Permit CITY OF TIGARD BUILDING PERMIT
'! ' ° , COMMUNITY DEVELOPMENT Permit#: BUP2015-00307
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/29/2015
Parcel: 2S 101 DB00100
Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 205
Project: Inform Accounting Subdivision: VARNS ACRES Lot: 9
Project Description: TI for existing tenant:Relocating existing demising wall,demolishing private offices to create open office space,
relocating exit door,and new interior partitions to create break room.
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: IIIB DC Provision Review,COM TI-Ping 10/29/2015 $88.00
Occupancy Grp: B Occupancy Load: 14 Permit Fee-Additions,Alterations, 10/29/2015 $225.80
Demolition
Dwelling Units: 0 12%State Surcharge-Building 10/29/2015 $27.10
Stories: 2 Height: 0 ft Plan Review 10/29/2015 $146.77
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/29/2015 $90.32
Value: $9,850 Info Process/Archiving-Lg$2.00(over 10/29/2015 $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 $583.99
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 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 ;c3.232.1987 or 1.800.332.2344.
Issued By: per ...Pure: h f. lb
.639.4175 by 7:00 a.m.for the next available inspection
This permit card shall be kept in a conspicuous place on the job site until comple • 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
City of Tigard �r�`'�� Received _ Permit No.: / 6 I ` i} r
III . " 13125 SW Hall Blvd.,Tigard,OR 972 G V
Date/13 : r wr �. , - �y
g Plan Review7.•!'"
-� �
Phone: 503.718.2439 Fax: 503.598.1 Date/B : / i 1 Other Permit:
TIGARD Inspection Line: 503.639.4175 r T A 9 2015 Date Ready ® See Page 2 for
Internet: www.tigard-or.gov Ol,1 f+ ��� Notified/Method: t "� ;11 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.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building I=1 Multi-family Number of bedrooms:
ill Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7320 SW Hunziker Rd New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:205 Project name:Inform Accounting Covered porch area: square feet
Cross street/directions to job site:Hunziker&SW 72nd 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.:2S101 DB00100 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.
Scope of work for Suite 205 consists of relocating the tenant demising wall, Valuation: $$9,850.00
demolishing private offices to create open office spacec,relcoated exit door, Existing building area: 1390 square feet
and new interior partitions to create a break room.No use or occupany change. New building area: 1390 square feet
❑ PROPERTY OWNER ® TENANT Number of stories: 2
Name:Inform Accounting Type of construction: III-B
Address:7320 SW Hunziker Rd Occupancy groups:
City/State/ZIP:Tigard,OR 97223
Existing: B
Phone:( ) Fax:( ) New: B
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:CIDA Inc.
Structural plan review fee(or deposit):
Contact name:Kelly Sanford
FLS plan review fee(if applicable):
Address:15895 SW 72'Ave,Suite 200
Total fees due upon application:
City/State/ZIP:Portland,OR 97224
Phone:(503)226.1285 Fax::(503)226.1670 Amount received:
E-mail:kellys @cidainc.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Robinson Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:21360 NW Amberwood Dr. Solar Installation Specialty Code checklist.
City/State/ZIP:Hillsboro,OR 97124 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)645.8531 Fax:(503)6453357
State surcharge(12%of permit fee): $21.60
CCB lic.:#63147
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: le_E,(.y N F>D Rp Date: i0/2-1/15 * Fee methodology set by Tri-County Building Industry
Service Board.
IABuilding\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
1114 • Building Division
Over-The-Counter (OTC) Building Permit
T l G n li D Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: N Occupancy Group: Type of Construction: '-‘ 'b Type of Use**: Occupancy Load: Oregon Specialty Code: /&.
SPECIFICS
Number of Stories: 2—, 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: kj 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: $ C(,6 50 ,Do FEES DUE
$ CO DC Prov Rvw,COM TI—Ping
$ `.0 �.�, Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI (effective 7/1/2015) $ 27, (0 12%State Surcharge
Project Valuation $ 14c;7r7 Plan Review,Structural
Up to$4,999 $0.00 $ r,-, Plan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ t!j Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $220.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $351.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ 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;
O'1R=other(use for fences,decks,retaining walls,signs,awnings or canopies).
I:\Building\Forms\OTC_B U P_070115.docx
III City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T I G n R D Building Permit Review — Commercial - N No Land Use
Building Permit #: pa,plS 00307
Site Address: ---Z_SdG rhZ,• Suite/Bldg#: =,.20,...r.
2 ,
Project Name: 271 40149. / „/i• r
(Name of commercial business occupyirtthc space. If vacant,enter Spec Space.)
Planning Review
Proposal: --1 ,'j Y%,/v �Z - /49, C't !w '`SC
Existing Business Activity: eft 4,
Proposed Business Activity: g,,,.,,
(Verify site address/suite# exists and active in permit system.
El River Terrace Neighborhood: ❑ Yes ' 'No
Kr Zoning: C-/7
CPermitted Use: *'Yes CI No ID Spec Space
onfirm no land use required.
❑ Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Date: /( c
! -600_
Revisions (after Building Sub ttal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: /(9/?..lh S
Site Plans: # ^/A1
Building Plans: #
Building Permit#: nter building permit#above. _,
Workflow Routing: [�e� ing ❑ Permit Coordinator L Suilditig
Workflow Sign-off: L'Si off for Planning(include notes from planning review)
Route Application Documents: [ ding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: OTC-
,
By Permit Technician: Date: /0945—
1:\Building Tom's\BldgPermitRvw_COM_NoLandUse 07091 5.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:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Bui l ding\Fonnns\BldgPennnitRvw_COM_NoLandUse_0709I 5.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
7320 SW HUNZIKER RD 205, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2015-00307
Chip Barnett
Violation Summary:
Inspector Contractor