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Permit
CITY OF TIGARD BUILDING PERMIT ' ! '> COMMUNITY DEVELOPMENT Permit#: BUP2020 00030 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/06/2020 Parcel: 2S101 DB00103 Jurisdiction: Tigard Site address: 7360 SW HUNZIKER RD 200 Project: Obsidian Insurance Subdivision: None Lot: None Project Description: TI for new tenant: Interior partitions and casework. Contractor: ROBINSON CONSTRUCTION CO 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 Class of Work: ALT Type of Const: VA DC Provision Review,COM TI-Ping 02/06/2020 $102.00 Occupancy Grp: B Occupancy Load: 8 Permit Fee-Additions,Alterations, 02/06/2020 $286.64 Demolition Dwelling Units: 0 12%State Surcharge-Building 02/06/2020 $34.40 Stories: 0 Height: 0 ft Plan Review 02/06/2020 $186.32 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 02/06/2020 $114.66 Value: $14,000 Info Process/Archiving-Lg$2.00(over 02/06/2020 $6.00 11x17) Floor Areas: Total Area: Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $730.02 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 c 11ing 03.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: I*I al-) ,._ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. ltiThis permit card shall be kept in a conspicuous place on the job site until completion othe project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Commercial RECEIW FOR OFFICE USE ONLY City of Tigard ReceivI Dateived ' j Pe 7:t l/� 202- _ + �� Ihi '" 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 6 Plan Review Phone: 503-718-2439 Fax: 503-598-1960 �,r+ateB : Q �' Related Permit: Inspection Line: 503-639-4175 CITY OF TIGA late Ready/By: runs: TIGARD g g BUILDING DIMS Y o SeePage2for Internet: www.ti and-or. ov J.otified/Method: 2 , ira -- Supplemental Information kf�✓4, .' 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 ❑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: $ E Accessory building ❑Multi-family Number of bedrooms: 1::]Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:7360 SW HUNZIKER RD, New dwelling area: square feet City/State/ZIP: TIGARD,OR 97223 Garage/carport area: square feet Suite/bldg./apt.#: SUITE 200 Project name: OBSIDIAN INSURANCE Covered porch area: square feet Cross street/directions to job site: SW 72ND AVE/SW HUNZIKER RD Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot#:2S101 DB00100 Permit fees*are based on the value of the work performed. Tax map/parcel#: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. Valuation: 14,000 $ SMITE 700 IS AN EXISTING OFFICE, GROUP R OCCUPANCY,AND WII I CONTINUE Tf BE USED AS OFFICES.SCOPE OF WORK INCLUDES NEW TENANT IMPROVEMENT, Existing building area:N/A square feet INTERIOR PARTITIONS AND CASEWORK. New building area: N/A square feet 0 PROPERTY OWNER ® TENANT Number of stories: 2 Name: OBSIDIAN INSURANCE Type of construction: V-B Address: 7360 SW HUNZIKER RD,TIGARD,OR 97223 Occupancy groups: B City/State/ZIP: SUITE 200 Existing:B Phone:( ) Fax:( ) New: B IX) APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* Business name: CI DA (Please refer to fee schedule) Contact name: J EN N I FER HAW KI NS Structural plan review fee(or deposit): FLS plan review fee(if applicable): Address: 15895 SW 72ND AVE,SUITE 200 City/State/ZIP: PORTLAND,OR 97224 Total fees due upon application: Amount received: Phone:( 503)226.1285 Fax: :( 503)226.1670 E-mail:J EN H@ C I DA I N C.CO M PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: ROBINSON CONSTRUCTION CO. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 8060 NE WALKER RD Solar Installation Specialty Code checklist. City/State/ZIP: HILLSBORO,OR 97124 Permit fee(includes plan review $180.00 and administrative fees): Phone:( 503)209.8545 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lie.: 63147 Total fee due upon application: $201.60 (--- Authorized signature:, I l ^ � This permit application expires if a permit is not obtained /,1l within 180 days after it has been accepted as complete. Print name: J E N N I F E HAW KI S Date: 02/06/2020 * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUPCOM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Accessibility: Barrier Removal Improvement Plan Commercial & Multi-Family - Additions or Alterations TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.g ov REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation,alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five