Permit CITY OF TIGARD BUILDING PERMIT
r, COMMUNITY DEVELOPMENT Permit#: BUP2015-00211
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/15/2015
Parcel: 1 S126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 550
Project: LoanStar Lending Subdivision: 2005-035 PARTITION PLAT Lot: 3
Project Description: TI for tenant expansion
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 DC Provision Review,COM TI-Ping 07/15/2015 $88.00
Occupancy Grp: B Occupancy Load: 18 Permit Fee-Additions,Alterations, 07/15/2015 $509.05
Demolition
Dwelling Units: 0 12%State Surcharge-Building 07/15/2015 $61.09
Stories: 5 Height: 0 ft Plan Review 07/15/2015 $330.88
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 07/15/2015 $203.62
Value: $30,000 Info Process/Archiving-Lg$2.00(over 07/15/2015 $8.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,200.64
Required: Required Items and Reports(Conditions)
Fire Sprinkler: 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. ATTE •' : •egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-00 •910 through OAR • 2-00 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 1987 or 1.800.332.2344.
I-sued By: � i
/ al" / / I 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.
Building Permit Application-.
f'i E C E I V E D
Commercial FOR OFFICE USE ONLY
City of Tigard JUL 15 2015 Received 11/5— / J Permit No.:� �1 )
°� • 13125 SW Hall Blvd.,Tigard,OR 97t3�.,.� Dan Rcview rv" / /�'� ll
= Phone: 503.718.2439 Fax: 503.598R9G0 T TIGARD Date/By: 'y ' ( l Other Permit:
T I G A K D Inspection Line: 503.639.4175 BUILDING D I V1 S.I O N Date Ready\tBf Jury ® See Page 2 for
Internet: www.tigard-or.gov 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.
❑ I-and 2-family dwelling ® m
Commercial/industrial
Valuation: S
❑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.:550 Project name:LoanStar Lending 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: 1S126BC01506 equipment,materials,labor,overhead,and the profit for the
• DESCRIPTION OF WORK work indicated on this application.
Remove interior walls,construct new interior walls,new casework and finishes. Valuation: $$30,000.00
Existing building area: 1,755 square feet
New building area: 0 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 5
Name:Wyse Real Estate Advisors - Kathi Pearce Type of construction: I-B .
Address:810 SE Belmont St,Suite 100 Occupancy groups:
City/State/ZIP:Portland,OR 97214 Existing: B
Phone:(503)294-0400 Fax:(503)227-2507
New: B
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:LRS Architects
Structural plan review fee(or deposit):
Contact name:Anne Bedney
Address:720 NW Davis,Suite 300 FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP:Portland,OR 97209
Phone:(503)221-1121 Fax::(503)221-2077 Amount received:
E-mail:abedney@ lrsarchitects.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR 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 . cess,along with the 2010 Or-:on
Address: 17750 SW Upper Boones Ferry Road,Suite 190 Solar Installation Spe ''It),Code chec ' .
City/State/ZIP:Durham,Oregon 97224 Permit fee(inclu. 1• ew $180.00
and admi ' e fees):
Phone:(503)968-8949 Fax:(503)598-6658 State surcharge(1 '/o of permit $21.60
CCB lic.:66915 Total fee due ..on application: $201.60
Authorized sign re: This permit application e .• s if a permit' not obtained
within 180 days after it has been accepted as complete.
Print name: Date:07.15.15 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.d 2/24/2011 440-4613T(11/02/COM/WEB)
Building Division
Over-The-Counter (OTC) Building Permit
r 1GARD Check List
Project Description: J
GENERAL INFORMATION
Class of Work*: ALT Occupancy Group: Type of Construction:
Type of Use**: Occupancy Load: Oregon Specialty Code: '1 '(4--
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: 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: $ ) FEES DUE
$ ,c0 DC Prov Rvw,COM TI—Ping
$ [ j,OT' Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ (j(,(ft 12%State Surcharge
Project Valuation Planning $ *-5-Y),E3415 j Plan Review,Structural
Up to$4,999 $0.00 $ 0.Ov,(o`G Plan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ Op Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $220.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $351.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ Other:
$ Other:
Building Staff: $'( Other:
Date/Time: $ R 2C:0,64—TOTAL FEES DUE
*TYPE OF USE: COM=commercial;CMS=commercial manufactured stnirvte. "
**CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
O1R=other(use for fences,decks,retaining walls signs,awnings or canopies).
I:\Building\Forms\OTC_BUP_070115.docx
11111 II City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TtGARD Building Permit Review — Commercial - No Land Use
Building Permit #: / P9O/4!5OO? !/
Site Address: (') ) 1(„ Suite/Bldg#: �)9
Project Name: L �� jq- A
(Name of commercial business occupying the space. If vac nt,en r Spec Space.)
Planning Review //�� /�
Proposal: /5 t"—) 4Gl` • -A 17(174&i— —c'L'f;' 7'1
Existing Business Activi ale
Proposed Business Activity: OC'l�
Verify site address/suite#exists and active in permit syst .
NYver Terrace Neighborhood: ❑ Yes e No
ning: M U C'
12 P rmitted Use: 1d Yes ❑ No ❑ Spec Space
firm no land use required.
i2/X
Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: _____� Date: ._,//q,
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: 7/5/
Site Plans: #
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing. 2 Planning [rmit Coordinator -E'l�uilding
Workflow Sign-off: 2—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:
By Permit Technician: _/ , _ ., Date: 7A—Ac
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
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:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_No LandUse_070915.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 550,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2015-00211
Chip Barnett
Violation Summary:
Inspector Contractor