Permit CITY OF TIGARD BUILDING PERMIT
- 2 COMMUNITY DEVELOPMENT Permit #: BUP2010 -00280
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/22/2010
T1G Parcel: 1S126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 220
Project: Spec Space Subdivision: Lot: 0
Project Description: TI - Demolition of interior partitions for spec space.
Contractor: CG CONSTRUCTION Owner: WISCO REAL ESTATE EQUITY
1801 NW UPSHUR ST SUITE 490 1501 SW TAYLOR STREET, SUITE #100
PORTLAND, OR 97209 PORTLAND, OR 97205
PHONE: 503 - 226 -1078 PHONE: 503 - 294 -0400
FAX: 503 - 226 -1088
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 12/22/2010 $104.12
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 12/22/2010 $12.49
Stories: 5 Height: 0 ft Plan Review 12/22/2010 $67.68
Bedrooms: 0 Bathrooms: 0
Value: $2,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $184.29
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 • TENTIO •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 - 001 -0010 through OA 95 :. Os • B. You may obtain a copy of the rules or direct questions to OUNC by calling 55 32.1987 or 1.800.332.2344.
Iss• r d By: / / O Permittee Signature: ,
• Call 503.639.4175 by 7:00 a.m. for the next available inspection .. =te.
This permit card shall be kept in a conspicuous place on the job site until compl -tion of the project.
Approved plans are required on the job site at the time of each ins • ection.
Building Permit Application
Commercial FOR OFFICE USE ONLY
- City of Tigard DEC 2011: Rec eived Z S q - /0 P No.:
II
13125 SW Hall Blvd., Tigard, OR 97223 Date /B : � olO 4os��D
Plan Review GG
Phone: 503.639.4171 Fax: 503.598.1960 1Date/ Ready /By: Juris: B : F ?,IIRE ICS Other Permit
Inspection Line: 503.639.4175 CITY OF TIGAR
TIGARD p See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISI Ntified/Method: Supplemental Information
°" ` 4H n r z, ' r: 'TYP 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 . 'CONSTRUCTION work indicated on this application.
and 2- family dwelling ® Commercial /industrial
Valuation: S
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
r JOB SITE INFORMATION. AND ' LO CATI O N Total number of floors:
Job site address: 9020 SW Washington Square Road New dwelling area: square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 220 Project name: Vacant Covered porch area: square feet
Cross street/directions to job site: SW Scholls Ferry Road Deck area: square feet
Other structure area: square feet
REQUIREDTIATA "COMMERCIAL USE CHEGKLIST`a
Subdivision: N ' Lot no.: 01500 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 1 S126BC Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
t =j * q DESCRIPTION OFPWORK work indicated on this application.
Selective demolition within previously defined suite. Valuation: $2,000.00
Existing building area: 92315 square feet
New building area: 0 square feet
P; :ii. r , t rA PROI ERTY OWNER , s ®,TENANT Number of stories: 5
Name: WISCO Real Estate Equity Fund Type of construction: II -B
Address: 1501 SW Taylor Street, SUite 100 Occupancy groups:
City /State /ZIP: Portland, OR 97205 Existing: B
Phone: (503)294 -0400 Fax: (503)227 -2507 New: B
. , � Air d n,,APPLIC t ' ®. C PERSON ' , w .. NO CE ` `' "` "� r
Business name: Robert Simpson Architect, PC All contractors and subcontractors are required to be
Contact name: Robert C. Simpson licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 31177 SW Simpson Road jurisdiction in which work is being performed. If the
City /State /ZIP: Cornelius, OR 97113 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 709 -9653 Fax::( )
E -mail: rsapc @frontier.com
... ,'_ CONTRACTOR -' _..
Business name: CC Constructions ''BU,ILDING PERMIT FEES,* ` ,,
Address: 1801 NW Upshur Street
_. .N •(Please( refertfee, �.:
Structural plan review fee (or deposit):
City /State /ZIP: Portland, OR 97209
FLS plan review fee (if applicable):
Phone: (503) 226 -1078 Fax: (503) 226 -1088
,�/ ' To tal fees due upon application:
CCB lic.: 1156 °"
Amount received:
Authorized signature This pe rmit application expires if a pe rmit is not obtained
within 180 days after it has been accepted as complete.
Print name: Robert C. Simpson Date: 12/22/2010 ■ Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 10/01/09 440- 4613T(I I /02 /COM /WEB)
a Building Division
. . Over- The - Counter (OTC) Building Permit
T l cA R° Check List
Description of Project: L M2AT
H- GENERAL IINVF RN 'f1�TION _ NI kg' i;
Class of Work: * r - L Floor Areas (sq. ft.): W Exterior Wall Construction:
Type of Use:* k As • First floor: gi' ;E` N: S:
Type of Construction: 2 1.1 a. , , ', f '
f Second floor: E: W:
Occupancy Group: `: ` 1 Third floor: 3.E,41,
Openings Protected Y /N ?:
let' a
Occupancy Load: - •,t , " Total sq ft.: _,-.3 N: S:
Stories: /r" 1 1, , 3;1 Note Combine total floor area for E. E: _ s.
Height: , Roof Construction:
` 'E i all floors above third floor and �
Floor Load: ' add to the third floor s . ft. v _ Fire Retardant:
Basement: � Basement: Area Area Separation Rated:
Mezzanine: �+ . Garage: Occu. Separation Rated:
''+` 1 tl �" fR t /Y.:t tiN-r��� `£,- - -�• 1 1 ; 4 # r�''�o=Y3t'�k �7 K• 7' -
gg ,i t � LJIRE"D IwTEMuS = t '4 �,, � ..
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Fire sprinkler: t" 'r" �i r Handicap access:
r_f_
Smoke detector: " 7 r Protected corridors:
Fire alarm: 7`i;- :bL'_• ` Parking spaces ( #):
Notes:
Total Valuation: $ ,
r, I¢N�SPECTI®NS � �� _ t k '
; = 7 ;' ,A7S IJAE ► a h
Footing /foundation Firewall $ ( Q, 17� Permit Fee
Post /beam structural Smoke detector $ ( G. , 4
State Surcharge
Shear wall Misc. inspection $ , /' Plan Review Fee
Masonry Approach /sidewalk $ 1 . 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:
$ Total Fees Due
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I: \Building \Forms \ OTC- B UP.doc 08/19/08