Permit CITY OF TIGARD j BUILDING PERMIT
•' COMMUNITY DEVELOPMENT 9', �� Permit#: BUP2014-00207
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 , 440,10 Date Issued: 09/03/2014
Parcel: 1S126BC01506
Jurisdiction: TIGARD
Site address: 9020 SW WASHINGTON SQUARE RD 170
Project: Pioneer Design Group Subdivision: 2005-035 PARTITION PLAT Lot: 3
Project Description: TI for new tenant: Adding wall mounted fixtures and adding blocking within walls for fixtures.9/24/14,reprinted to
change contractor of record from Portland Construction Solutions to Pacific Crest Structures.
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: Ig DC Provision Review,COM TI-Ping 09/03/2014 $75.00
Occupancy Grp: B Occupancy Load: 67 DC Provision Review,COM TI-LRP 09/03/2014 $11.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 09/03/2014 $509.05
Demolition
Stories: 1 Height: 0 ft 12%State Surcharge-Building 09/03/2014 $61.09
Bedrooms: 0 Bathrooms: 0 Plan Review 09/03/2014 $330.88
Value: $30,000 Plan Review-Fire Life Safety 09/03/2014 $203.62
Info Process/Archiving-Lg$2.00(over 09/03/2014 $14.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,204.64
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 throu.h OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issue. By: , Permittee Signatur . "
Call 503.639.4175 by 7:00 a.m.for the next available inspection d .
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.
L
503-221-2077 11:23:57 a.m. 09-24-2014 212
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
IN _ Request for Permit Action
TI U n R 1) 13125 SW Hall Blvd. •Tigard,Oregon 97223 • 503-718-2439 •www.tigard-or.gpov
ECEIVEf
TO: CITY OF TIGARD
Building Division SEP 2 4 2014
13125 SW Hall Blvd.,Tigard OR 9
Phone: 503-718-2439 (Fax: 503-598-1960 TigardBuildingPermits @tigatpVE TIGAIZU
FROM: ❑ Owner XApplicant ❑ Contractor ❑ cityWdLDING DIVISION
Check(✓)one
REFUND OR Name: ,/� r
L.-t `
INVOICE TO: (Business or Individual) A Y(/A1`Ic)tj
Mailing Address: 1 6\1(A/ poky) s
City/State/Zip: fQ r-)-1 m ,(1 V V` '"(�l 7'1_a 9
Phone No.: So 22--1 ^ I 1'7----\
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
❑ CANCEL/VOID PERMIT APPLICATION.
❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below).
EINVOICE FOR DUE (attach case fee schedule and provide explanation below).
REMO , /REPLACE ONTRACTOR ON PERMIT(do not cancel permit).
!L
Permit#: -U f 2O )�" CO 201 4 i!7
Site Address or Parcel#: g 0 2 E "Sw rt(rtg h,yv),,140.\ 12-, , ( 7 O
Project Name: ? l O nee Y Qe'&)0 n &ro cAo 1-4- - -
Subdivision Name: Lot#:
EXPLANATION: The eiv\eAred Ctm-1-rAutT Y I S
17. 0k&tek,;c 1✓Ye91 '1Ni gv-hA e5 c c-e 4- co bq r�
Signature: e4:54 a0r —^ i Date: ey y� I(�
Print Name: /.. Y 011 1 D k +/ f
Refund Policy
1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of:
• Any fee which was erroneously paid or collected.
• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort
has been expended.
• Not more than 80%of the application or permit fee for issued permits prior to any inspection requests.
2. MI refunds will be returned to the original payer in the form of a check via US postal service.
3. Please allow 3-4 weeks for processing refund requests.
FOR OFFICE USE ONLY
Route to S s Admin: Date Ayz''Lrp Route to Records: Date B
Refund Processed: Date By Invoice Processed: Date By
Permit Canceled: Date By Parcel Tag Added: Date By
I:\Building\Forms\RegPcmvtAction 092314.doc
503-221-2077
DESIGN WITH INTEGRITY
TRANSMITTAL
11:23:50 a.m. 09-24-2014 1 /2
PLANNING DESIGN INTERIORS ARCHITECTURE
720 NW Davis
Suite 300
Portland OR 97209
503.221.1121:
503.221.20776
www.irsarchitects.com
To: Debbie Adamski Date: Wednesday, September 24, 2014
Senior Permit Technician Project Number: 214203
City of Tigard Project Name: Pioneer Design Group Tl.
Total Pages: 2
lit Copies To:
12 503-598-1960 Transmitted By: A. Byron Balogh
Transmit Via: ® Fax ❑ MaiUUPS Ground ❑ Messenger ❑ Overnight ❑ 2 Day ❑ Other
Item Date Description
1 Request for Permit Action
Change Contractor of the Permit to:
Pacific Crest Structures
CCB#66915
ors
ARCHITECTS
CITY OF TIGARD BUILDING PERMIT
a COMMUNITY DEVELOPMENT Permit#: BUP2014-00207
T t C.A.R L) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/03/2014
Parcel: 1 S126BC01506
Jurisdiction: TIGARD
Site address: 9020 SW WASHINGTON SQUARE RD 170
Project: Pioneer Design Group Subdivision: 2005-035 PARTITION PLAT Lot: 3
Project Description: TI for new tenant: Adding wall mounted fixtures and adding blocking within walls for fixtures.
