Permit •
• il „ CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2013 -00146
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/13/2013
Parcel: 25101 DB00100
Jurisdiction: Tigard
Site address: 7340 SW HUNZIKER RD 102
Project: Interim Physicians Subdivision: VARNS ACRES Lot: 3
Project Description: TI for expansion into vacant suite.
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: IIIA DC Provision Review, COM TI - Ping 06/13/2013 $67.00
•
Occupancy Grp: B Occupancy Load: 15 DC Provision Review, COM TI - LRP 06/13/2013 $10.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 06/13/2013 $464.97
Demolition
Stories: 2 Height: 0 ft 12% State Surcharge - Building 06/13/2013 $55.80
Bedrooms: 0 Bathrooms: 0 Plan Review 06/13/2013 $302.23
Value: $25,200 Plan Review - Fire Life Safety 06/13/2013 $185.99
Info Process /Archiving - Lg $2.00 (over 06/13/2013 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0 •
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,089.99
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. 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 call' g 503 1987 or 1.800.332.2344.
Issued By: " Permittee Signature:
Call 603.639.4175 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
City of Tigard Received /3 � permit ifi - �oiy .
Date/B
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review IERM
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Read • : y: ®See Page 2 for
Internet: www.tigard - or.gov Notified/Method: M 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.
❑ I - and 2- family dwelling ® Commercial /industrial Valuation: $
❑ 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: 7340 SW Hunziker Rd Suite 102 New dwelling area: square feet
City /State /ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: 102 Project name: Interim Physicians TI Covered porch area: square feet
Cross streeUdirections to job site: SW 72 at SW Hunziker Rd 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.
Interior improvements for expansion into vacant suite Valuation: $$25,200.00
Existing building area: 48345 square feet
New building area: 0 square feet
® PROPERTY OWNER I ❑ TENANT Number of stories: 2
Name: Hilltop Business Center LLC Type of construction: Ill -A
Address: 9430 NW Kaiser Rd Occupancy groups:
City /State /ZIP: Portland, OR 97231 Existing: B
Phone: ( ) Fax: ( ) 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
Address: 15895 SW 72 " Ave Suite 200 FLS plan review fee (if applicable):
City /State /ZIP: Portland, OR 97224 Total fees due upon application:
Phone: (503) 226.1285 Fax: : (503) 226.1670 Amount received:
E -mail: kourtneys@cidainc.com 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 plan 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: I This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Kourtney Strong ate: 06.07.2013 * Fee methodology set by Tri- County Building Industry
Service Board.
I:\Building\PermitABUP -COM PermitApp.doc 02/24/2011 440- 4613T(I I /02 /COM /WEB)
III Building Division
. _ ..
Development Code Provision Review
T I G n R D Commercial Projects - No Associated Land Use Case
U
Building Permit No: Aatt °e / 3 - DO /VC )Expedited Review 0 / L
Project Name: /^/i te//t ' C/Cf4 -"JS
Site Address: 73 4 /6 .5' &) /V "✓ zia ems- Suite /Bldg #: 7 . 1 ... 2 .--
Plans Routed:
Original Plan Submittal Date: 4/ Routed By: <V—
Revision Submittal Date: Routed By:
2n 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 at (503) 718; i l0 or it e___ @tigard- or.gov)
Proposal: r r
..., 'I i /l — I. i.i.A . SSA
Zoning C "
Permitted Use Yes l No ❑
Land Use Required: Yes ❑ No
Notes:
V A - pproved ❑ N°t r ved ❑ DCPR Not Required – No DCPR Fees Due
Date Routed to Building: (.0
£ /// t?)
I: \CURPLN\Masters\Development Code Provision RevievADCPR_COM_NoLandUse.doc Rev. 01/16/13
_ Building Division
Over- The - Counter (OTC) Building Permit
T I G n R D Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION p �
*Class of Work: A-c ' Occupancy Group: Type of Construction: ` ;/-
*Type of Use: &N‘A Occupancy Load: - (j Oregon Specialty Code: 20 (nj
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: I■r) Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ ` 2d 7 ,.Gb I FEES DUE
$ (0 ,c)(3 DC Prov Rvw, COM TI — Ping
$ (p .QQ DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ 4..k4.41.7 Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ 'Y,) 12% State Surcharge .
Up to $4,999 $0.00 $0.00 $ X2.2 Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ l r Plan Review, Fire Life Safety
$75,000 - $149,999 $167.00 $25.00 $ • ,Ci!) 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: $ ( O. 91' 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: \ Building \Forms \OTC- BUP.docr 07/01/2012