Permit CITY OF TIGARD BUILDING PERMIT
Ill 1 COMMUNITY DEVELOPMENT Permit#: BUP2013-00263
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/29/2013
Parcel: 2S 101 DB00103
Jurisdiction: Tigard
Site address: 7360 SW HUNZIKER RD 200
Project: Washington County Clinic Subdivision:CONDO SUPPLEMENTAL PLAT NO.4: Lot: 22830-2
Project Description: TI for new tenant in 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 10/29/2013 $70.00
Occupancy Grp: B Occupancy Load: 13 DC Provision Review,COM TI-LRP 10/29/2013 $10.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 10/29/2013 $332.27
Demolition
Stories: 2 Height: 0 ft 12%State Surcharge-Building 10/29/2013 $39.87
Bedrooms: 0 Bathrooms: 0 Plan Review 10/29/2013 $215.98
Value: $17,000 Plan Review-Fire Life Safety 10/29/2013 $132.91
Info Process/Archiving-Lg$2.00(over 10/29/2013 $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 $805.03
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 Noti ication 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 callin. 50 ap 987 or 1.800.332.2344.
li
Issued By:/ 1i� Permktee Signature: 4111 u
I /
IIL •175 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 v � �'�" Received td 1 3 y! Permit No.: /
n 13125 SW Ha11 Blvd.,Tigard,OR'97 23) ` `' Date/B ���( —(IU. •
q Plan Review
III
Phone: 503.718.2439 Fax: 503.598. 9 0 ` 5 3 Date/B a O I Other Permit:
T 1 GARD Inspection Line: 503.639.4175 '\ �A V) Date Ready : : lurk: ® See Page 2 for
Internet: www.tigard-or.gov Q j,�J� Notified/Method: • �, Supplemental Information
TYPE OF WORie. \ 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.
El 1-and 2-family dwelling ®Commercial/industrial
Valuation: $
El 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 200 New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:200 Project name:Washington County Clinic 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 in vacant suite Valuation: $$17,000.00
Existing building area: 15835 square feet
New building area: 0 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 2
Name:Hilltop Business Center LLC Type of construction: III-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*
(Please refer to fee schedule)
Business name:CIDA Inc
Structural plan review fee(or deposit):
Contact name:Kourtney Strong
FLS plan review fee(if applicable):
Address:15895 SW 72"d Ave Suite 200
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 Photo Voltaic 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.
Permit fee(includes plan review $180.00
City/State/ZIP:Hillsboro,OR 97124 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 trong tate:10.28.2013 * 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)
O Building Division
Over-The-Counter (OTC) Building Permit
TIGARD
Check List
Project Description: TT
APPLICATION SPECIFIC INFORMATION
GENERAL INFORM_ATIO_N_
Class of Work*: Occupancy Group: Type of Construction:
Type of Use**: ():07/CA Occupancy Load: ( Oregon Specialty Code: SOO)
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: Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ O 7 FEES DUE
$ '7�,Q) DC Prov Rvw,COM TI—Ping
$ O •OA DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ ' 2. Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ ��i 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ i"'O. Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ Ma Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ A ,r• Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $278.00 $41.00 $ 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: $ (J C`"03 TOTAL FEES DUE
*TYPE OF USE: COM=commercial;CMS=commercial manufactured structure.
**CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
OTR=other(use for fences,decks,retaining walls,signs,awnings or canopies).
I:\Building\Forms\OTC-BUP.docx 07/01/2013 •
Building Division
Development Code Provision Review
T I'G A R D Commercial Projects - No Associated Land Use Case
Building Permit No: 6c,Polo Cod Erg-- - ited Review UZ
Project Name: We SL.�Y -f -vJ
Site Address: 7 3to o St-Y 1-11_,A)2_1 Ker a SLA,-1-e , Suite/Bldg #:
Plans Routed:
Original Plan Submittal Date: /,0 P-41 r l 3 Routed By: J 7
1" Revision Submittal Date: Routed By:
2nd Revision Submittal Date: Routed By:
To the Applicant:
D 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 T o/ i6/oy at (503) 718 7 or @tigard-or.gov)
Proposal: 7N r w'- 72 - i;e OSe
Zoning
Permitted Use Yes D' No ❑
Land Use Required: Yes ❑ No dd
Notes:
ig-' roved ❑ Not Approved ❑ DCPR Not Required—No DCPR F ees Due
Date Routed to Building:
--.- - - .--- I:\CURPLN\Masters\Development Code Provision Rev iew\DCPRCOM NoLandUse.doc Rev.01/16/13
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7360 SW HUNZIKER RD 200, TIGARD, OR, 2013 -12 -02 00:00:00
97223
Record Type: Record ID:
Commercial - Building BUP2013 - 00263
Inspection Type: Result:
299 Final inspection PASS - C of 0
Comments:
Violation Summary:
Inspector Contractor