percent(25%). VALUATION: Total of all renovation,alteration or modification being done, excluding painting and wallpapering: [1] $ MULTIPLIER(25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ (b) An accessible entrance: $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for each sex or a single unisex restroom: $ (e) Accessible telephones: $ (f) Accessible drinking fountains:and, $ (g) When possible,additional accessible elements such as storage and alarms: $ TOTAL(shall equal line [2] of Valuation Computation): $ L\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 1111 Plan Submittal Requirements is Commercial & Multi-Family - New, Additions or Alterations TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov 1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with: A. ❑ map&tax lot# ❑ project name ❑ site address ❑ suite number ❑ zoning LI applicant name ❑ phone number B. North arrow. C. Scale (architectural or engineering only). D. Street names. E. Setbacks. F. Parking,including disabled access. G. Finished floor elevations. 2. EROSION CONTROL PLANS AND DETAILS. 3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of plans required based on submittal type (no redlines or tape-ons accepted). All details listed below shall be incorporated into the plans: A. Scale (architectural or engineering only). B. Foundation plan. C. Floor plan(s). D. Cross sections. E. Reflective ceiling plan. F. Seismic bracing detail for suspended ceiling. G. Roof plan. H. Exterior elevations. I. Structural calculations,plans, details and specifications. J. Accessibility barrier removal worksheet. K. Deposit- based on valuation of project. I:\Boilding\Permits\BUP_COM_PemritApp.doc Rev.03/05/2019 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 111 Plan Submittal Requirements Matrix 0 is Commercial & Multi-Family - New, Additions or Alterations TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov Type of Submittal # of Plans (Includes new, additions and alterations) Required at Submittal Demolition Permit 2 (site plan is required showing location and square footage of all buildings to be demolished,erosion control plan and tree protection,if applicable) Site Work 3 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 3 Fire Protection System I 3 Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Solar Photovoltaic 2 (Requires check list for prescriptive installation. If not prescriptive installation,engineering is required.) Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington County, and Tualatin Valley Fire &Rescue), if applicable. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019 City of Tigard • BUILDING DIVISION Over-The-Counter (OTC) Building & Fire Protection System Permit T I G A R ID Appointment Checklist Permit Record#: � `3 Contact Name: 4/'7 L/ , 4426-4-2 Phone #: SQL .26 J c� x 3 y-/ Business Name: L°hdf- Appt. Date/Time: ,2/®,gyp Site Address: 2 p 5'4J a "/4.ER (22 6 Bldg/Suite #: a70 Project Name: ©/25/4jl/9-„.J /,,v_j°'urz.,¢//cc„ New Tenant? ( Yes ❑ No Project Description: 7/ / /V&z) �,�T /i✓C LLLL�c�S /'i'l/77Erz-'0xf. l'_ -A Existing Use: New Use: MMD Required: ❑ Yes t99 No Related Record #: APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION Class of Work: Occupancy Group: Type of Construction:Type of Use: / Occupancy Load: Oregon Specialty Code: imy16)11/4 - 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: ) ) C l 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: 410 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: $ /y UQ e " FEES DUE $ DC Prov Rvw,COM TI—Ping $ 2, Permit Fee—Add,Alt,Demo DC Provision Review Fee for COM TI-Effective 7/1/2019 $ i 12%State Surcharge Project Valuation $ Plan Review,Structural Up to$4,999 $0.00 $ I 1 .(RU Plan Review,Fire Life Safety $5,000-$74,999 $102.00 $ Info Proc/Arch,Lg(over 11x17$2.00) $75,000-$149,999 $254.00 $ Info Proc/Arch,Sm(up to 11x17$0.50) $150,000 and over $406.00 $ Metro Construction Excise Tax $ School Construction Excise Tax $ Tigard Construction Excise Tax $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee Building Staff: $ Other: Date/Time: $ ,o1-- TOTAL FEES DUE I:\Building\Forms\OTC_BUP_FPS_010120.docx Dianna Ornelas From: Kamelia Kargar <Kameliak@cidainc.com> Sent: Monday, January 27, 2020 4:18 PM To: Dianna Ornelas Subject: RE: OTC appointment Warning! This message was sent from outside your organization and we are unable to Allow sender l Block sender verify the sender Hello Dianna Could you please set it up Wed ay F ? 