Permit CITY OF TIGARD BUILDING PERMIT
1111 r COMMUNITY DEVELOPMENT Permit#: BUP2015-00114
Date Issued: 04/27/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S1266C01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 500
Project: Aspen for Health Subdivision: 2005-035 PARTITION PLAT Lot: 3
Project Description: Office remodel for a new medical/dental office.
Contractor: PACIFIC CREST STRUCTURES INC Owner: WISCO REAL ESTATE EQUITY FUND I
17750 SW UPPER BOONES FERRY RD SUITE 1501 SW TAYLOR ST STE 100
190 PORTLAND, OR 97205
DURHAM, OR 97224
PHONE: 503-968-8949 PHONE:
FAX: 503-598-6658
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 04/27/2015 $347.48
Demolition
Occupancy Grp: B Occupancy Load: 12 12%State Surcharge-Building 04/27/2015 $41.70
Dwelling Units: 0 Plan Review 04/27/2015 $225.86
Stories: 5 Height: 0 ft Info Process/Archiving-Lg$2.00(over 04/27/2015 $8.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $18,000 Plan Review-Fire Life Safety 04/27/2015 $138.99
Park-Commercial and Industrial 04/27/2015 $624.60
TDT-Transportation Development Tax 04/27/2015 $5,942.00
Floor Areas: DC Provision Review,COM TI-Ping 04/27/2015 $75.00
DC Provision Review,COM TI-LRP 04/27/2015 $11.00
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $7,414.63
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
952-05 .5 0 throug ••' 952-05 •090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 ;2.1987 or 1.800.332.2344.
n
-sued By: a /�/ t/ Permittee Signature: ./A
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 FOR OFFICE USE ONLY
Received
IIICity of Tigard 5— L Permit No.:
• 13125 SW Hall Blvd.,Tigard, •' r, Date/B : `j - / i� � D!S- • �
= g MEI) Plan Review Phone: 503.718.2439 Fax: 51 ' . le, Date B : Ai�� !":� OtherPermir. ,,` 15-_` _ t
TI G A R D Inspection Line: 503.639.4175 Date Read la See Page 2 for
Internet: www.tigard-or.gov Notified/Me , &MEM Supplemental Information
APR 21 ?015
TYPE OF WORK �� REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction �. 16 BIB�' �A Permit fees*are based on the value of the work performed.
®Addition/alteration/replacement r�11 1 , : ISION Indicate the value(rounded to the nearest dollar)of all
P 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: $
❑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:9020 SW Washington Square Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:500 Project namaAreeo for Health Covered porch area: square feet
Cross street/directions to job site:SW Hall Blvd,east of HWY 217 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.
Tax map/parcel no.: 1S126BC01506 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.
Non-structural interior office improvements. Valuation: $18,000
Existing building area: 1,180 square feet
New building area: 0 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 5
Name:Wyse Investment Services Co. - Kathi Pearce Type of construction: I-B
Address:1501 SW Taylor Street,Suite 100 Occupancy groups:
City/State/ZIP:Portland,OR 97205 Existing: B
Phone:(503)294-0400 Fax:(503)227-2507 New: B
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:LRS Architects
(Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Anne Bedney
FLS plan review fee(if applicable):
Address:720 NW Davis,Suite 300
Total fees due upon application:
City/State/ZIP:Portland,OR 97209
Phone:(503)221-1121 Fax::(503)221-2077 Amount received:
E-mail:abedney @Irsarchitects.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:Pacific Crest Structures,Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 17750 SW Upper Boones Ferry Road,Suite 190 Solar Installation Specialty Code checklist.
City/State/ZIP:Durham,Oregon 97224 Permit fee(includes plan review $18000
and administrative fees):
Phone:(503)968-8949 Fax:(503)598-6658 State surcharge(12%of permit fee): $21.60
CCB lic.:66915
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: nGh.,r'L Date:04.07.15 * Fee methodology set by Tri-County Building Industry
e/ Service Board.
I:\Building\Pernrits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
P I Ill Building Division
Over-The-Counter (OTC) Building Permit
FR, \RI)
Check List
Project Description: 71
GENERAL INFORMATION
Class of Work*: Occupancy Group: j :ape of Construction:
Type of Use**: Occupancy Load: (J. Oregon Specialty Code: r
SPECIFICS _
Number of Stories: 6Building 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 r ,
Fire Sprinklers: `-(9. Fire Alarms: 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: $ (e)r: T) ! EES DUE •
$ .0;c0 DCProv Rvw,COM TI—Ping
$ • DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ 4wrty- Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ ■ • 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ 2�7,' ,. Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ 'w Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ fr, .40 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: $ 1366 C3 TOTAL FEES DUE
- . , , ,,::r ercial;CMS=commercial manufa
**CLASS OF W•RK:,A_CS. accessory;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
•,retaindlls,signs,awnings or canopies).
I:\Building\Forms\OTC_BUP_070114.docx
City of Tigard
�' 1111 COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Commercial - With Land Use
i I(.:\ RI)
Building Permit #: ei4,„,,cd,,,,
Site Address: °IOZ0 SW Washing-I-eon 5q( Rd• Suite/Bldg#: 500
Project Name: D . Queen -a r 14 ect\-1-h
(Nam of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review r�Proposal: T1 - y�e J i e 1 [ 1en\o1 OTT j Le'i
rZcVerify site address/suite#exists and active in permit syst
g�/iRiver Terrace Plan District: CI Yes No
L9 and Use Case#: MMt2.15—00014
rr Plans Match Approved Land Use:
-E--Site Plan -B—Landscape Plan Other: narrod-∎ve,
'B- Urban Forestry Plan -B—Elevation Plan
El Building Height: Maximum Height Actual Height
❑ Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
❑ Business License:
_/Exists: CI Yes CI No,applicant notified to obtain business license
OQ Public Facilities Improvement (PEI)Permit:
Required: ❑ Yes,applicant was notified &No Applied For: ❑ Yes ❑ No,stop intake
Notes:
Approved by Planning: Ti as - .• a& ,I Date: 4 11 1 5
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: / 021 i S
Site Plans: #
Building Plans: # 3
Building Permit#: nes�ter building permit#above.
[
Workflow Routing: Planning ❑ Engineering ❑ Permit Coordinator Erririilding
Workflow Sign-off: ❑ Sign-off for Planning(include notes from planning review)
Route Application Documents: ❑ Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: 67-e--
By Permit Technician: /C-- - 0//3'
I:\Building\Fonns\BIdgPermitRvw_COM_WithLandUse 040115.docx
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditio• of approval and plat(not typical on SDR/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: • es ❑ No
Assess Water Quantity Fee in-lieu: • Yes ❑ No a
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes:
i
Approved by E,^igineering: Date:
Revisions ( er Building Submittal only) Reviewer Date
Revisi 1: ❑ Approved Cl Not Approved
Re .sion 2: ❑ Approved ❑ Not Approved
evision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions"Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
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 b Permit Coordinator: Date:
PP Y
,,.//2-1//
(:\Building\Forms\BldgPermitRvw_COM_WithLandUse 040115.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
9020 SW WASHINGTON SQUARE RD 500,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2015-00114
Chip Barnett
Violation Summary:
Inspector Contractor