Permit CITY OF TIGARD BUILDING PERMIT
11111 , . - COMMUNITY DEVELOPMENT Permit #: BUP2012 -00269
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718.2439 Date Issued: 12/20/2012
Parcel: 25101 DB00100
Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 300
Project: Eagle Home Mortgage Subdivision: VARNS ACRES Lot: 4
Project Description: TI to remodel remaining 3rd floor suite and alterations in lobby
Contractor: ROBINSON CONSTRUCTION Owner: HILLTOP BUSINESS CENTER LLC
21360 NW AMBERWOOD DR HUNZIKER LLC
HILLSBORO, OR 97124 -9321 9430 NW KAISER RD
PORTLAND, OR 97231
PHONE: 503 - 645 -8531 PHONE
FAX 503 - 645 -5397
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB DC Provision Review, COM TI - Ping 12/20/2012 $67.00
Occupancy Grp: B Occupancy Load: 130 DC Provision Review, COM TI - LRP 12/20/2012 $10.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 12/20/2012 $641 29
Demolition
Stories: 3 Height: 0 ft 12% State Surcharge - Building 12/20/2012 $76.95
Bedrooms: 0 Bathrooms: 0 Plan Review 12/20/2012 $416 84
Value: $41,400 Info Process /Archiving - Lg $2.00 (over 12/20/2012 $8.00
11x17)
Plan Review - Fire Life Safety 12/20/2012 $256 52
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,476.60
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 ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5 1987 or 1 800 332 2344.
Issued By: Permittee Signature: t k ta l-
Call 503.839.4175 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 RECEIVE I I I )J (II I It I I ,► L I\ I l
City of Tigard Received � !]� q
• 13125 SW Hall Blvd., Tigard, OR 97223 _ aQ DEC 2 0 2012 Date/B : P erm i t No d _ f a -pp a-(.o
111 . '
Phone: 503.718.2439 Fax: 503.598.1960 DaPlan Rev te/B : iew MIME +r fa Other Permit:
11( \ R I , Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready luris: B See Page 2 for
Internet: www.tigard- or.gov
BUILDING DIVISION Notified/Method: g 67 Supplemental Information
TYPE OF WORK 1 �Y1� 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: $
ID 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: 7320 SW Hunziker Rd New dwelling area: square feet
City /State/ZIP: Portland, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: 300 Project name: Eagle Home Mortgage TI Covered porch area: square feet
Cross street/directions to job site: SW Hunziker & SW 72 Ave Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: 100 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.
Tenant Improvement to remodel remaining 3rd floor suite and alterations in lobby Valuation: $$41,400.00
Existing building area: 48345 square feet
New building area: 0 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 3
Name: Robinson Family Trust Type of construction: III -B
Address: 21360 NW Amberwood Dr Occupancy groups:
City /State/ZIP: Hillsboro, OR 97224 Existing: B/M
Phone: (503)645 8531 Fax: (503)645 5357 New: B
0 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 Ave Suite 200
Total fees due upon application:
City /State/ZIP: Portland, OR 97224
Phone: (503) 226 1285 Fax: : (503) 2261670
Amount received:
E -mail: kourtneys @cidainc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
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 97214 Permit fee (includes plan revie $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
' AO 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: 12.17.2012 * Fee methodology set by Tri- County Building Industry
Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11/02 /COM/WEB)
Pu Building Division
Over - The - Counter (OTC) Building Permit
T l ci n K D Check List
Project Description: 1 ( Sag i �' OO1-0 9
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: N Occupancy Group: Type of Construction: �j Kj
*Type of Use: Occupancy Load: ( Oregon Specialty Code: 2.Q(C5
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: $ At ) 4O:.� FEES DUE
$ ("7.00 DC Prov Rvw, COM TI — Ping
$ 0 , 0 DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ SWIM Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ k,, s 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ • . ,,,r,,,,1 Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ .•-•'` Plan Review, Fire Life Safety
$75,000 - $149,999 $167.00 $25.00 $ C3.C2) 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: If I it7&,,R) 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.
I: \Building \Forms \OTC - BUP.docx 07/01/2012
illq • Building Division
I Development Code Provision Review
T I ( A R D Commercial Projects - No Associated Land Use Case
Building Permit No: &L? c9Dla - , A09 ❑ Expedited Review
Plan Submittal Date: t,7.,/,>4.21 I
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 hC 4Z 2- at 503-718-2427 or A, @tigard- or.gov)
Proposal: Roa improvemanr -to vemods1 6C1Sii 0 TFFLC.P MA 312/ floor'
alnd afies-A-fioexs io to to off{ .
Zoning G - P —/
Permitted Use Yes E No ❑ — /
Land Use Required: Yes ❑ No Q'
Notes: OftCp - {v 0-if as ^ 110 610 LAIC
Approved ❑ Not Approved Date: 14l Z°(1
REVISED 10/4/12