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Permit CITY OF TIGARD BUILDING PERMIT 111111 g COMMUNITY DEVELOPMENT Permit#: BUP2015-00008 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/22/2015 T[C,AFt L) Parcel: 25101 DB00100 Jurisdiction: Tigard Site address: 7340 SW HUNZIKER RD 210 Project: Cornerstone Clinical Services Subdivision: VARNS ACRES Lot: 9 Project Description: TI-existing tenant expanding into adjoining suite 200. 2/24/1.eprinted to allow phasing of project._Ehasel is reception area,waitin• room and adjoining office areas,Phase II is hall closet,rear office and file storage room. 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: VA DC Provision Review,COM TI-Ping 01/22/2015 $75.00 Occupancy Grp: B Occupancy Load: 37 DC Provision Review,COM TI-LRP 01/22/2015 $11.00 Permit Fee-Additions,Alterations, 01/22/2015 $225.80 Dwelling Units: 0 I Demolition Stories: 2 Height: 0 ft 12%State Surcharge-Building 01/22/2015 $27.10 Bedrooms: 0 Bathrooms: 0 Plan Review 01/22/2015 $146.77 Value: $9,600 Plan Review-Fire Life Safety 01/22/2015 $90.32 Info Process/Archiving-Lg$2.00(over 01/22/2015 $10.00 11x17) Floor Areas: Phased Plan Review 02/24/2015 $22.58 Total Area: 0 Additional Plan Review 02/24/2015 $200.00 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $808.57 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 thr.urh OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.8`.332.2344. Issued By: 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. DEMO FLOOR PLAN LEGEND DOOR SCHEDULE 3.• l --�I _•%—__•% •%•-- •; -•� ---•i - C• ••R DOOR/ DOOR HARDWARE OPENING WIDTH_ DOOR - DOOR - DOOR FRNIE NOTES DOOR} • 17 �,-% � ,I/ 8� ROOM NAME k NUMBER __ __ __ -r TYPE GROUP z HEIGHT THCKNESS WTERIAL FlNISH MAERV�L j / (q FRAMED wuI To DEMO (q zo1-A (q 2 (q sD1-A ���f, (q FRAIAED WALL i0 REMAIN 201-8 B 3 J'-0'zY-O' 1 3/4 $C WD STAITEB IYC 1.3 201-8 4•'.�r/1� 1A�ji--_ �_ J — .----_ 202-A B S :i:Y ' 1 3/4' SC WD STA1fE0 MIC 1 20d�A __•!1'�/%) / I 20J-A A S T ' 1 S/4' SC-WD SINNED NYK '1 203-A ,_ -- I/ __/� _ '�. DEMO FLOOR PLAN KEYNOTES (E)204-A (E) - -- -- -- (E)204-A_ __ __ __ (E)205-A O __ __ — (E)208-A O (E)207-A ir S - __ -- - (E)208-A U4 - -/ -- -- (q 2on-A. 1 3 4' SC WD SINNED HK 1 20-11 O . 1 3/M_ SC WD SINNED HARK 1 2/1-A DEMO(E)FIRE 1 Ar_ / I��I I}�� .I / O I�O O COORDINATE WITH NEVI AV CLOSET.GUSLLVACE CABINET R RELOCATION. (E)212-8 (f) -- - __ __ __ __ __ (E)212-8 ,71 �f.,.�;•� .;,, 7 DEMO(q WALL IN SECTIONS NOTED. 213-A C 4 W-ONY-0-PR 1 3/4. SC WO STAINED HARK -- 213-A t err (W- Jj.. 8 DE1JD(q CASEWORK HARDWARE,SALVAGE FOR RELOCATION. 214-A A 1 3'-0S.Y-0' 1 3/4' SC WD SINNED HARK 1 214-11 A / ) 1:4,7#7.1.1�..---F 9 DEMO a m 0� s 1:.:..,...:,,... O (q CARPET,SALVAGE FOR RELOCATION/PATCHING. dA�/ ����iii DEMO' '� (q 2����. 11 (q TD REMAIN.CUT COUNTER AND FINISH EXPOSED�/ e p1!������ O ES1 12 PAIR BUTTS 1 :2::::' ///VII/// // I ��i 1 EA ENTRANCE LOCKSET 1 EA STOREROOM LOCKSET 1 SF?• u. DEMO FLOOR PLAN GENERAL NOTES i • Irrti-FI I 11_14 O 1 EA CLOSER 1 SET SILENCERS 1 SET SILENCERS V! +ta-�a A-+y) SEE SHEET A1.2 FOR ADDR OVAL CE LANG DEMOI iION. . 1' A ='1 2. DEMO(E)HOC CONTROLS AND WINDOW BONDS IN EACH OFFICE FOR '' 0 ii 0 11 RELOCATION. SEE FLOOR PUN KEYNOTES 4&5. 