Permit :1 p ° CITY OF TIGARD BUILDING PERMIT
ip
0r' t a , r COMMUNITY DEVELOPMENT Permit #: BUP2010 -00166
G .< f'* Date Issued: 07/14/2010
,t � G ARD,, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S101 D600103
Jurisdiction: Tigard
Site address: 7360 SW HUNZIKER RD 206
Subdivision: Lot: 0
Project: Goodman Networks
Project Description: TI
Owner: FEES
ROBINSON FAMILY TRUST Description Date Amount
21360 NW AMBERWOOD DR Permit Fee - Additions, Alterations, 07/14/2010 $531.09
HILLSBORO, OR 97124 Demolition
PHONE: 503- 645 -8531 12% State Surcharge - Building 07/14/2010 $63.73
Plan Review 07/14/2010 $345.21
Plan Review - Fire Life Safety 07/14/2010 $212.44
Contractor:
ROBINSON CONSTRUCTION
21360 NW AMBERWOOD DR
HILLSBORO, OR 97124 -9321
PHONE: 503 - 645 -8531
FAX: 503 - 645 -5397
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 2 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $31,700
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,152.47
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: Protected Corridors: Yes
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 d for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules ar- 41 11511= in OAR
952- 001 -00 ro OAR 952- 1 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503. 6.66 • • 1.86 6.332.2344.
Issued — 6 Permittee Signature: - 1Li7/ 1
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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 1 � % ) O]t`Ol ()Fumy l Om.).
City of Tigard Received 7 / y IO Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 Jut 1 4 2010 Date R : •/• D�r!6
g L Plan Review 1>��/]I j ® Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 Date/B : /�V� =/
1 I 6 I t I b: Inspection Line: 503.639.4175 ;'� N Date Ready : y: Juris: la See Page 2 for
Internet: www.tigard- or.gov s ; v \SION 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.
❑ 1- and 2- family dwelling ® Commercial /industrial
Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ 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. no.: 206 I Project name: Goodman Netwoks TI Covered porch area: square feet
Cross street/directions to job site: SW Hunziker Rd & SW 72 Ave Deck area: square feet
Other structure area: square feet
REQUIRED DATA COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: 103 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 2S101DB 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.
TI to enlarge existing tenant space Valuation: $$31,700.00
Existing building area: 15835 square feet
New building area: 0 square feet
0 PROPERTY OWNER ❑ TENANT Number of stories: 2
Name: Robinson Family Trust Type of construction: III -A
Address: 21360 NW Amberwood Dr Occupancy groups:
City /State/ZIP: Hillsboro, OR 97124 Existing: B
Phone: (503)645.8531 Fax: (503)645.5357
New: B
0 APPLICANT . 0 CONTACT PERSON NOTICE
Business name: CIDA Inc All contractors and subcontractors are required to be
Contact name: Kourtney Strong licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 15895 SW 72n Ave #200 jurisdiction in which work is being performed. If the
City / State/ZIP: Portland, OR 97224 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 226.1285 I Fax: : (503) 226.1670
E -mail: kourtneys @cidainc.com
CONTRACTOR
Business name: Robinson Construction Company BUILDING PERMIT FEES*
Address: 21360 NW Amberwood Dr (PleasenJerto}eeacheduk):
City / State/ZIP: Hillsboro, OR 97124 Structural plan review fee (or deposit):
Phone: (503) 645.8531 Fax: (503) 6455357 FLS plan review fee (if applicable):
CCB lic.: 63147 Total fees due upon application:
411 10k Amount received:
Authorized signature: , .k This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Kourtney Strong C j Date: 07.13.2010 * Fee methodology set by Tri- County Building Industry
Service Board.
l:\Building\Permits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(11 /02/COM/WEB)
° Building Division
Over- The - Counter (OTC) Building Permit
ricnizo Check List
Description of Project: T(
GENERAL INFORMATION
Class of Work:* Floor Areas (sq. ft.): Exterior Wall Construction:
Type of Use:* First floor: N: S:
Type of Construction: '}� Second floor: E: W:
Occupancy Group: Third floor: Openings Protected Y /N ?:
Occupancy Load: Total sq ft.: N: S:
Stories: 'f Note: Combine total floor area for E: E:
Height: all floors above third floor and Roof Construction:
Floor Load: add to the third floor s . ft. Fire Retardant:
Basement: Basement: Area Separation Rated:
Mezzanine: Garage: Occu. Separation Rated:
REQUIRED ITEMS
Fire sprinkler: P"' Handicap access:
Smoke detector: Protected corridors:j
Fire alarm: Parking spaces ( #):
Notes:
Total Valuation: $ 31 7(50
INSPECTIONS 1 FEES DUE
Footing /foundation Firewall $ ' 3l , [ft Permit Fee
Post /beam structural Smoke detector $ or State Surcharge
Shear wall Misc. inspection $ • , Z Plan Review Fee
Masonry Approach /sidewalk $ 'Z1 Z, • ` FLS Plan Review Fee
Framing $ Additional Permit Fee
Insulation Sprinkler rough -in $ Additional Plan Review Fee
Gyp board Fire alarm $ Metro Construction Excise Tax
Suspended ceiling Sprinkler final $ School Construction Excise Tax
Final inspection $ Misc. Fee
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Other:
$ 1 1 47 Total Fees Due
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings
or canopies); REP = repair.
1: \Building \Forms \OTC - BUP.doc 08/19/08