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Permit (25) 11qCITY OF TIGARD BUILDING PERMIT 1 ... 11COMMUNITY DEVELOPMENT Permit#: BUP2016-00133 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/18/2016 Parcel: 2S110AA00900 Jurisdiction: Tigard Site address: 14050 SW PACIFIC HWY 101 Project: Ellingson/Lassen Subdivision: None Lot: None Project Description: Demo finishes due to fire/smoke/water damage. Suite 101 and common areas. Contractor: BELFOR USA GROUP INC Owner: ELLINGSON REVOCABLE INTERVIVOS T 12823 NE AIRPORT WAY BY ELLINGSON, JOSEPH M &JEAN E TRS PORTLAND, OR 97230 420 W LASSEN AVE CHICO, CA 95973 PHONE: 503-209-9865 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 04/18/2016 $271.43 Demolition Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 04/18/2016 $32.57 Dwelling Units: 0 Plan Review 04/18/2016 $176.43 Stories: 0 Height: 0 ft Investigation Fee 04/18/2016 $90.00 Bedrooms: 0 Bathrooms: 0 Investigation 12%State Surcharge 04/18/2016 $10.80 Value: $12,520 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $581.23 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 ii - •rdance 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 day . ATTENTION: s -;on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rule", set forth in OAR ••2-001-0010 through OAR • -0. ..90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2 I Issued By: L i 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. 1 Building Permit Application Commercial ECEIVE, r I OR t)l lit I t til ON1.' ill Received ry City of Tigard Date/B : I b �� dillEM Permit No.: j ode-NO('l 33 13125 SW Hall Blvd.,Tigard,OR ' '•.i 2016 Plan Review Phone: 503-718-2439 Fax: 503- '':- '6 Date/B : %t/ DAllii Related Permit: 1 1 G„\1t I) Inspection Line: 503-639-4175 „,,,, y r , Date Reay/By: Juris: el See Page 2 for Internet: www.tigard-or.gov y,11t,'Ot' a ttl,4:-t, if Notified/Method: Supplemental Information A DIN W ! IOJ a ,, .N _ ..,. '1.., .. , ATAt,ad �, ,.. ❑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 0 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. •a ._, , CATEGORY OF .. TION ` ❑ 1-and 2-family dwelling tit Commercial/industrial Valuation: $ ElAccessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB.SITE� ATATION AND LOCATION Total number of floors: Job site address: 1405-0 1 fft*IL f1WY. New dwelling area: square feet City/State/ZIP: 'f LM,. -0t D 912.7.1 Garage/carport area: square feet Suite/bldg./apt.#: Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet MOO R DATA:COMNIERCIAL4SECII , T 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 I>rESCRWTION OF W©41( work indicated on this application. Valuation: $ UEaaO 'FINISHES 01/4)%- 1b FIKE f SW►eVE I IN141t9. Ov4•"tM.+ Existing building area: 121520 square feet New building area: ..---' square feet CI PROPERTY OWNER ❑ Town' _, Number of stories: 2.1.I11AwtFaT Name: Type of construction: 'SS” Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: I"--- A)!#PLICANI ACT PERSON BUILDING PERMIT * mease refer to fee stheth, 1 ,. , Business name: vK,pp,µt,ry bthE ZobU3T1tSV►S LLL 1 Structural plan review fee(or deposit): Contact name: CAIS I VILIVC140IC. FLS plan review fee(if applicable): Address: 21:53,p ,Sua CEDIAL. HILLS glVO. 'Mlob Total fees due upon application: City/State/ZIP: g 1bN t pr,. 176bS Phone:(5ti'3) 3111,ce t3 1 Fax: :( ) Amount received: PHOTOVOLTAIC SOLAR"% l 'ST� fi E-mail: (++MLU Q.PSS l �t 13tr4. Q t+ M v ...1 Commercial and residential prescriptive installation of COO'TRACl'OR roof-top mounted Photo Voltaic Solar Panel System. Business name: .S '�„ �m � IRRs{aWPlTtoh Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: i Z$2.1> N7C AItfok-t yJMkl Solar Installation Specialty Code checklist. City/State/ZIP: rASIVILlAt•b O� TIZ SO Permit fee(includes plan review $180.00 + and administrative fees): Phone:(5t.3 ) 2e .1 g« Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lic.: 14697 3 Total fee due upon application: $201.60 Authorized signature: l This permit application expires if a permit is not obtained � t � within 180 days after it has been accepted as complete. Print name: C+41,4.1% � 0pfe Date: 4.t '�1•l,6 * Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\BUP_COM_PennitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) • .• .4 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT IN 'I Accessibility: Barrier Removal Improvement Plan Commercial & Multi-Family - Additions or Alterations T IGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov REQUIREMENT: OREGON REVISED STATUTE (ORS)447.241. (1) Every project for renovation,alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five percent(25%). VALUATION: Total of all renovation,alteration or modification being done, excluding painting and wallpapering: [1] $ MULTIPLIER(25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ (b) An accessible entrance: $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for each sex or a single unisex restroom: (e) Accessible telephones: $ (f) Accessible drinking fountains: and, $ (g) When possible,additional accessible elements such as storage and alarms: $ TOTAL(shall equal line [2] of Valuation Computation): $ 1:A Building\Permits\BUP_COM_Pcrmit;lpp.doc Rev.12/18/2014