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11-November (3) CITY OF TIGARD BUILDING PERMIT I. '> COMMUNITY DEVELOPMENT Permit#: BUP2018-00304 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/01/2018 T fa}"� g Parcel: 2S101 DB00100 Jurisdiction: Tigard Site address: 7320 SW HUNZIKER RD 202 Project: Keyssa Subdivision: None Lot: None Project Description: TI for new tenant: Demolition and new partitions for office reconfiguration. Contractor: ROBINSON CONSTRUCTION Owner: HILLTOP BUSINESS CENTER LLC 21360 NW AMBERWOOD DR 9430 NW KAISER RD HILLSBORO, OR 97124-9321 PORTLAND, OR 97231 PHONE: 503-645-8531 PHONE: FAX: 503-645-5397 Specifics: FEES Description Date Amount Type of Use: COM DC Provision Review,COM TI-Ping 11/01/2018 $98.00 Class of Work: ALT Type of Const: VA Occupancy Grp: B Occupancy Load: 28 Permit Fee-Additions,Alterations, 11/01/2018 $564.15 Demolition Dwelling Units: 0 12%State Surcharge-Building 11/01/2018 $67.70 Stories: 0 Height: 0 ft Plan Review 11/01/2018 $366.70 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/01/2018 $225.66 Value: $35,000 Info Process/Archiving-Lg$2.00(over 11/01/2018 $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 $1,328.21 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 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 cop of or direct questions to OUNC by calling .. .232.1987 or 1.800.332.23' . Issued By: �,i Permittee Signature: 10 0'4 A00 503.639.4175 by 7:00 a.m.for the next available inspect',n date. This permit card shall be kept in a conspicuous place on the job site until c mpletion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Commercial RLV FOR OFFICE USE ONLY Received City of Tigard / Date/B . d l Permit No.: ):� 13125 SW Hall Blvd.,Ti ard,OR 97223 rr v 1 ��! 1� .� g N l�V Plan Review 1 : Phone: 503.718.2439 Fax: 503.598.1960 }0Date/B : ;; Other Permit: TIGARD Inspection Line: 503.639.4175 CITY �^� �� OF Date Ready/By: ® See Page 2 for Internet: www.tigard-or.gov \J S. otified/Method: / A►TA, IM Supplemental Information SkilLOING TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction 0 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 0 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: $ 'k ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 7$2'O .) f iUh %kkg y 26eQZ New dwelling area: square feet City/State/ZIP: /I �/ o r R / /Z?� Garage/carport area: square feet Suite/bldg./apt.no.: / Z02 Project name: Y?a�ysst Covered porch area: square feet Cross street/directions to job site: 7Z hQ ! ' 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.: 2s/Q 1 og• /70 f Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the {�,� ,J,�,,�" DESCRIPTION OF WORK• / work indicated on this application. n�� tom/l 9xjSl/i ug © cg ) b�t�,l9 X oc�c.. j rt �/� Valuation: $ 3Stw() 4 Dti 4. litl1,11-7 f�� /1ps71t- /�(Jude Existing building area: square feet I/lJn r OK iV J;')n f �, / m �/J'n / New building area: C70 square feet 0 PROPERTY�rO�WNEU R l V'TENANT; Number of stories: E Name: l'iVO c Type of construction: \M ink Address: 7.2c , 5 �j i�Zik v— ,S'u ?77 Occupancy groups: City/State/ZIP: qa ii /�/ O/z ,72Z$ Existing: 13 Phone:( ) Fax:( ) New: 0 APPLICANT `` 'CONTACT PERSON BUILDING PERMIT FEES* �� /1l� (Please refer la schedule) Business name: Structural plan review fee(or deposit): Contact name: Jgi-7 '1;.' r— mpJbig. i 1i FLS plan review fee(if applicable): Address: ie S Sk7Z & 2 p� City/State/ZIP: 69../-17/,z,/ ZZ 972ZV Total fees due upon application: Phone:57)3)ZZ‘,... /aS 1 Fax::( ) Amount received: E marl:(ia �j PI OTOVOLTAIC SOLAR PANEL SYSTEM FEES* �" Gi/�q/.VC' �� Commercial and residential