Permit n CITY OF TIGARD BUILDING PERMIT
i ': a COMMUNITY DEVELOPMENT Permit #: BUP2012 -00241
T [ G 13125 SW Hall Blvd Tigard OR 97223 503.718.2439 Date Issued: 12/04/2012
Parcel: 25101 DB00103
Jurisdiction: Tigard
Site address: 7360 SW HUNZIKER RD 103
Project: Platinum Lending Subdivision:CONDO SUPPLEMENTAL PLAT NO.4: Lot: 22830 -2'
Project Description: TI
Contractor: ROBINSON CONSTRUCTION Owner: ROBINSON FAMILY TRUST
. 21360 NW AMBERWOOD DR 21360 NW AMBERWOOD DR
HILLSBORO, OR 97124 -9321 HILLSBORO, OR 97124
PHONE: 503 - 645 -8531 PHONE: 503 - 645 -8531
FAX: 503 - 645 -5397
3
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIA DC Provision Review, COM TI - Ping 12/04/2012 $67.00
Occupancy Grp: B Occupancy Load: 9 DC Provision Review, COM TI - LRP 12/04/2012 $10.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 12/04/2012 $347.48
Demolition.
Stories: 2 Height: 0 ft . 12% State Surcharge - Building 12/04/2012 $41.70
Bedrooms: 0 Bathrooms: 0 Plan Review . 12/04/2012 $225.86
Value: $18,000 PIan.Review - Fire Life Safety 12/04/2012 $138.99
Info - Process /Archiving - Lg $2.00 (over 12/04/2012 $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 $837.03
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. ATTE TinN Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -00 010 through O • ' 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 iiii or 1.800.332.2344.
Iss d By: / , Permittee Signature: / .
_AdIf •
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 Applicaq��„�
Commercial EE((j"��;; FOR OFFICE USE ONLY
City of Tigard DEC 04 ?012 Date/B ved NAl Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
0 : Phone: 503.718.2439 Fax: Date/B : Other Permit:
pe �l °ITG ® See Page 2 for
T I G A R D
Inspection Line: 503 DIVISION Date Ready/By: t luris
Internet: www.tigard -or.go 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.
Valuation: $
❑ 1- and 2- family dwelling ® Commercial/industrial
❑ 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 Suite 103 New dwelling area: square feet
City /State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: 103 Project name: Platinum Lending TI Covered porch area: square feet
Cross street/directions to job site: SW 72 °d at SW Hunziker Rd 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.
Interior improvements for new tenant suite Valuation: $$18,000.00
Existing building area: 15835 square feet
New building area: 0 square feet
® 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
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: CIDA Inc (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name: Kourtney Strong
FLS plan review fee (if applicable):
Address: 15895 SW 72 °d Ave Suite 200
Total fees due upon application:
City /State/ZIP: Portland, OR 97224
Phone: (503) 226.1285 Fax: : (503) 226.1670 Amount received:
E -mail: kourtneys @cidainacom 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: 21360 NW Amberwood Dr Solar Installation Specialty Code checklist.
City /State/ZIP: Hillsboro, OR 97124 Permit fee (includes p lan review $180.00
and administrative fees):
Phone: (503) 645.8531 Fax: (503) 645.5357
State surcharge (12% of permit fee): $21.60
CCB lic.: 63147
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Kourtney Strong Date: 12.04.2012 * Fee methodology set by Tri- County Building Industry
Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 02/ 24/2011 440- 4613T(I 1 /02/COM/WEB)
Building Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: A Occupancy Group: 3 Type of Construction: /1/ .A
*Type of Use: (1JPA Occupancy Load: G Oregon Specialty Code: lip 10
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: 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: $ FEES DUE
$ DC Prov Rvw, COM TI — Ping
$ DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ 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 $ 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: $ TOTAL FEES DUE
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; END = foundation; DEM = demo;
END = foundation; FPS = fire protection system; NEW = new; O'1'R = other (use for fences, decks, retaining walls, signs, awnings or canopies);
REP = repair.
I: \Building \Forms \OTC - BUP.docx 07/01/2012
Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: -7-4 6-1-t- P 0201 9- -CAD e24 l l Expedited Review
Plan Submittal Date: /9. / 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 -4 A Ploy' at 503 - 718 - 0 or johv 4' @tigard- or.gov)
Proposal: Now Glt&4?Sl4 w4 tte D htut. s� /ate ut.
Zoning C-P -
D
Permitted Use Yes No ❑
Land Use Required: Yes ❑ No
Notes:
Approved ❑ Not Approved Date: 1 d
REVISED 10/4/12