Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2012 -00009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/20/2012
Parcel: 1 S126BC01506
Jurisdiction: TIGARD
Site address: 9020 SW WASHINGTON SQUARE RD 500
Project: Datalink Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108
Project Description: TI
Contractor: PACIFIC CREST_STRUCTURES INC Owner: WISCO REAL ESTATE EQUITY FUND I
17750 SW UPPER BOONES FERRY RD SUITE 1501 SW TAYLOR ST STE 100
190 PORTLAND, OR 97205
DURHAM, OR 97224
PHONE: 503 - 968 -8949 PHONE: 503 - 294 -0400
FAX: 503 - 598 -6658
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 01/20/2012 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 01/20/2012 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 01/20/2012 $225.80
Stories: 5 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 01/20/2012 $27.10
Value: $9,200 Plan Review 01/20/2012 $146.77
Plan Review - Fire Life Safety 01/20/2012 $90.32
Info Process /Archiving - Lg $2.00 (over 01/20/2012 $8.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $570.99
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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 -- • ' -nc- �tk� proved 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. • TENTION: Oregon law quires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 .01 -0010 through OAR 952- 001 -00 Q. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
ssued By: it 1 t Perm ittee 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 FOR OFFICE USE ONLY n
City of Tigard ������ Date/B Received , 7 d !a Permit No.: ` u , y c , ia."d ) e
1111
a - 13125 SW Hall Blvd., Tigard, OR 9722 9 - Plan Review '!
C Phone: 503.718.2439 Fax: 503.598.19 1 9 2012 Date/By: a`ai��� Other Permit:
Inspection Line: 503.639.4175 Date Readyiy: tens ® See Page 2 for
TIGARD
Internet: www.ti azd -or. ov g g CITY OF TIGARD Notified/Method' f� ' - ' / Supplemental Information • HUH DING DIVISION
. ' • TYPE OF °WORK - " REQUIRED DATA 1- AND 2- FAMILY. DWELLING
❑ New construction El 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 El Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
El I- and 2- family dwelling ® Commercial /industrial
El Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION 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.: 500 Project name: Datalink Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: 01506 Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: IS126BC equipment, materials, labor, overhead, and the profit for the
DESCRIPTION. OF WORK. work indicated on this application.
Addition of two private office withing existing tenant space. Valuation: $$9,200.00
Existing building area: 91315 square feet
New building area: 0 square feet
® PROPERTY OWNER ❑ "TENANT Number of stories: 5
Name: WISCO Type of construction: 2 -B
Address: 1501 SW Taylor Street, Suite 100 Occupancy groups:
City /State /ZIP: 97205 Existing: B
Phone: (503)294 -0400 Fax: (503)227 -2507 New: B
® ,APPLICANT , ❑ CONTACT PERSON. BUILDING'PERMITFEES*
(P[ease refer to fee schedule)
Business name: Robert Simpson Architect, PC
Structural plan review fee (or deposit):
Contact name: Robert C. Simpson
FLS plan review fee (if applicable):
Address: 31177 SW Simpson Road
Total fees due upon application:
City/State /ZIP: Cornelius, OR 97113
Amount received:
Phone: (503) 709 -9653 Fax: : ( )
- PHOTOVOLTAIC SOLAR 'PANEL SYSTEM FEES*
E -mail: RSApc @Frontier.com
Commercial and residential prescriptive installation of
CONTRACTOR; roof -top mounted Photo Voltaic Solar Panel Sy - .
Business name: Pacific Crest Structures Submit two (2) sets of roe plan with cone• on details
and fire department access, :long with • • 2010 Oregon
Address: 17750 SW Lower Boones Ferry Road, Suite 190 Solar Installation Specialty •e ch. list.
City /State /ZIP: Durham, OR 97224 Permit fee (includes plan iew $180.00
and administra e - ):
Phone: (503) 968 -8949 Fax: (503) 598 -6658 State surcharge (12 %o •ermit fee): $21.60
CCB lie.: 66915 / ■
Total fee due •on • :: ' a ion: $201.60
Authorized signatur . t 1 e This permit app,' • • ion expires if a permit is not obtained
within 180 d.ys after it has been accepted as complete.
-
Print name: Robert C. Simpson Date: 1/19/2012 * Fee methodology set by Tri- County Building Industry
Service Board. �Q
I: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440 4613T(11 /02 /COM/WEB) 5 '70
IR
Building Division
• Over- The - Counter (OTC) Building Permit
TIGARD
Check List
•
Project Description: T(
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: (_'z' Occupancy Group: Type of Construction: 2--k-- *Type of Use: Occupancy Load: `76 Oregon Specialty Code: "2Q (b
SPECIFICS
Number of Stories: i 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: Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ () C FEES DUE
$ �, O DC Prov Rvw, COM TI – Ping
$ , O( DC Prov Rvw, COM TI – LRP
DC Provision Review Fee for COM TI $ � . Permit Fee – Add, Alt, Demo
Project Valuation Planning LRP $ 27, ( 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ 1 (,--r? Plan Review, Structural
$5,000 - $74,999 $64.00 $9.00 $ °( , S2, Plan Review, Fire Life Safety
$75,000 - $149,999 $160.00 $24.00 $ Ud Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $256.00 $38.00 $ Info Proc /Arch, Sm (up to 11x17 $0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
Planning Staff: $ Hourly Rate State Surcharge
$ Misc. Admin Fee
Permit Coordinator: $ Other:
$ Other:
Building Staff: $ Other:
Date /Time: $ ��o , 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;
END = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies);
REP = repair. •
I:A Building \ Forms \OTC - BUP.docx 01/13/2011
I l l IN o Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: V- C ao( - oco 67 Expedited Review
Plan Submittal Date: // 9I/ a
To the Applicant:
> If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approved. ��
Planning Review (contact f at 503 -718 -. Y or 11 4 / 4 @ tigard- or.gov)
M Zoning j,( Permitted Use Yes E" No ❑
ECKLand Use R quired: Yes ❑ No E (explain below)
'
Notes: /l p/�jf,(.�. y/t.,;_e /� e l?� j �.S'��i� � %.,z-04,e_.3
le/Approved ❑ Not Approved Date: / l4 r / �
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
k 171'
Routed back to Building Division Date:
I: \C URPLN