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Permit CITY OF TIGARD BUILDING PERMIT I F'1 2' COMMUNITY DEVELOPMENT Permit #: BUP2011 -00046 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03!02!2011 Parcel: 25101 DA00101 Jurisdiction: Tigard Site address: 13190 SW 68TH PKWY 140 Project: CES NW Office Subdivision: TRIANGLE CORPORATE PARK Lot: 3 Project Description: TI Contractor: NORWEST CONTRACTORS INC Owner: PACIFIC NW PROPERTIES LIMITED PA PO BOX 25305 STERN FAMILY LIMITED PARTNERSHIP & PORTLAND, OR 97298 -0305 STERN, HELEN R REV TRUST 6600 SW 105TH AVE #175 BEAVERTON, OR 97008 PHONE: 503 - 291 -6986 PHONE: 503 - 626 -3500 FAX: 503 -291 -7036 FEES Specifics: Description Date Amount Type of Use: COM DC Provision Review, COM TI - Ping 03/02/2011 $64.00 Class of Work: ALT DC Provision Review, COM TI - LRP 03/02/2011 $9.00 Dwelling Units: 0 Permit Fee - Additions, Alterations, 03/02/2011 $301.85 Stories: 0 Height: 0 ft Demolition Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 03/02/2011 $36.22 Value: $14,800 Plan Review 03/02/2011 $196.20 Plan Review - Fire Life Safety 03/02/2011 $120.74 Info Process /Archiving - Lg Sheet (over 03/02/2011 $6.00 Floor Areas: 11x17) Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $734.01 Required: Required Items and Reports (Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Yes 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. AT • • • . •regon law requires you to follow the rules adopted by the Oregon Utility Notificat• Center. Those rules are set forth in OAR 952 -00 -0010 through OA' •52 -0' $090. You may obtain a copy of the rules or direct questions to OUNC by calling - r .1987 or 1.80'. . . • . Iss ed By: , � � � Permittee Signature: / Call 503.639.4175 by 7:00 a.m. for the next available inspectio 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 RECEIVED R eceived FOR OFFI(l l sl 0\1.1 City of Tigard A , � Pe rmit No.: y�r cI( _ Date/By: f v 1 4+i • 13125 SW Hall Blvd, Tigard, OR 9722 Plan Review 2 Phone: 503.718.2439 Fax: 503.598.1 R 2 (U i f Date/By: 0 t./ Z I Other Permit: I I t; A K I) Inspection Line: 503.639.4175 Date ReadyBy: Juris: 0 See Page 2 for Internet: www.tigard- or.gov CITY OF TIGARD NotifiedMethod: Supplemental Information RI [II.nING DIVISION TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. ® Addition/alteration/replacement Other: Indicate the value (rounded to the nearest dollar) of all 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 El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 13190 SW 68 Parkway New dwelling area: square feet City /State/ZIP: Tigard., OR 97224 Garage /carport area: square feet Suite/bldg. /apt. no.: Vor (4 o Project name: CES NW Office 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: 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.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. New, interior partition walls, plumbing, electrical and HVAC Valuation: $$14,800.00 Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: 2 Name: Pacific Northwest Properties Type of construction: VB Address: 6600 SW 105 St, Suite 175 Occupancy groups: City/ State/ZIP: Beaverton, OR 97005 Existing: B Phone: (503)626 -3500 Fax: (503)626-0211 New: N/C 0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: NW Precision Design (Please refer to fee schedule) Structural plan review fee (or deposit): Contact name: Darin Bouska FLS plan review fee (if applicable): Address: 22605 SW Pinehurst Ct. City/ State/ZIP: Sherwood, OR 97140 Total fees due upon application: Phone: (503) 6804444 Fax: : ( ) Amount received: E -mail: Darin @NW- Precisioncom PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System. Business name: Norwest Contractor's Submit two (2) sets of roof plan with connection details and fire department access, along with the 2010 Oregon Address: PO Box 25305 Solar Installation Specialty Code checklist. City/ State/ZIP: Portland, OR 97298 Permit fee (includes plan review $180.00 and administrative fees): Phone: (503) 2914986 Fax: (503) 291 -7036 State surcharge (12% of permit fee): $21.60 CCB lie.: 89425 Total fee due upon application: $201.60 Authorized signatu This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Darin Bouska Date: 3/1/2011 * Fee methodology set by Tri- County Building Industry Service Board. III _ Building Division Development Code Provision Review TIGARD Commercial Projects - No Associated Land Use Case Building Permit No: 4"'OW( J©OD ti6 ❑ Expedited Review Plan Submittal Date: We ll/� To the Applicant: ` > If the proposed use is not permitted within the zone, please contact the Building Division to cancel the permit application. Building Permit Technicians (503) 718 -2439. > If a land use is required and for all other questions, please contact the staff person listed above the Planning Review section. Staff: please check items along left on if approved. _ Planning Review (contact V-(4 at 503 - 718: ? / or 441) @tigard - or.gov) DiGoning Permitted Use Yes, No ❑ Land Use Required: Yes ❑ No X (explain below) Notes: Akdfai43/ i t 4I ' �61e i' /*11/5/I Oell 1 i ' _ I / Approved ❑ Not Approved Date: d l D' /l ( V4 l • Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard- or.gov) Notes: Routed back to Building Division Date: I: \CURPLN