Permit i� CITY OF TIGARD BUILDING PERMIT
I�'! a '-. COMMUNITY DEVELOPMENT Permit#: BUP2022-00051
Date Issued: 4/25/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102CB00100
Jurisdiction: Tigard
Site address: 12850 SW GRANT AVE
Project: Broadway Rose Theater Subdivision: NORTH TIGARDVILLE ADDITION Lot: 43
Project Description: Installing bays of storage rack.
Contractor: NORLIFT OF OREGON INC Owner: TIGARD-TUALATIN SCHOOL DISTRICT 23J
7373 SE MILWAUKIE EXPY 6960 SW SANDBURG ST
PORTLAND, OR 97222 TIGARD, OR 97223
PHONE: 503-519-3043 PHONE:
FAX: 503-632-7178
Specifics: FEES
Description Date Amount
Type of Use: SF
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 04/04/2022 $438.74
Occupancy Grp: U Occupancy Load: 0 Demolition
12%State Surcharge-Building 04/04/2022 $52.65
Dwelling Units: 0 Plan Review 03/03/2022 $285.18
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 04/04/2022 $175.50
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 04/04/2022 $6.00
Value: $23,041 11x17)
Info Process/Archiving-Sm$0.50(up to 04/04/2022 $12.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $970.07
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. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility 'on Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain opy ules or direct questions to OUNC by ailing 503.23 1987 or 1.80 .332.2344.
Issued By: �/ ermittee Signature: \ �----"4
( C 03.639.4175 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.
It
Building Permit Application , , f;
1 l'
Commercial FOR OFFICE IJSF,ONLI'
City of Tigard FEB 1'7 2O2 Deceived n^�1�� ����� permit No UP�2. 05 f
" 13125 SW Hall Blvd.,Tigard,OR 97223 Date Re L- J
g Plan Review
1 ! Phone: 503-718-2439 Fax: 503-598-196 Date/By: Related Permit:
Yla'fY OF TIGARD -
TIGUARU Inspection Line: 503-639-4175 I A'/^+ nn tt /� Date Ready/By: 2 Jur ® See Page 2 for
Internet: www.tigard-oi.gov kiILOI?WI� UIVlSI�n otrfied/Metho .J /� � Supplemental Information
TYPE OF WORK RE. IRED:DATA:I=AND 2-FAMILY DWELLING
❑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
VI Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling I.Commercial/industrial Valuation: $
❑Accessory building El Multi-familyNumber of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: I .2 f.1'y(J s1.t.,, C,�.d,a,,-4- Ave_ New dwelling area: square feet
City/State/ZIP: —pc,f-+-1 aNNA, c"7-2 2 3 Garage/carport area: square feet
Suite/bldg./apt.#: Project name:.-ar tr qatAia..44 9. `S 'a' e,p Covered porch area: square feet
Cross street/directions to job site: 1 Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
�►1SAZLlkl" t �c,�a c�C St
" �u.Cc. v'6tE:k.. �3 t b Li
Existing building area: square feet
New building area: square feet
rig,'PROPERTY OWNER 0 TENANT Number of stories:
Name: f OCt d t,,J a.„.., p s,C,, ""'nr Type of construction:
Address: p
� J b b 5 L0 cp"-�4,4..k ikt...C..., Occupancy groups:
City/State/ZIP: ?O„,-4.,AAAA CsQ., 9 7;7,3 3 Existing: Imo.' d (Z,cp4.�,
Phone:( S ) $15-- (,$'31 Fax:( ) New:
h$,APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer m fee schedule)
Business name: I v fir"k t�' 4— OW'
R �
Structural plan review fee(or deposit): 5.1
Contact name: G,v\ G "
FLS plan review fee(if applicable):
Address: 7 3 '1 --5 5E_ M.t'tah;t.tr., 5c
P`� Total fees due upon application:
City/State/ZIP: ��}-ia,,. et-7 2
ow_ `Z2.2,
Amount received:
Phone:(Si.)S) S'1`t•- 3 0`1.3 Fax::( )
E-mail: i ii ,. PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
ci.AA,V, to pie \�V-l-b✓ u_ v‘.4-3,
N. Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: 0 Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 7 3 7 3 s F i 1t Solar Installation Specialty Code checklist.
City/State/ZIP: Pc,--i-( fit a0 1'-7 1,-2-1. $180.00
fee(includes plan review $180.00
and administrative fees):
Phone:(c o3l) S"ll't -"3 0 c{ Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: 3- ,t, Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
�v` within 180 days after it has been accepted as complete.
Print name: ��,�a,y` �y�IIC,e.t/ Date: .2 (
i? 1)..).. * 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)