Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2015 00115
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/21/2015
Parcel: 1 S126DC04800
Jurisdiction: Tigard
Site address: 9495 SW LOCUST ST A
Project: Baker Research Center Subdivision: LEHMANN ACRE TRACT Lot: 4
Project Description: 5,857 square foot TI,new walls,casework&upgrades.
Contractor: WISERS LLC Owner: MATHESON, ROBERT T REVOCABLE TRU
12020 SW ROSE VISTA DR BAKER, JAMES
TIGARD, OR 97223 BAKER, DIANE R
1030 NW JOHNSON ST#610
PORTLAND, OR 97209
PHONE: 503-789-5789 PHONE: 503-379-0106
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 04/21/2015 $299.00
Occupancy Grp: B Occupancy Load: 67 DC Provision Review,COM TI-LRP 04/21/2015 $44.00
Permit Fee-Additions,Alterations, 04/21/2015 $1,504.59
Dwelling Units: 0 Demolition
Stories: 2 Height: 0 ft 12%State Surcharge-Building 04/21/2015 $180.55
Bedrooms: 0 Bathrooms: 0 Plan Review 04/21/2015 $977.98
Value: $165,500 Plan Review-Fire Life Safety 04/21/2015 $601.84
Info Process/Archiving-Lg$2.00(over 04/21/2015 $18.00
11x17)
Floor Areas: Metro Const.Excise Tax-Commercial 04/21/2015 $198.60
Use
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,824.56
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No 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 es are/ et forth in OAR
952-001-00 OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OU • •y ca ing 503.23 . •; • .;',10. i...•344.
Issue By: / Permittee Signature: nipmigiv -
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 projec
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial (Fr r ("1 It)Il()I II( I I ti►• O\► 1
RE �.. M
City of Tigard oa�� Permit No.: - P
13125 SW Hall Blvd.,Tigard,OR 972V" 2015 �� f "�� Oa!/
Phone: 503.718.2439 Fax: 503.598. 608 1 O,J o eB : Other Permit:
TI G A R D Inspection Line: 503.639.4175 CITY OF TI GAR D Date Rea.'t : kris: BI See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
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.
12 1-and 2-family dwelling ®Commercial/industrial Valuation: $
Accessory building Number of bedrooms:
❑ ry g ❑Multi-family
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9495 SW Locust Street New dwelling area: square feet
City/State/ZIP:Tigard,Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Er i9 Project name:Baker Research Center Covered porch area: square feet
Cross street/directions to job site:From Highway 217 near Washinton Square Deck area: square feet
Shopping center take the Greenburg Rd.exit and go north on Greenburg Rd 2 Other structure area: square feet
blocks,turn right on SW Locust Street,Builing is half a block on left/north REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.:4800 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 1S126DC04800 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.
5,857 Sq.Ft.+/-of interior non-structural tenant improvement remodel. Valuation: $ TOa,00
Mechanical,Plumbing,Electrical&Fire alarm are delegated desgin. Existing building area: 13000 square feet
New walls,casework,electrical&data&lights are part of the work. New building area: None square feet
® PROPERTY OWNER I ® TENANT Number of stories: 2
Name:James Baker Type of construction: V-B
Address:9495 SW Locust Street,Suite E Occupancy groups:
City/State/ZIP:Tigard,Oregon 97223 Existing: B
Phone:(503)379-0106 Fax:(503)715-1378 New: B
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:JRJ Architects,LLC (Please rslerVoice schedule)
Structural plan review fee(or deposit):
Contact name:Paul Smith
FLS plan review fee(if applicable):
Address: 15455 NW Greenbrier Parkway,Suite 260
Total fees due upon application:
City/State/ZIP:Beaverton,Oregon 97006
Phone:(503)690-1779 Fax::(503)690-0913 Amount received:
E-mail:psmith @jrjarch.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted • . ,Voltaic Solar Panel em.
Business name:KC Wiser3 u._c Submit two(2)sets of roo elan with co.. ection details
and fire department access,a •ng w' the 2010 Oregon
Address: 17,0w Gj w eocj r: VISTA Solar Installation Specialty Co•• ecklist.
City/State/ZIP: Permit fee(includes . •n re 'ew
TII,�AtP-C7, D�-
Z 2 and admi•. trative fee : $180.00
Phone:(5O3) GI Fax:( )
7$9' CJ 7 p1 1 State surcharge %of permit fee): $21.60
CCB lie.:204493 !0(99//e° Tot. ee due upon application: $201.60 r
Authorized signature: "'v`� ` ' This permit application expires if a permit is not obtained
/�, within 180 days after it has been accepted as complete.
Print name. f ( /"J i `'�t I Date: i al (� I * Fee methodology set by Tri-County Building Industry.�/_w Service Board.
I:\Building\Pennits\BUP-COM P- .. App.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
� 1 ( , \ i, i)
Building Permit Review — Commercial - No Land Use
Building Permit #: l I" a), 5-- //5- A
Site Address: 94/9 3t0 L e u Sf- Suite/Bldg#: (4•!' r "�
Project Name: !'fir- J ,X a
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review //
Proposal: I2Pf.L) �T !�? X7�SA�Q -ed �a•-�/0e4
KA-C.
C�J�ff'C� J
Existing Business Activity: 1f 1 4/ Li pt _ _ „r„ ' '0
Proposed Business Activity: . Amwmogrorm,dam'c,
Verify site address/suite#exists and active in permit sys m.
• 'ver Terrace Plan District ❑ Yes N No
Mf Zoning: /v'UC—J
IL��Jrmitted Use: gYes ❑ No ❑ Spec Space
Lid' Confirm no land use required.
Business License/
Exists: 12 Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: ,-- �— Date: /�///S
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:
(:\Building\Forms\BIdgPermitRvw_COM_NoLandUse 031015.docx
Permit Coordinator Review
❑ Conditions"Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
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\FormskBldgPermitRvw_COM_NoLandUse 031015.docx
IN ' Building Division
Over-The-Counter (OTC) Building Permit
I G R" Check List
Project Description: 1 1
GENERAL INFORMATION
Class of Work*: kJ— Occupancy Group: Type of Construction:
Type of Use**: rt Occupancy Load: N Oregon Specialty Code:
SPECIFICS
Number of Stories: ji 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 ,r 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: Cu t Sheets Provided: _
Design Area: _
K Factor: �
Total Project Valuation: $ I --
�CO.c� ;' FEES DUE
$ 1;,Qtr) DC Prov Rvw,COM TI—Ping
$ A • ,• DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ ■INJ Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ Fs ,' 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ ` Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ Vara' Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ r, 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)
$ Wargo 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: $ 362. .:., TOTAL FEES DUE
*TYPE OF USE: COM=comity.: • ∎ _ _. bmm-`.', manufa' if -i..r I c∎'. .
' 'CI,AS QF WOR& ACS=ac4esorI ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
O signs,awnings or canopies).
I:\Building\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
9495 SW LOCUST ST A, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2015-00115
Jeff Grove
Violation Summary:
Inspector Contractor