Permit rp
CITY OF TIGARD BUILDING PERMIT
• COMMUNITY DEVELOPMENT Permit#: BUP2014-00173
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/29/2014
Parcel: 25101 DB00103
Jurisdiction: Tigard
Site address: 7360 SW HUNZIKER RD 101
Project: MSP Accounting Subdivision:CONDO SUPPLEMENTAL PLAT NO 4- Lot: 22830-2
Project Description: TI for new tenant to Tigard.
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: IIIA DC Provision Review,COM TI-Ping 07/29/2014 $75.00
Occupancy Grp: B Occupancy Load: 7 DC Provision Review,COM TI-LRP 07/29/2014 $11 00
Permit Fee-Additions,Alterations. 07/29/2014 $195 38
Dwelling Units: 0 Demolition
Stones: 3 Height: 0 ft 12%State Surcharge-Building 07/29/2014 $23.45
Bedrooms: 0 Bathrooms: 0 Plan Review 07/29/2014 $127.00
Value: $7,500 Plan Review-Fire Life Safety 07/29/2014 $78.15
Info Process/Archiving-Lg$2 00(over 07/29/2014 $4.00
11x17)
Floor Areas:
Total Area 0
Accessory Struct 0
Basement: 0
Carport- 0
Covered Porch 0
Deck: 0
Garage 0
Mezzanine 0
Total $513 98
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 Notifi n Center I -.se 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 callin 23 .1987 0. 1 332 2344
Issued By: Permittee Signature:
%jib I •.4175 by 7:00 a.m.for the next available inspection ate.
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
pirCity of Tigard Received -] ?gam Permit No.: IL .: j . ,41—, ,
13125 SW Hall Blvd.,Tigard,OR 972 Plan Review ��
Phone: 503.718.2439 Fax: 503.598. pang .4, Nal Other Permit.gis
T 1 G A R D Inspection Line: 503.639.4175 ````1 9 2014 ' *' Supplemental See Page 2 for
Internet: www.tigard-or.gov U� j Supplemental Information
TYPE OF WO,�„\)k_..! -, , REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction '4. k. .x_.r Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
iiifAddition/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-fainii. Number of bedrooms:
❑Master builder ❑Other. Number of bathrooms:
/JJOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:'�31Y0 fJili .gip, . 10, New dwelling area: square feet
City/State/ZIP:�(,��, c12— '�S7ZZ'3 Garage/carport area: square feet
Suite/bldgJapt.no.: 'D( "` Project name: I �� �t em �)Aacok .PG- 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.: 2 5 a , (p 3 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.
1 71JAtt$T (mFreV . Valuation: $7 C-e
LJ Existing building area: J "square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT I Number of stories:
Name: Type of construction: 11('/
Address: Occupancy groups: 13
City/State/ZIP: Existing:
Phone:( 1 Fax:( 1 New
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEFS*
(Please refer to fee schedule)
Business name: CiDik. I�C... Structural plan review fee(or deposit):
Contact name: /h�A ZIA/tif Address: ,IStJ ' �� FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP: C1/4:372.2-14
Phone:(�3)Z�y. (� Fax: :(�)
Z?.lo 62-7C) Amount received:
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: v� � G C+'Jtv'1 Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: ' c C�s 4 :;l70r4 Submit two(2)sets of roof plan with connection details
�1 and fire department access,along with the 2010 Oregon
Address: '?,tea (316) Pievi 156e4.0000 i Solar Installation Specialty Code checklist.
City/State/ZIP: {�,�Sn,r ) 2– '' .- ( Permit fee(includes plan fees):i $180.00
11++`' �s^^``�� ` , ,r ( and administrative
Phone:(C ) Ll"l) . l Fax:(5 /�1�. State surcharge(12%of permit fee): $21.60
CCB lie.: /=3 7 G�� Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
jwithin 180 days after it has been accepted as complete.
Print name: IA k �.t Date: 7.29.1 ,...\ * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\B P-CO Per itApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB)
7 Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARI)
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] S
ELEMENTS: In choosing which accessible elements to provide wider this section,priority shall be given
to those elements that will provide the greatest access. Elements shall he 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: S
TOTAL (shall equal line [2] of Valuation Computation): $
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
" Building Division
Over-The-Counter (OTC) Building Permit
T I G A R D Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: NT Occupancy Group: Type of Construction:
Type of Use**: Occupancy Load: _ Oregon Specialty Code: 26 t
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: YeA 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: $ '7 5 I FEES DUE
$ -2.S" oil DC Prov Rvw,COM TI—Ping
$ 04.0 DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ �l � Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ , . tj 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ f Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ O Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ ,CO Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $299.00 $44.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
S Misc.Admin Fee
Other.
S Other:
Building Staff: _ $ Other:
Date/Time: S I ; C( TOTAL FEES DUE
*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,sums,awnings or canopies).
IA Building 070114.docx
City of Tigard
1114 - COMMUNITY DEVELOPMENT DEPARTMENT
■
Building Permit Review — Commercial - No Land Use
TIGARD
Building Permit #: eiipc2opi -00 1 73
Site Address: -1?(90 SVsJ 1-final ar 12c1 . Suite/Bldg#: 101
Project Name: MS 19
(Name of commercial busin occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T- I
Existing Business Activity: *CP()Proposed Business Activity:
/Verify site address/suite #exists and active in permit system.
L "ZZoning: C--p
4ermitted Use: EZes ❑ No ❑ Spec Space
L&'Confirm no land use required.
Notes:
Approved by Planning: A7011,LA (Y0(14.-- Date: —] - 241• I --1
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 Submittal Date: 7ft-gill
Site Plans: #
Building Plans: #
Building Permit#: 3! nt building permit #above.
Workflow Routing: eilanning ❑ Permit Coordinator uilding
Workflow Sign-off: F.7--S�ff for Planning(include notes from planning review)
Route Application Documents: Ian-Wilding. original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: r F" -- Date: 2 t /�y
f
I:\Building\Forms\BldgpennitRvw_COM_NoLandUsc_071514.docx
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPennitRvw_WM_No I.and Use_071514.docx