Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2017-00086
T[G" R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2017
Parcel: 1 S 136AD04100
Jurisdiction: Tigard
Site address: 11501 SW PACIFIC HWY 201
Project: CJAM Subdivision: VILLA RIDGE Lot: 2
Project Description: New office layout for suite 201 and exterior siding repair of entire building.
Contractor: MATTI BUILDING CONCEPT CORP Owner: CJAM LLC
8527 SE CLAYBOURNE ST 10200 SW GREENBURG RD STE 340
PORTLAND, OR 97266 PORTLAND, OR 97223
PHONE: 503-4843052 PHONE: 503-688-5106
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 05/25/2017 $1,105.95
Demolition
Occupancy Grp: B Occupancy Load: 28 12%State Surcharge-Building 05/25/2017 $132.71
Dwelling Units: 0 Plan Review 04/06/2017 $718.87
Stories: 2 Height: 0 ft Plan Review-Fire Life Safety 05/25/2017 $442.38
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 05/25/2017 $224.00
Value: $100,000 Info Process/Archiving-Sm$0.50(up to 05/25/2017 $3.50
11x17)
Metro Const.Excise Tax 05/25/2017 $120.00
Floor Areas:
Total Area: 3604
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,747.41
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
952-00 AR 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.
Is; ued By: Permittee Signature:
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 -'4.4 ir: 'ic - I FOR OFFICE USE ONLY
' . a . '
City of Tigard Date B ReceivedNO
/7 1�.�'��64. Permit No.:�1p(*naQ/y t be(�
• 13125 SW Hall Blvd.,Tigard,OR 97223 PlanRe i w
® Phone: 503.718.2439 Fax: 503.598.19 6 ?PI/ipii
Date/By:v� "'�V � Other Permit:
T1 t;A R I7 Inspection Line: 503.639.4175 Date Ready/By: C., ll /, Juris: H See Page 2 for
Internet: www.tigard-or.gov z s Notified/Method: leG�� /l Supplemental Information
Ix U.:4/k-- i -a( v�/fr)
`;.TYPE REQ IRED ATA.! 2 FAMI
❑New construction 0 Demolition Permit fees*are based on the value of the work performed.
-//�� L_�Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement Other: T ►NC �' 4tOtt. ''4„ equipment,materials,labor,overhead,and the profit for the
..- A6 - i,i•' y "'-'-"'--'4w•''''
w - work indicated on this application.
' , '{.FPcAyOF CONoRoxio1 04
S .. ,.7
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
. "' JOB ” ''ly FORMA I LOCATIOIO 4
� � /� Total number of floors:
Job site address: 11501 SW Pacific Highway New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: // Project name: ..3-141./..../ LL.e._ Covered porch area: square feet
Cross street/directions to job site:NW Corner of SW Pacific Hwy&SW 69`h Av Deck area: square feet
Other structure area: square feet
i
Acct.No.R279282 REQIJ - A f AT`A;;CO1 IM i11 [ U %4✓III+;CI{:i l `1
Subdivision:Villa Ridge,Block 4,Partial Lots 1-2 Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no 1S36AD 04100 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
%� , �DESCRIP 1q WORK E , N work indicated on this application.
Z/%9 i`ra1.. _ NT .Pv INAVAAT tith+D Valuation: $ k o`OQO
flef.,
.f"rz,n'1 t 0y1.. J1 \"Ch t9,�C. ?..r'4►�. ‘IA—k Existing building area: (1,QC )square feet
New building area: 1416.pN square feet
? tip PROPERTY OW ) iii k 0 TENANT Number of stories:'.
Name:CJAM LLC -- Type of construction: Wtop
Address: 10200 SW Greenburg Road,Suite 340 Occupancy groups:
City/State/ZIP:Portland,OR 97223 Existing: IR..
Phone:(503)688-5106 Fax:(503)716-4633 New:
%r!,�'i�"%,,, 0 APPLINZOAT4 '' til_ 10.-cLI744 "�*N % ��1�PERMIT �J�Y
Business name: �• .r erta ee,sche ,.,;=
Structural plan review fee(or deposit):
Contact name: louN _yj__
FLS plan review fee(if applicable):
Address: 'crl-)>Q svi EI .1Ntsvvu, (2{7 * 3[}Q
City/State/ZIP: �1�'4(,.y tot-ft, i",ZZ'7� Total fees due upon application: i
Amount received: 7/g. �7
Phone: ) 59� 1 611 ( Fax: :( ) •
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:
Commerci. and residential prescriptive installation of
TRACTOBP
,,�,,, 1 ' ' roof-top mou .-d Photovoltaic Solar Panel System.
Business name: l" pl �1 L b 1.�a �E P ��2P Submit two(2)s- of roof plan with a.. xtion details
S C }'-�u IJ G and fire department.e ess,al.•1 with the 2010 Oregon
Address: C. Solar Installation Spec., . Code checklist.
City/State/ZIP: 0 QTLA- 1,-Yb 0�, 97a6�
Permit eludes ..•_revie� $180.00
/ and administrative
Phone:(562)) 411[—� S�'�� Fax:( ) : ate surcharge(12%ofpermit fee): $21.60
CCB Iic.: OD (.�' 47o�.1Ni,q
Total fee due upon application: $201.60
Authorized signature:x 3144. r-----.• This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Print name: �� �Y�r(�. Date: ( �'� Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
NI
11111 COMMUNITY DEVELOPMENT DEPARTMENT
1
r 1 c A lz D Building Permit Review — Commercial - No Land U s e
Building Permit #: 76117,10e9"—. --Y925g&
Site Address: //S7)/ ,ct ) A,Cih'C. Suite/Bldg#: <- 0/Project Name: - - CI- LLC—
(Name o,commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review/
Proposal: 7-07* //2e4 7 ^n,24
Existing Business Activity: 60962-
Pro..sed Business Activity: //
TI Verify site address/suite# exists and active in permit sys m.
0 P' ver Terrace Neighborhood: El Yes No
oning: CI:k
�rmitted Use: Yes ❑ No ❑ Spec Space
onfirm no land use required.
Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: - 11111111111F
Date: ' Ar
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved LI Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Appr v
ed ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 4//4//7
Site Plans: # 3
Building Plans: #
Building Permit#: . Enter building permit#above. �
Workflow Routing: Planning Permit Coordinator J��Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: wilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: . Ce-v Date: if%// 7
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_060116.docx
1
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:
►\ : ►C Fees Entered: Wash Co Trans Dev Tax: ❑ Yes '�' /A
Tigard Trans SDC: ❑ Yes /A
Parks SDC: ❑ Yes c-®'-'N/A
(f_f7
OK to Issue Permit
Approved by Permit Coordinator: Date:"f tO C ?---
I:\Building\Forms\BIdgPermitRvw
—I:\Building\Forms\BldgPermitRvw COM_NoLandUse 070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11501 SW PACIFIC HWY 201 , TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Building BUP2017-00086
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor