Permit CITY OF TIGARD BUILDING PERMIT
111 • COMMUNITY DEVELOPMENT Permit#: BUP2014-00237
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/15/2014
Parcel: 1 S126BC01506
Jurisdiction: TIGARD
Site address: 9020 SW WASHINGTON SQUARE RD 505
Project: SFA Design Group Subdivision: 2005-035 PARTITION PLAT Lot: 3
Project Description: TI for existing tenant: Non-structural interior office improvements.
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: IIB DC Provision Review,COM TI-Ping 10/15/2014 $75.00
Occupancy Grp: B Occupancy Load: 41 DC Provision Review,COM TI-LRP 10/15/2014 $11.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 10/15/2014 $377.90
Demolition
Stories: 5 Height: 0 ft 12%State Surcharge-Building 10/15/2014 $45.35
Bedrooms: 0 Bathrooms: 0 Plan Review 10/15/2014 $245.64
Value: $20,000 Plan Review-Fire Life Safety 10/15/2014 $151.16
Info Process/Archiving-Lg$2.00(over 10/15/2014 $12.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $918.05
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
clays. 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 obtain a•s or direct questions to OUNC by calling 503.2 2.1987 or 1.800.332.2344.
..------ Permittee Signature: /
Issued By: /�}/ L e'!`` _
`9.4175 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 ��� 1∎m (II I I( I I �I ()NI
AR
City of Tigard �\ Received A � Permit No.:
III 11 'J g 1�� Date/13 y®fs/LV� 41, �. / — / ,
13125 SW Hall Blvd.,Tigard,OR 97223 t- . ` -A�Q �,
II Phone: 503.718.2439 Fax: 503.598.1960 t§;s (`v� tS P � l0 I5 t Other Permit:
•
T I t n It I r Inspection Line: 503.639.4175 �& • `�7. Date Ready'By: J� ia See Page 2 for
Internet: www.tigand-or.gov Al, "rc1 Notified Method: Supplemental Information
44��
TYPE OF WORKSOP 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: $
❑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.:505 Project name:SFA Design 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.: 15126BC01506 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: $20,000
Existing building area: 4,094 square feet
New building area: 0 square feet
0 PROPERTY OWNER ❑ TENANT Number of stories: 5
Name:Wyse Investment Services Co. - Kathi Pearce Type of construction: I-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
0 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):
Total fees due upon application: 918.05
City/State/ZIP:Portland,OR 97209
Phone:(503)221-1121 Fax: :(503)221-2077 Amount received:
E-mail:abedoey @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,Inc. 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 Road,Suite 190 Solar Installation Specialty Code checklist.
City/State/ZIP:Durham,Oregon 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 lic.:66915
Total fee due upon application: $201.60
Authorized signat ,-: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: , /444,_‘_.... i_ �� `' Date: 10.15.14 I * Fee methodology set by Tn-County Building Industry
Service Board.
1:\Building\Petmits\BUP-COM PermitApp.doc 0 2011 440-4613T(I 1/02/COM/WEB)
City of Tigard
14 ■ COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Commercial - No Land Use
TIGARD
Building Permit #: af paa(ii—00a37
Site Address: 8020 SW v\IoksVIttmbn S 4. Suite/Bldg#: 5a5
Project Name: L kith�r�-G F
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review r
Proposal: ` fltX U{ ice k YI 01 VentartS
Existing Business Activity: 0 Frio)
Proposed Business Activity: 0 ffits
.Verify site address/suite #exists and active in permit system.
,l2"Zoning: MuG
Z.Permitted Use: „ Yes ❑ No ❑ Spec Space
'Confirm no land use required.
Notes:
Approved by Planning: ititylv Date: IC)115,
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: iv/i i of
Site Plans: # /1//#
Building Plans: # '�
Building Permit#: enter bu uilding permit#above.
Workflow Routing: L�5'1'1a� ling ❑ Permit Coordinator ceding
Workflow Sign-off: L�IYSi `off for Planning(include notes from planning review)
Route Application Documents: CV—Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc. _
Notes: O%7
By Permit Technician: � Date: / //5"717
1:1Building\Fonns\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:
I:\Building\Formsl BldgPermitRvw_COM_NoLandUse_071514.docx
Building Division
Over-The-Counter (OTC) Building Permit
TIGARD
Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: NEW Occu.anc Grou.: Type of Construction: r-
Type of Use**: ( f^71,k Occupancy Load: 4 Oregon Specialty Code: 20 --
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: $ 201,000 FEES DUE
$ `7 5/# DC Prov Rvw,COM TI—Ping
$ , .0 DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ .4-136174/ Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ AP=JWA0 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ "VIE Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ -au Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ _ grip 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: $ '1CBO,rOTAL 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\Fomu\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 505,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2014-00237
Chip Barnett
Violation Summary:
Inspector Contractor