Permit CITY OF TIGARD BUILDING PERMIT
IN a COMMUNITY DEVELOPMENT Permit#: BUP2014-00213
T t G A R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/11/2014
Parcel: 1 S 135BD00100
Jurisdiction: TIGARD
Site address: 9600 SW OAK ST
Project: Plaza West Subdivision: ASHBROOK FARM Lot: 5
Project Description: Remodel of existing 3rd floor public restrooms
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: IIB DC Provision Review,COM TI-Ping 09/11/2014 $75.00
Occupancy Grp: Occupancy Load: DC Provision Review,COM TI-LRP 09/11/2014 $11.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 09/11/2014 $752.04
Demolition
Stories: 5 Height: 0 ft 12%State Surcharge-Building 09/11/2014 $90.24
Bedrooms: 0 Bathrooms: 0 Plan Review 09/11/2014 $488.83
Value: $52,442 Plan Review-Fire Life Safety 09/11/2014 $300.82
Info Process/Archiving-Lg$2.00(over 09/11/2014 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,723.93
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 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 OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 87 or 1.800.332.2344.
Issued B Permittee Signature: �C
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 USE ONLY
I OR OFFICE.RECEJED Received /�
City of Tigard DateB : ff/wp Permit No.: of t4-tXbz/ 3
II • 13125 SW Hall Blvd.,Tigard,OR 974F 1 1 2014 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/B : Other Permit:
I I( A I;l) Inspection Line: 503.639.4175 r Date Ready/By: Jug:: See Page 2 for
Internet: www.tigard-or.gov CITY �� l Notified/Method: g ®ed/Method: Supplemental Information
Buitoms mom,
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.
❑ 1-and 2-family dwelling ®Commerciallindustrial
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:Plaza West-9600 SW Oak Street New dwelling area: square feet
City/State/ZIP:97224 Garage/carport area: square feet
Suite/bldg./apt.no.:N/A Project name:3r1 Floor Restrooms Covered porch area: square feet
Cross street/directions to job site:SW Greenburg Road 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.: 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.
Minor tenant improvements to existing suite. Valuation: $$52,442.00
Existing building area: N/A square feet
New building area: square feet
® PROPERTY OWNER I ❑ TENANT Number of stories: 5
Name:Norris Beggs&Simpson (Came Ficek) Type of construction: II-A
Address:121 SW Morrison,Suite 200 Occupancy groups:
City/State/ZIP:Portland,Oregon 97204 Existing: B
Phone:(503)273-0396 Fax:(503)467-7481 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)
City/State/ZIP:Ridgefield,WA 98642 Structural plan review fee(or deposit):
Phone:(503)227-4440 Fax:(503)227-6644 FLS plan review fee(if applicable):
CCB lie.:123729 Total fees due upon application:
`�/V ' 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 Middlecoff,AIA Date:09/10/2014 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 10/01/09 440-4613T(11/02/COM/WEB)
City of Tigard
■1111 ■
COMMUNITY DEVELOPMENT DEPARTMENT
T �;A p Building Permit Review — Commercial - No Land Use
Building Permit #: ----Ett Pc9-0 i 41-OD al 3
Site Address: 6111;09 SV.j Oct M- Strr Suite/Bldg#:
Project Name: PLr L , r/L & 7 '
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 'k' ut ppc,QS tO QXI.S`tn "1DI YDcens oln 3r-1-fiuor.
Existing Business Activity: wJ(
Proposed Business Activity: N/A-
Verify site address/suite#exists and active in permit system.
.'Zoning: mute-I
J' Permitted Use: ❑ Yes ❑ No ..2r Spec Space
.2r Confirm no land use required.
Notes:
Approved by Planning: AVA Vo,,(a(,(k- Date: CI I l t `114
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: #
Building Plans: #
Building Permit#: ❑ Enter building permit#above.
Workflow Routing: ❑ Planning ❑ Permit Coordinator ❑ Building
Workflow Sign-off: ❑ Sign-off 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:
By Permit Technician: Date:
1:1 Building\Forms\BldgPermitRvw_COM NoLandUse_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:
L\B ui I ding Worms\Bl dgPermitRvw_COM_NoLandUse_071514.docx
UPI : 411 Building Division
Over-The-Counter (OTC) Building Permit
1(1 .1[M Check List
Project Description: r( S i lip O r + 1 Zo OR-
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION /i4 Class of Work*: C p ✓1 Occupancy Group: Type of Construction: Z f3 Type of Use**: Occupancy Load: / i Oregon Specialty Code: 7_10/
SPECIFICS
Number of Stories: f 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: \f(>o Fire Alarms: yo Smoke Detectors:
Sprinkler Type: / Alarm Type: Protected Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Caks Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor: I
Total Project Valuation: $ FEES DUE
$ DC Prov Rvw,COM TI—Ping
$ DCProvRvw,COMTI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ 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: $ 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:\Building\Forms\OTC_BUP_070114.docx