Permit CITY OF TIGARD BUILDING PERMIT
ti COMMUNITY DEVELOPMENT Permit#: BUP2021-00033
T EG ARQ 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/16/2021
Parcel: 2S113AD01900
Jurisdiction: Tigard
Site address: 16640 SW 72ND AVE B10
Project: Copytronix Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: Racking-adding to existing racking system
Contractor: TOTAL HANDLING SOLUTIONS INC Owner: PACIFIC REALTY ASSOCIATES
16420 SE MCGILLIVRAY SUITE 103-363 ATTN: N PIVEN
VANCOUVER, WA 98683 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-327-8473 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 02/11/2021 $210.59
Occupancy Grp: S-1 Occupancy Load: 49 1Demolition Stte
12/o State Surcharge-Building 02/11/2021 $25.27
Dwelling Units: 0 Plan Review 01/27/2021 $136.88
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 02/11/2021 $84.24
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 02/11/2021 $2.00
Value: $8,500 11x17)
Info Process/Archiving-Sm$0.50(up to 02/11/2021 $17.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $476.48
Required: Required Items and Reports(Conditions)
1 Bolts in Concrete
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. 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 calling 503.232.1987 or 1.800.332.2344.
Issued B 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 I/'
Commercial RECEIVE 1 FOR OFFICE 1 SE ON1.1
City of Tigard ere ved Dl 27z/ , Permit No./P 72/^WL/✓
Bard JANa5 2021 Plan Re
i ° Bone SW Hall-2439 Ti OR 97223 Dan Review, ' I Related Permit:
' i Phone: 503-718-2439 Fax: 503-598-1960 Date/By:
Inspection Line: 503-639-4175 Date Ready y: / ree l See Page 2 for
TIGARD P CITY OF TIGARD
+: Internet: www.tigard-orgov r .. NINo' ed/Method. �� / �' Suppkmental Information
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
O New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
ID and 2-family dwelling itCommercialindustrial
ElAccessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ' 6 PJ t/0 -7',kr l�/ Ave New dwelling area: square feet
City/State/ZIP: r 1'` J w t'� ^ 7 2 V Garage/carport area: square feet
Suite/bldg./apt.#: 1'51UJ Project name: Cv,oy4��h ;I Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
J DESCRIPTION OF WORK work indicated on this application.
'Y`Afiki!? y, aJCi1flgtoQ.)C,st1t,G r�1CKl�g Valuation: $ 0 .ry
SAS-kern /'s - lx c .al �v�aQ% pecjed _ Existing building area: square feet
New building area: square feet
Va PROPERTY OWNER 0 TENANT Number of stories:
Name: A, fr, Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:(;,) 6 ? Y 20(3 Fax:( ) New:
APPLICANT CONTACT PERSON BUILDING PERMIT FEES*
Business name: '{ 7- F LZ ' da on S (Please refer tojeposit):schedule)
V _ r/r Structural plan review fee(or deposit): f367,gg
Contact name: ) -J O.YI Fri-,e e_A_
Address: ^t 7/S) - V,V`A 4-e /G/ FLS plan review fee(if applicable):
City/State/ZIP: C,ra/!e c/f �� I'7r�` Total fees due upon application:
�( ? / �7 Amount received:
Phone:(�7 F ✓ 1( N r / Fax::( )
E-mail: " f < - /. / 1 / , PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
r° 6r , Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: '7; ,L / hilt yi,//.� ,v�/ f,pp , Submit two(2)sets of roof plan with connection details
t and fire department access,along with the 2010 Oregon
Address: 1! f a i N 5.--6 r! r, /, (ip Solar Installation Specialty Code checklist.
City/State/ZIP: (/A h e dd y-6-- 9'.9 b 9�_ Permit fee(includes plan review $180.00
Phone:((�7/) 7/ C� 7 Fax:( ) and administrative fees):
J State surcharge(12%of permit fee): $21.60
CCB Lic.: ,,, ' C( el �j / Total fee due upon application: $201.60
Authorized signature:✓ ef This permit application expires if a permit is not obtained
/l�( within 180 days after it has been accepted as complete.
Print name: 15)rr 1.,.,E rer/ f l Date: j(�� 72( * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)