7_ (v Thank you KANELIA KARA INTERIOR DESIGNER CIDA l ARCHNECTURE j ENGINEERING I PLANNING I INTERIORS 15895 SW 72ND AvE,SUITE 200 PORTLAND,OREGON 97224 PHONE:503.226.1285 x341 FAx:503.226.1670 KAMELIAKPCIDAINC.COM u ('[flirt CIDA ON 1 ACEE3t)C;?' &TWITTER(a?CI1'':" From: Dianna Ornelas<Dianna@tigard-or.gov> Sent: Monday,January 27, 2020 4:15 PM To: Kamelia Kargar<Kameliak@cidainc.com> Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: RE: OTC appointment Hello Kamelia, Our next OTC appointments available are: • Wednesday, February 5 at 10:00 am • Thursday, February 6 at 10:00 am. Is Obsidian Insurance a new tenant in this space? The fees due for a project valuation of$14,0000: 1 Valm(Cohliactet)S14,000113-so, Fee Total 72&02 Fee Item Qpentitif Feat QUISAIVILRAYRYLCSMULEJPil 1 Each S102 00 Feint Fee A chtien$.:Allera91 1s.De et tea n 1 Each 5266 64 00-1 f,09 °.t 1 1 Each S114 66 Ptar RevIew Each 6166 32 �1J n LAW./ 1 Each S34 40 Please add $2.00 per page for pages over 11x17 and $0.50 per page for pages up to 11x17 for one complete plan set. Thank you and please let us know which date works best for your team. Dianna L. Ornelas (Howse) Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits From: Kamelia Kargar<Kameliak@cidainc.com> Sent: Monday,January 27, 2020 8:50 AM To: Dianna Ornelas<Dianna@tgard-or.gov> Subject: RE: OTC appointment Hi I would like to have OTC Appointment as soon as possible please. Site address: Hilltop 7360 SW HUNZIKER RD, SUITE 200 TIGARD, OR 97223 Name : OBSIDIAN INSURANCE DESCRIPTION OF WORK: SUITE 200 IS AN EXISTING OFFICE, GROUP B OCCUPANCY, WILL CONTINUE TO BE USED AS OFFICES SCOPE OF WORK INCLUDES NEW TENANT IMPROVEMENT, INTERIOR PARTITIONS AND CASEWORK. Evaluation: $14,000. Intake fee please ? New tenant I am looking forward to hearing from you Best RAW" vf INTERIOR DESIGNER CIDA I ARCHITECTURE ENGINEERING I PLANNING I INTERIORS 2 ~ 1S895SVV7Zmo AVE,SUITE Z0O poxrLAwD,Oncsom972Z4 PHONE:5O32Z6.1285:34l FA::6Ol2Z6.l67O KAyWEL|AKPODA|N[ODyW WWWI|DA|N[-COM ODA0N�£y���OOx&TVV|TTER f��DAUNC ~'...^ ~_ DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record |avvo. If reques0ad, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Lew. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule." 3 City of Tigard Ili COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Commercial - No Land Use A ,. # ",.ftYn.", _'2iyU � .Zx•.,xtsro .time:"" v:aaAMI`=m.K Building Permit #: ,U/oOe2-0 C c)03 0 Site Address: lAuni"Ltr 1J. Suite/Bldg#: ZOO Project Name: 0a.14f, Ls,,,rocNce- (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review ' Proposal: 14krar T > N ^rj �v it r c 1,4 a`J C.A4t rtrk Existing Business Activity: Z Proposed Business Activity: Ok...L V7eri-,A,site address/suite#exists and active in permit syst m. ver Terrace Neighborhood: ❑ Yes VNo honing: C LU' 'tted Use: `L� Yes ❑ No ❑ Spec Space Ly'C firm no land use required. L�J Business License: Exists: ❑ Yes 4To,applicant was provided a business license application Notes: C Approved by Planning: J1Q_- Date: 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: -2 Site Plans: # Building Plans: # Building Permit#: CEnter building permit#above. Workflow Routing: Planning ❑ Pe oordinator \`. _wilding Workflow Sign-off: Sign-off for Plan ' g(include notes from . anning review) Route Application Documents: Tr Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: l /20 I:\Building\Fonns\BidgPennitRvw_COM NoLandUse_111819.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 Applic. . Revision Notice 3: Date Sent to App ' nt: ❑ SDC Fees Entered: Wash Co Tr. s Dev Tax: ❑ Yes El N/A Tigard Tr s SDC: ❑ Yes El N/A Parks . C: ❑ Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_COM NoLandUse_111819.docx Front1 DSTS Subject: Kamelia Kargar, CIDA, 503-226-1285 x341, Obsidian Insurance, 7360 SW Hunziker Rd, Ste 200 Location: CR 3 Permit Center Start: Thu 2/6/2020 10:00 AM End: Thu 2/6/2020 11:00 AM Recurrence: Weekly Recurrence Pattern: every Tuesday, Wednesday, and Thursday from 10:00 AM to 11:00 AM Meeting Status: Meeting organizer Organizer: -Building_OTC Resources: CR - 3 Permit Center Scope of work: TI for new tenant includes interior partitions and casework. New Tenant: Obsidian Insurance Existing Use: Office New Use: Office Valuation: $14,000 1