prescriptive installation of ?NTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: b f fl 1V7 017 f (( 7 dr7 Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 2/360 ,1JI.) dC' Solar Installation Specialty Code checklist. City/State/ZIP: /f /,-Z)/ dP 97/2V Permit fee(includes plan review $180.00 //__(� p / and administrative fees): Phone:�f) 62 vs- O S,�I Fax:(S )(DCIS. 53 5 I State surcharge(12%of permit fee): $21.60 CCB lic.: (o3/L/7 Total fee due upon application: $201.60 Authorized /signature: j'J�( This permit application expires if a permit is not obtained l'/'4 J 1� r i(�i!/` within 180 days after it has been accepted as complete. Print name ®�n p r ��/Z Date l� I * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard • BUILDING DIVISION Over-The-Counter (OTC) Building & Fire Protection System Permit TIGARD, Appointment Checklist Permit Record#: /3/P l$"-.00-AO .1 Contact Name: 7'{ ,' -r { ,,,,j/,vvj Phone #: ($7)7f -/1ff Business Name: C•An Appt. Date/Time: ,// <d;c c,,rn, Site Address: 73k ,51,) /9z44,--)4,4,,,Rd 6-44, Bldg/Suite #: Project Name: fts9 New Tenant? C4- 0 No Project Description: -jite,.,,.,c j 4 -- j,r 4 i Existing Use: ,8 New Use: ,Q MMD Required: ❑ Yes Cid Related Record#: T. ,ji7:,l .ui '.,... ° F e.. a s 0.0-1g,7 .. t t o-p a&9T H PPI' GENERAL INFORMATION Class of Work: J ) Occupancy Group: B Type of Construction: V. Type of Use: Occupancy Load: 2 Oregon Specialty Code: Z3J 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: *�3S 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: $ aL $ Ili : DC Prov Rvw,COM TI–Ping $t_cC, . f Permit Fee–Add,Alt,Demo DC Provision Review Fee for COM TI (effective 7/1/2018) $ 67. 70 12%State Surcharge Project Valuation $36g 7 0 Plan Review,Structural Up to$4,999 $0.00 $ g_ G6 Plan Review,Fire Life Safety $5,000-$74,999 $98.00 $ g'—' Info Proc/Arch,Lg(over 11x17$2.00) $75,000-$149,999 $24 3.00 $ Info Proc/Arch,Sm(up to 11x17$0.50) $150,000 and over $388.00 $ Metro Construction Excise Tax $ School Construction Excise Tax 13 ..?I t a✓ ,'vie $ Hourly Rate Fee tIr--c" J $ Hourly Rate State Surcharge $ Misc.Admin Fee $ Other: Building Staff: $ Other: Date/Time: $ j 3a.$.of TOTAL FEES DUE I:\Building\Forms\OTC_BUP_FPS_070118.docx City of Tigard ' COMMUNITY DEVELOPMENT DEPARTMENT 1111I TlcalzD Building Permit Review — Commercial - No Land Use Building Permit #: /3/4", //r=6;)30 Site Address: 0 `'(Ldo /l-Pr- Li Suite/Bldg#: Project Name: k _ sy (Name o ommercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: 77 ii Ph ) Jw241 'I--- Existing Business Activity: 0044'Le__ Proposed Business Activity: /1 Verify site address/suite# exists and active in permit syste 0!A ver Terrace Neighborhood: ❑ Yes V No lig/Zoning: e—p ermitted Use: VYes ❑ No ❑ Spec Space _/I C firm no land use required. Business License: y Exists: VJ Yes ❑ No,applicant notified to obtain business license Notes: Approved by Planning: -----/ Date: h�jh 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: f// / , Site Plans: # Building Plans: C# .-E - Building Permit#: ter building permit#above. _�.� Workflow Routing: rm aing C ermit Coordinator L 'Sui ing Workflow Sign-off: Ei--Si off for Planning(include notes from planning review) Route Application Documents: Wig: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: — By Permit Technician: . ,.-_7. .. e.--....-7"-.e,--, Date: 4,/,/,,r- I: /1/jT I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_060116.docx Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit O 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 0 N/A Parks SDC: 0 Yes 0 N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 070915.docx