Permit CITY OF TIGARD BUILDING PERMIT
111 a ' COMMUNITY DEVELOPME Permit #: BUP2013 00112
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/09/2013
Parcel: 1 S 135BD00100
Jurisdiction: Tigard
Site address: 9600 SW OAK ST 525
Project: Suite 525 Subdivision: ASHBROOK FARM Lot: PTS 5 &
Project Description: TI
Contractor: COMMERCIAL CONTRACTORS INC Owner: SUN LIFE ASSURANCE CO OF CANADA
1265 SOUTH 35TH PLACE BY NORRIS BEGGS & SIMPSON
RIDGEFIELD, WA 98642 121 SW MORRISON ST #200
PORTLAND, OR 97204
PHONE: 503 - 227 -4440 PHONE:
FAX. 503 - 227 -6644
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIA DC Provision Review, COM TI - Ping 05/09/2013 $67.00
Occupancy Grp: B Occupancy Load: 7 DC Provision Review, COM TI - LRP 05/09/2013 $10.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 05/09/2013 $241.01
Demolition
Stories: 5 Height: 0 ft 12% State Surcharge - Building 05/09/2013 $28 92
Bedrooms: 0 Bathrooms: 0 Plan Review 05/09/2013 $156.66
Value: $10,479 Plan Review - Fire Life Safety 05/09/2013 $96 40
Info Process /Archiving - Lg $2 00 (over 05/09/2013 $4 00
11x17)
Floor Areas: COT Address Fee 05/09/2013 $50 00
Total Area 0
Accessory Struct: 0
Basement 0
Carport: 0
Covered Porch 0
Deck: 0
Garage: 0
Mezzanine' 0
Total $653 99
Required: Required Items and Reports (Conditions)
Fire Sprinkler No 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 A NTrON" Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952 -0 -0010 through OAR' 5 -00 90 You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 87 or 1 800 332 2344
Is ued By: j\ / % 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.
Buildin Permit A licatio cE D
Commercial FOR OFFICE USE ONLY
City of Tigard MAY 0 8 2013 Received
DateB 421210 Permit No • �� ,/ - /!
- • 13125 SW Hall Blvd , Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503681160F TIGARD Date/B i . 9 / Other Permit:
T 1 G A K D Inspection Line: 503 639.4175 �' DNISION Date Ready/By June ® See Page 2 for
Internet: www.tigard- or.gov gUILDIN 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.
❑ 1- and 2- family dwelling Valuation: $
® 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: Plaza West - 9600 SW Oak Street New dwelling area: square feet
City /State/ZIP: 97224 Garage/carport area: square feet
Suite/bldg. /apt. no.: 525 Project name: Suite 525 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.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $$10,479.00
Existing building area: 695 square feet
New building area: square feet
® PROPERTY OWNER I ❑ TENANT Number of stories: 5
Name. "ego ne66S S I r P S ani Type of construction: II -A
Address: 21 Ste " O 4 - 4 sari /M U(' Occupancy groups:
City / State/ZIP: rbprusiND , 01 L et120q- Existing: B
Phone: (999 92OO- Fax: (5034614-4240-.. 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*
Address: 1265 S 35th Place (Please refer to fee schedule)
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: 05/08/2013 * Fee methodology set by Tri- County Building Industry
Service Board.
l:'Building\Permits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(I1 /02/COM/WEB)
Building Division
711 Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: ia?6/ 5-60 (/2- Expedited Review
Project Name: S u. C 4- e 5 Z 5
Site Address: 96;00 .w Oa_4___ .r , Suite /Bldg #: 5;
Plans Routed:
Original Plan Submittal Date: 5// 3 Routed By:
1St Revision Submittal Date: Routed By:
2 ° Revision Submittal Date: Routed By:
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 it,. d+ at (503) 718- 2.557 or J d:-4" @tigard - or.gov)
Proposal: w r _ •ti +1 to 1 _ ' A ri o r Wo lL ' addi h _ -- . ` c e e
Zoning 41(A C ' - /
Permitted Use Yes L� No ❑ /
Land Use Required: Yes ❑ No L9"
Notes:
❑ Approved ❑ Not Approved ❑ DCPR Not Required - No DCPR Fees Due
Date Routed to Building:
I: \CURPLN\Masters\Development Code Provision Review\DCPR_COM NoLandUse doc Rev. 01/16/13
Building Division
Over- The - Counter (OTC) Building Permit
TrcnlzD Check List
Project Description: fl
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: �( Occupancy Group: j Type of Construction: ZA
*Type of Use: Occupancy Load: '7 Oregon Specialty Code: 2.010
SPECIFICS
Number of Stories: j 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: PC Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ Fo :7, t FEES DUE
$ 67,00 DC Prov Rvw, COM TI - Ping
$ , C) 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 $ • ,C/C) 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. Adman Fee
Permit Coordinator: $ Other:
$ Other:
Building Staff: $ Other:
Date /Time: $ � 3 . 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
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9600 SW OAK ST 525, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
05/24/2013 00:00
BUP2013-00112
PASS - C of O
Violation Summary:
Inspector Contractor