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Permit CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit fl: BUP2022-00221 Date Issued: 11912023 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110DCO2200 Jurisdiction: Tigard Site address: 15570 SW PACIFIC HWY Project: SAFEWAY Subdivision: 1997-016 PARTITION PLAT Lot: 2 Project Description: TI for existing tenant.New partition wall for floral work area. Contractor: ENGINEERED STRUCTURES INC A CORP OF IDAHO Owner: ROIC OREGON LLC 3330 E LOUISE DR STE 300 BY PROPERTY TAX RESOURCES LLC MERIDIAN, ID 83642 PO BOX 130339 CARLSBAD, CA 92013 PHONE: 208-362-3040 PHONE: FAX: 208-362-3113 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 01106/2023 $744.51 Occupancy Grp: M Occupancy Load: 0 Demolition 12/o State Surcharge-Building 01/06/2023 $89.34 Dwelling Units: Plan Review 09/06/2022 $483.93 Stories: Height: ft Plan Review-Fire Life Safety 01/06/2023 $297.80 Bedrooms: Bathrooms: Info Process/Archiving-Lg$2.00(over 01/06/2023 $10.00 Value: $52,000 11x17) Info Process/Archiving-Sm$0.50(up to 01/06/2023 $2.00 Floor Areas: 11x17) Total Area: Accessory Struct: Basement: Carport: Covered Porch: Deck: Garage: Mezzanine: Total $1,627.58 Reguired: Required Items and Reports(Conditions) Fire Sprinkler: Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 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 re 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 By: i� irrr!!ir- rr , Permittee Signature: z � Call 503.639 4175 by 7:00 a.m.for the next available Inspect) 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 RECEIVES FOR OFFICE USE ONLY City of Tigard Received cc 13125 SW Hall Blvd.,Tigard,OR 97223 6 2027 Dan R v L Plan Review SEP Phone: 503-718-2439 Fax: 503-598-1960 Date/By: ` �' t - Inspection Line: 503-639-4175 CITY OF TIGARD Date Ready/By: turfs: ® See Page 2 for Internet: www.tigard-or.gov ) III nINc-,nIV11;10N Notified/Method: Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑ Dcmolitioo Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Q Addition alteratio replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 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: 1557Z2 5L, FAG Fj G (-(V-1 New dwelling area: square feet City/State/ZIP: -(}(�Qs::) J Qg, q'rZZ44 Garage/carport area: square feet Suite/bldg./apt.#: Project name: Covered porch area: square feet Cross street/directions to job site: l G tiw W AND Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Iqq —n Ito 1F>A9_'r -ntD J " T Lot#: � Permit fees*are based on the value of the work performed. Tax map/parcel#: oZ 2 Q bG© '�20� 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: $ 000 9 Existing building area:S11r4e) square feet New building area: N �"t square feet IN PROPERTY OWNER ❑ TENANT Number of stories: nn{ P- Is'ame: =aA. Type of construction: Address: �'�czj — Occupancy groups: City/State/ZIP: 1 Existing: M Phone:(161 O) 4o $ Fax:( ) New: +u APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business _ i Please refer to eeschedu name: le �t PS Structural plan review fee(or deposit): Contact name: N11[�-�1EL- �Le Z t I Gt5, r FLS plan review fee(if applicable): Address: ?j JZ 1-©V 11P6 W . 5T1i5, Total fees due upon application: City/State/ZIP: Itj) B Ak;4 �7,- �jL�p Fax: :(�) � Amount received: Phone:(Att') E-mail: M leA gg) I'dLi f' �'( (' �j ccwn PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: S Submit two(2)sets of roof plan with connection details r and fire department access,along with the 2010 Oregon Address: 2j LSolar Installation Specialty Code checklist. City/State/ZIP: M1p)IAAJ -T-L) Permit fee(includes plan review and administrative fees : $L80.00 Phone: J?)� ( ) 3(jZ - Fax( ) r State surcharge(12%of permit fee): $21.60 CCB Lic.: 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: 44ArA e methodology set by Tri-County Building Industry Service Board. l:\Building�,Petmits'BUP_COM_PermitApp.doe Rev.04/21/2014 4404613T(IIi01COM,WLB)