1 SET SILENCERS 1 EA WALL STOP 0 (i 0 2 i( 1 EA WALL STOP 1 ;� WALL TYPES 11..IXISTING DOOR TO BE RELOCATED.SEE DEMO PUN I/A1.1, till 4:11( 1.11 u - 2. ADO CLOSER TO DLISTING DOOR. (q IXISTINC N M FN0i1WN.8 NON RATED PARTMON WALL-3-i/2' II II 111N�lN11'8 METAL STUDS O I'-4'O.C.W/ONE LAYER SC WD sow CORE WOOD DOOR III ii _ 5/8'GYPSUM BOARD EACH SIDE TO THE 3. TEMPERED GLASS TO BE ONE-WAY 1EW. NN( HOLLOW METH.KNOCK DOWN y—� � —_ d e �� I. UNDERSIDE OF THE CEILING.PROVIDE SOUND ARCHITECTURE ATTENUATION INSULATION.SEE DETAIL 12/A1.3 MN ENGINEERING NORTH FLOOR 470-0,----4,,, 4-® DEMO FLOOR PLAN #:B:4 E,, , SOUND ATTENUATION WALL-3-1/2'METAL GENERAL NOTES: P L A N N I N G CI _�:. _ SNOS O 1'-••O.C,W/TV/0 LAYERS 5/8' INTERIORS 1/8'= 1'-0' GYPSUM BOARD ONE SIDE TO THE UNDERSIDE FORCE REQUIRED TO CLOSE AND LATCH 111E DOOR FOR INTERIOR DOORS. 0555LBSOFOR EXTERIOR DOORS,AND THE MINIMUM OF THE CEILING AND ONE LAYER 5/8' LANDSCAPE SOUND BOARD IO OTHER SIDE PROVIDE ALL HARDWARE HALL COMPLY WITH THE REOUIREMENTS OF THE Adl 0 SOUND ATTENUATION INSULATION TO BOTTOM .ses sw PORTLAND. OO EG s c z0 OF STRUCTURE.SEE DETAL 8/A1-3 OREGON .�:zx DOORS SMALL BE OPERABLE FROM THE N151DE WITHOUT THE USE OF A KEY OR SPECIAL KNOWLEDGE OR EFFORT. TEL,A: s e 3.z z•. FAx: 50 3.2 26,167 0 r•r.CIDAINC.GC.. Or ---,riiii - - -I i�ii---• I --i FLOOR PLAN LEGEND w. f { w. { �_f w %_/ ;/ I 4 CEHTERUNE —� / +' C9RR;DQR / I o 11 ROOM NAME k NUMBER (E) �� \ - /A /A\ N �fpl / 101-A DOOR NUMBER \ \ GLASS Bti� \ / / \\ \\ 111 r- -- - ---- I _/ — --- FEC FIRE EXDNGUISHER CABINET \ TEMPERED Yi f7/ J (• (EOISH di1 - /I 1 (E)FRAMED WALL A RELATE TYPE �) �) F A\ ,\ / / �� iU / ri. . I FLOOR PLAN KEYNOTES F1N5. POCK . .�. , \, \r/ i i�� ► I L ( E FLUSH i/2 CUSS BI-FpD M�� rIl Citl] O NOT USED O BO �1 /� C J N N �,� I • �i �� L/ �, © o PROVDE GROMMETS IN NEW COUNTERTOP--COORDINATE LOCATION V1�/ 2 a EN WTH TENANT. I%% / --` �� I. DRYwui oN INSULATED TODIN�IU�ECWALL AND PROvDEM(2 0 DOOR TYPES _J / Of Tim Z 0 °Q °' ' For N NEW DYERS OF GYP.BD.ON TENMR SIDE--WSULATKN TD RUN ® 1/4"=1'-0' W O Z /A��1%%%/ %I / A//A : 0 ' 4 RELOCATED FlRE EXTINGUISHER. -SEE 8/A1.3 SAM. • ..O e• Plans O FILE ,,/��,,, I��, ////// , I ORAGE O5 RELOCATED FIRE STROBE OlTf510E OF A4 CLOSET-IF NECESSARY. V.I.F. 1,►�4 Dater v _ AWAITIA B • 7,., A / / R�, �i zto 1 O pppypE K ON FACONTW�CfOR 0 VERIRFY FOR THE LOUTKONIRSf UPJ T o r N• %` ° tovi`/ r , ,oII� %J��1...�� O AucN NEW wALL wTTH IXsnNC. °_ // // � �� _I'1 r ,� v_.��. O rI♦+ , .ii∎SW� �i" IOU- = Q �� �� iii.o�%I� ® ����C) (0 � --- —riiA vim {y G F //� % H, ESE FLOOR PLAN GENERAL NOTES REVISI�1�1. '— 3 ~o 6��.rr�A_D' S'-r � ,i,�c1 Ts, 1 A I N M.iii Iiiii �d 'A /� ♦IUQ 1. ALL CONDIRONS SHOWN OR IMPLIED ON THE DRAWINGS SMNl BE vim r�.�i 9a ►' l r� ♦ A IIIL <rill zr� rill'rrv00LAZi��_-∎ertam1,l� i//, .z VERIFlED BY THE CONTRACTOR PRIOR TO CONSTRUCTION.NOTIFY 0 rv�� ii t 150. ► N[•}7 1 r ARCHITECT/ENGINEER OF ANY DISCREPANpES PRIOR TO THE STMT Q vim i= _��0=� 1 (iA® � © ( (� AV � ._A L' OF WORK. RELATE I�■�I4L���� O O O 8 � 6±!" s1• . 2. ALL DIMENSIONS ARE TO CENTENLWE OF SAID UNLESS NOTED • OFFICE COPY© ' _ OTHERWISE. cr 3. PORTABLE FIRE EXTINGUISHERS SHAIl BE PROVIDED AND PETALLED AS RECITE TYPE Q R PIN V� _ •l� REQUIRED BY APPLICABLE STANDARDS. °y j ® ,/4"=1.-0- U n © �- (E) OFFH;E (E OFFICE (E • • (EWE 4. THE HIGHEST OPERABLE PART R ENVIRONCOMU AND OTHER i 58 Imo( pp CONTROLS.DISPENSERS,ELECTRICAL MID COMMUNICATION SYSTEM Phase ® m • RECEPTACLES ON WALLS AND OTHER OPERABLE EQUIPMENT SHALL BE n OFFICE WITHIN AT LEAST ONE OF THE REACH RANGES SPECIFIED II SECTION DOD 1109.2,AND NOT LESS THAN 36'ABOVE THE FLOOR. ELECTRICAL FLOOR PLANS& I ® I a AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS SHALL BE DETAILS 1 � Q I=- — -- MOUNTED NO LESS THAN 15'ABOVE THE FLOOR(1109.3.2). i '_ 5. PROVIDE OUTLETS ONE PER EACH OFFICE WALL COORDINATE WITH �A1.1 -- - OWNER. NO MORE THAN SIX 110 OUTLETS ON ANY ONE CIRCUIT.ALL 10'-4 1 2' S' 0' WALL PATES WILL BE WHITE UNLESS OTHERWISE NOTED. MORIN r� • 4,® FLOOR PLAN ®. Phase 2 6.CONTRACTOR TO COORDINATE UGHDNG WITH EXISTING.MAC. ,LOB H0.1,021A01 7.RELOCATE(E)HVAC CONTROLS AS NECESSARY AND PROVIDE(N)HVAC ®M.I st.mom ar eau 1/8'.,1'-0' CONTROLS AS REQUIRED. n CITY OF TIGARD BUILDING PERMIT 1:14 s COMMUNITY DEVELOPMENT Permit#: BUP2015-00008 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/22/2015 Parcel: 25101 DB00100 Jurisdiction: Tigard Site address: 7340 SW HUNZIKER RD 210 Project: Cornerstone Clinical Services Subdivision: VARNS ACRES Lot: 9 Project Description: TI-existing tenant expanding into adjoining suite 200. 