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Permit y q CITY OF TIGARD BUILDING PERMIT • IN : . .. COMMUNITY DEVELOPMENT Permit #: BUP2012 -00191 Date Issued: 10/10/2012 TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718.2439 Parcel: 1 S 135BD00100 Jurisdiction: Tigard - - Site address: 9600 SW OAK ST Project: Plaza West Subdivision: ASHBROOK FARM Lot: PTS 5 & Project Description: Remodel of 2nd floor restrooms in common area. Contractor: COMMERCIAL CONTRACTORS INC Owner: SHORENSTEIN REALTY SERVICES 1265 SOUTH 35TH PLACE 5335 MEADOWS ROAD SUITE 300 RIDGEFIELD, WA 98642 LAKE OSWEGO, OR 97035 PHONE: 503 - 227 -4440 PHONE: 503 - 619 -3200 FAX: 503 - 227 -6644 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIB DC Provision Review, COM TI - Ping 10/10/2012 $67.00 Occupancy Grp: B Occupancy Load: DC Provision Review, COM TI - LRP 10/10/2012 $10.00 Dwelling Units: 0 Permit Fee - Additions, Alterations, 10/10/2012 $619 25 Demolition Stories: 5 Height: 0 ft 12% State Surcharge - Building 10/10/2012 $74 31 Bedrooms: 0 Bathrooms: 0 Plan Review 10/10/2012 $402.51 Value: $39,197 Plan Review - Fire Life Safety 10/10/2012 $247.70 Info Process /Archiving - Lg $2.00 (over 10/10/2012 $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 $1,426.77 Required: Required Items and Reports (Conditions) Fire Sprinkler: 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. ATTENTI law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952- 001 -00 rough OAR 952- 1 -009Q. You may obtain a copy of the rules or direct questions to OUNC by calling 503. 32%87 or 1 800.332.2344. 1 Issue By: • Permittee 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 RECE City of Tigard R dims gj�i Permit No : ,- r�` ^ t ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie ~' Ip Phone: 503 639.4171 Fax: 503 598.19m T 1 0 2012 Date/B • � r L) 0 IM Other Permit TI G A R D Inspection Line: 503.639.4175 Date Ready T y Juri ® See Page 2 for Internet: www.ugard- or.gov CIlYOFTIGARD Notified/Method• Supplemental Information TYPE SUP tJt YIsRJN 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: $ 1:1 Accessory building El Multi-family Number of bedrooms: El Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: Plaza West - 9600 SW Oak Street New dwelling area: square feet City /State/ZIP: 97224 Garage/carport area: square feet Suite/bldg. /apt. no.: Common Project name: 2" Floor Toilet Rooms Covered porch area: square feet Cross street/directions to job site: SW Greenburg Road 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.: 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: $$39,197.00 Existing building area: N/A square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: 5 Name: Shorenstein Realty Services Type of construction: II -B Address: 5335 Meadows Road, Suite 300 Occupancy groups: City /State/ZIP: Lake Oswego, Oregon 97035 Existing: B Phone: (503)619 -3200 Fax: (503)619 -3210 New: B ® APPLICANT ❑ CONTACT PERSON NOTICE Business name: GBD ARCHITECTS All contractors and subcontractors are required to be Contact name: Whit Middlecoff licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 1120 NW Couch Street, Suite 300 jurisdiction in which work is being performed. If the City / State/ZIP: Portland, Oregon 97209 applicant is exempt from licensing, the following reasons apply: Phone: (503) 224 -9656 Fax: : (503) 299 -6273 E -mail: whit @gbdarchitects.com CONTRACTOR Business name: Commercial Contractors Inc. BUILDING PERMIT FEES* (Please refer to fee schedule) Address: 1265 S 35th Place City /State/ZIP: Ridgefield, WA 98642 Structural plan review fee (or deposit): FLS plan review fee (if applicable): Phone: (503) 227 -4440 Fax: (503) 227 -6644 CCB lic.: 123729 Total fees due upon application: Amount received: $ Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Whit Middlecoff, AIA Date: 10/10/2012 * Fee methodology set by Tri- County Building Industry Service Board. I:\Building\Permits\BUP -COM PermitApp.doc 10 /01/09 440- 4613T(I1 /02/COM/WEB) m ° Building Division Development Code Provision Review T I G A R D Commercial Projects - No Associated Land Use Case Building Permit No: I q/ xpedited Review Plan Submittal Date: t00// / 2-- 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 iN(1(lUitt IlittPAS at 503 -718- Z42$ or nItu ISSO`, @tigard- or.gov) ❑ Zoning n/N1 - ( Permitted Use Yes ❑ No ❑ ❑ Land Use Required: Yes ❑ No L7 (explain below) Notes: 1• O C,VA OF Uc,4.– ) v\ U addi PW'Ct l fu ax �w CrApproved ❑ Not Approved Date: 10 ((01 11-. wlo Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov) Notes: Routed back to Building Division Date: I: \CURPLN Building Division Over- The - Counter (OTC) Building Permit T I G A R D Check List Project Description: �L APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION *Class of Work: l Occupancy Group: Type of Construction:] *Type of Use: Occupancy Load: Oregon Specialty Code: 2d SPECIFICS Number of Stones: '7 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: I Fire Alarms: Smoke Detectors: Parapet: Manual Pull Stations: Protected Corridors: Total Project Valuation: $ � J"' � /c(7 OQ FEES DUE $ (n / , c e DC Prov Rvw, COM TI — Ping $ ©, CO DC Prov Rvw, COM TI — LRP DC Provision Review Fee for COM TI $ 26 Permit Fee — Add, Alt, Demo Project Valuation Planning LRP $ 1 3 12% State Surcharge Up to $4,999 $0.00 $0.00 $ � Plan Review, Structural $5,000 - $74,999 $67.00 $10.00 $ Plan Review, Fire Life Safety $75,000 - $149,999 $167.00 $25.00 $ • , so Info Proc /Arch, Lg (over 11x17 $2.00) $150,000 and over $268.00 $39.00 $ 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: $ /42(,77 TOTAL FEES - Dim *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. I. \Building \Forms \OTC - BUP.docx 07/01/2012