Contractor: PORTLAND CONSTRUCTION SOLUTIONS Owner: WISCO REAL ESTATE EQUITY FUND I
14915 SW 72ND AVE 1501 SW TAYLOR ST STE 100
TIGARD, OR 97224 PORTLAND,OR 97205
PHONE: 503-908-9822 PHONE:
FAX: 503-336-6557
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IB DC Provision Review,COM TI-Ping 09/03/2014 $75.00
Occupancy Grp: B Occupancy Load: B7 DC Provision Review,COM TI-LRP 09/03/2014 $11.00
Permit Fee-Additions,Alterations, 09/03/2014 $509.05
Dwelling Units: 0 Demolition
Stories: 1 Height: 0 ft 12%State Surcharge-Building 09/03/2014 $61.09
Bedrooms: 0 Bathrooms: 0 Plan Review 09/03/2014 $330.88
Value: $30,000 Plan Review-Fire Life Safety 09/03/2014 $203.62
Info Process/Archiving-Lg$2.00(over 09/03/2014 $14.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,204.64
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 obtaines or direct questions to OUNC by calling 503 .'2.1987 or 1.800.332.2344.
Issued By: Permittee Signature: ,
ALA-0..639.4175 by 7:00 a.m.for the next available inspe on 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 1� FOR OFFICE USE ONLY
CityCity of Tigard tP Received
g Date'B : I ..iI Permit No.. ,:
13125 SW Hall Blvd.,Tigard,01X___ Plan Review
= Phone: 503.718.2439 Fax: 503.598.1960 14 Date B : �` Other Permit:
TI G A K D Inspection Line: 503.639.4175 r p 3 20 Date Ready'By: ® See Page 2 for
Internet: www.tigard-or.gov SL` Notified/Method: MI Supplemental Information
�
��(�CT`c1E0) ,.TYPE OtA1 0151.0 REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑ New construction 0 t,emolition 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.
El I-and 2-family dwelling Valuation: $
®Commercial/industrial
El 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.: 170 Project name:Pioneer Design Group 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.:1S126BC01506 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: $30,000
e - 6 , a .L walls � oaii ii, bl a i Existing building area: 3,790 square feet
f '�+'�9lPr ' 'W ��tCS �D S 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:Anne Bedney
Address:720 NW Davis,Suite 300 FLS plan review fee(if applicable):
City/State/ZIP:Portland,OR 97209 Total fees due upon application:
Phone:(503)221-1121 Fax::(503)221-2077 Amount received:
E-mail:abedney @Irsarchitects.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:(PCS)Portland Construction Solutions Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:14915 SW 72 Avenue Solar Installation Specialty Code checklist.
City/State/ZIP:Portland,Oregon 97224 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)908-0822 Fax:(503)914-6680 State surcharge(12%of permit fee): $21.60
CCB lic.: 174542 A,, Total fee due upon application: $201.60
Authorized signatu . /, This permit application expires if a permit is not obtained
` /J within 180 days after it has been accepted as complete.
Print name: w Date: 9.- 3 /L/ * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/21 440-4613T(11/02/COM/WEB)
M 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: $
(0 Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
. City of Tigard
■
COMMUNITY DEVELOPMENT DEPARTMENT
TI��n K D Building Permit Review — Commercial - No Land Use
Building Permit #: 1314P9,0 ILI - Uv 7
Site Address: 9()OLO i,v,k 4,, Suite/Bldg#: I/o
Project Name: P o c.A✓ st 1,, CrvDU 7.T
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
� / 1 /� �,
Proposal: T tvi it t ( la (A.Q 1/ recU Elam i' 14, y Melee / , oft
Existing Business Activity: vCY iCe
Proposed Business Activity: 0 Tice
�erify site address/suite #exists and active in permit system.
ning: A1 1 V6/
I ermitted Use: s ❑ No ❑ Spec Space
Br Confirm no land use required.
Notes:
Approved by Planning: Date: 2—i`/Z7
$fr 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:
Site Plans: # % i
Building Plans: #
Building Permit#: EI—Miler building permit#above.
Workflow Routing: ['n_ g or L UM1 g
Workflow Sign-off: tg6ff for Planning(include notes from planning review)
Route Application Documents: Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: 07-7...._
By Permit Technician: ����>
Inter fh/�ii
AIM
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_071514.docx
I
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:\Bui(ding\Forms\Bl dgPermitRvw_COM_No L andUse_071 5 14.docx
11111111 • ' Building Division
Over-The-Counter (OTC) Building Permit
I IL \IIi)
Check List
Project Description: 1 .I—
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: c Occupancy Group: Type of Construction: I IS
Type of Use**: C p poi Occupancy Load: G 7 _ Oregon Specialty Code: Z OAP
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: 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: $ 301 000 FEES DUE
$ 75 49' DC Prov Rvw,COM TI—Ping
$ //, c DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ c,,q_ o5 Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ Cal . 09 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ d. Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ 3.4,3, Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ /4„ji.� 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
$ Misc.Admin Fee
$ Other:
$ Other:
Building Staff: $ Other:
Date/Time: $ ii ?NO it 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,signs,awnings or canopies).
I:\Bull ding\Forms\OTC_BUP_070114.docx
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 170,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2014-00207
Chip Barnett
Violation Summary:
Inspector Contractor