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: VA DC Provision Review,COM TI-Ping 01/22/2015 $75.00 Occupancy Grp: B Occupancy Load: 37 DC Provision Review,COM TI-LRP 01/22/2015 $11.00 Permit Fee-Additions,Alterations, 01/22/2015 $225.80 Dwelling Units: 0 Demolition Stories: 2 Height: 0 ft 12%State Surcharge-Building 01/22/2015 $27.10 Bedrooms: 0 Bathrooms: 0 Plan Review 01/22/2015 $146.77 Value: $9,600 Plan Review-Fire Life Safety 01/22/2015 $90.32 Info Process/Archiving-Lg$2.00(over 01/22/2015 $10.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $585.99 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. ATTENTI••. • law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 hrough OAR 95 001-•:•6. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issue. By: , l9�VE�lY PermitteeSignature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. WNW This permit card shall be kept in a conspicuous place on the job site until completion of , project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Commercial RECEI%TEJ) FOR OFFICE USE ONLY City of Tigard Received f '¢ PermitNa.: $ 13125 SW Hall Blvd.,Tigard,OR 97223 , �' � '� g Plan Review 7 MI Phone: 503.718.2439 Fax: 503.598.1960 JAN 2 2 2015 Date/B : elk. Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready : Loris: Sue Page 2 for Internet: www.tigard-or.gov CITYOFTIGAItll Notified/Met Supplemental Information TYPE OFD 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 AIM work indicated on this application. — ❑ 1-and 2-family dwelling ® m Comerciallindustrial Valuation: $ ❑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:7340 Hunziker Rd,Suite 210 New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.:210 Project name:Cornerstone Clinical Sery Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRFRDATA:COMMERCIAL-U&CHECKLIST Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.:2S101DB00100 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:Existing Suite 210 is expanding to suite 200. Valuation: $$9,600.00 Existing building area: 2486 square feet New building area: 2486 square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name:Robinson Construction Type of construction: V-A Address:21360 NW Amberwood Dr Occupancy groups: City/State/ZIP:Hillboro,OR 97124 Existing: Group B Phone:(503)645-8531 Fax:(503)645-5357 New: Group B ❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* Business name:CIDA,INC. (Please refer to fee schedule� Structural plan review fee(or deposit): Contact name:Mya Paluch Address:15895 SW 720°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:myap @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 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 lie.: Total fee due upon application: $201.60 This permit application expires if a permit is not obtained Authorized signature: � � pP '� � within 180 days after it has been accepted as complete. Print name: 10fy' '.A Date: \I 22I * Fee methodology set by Tri-County Building Industry + Service Board. I:\Building\Permits\BU' COM •-rmitApp.doc 02/24/2011 440-46I3T(1l/02/COM/WEB) 114 • Building Division