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:BnK Construction - Steve Close Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:45 82nd Drive,Suite 52B Solar Installation Specialty Code checklist.
Permit fee(includes plan review
City/State/ZIP:Glasdstone,OR 97027 $180.00 and administrative fees):
Phone:(503)557-0866 Fax:(503)557-1085
State surcharge(12%of permit fee): $21.60
CCB lic.:107555
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
�� it _ J� within 180 days after it has been accepted as complete.
Print name: li"Mr�` Date: /y * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.d, 02/24/2011 440-4613T(I l/02/COM/WEB)
111
I
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
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 121 of Valuation Computation): $
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
Building Permit Number: l )c-L P�Q/ - 76
IN " Building Permit Review
Commercial Project — No Associated Land Use Case
TIGARD
I
Site Address: "i624 Vasil/,i / - *-(ik-Ye-/ d. - --ti -----
K 'erifv site address is valid.
Project Name : A e 9 laGw
Planning Review
Proposal: •-redi di f r/rn/2nve.177 7/—fey Oi f1L 't c •
Zoning: M a
Permitted Use "Yes ❑ No ❑ Spec Space
Land Use Required ❑ Yes 2(No
Notes: ffit •ili/ tar alY-- mwvi/19 � GU/ i e/i1— 6 9 In a-rrie hl✓idil y
Approved by: Date: 11/2-I--///
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 casc#above for Building Permit Number.
Workflow Routing: ❑ Planning ❑ Engineering ❑ Permit Coordinator ❑ Building
Workflow Sign-off: ❑ Sign-off for Planning staff,including notes from planning review(page 1)
Route Application Documents: ❑ Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: Date:
Notes:
1:\Bui!ding\Forms\BldgPermitRvw_COM_NoLandUse_123013.docx
IN ' Building Division
Over-The-Counter (OTC) Building Permit
TIGARD Check List
Project Description: c
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: r Occupancy Group: ' Type of Construction:
Type of Use**: `�/ ,'a``'( Occupancy Load: 1 Oregon Specialty Code: 2010
SPECIFICS
Number of Stories: 045 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: (d , Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ 37) 1 I? - Cr I FEES DUE
$ -70,00 DC Prov Rvw,COM TI—Ping
$ 10,arD DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ 53,(-3Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ Awls, 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ ��_.• w Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ [• j i► 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)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
.6° Other: /94- 1W.c .5
$ Other:
Building Staff: $ Other: 4
Date/Time: $ L 1 TOTAL FEES DUE
oe) — I J 317/6'•��
*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).
I:\Building\Forms\OTC-BUP.docx 07/01/2013
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9020 SW WASHINGTON SQUARE RD 405,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
June 18, 2014 at 11:50:28 AM
BUP2014-00090
Chip Barnett
Violation Summary:
Inspector Contractor