Accessibility: Barrier Removal Improvement Plan l I(,;11:1) REQUIREMENT: OREGON REVISED STATUTE (ORS)447.241. (1) Every project for renovation,alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). VALUATION: Total of all renovation,alteration or modification being done, excluding painting and wallpapering: [1] $ 9600 MULTIPLIER(25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ (b) An accessible entrance: $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for each sex or a single unisex restroom: $ (e) Accessible telephones: $ (f) Accessible drinking fountains:and, $ (II) When possible,additional accessible elements such as storage and alarms: $ TOTAL(shall equal line [2] of Valuation Computation): $ I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011 Ili s Building Division Over-The-Counter (OTC) Building Permit I Its ,,kI) Check List Project Description: '7`l APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION Class of Work*: ∎ Occu.an Grou.: TA.e of Construction: jk T i•a of Use**: r Occu.anc Load: ���7 Ore on S.ecial Code: i 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: `i Fire Alarms: r Smoke Detectors: Sprinkler Type: Alarm Type: Protected Corridors: Standpipe Required: Pull Stations Required: Parapet: Hazard Group: Battery Calcs Provided: Density: Cut Sheets Provided: Design Area: K Factor: _ Total Project Valuation: $ q(c-(�, a' I FEES DUE $ 7!'j,0 DC Prov Rvw,COM TI—Ping $ DC Prov Rvw,COM TI—LRP DC Provision Review Fee for COM TI(effective 7/1/2014) $ Permit Fee—Add,Alt,Demo Project Valuation Planning LRP $ • ( 12%State Surcharge Up to$4,999 $0.00 $0.00 $ -•Milfir Plan Review,Structural $5,000-$74,999 $75.00 $11.00 $ r_ 1 ' 'Ian Review,Fire Life Safety $75,000-$149,999 $187.00 $28.00 $ '400 Info Proc/Arch,Lg(over 11x17$2.00) $150,000 and over $299.00 $44.00 $ Info Proc/Arch,Sm(up to 11x17$0.50) $ Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee $ Other: $ Other: Building Staff: $ Other: Date/Time: $ ."� 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_070114.docx III City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT T GA RD Building Permit Review — Commercial - No Land Use Building Permit #: ` .i.P &D I5 -6 g Site Address: 3L/ti /--hili Jp r ei Suite/Bldg#: 02/D Project Name: COM2.i-s a Yi ,'cc Se v j uS (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: Evi Su I k N I v /S E>r.60/4 1b .cui 42&T Existing Business Activity: O ' a Proposed Business Activity: `(p Verify site address/suite#exists and active in permit system. oning: C 4 (pU permitted Use: Yes ❑ No ❑ Spec Space [ 'Confirm no land use required. Notes: AA) -e__ d--P e.e s.e Approved by Planning'. — ... �it Date: //c2 /15-- Revisions (after Building Submittal only) Reviewer - Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submitt 1 Original Submittal Date: t/1- -i c Site Plans: # 3 Building Plans: # •3 Building Permit#: ,2rEnter building permit#above. �/ Workflow Routing: 'Planning ❑ �.,irrrir Cuuidinator Ei Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: ❑wilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: ,� � ✓A a. 4 awe. �'` i�l f� v-� 1/4"41)-4-'4"4-- me', % By Permit Technicia 0,...,`„_riame Date: A9A— I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_071514.docx Permit Coordinator Review ❑ Conditions Met-Prior to Issuance of Building Permit Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BIdgPennitRvw_COM_NoLandUse_071514.docx Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 7340 SW HUNZIKER RD 210, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - No C of O BUP2015-00008 Chip Barnett Violation Summary: Inspector Contractor