Permit CITY OF TIGARD BUILDING PERMIT
° I COMMUNITY DEVELOPMENT Permit #: BUP2011 -00061
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/29/2011
Parcel: 2S112BA05900
Jurisdiction: Tigard
Site address: 14058 SW MILTON CT
Project: Transcat Subdivision: Lot: 0
Project Description: TI
Contractor: TODD HESS BUILDING CO Owner: GOODHEAD, DAVID & JAN M
9414 SW BARBUR BLVD SUITE 150 9846 SW PEPPERTREE LN
PORTLAND, OR 97219 TIGARD, OR 97224
PHONE: 503 - 220 -5953 PHONE:
FAX: 503 - 222 -2670
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 03/29/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 03/29/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 03/29/2011 $880.05
Stories: 0 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 03/29/2011 $105.61
Value: $70,000 Plan Review 03/29/2011 $572.03
Plan Review - Fire Life Safety 03/29/2011 $352.02
Info Process /Archiving - Lg Sheet (over 03/29/2011 $4.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,986.71
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 an• 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 Cente Thos- es 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 503.232.19,: • .800.3 • 44.
�-��►
/ /
Issued : . - ermitteeSignature: •
Call 503.• •. •y : ,, a.m. for the next available inspection date.
This permit card shall - : •t a onspicuous 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 FOR OFFICE USE ONLY
City of Tigard Date/I3 � • Permit No. . ` / , , /
M
" 13125 SW Hall Blvd., Tigard, OR 97223 MAR 9 2011 Received
•
Plan Reviewi
Phone: 503.718.2439 Fax: 503.598.1960
Date/B : , w � ��
otne< permit: r
T I GARD Inspection _
ction Line: 503.639 Date Re • iuris: H See Page 2 for
Internet: www.tigard or.gov CITY OI' TIS-) Notified/Method: (,C, Supplemental Information
'' IJILDIN r x'51,'''10`.1
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
M Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION
work indicated on this application.
❑ 1- and 2- family dwelling StComercial/industrial Valuation: $
m
❑ 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: 1 _I O Sg s W A 41 /-) U,n (IX,r'r- New dwelling area: square feet
City/ State/ZIP: Po 74,4 0 a... Garage/carport area: square feet
Suite/bldg./apt. no.: LI Project name: "l (2f/I S gar 7.r. -6:,// 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 workperformed.
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.
reMc ti/ea 11 S 'ro C,,(.P &J 1 441A I aASC , re love (6 ro f- Gice✓, Valuation: $ 70 COO
Existing building area: square feet
New building area: 54.4ele...-- square feet
El PROPERTY OWNER R TENANT Number of stories: /
Name: T r -r J - n G Type of construction:
Address: 5c.6..1. e" s u S (7t Occupancy groups:
City/State/ZIP: Existing:
Phone: ( ) Fax: ( ) N ew:
` APPLICANT n ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: to I) I I P S S t3 i� y (Please refer to fee schedule)
I T' VV C�'� Structural plan review fee (or deposit):
51
Contact name: e K t S
� r gob( S „ / 527
FLS plan review fee (if applicable):
Address: 7 i 1 4 sw ,g
I /� ' 7 Total fees due upon application
City/State/ZIP: Po (7 - / Ci f' 7/
4,v” a If s, • z ( (I
Amount received: f S TS-60 , -7,
Phone: (SZE) 'VW 3.- ax:: ( ) ""?..---2-- z6 - 7U l
E -mail: S K( S(, �,,b� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
` - S �'` ��'�' Commercial and residential rescri tive installation of
CONTRACTOR V P P
roof -top mounted Photovoltaic Solar Panel System.
Submit two (2) sets of roof plan with connection details
Business name: ` 'Pl-ke' " ; ' t Q- /c,, ' and fire department access, along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State /ZIP: Permit fee (includes plan review $180.00
and administrative fees):
Phone: ( ) Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: C1 Z Total fee due upon application: $201.60
Authorized signature: i This permit application expires if a permit is not obtained
•. within 180 days after it has been accepted as complete.
Print name: S i ea-Cr I Date: * Fee methodology set by Tri-County Building Industry
Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11 /02/COM/WEB)
_ Building Division
Development Code Provision Review
T[GARD Commercial Projects - No Associated Land Use Case
Buildin g Permit No: 44P7M � *Expedited Review
Plan Submittal Date: .74
To the Applicant:
/ -S #4/ / c -
➢ 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. 4tigard
Planning Review (contact .. / at 503 - 718 -.✓?Y Y,,// � or )
E Zoning Permitted Use Yes UK No ❑
B Land Use Required: Yes ❑ No (explain below)
Notes: / 10 dt4410, ( ,4e- e l/1/9 /49)& G
Approved ❑ Not Approved Date: 5 42'0 /
Permit Coordinator Rew (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
-.I
MINIM
•
Routed back to Building Division Date:
I:\CUEPi N
B uilding Division
Over - The - Counter (OTC) Building Permit
TIGARD Check List
Project Description: f t
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: i■ Occupancy Group: Tpe of Construction:
*T A. a of Use: t ___ Occu . an ' Load: Ore. • • S • - vial Code: _
SPECIFICS -
Number of Stories: Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT - SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport: Mezzanine:
SETBACKS
Sideyard Setback — Left Sideyard Setback — Front
Sideyard Setback — Right Sideyard Setback — Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access. Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: Y V 0 Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ 7r), FEES DUE
$ bA r DC Prov Rvw, COM TI — Ping
$ DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ 41.5 Fee — Add, Alt, Demo
Project Valuation Planning LRP $ > , 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ r' Plan Review, Structural
$5,000 - $74,999 $64.00 $9.00 $ `�j �' 12.Plan Review, Fire Life Safety
$75,000 - $149,999 $160.00 $24.00 $ rf Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $256.00 $38.00 $ Info Proc /Arch, Sm (up to 11x17 $0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
Planning Staff: $ Hourly Rate State Surcharge
$ Misc. Admin Fee
Permit Coordinator: $ Other:
$ Other:
Building Staff: $ Other:
Date /Time: $ l 70 TOTAL FEES DUE
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies);
REP = repair.
I: \Building \Forms \OTC - BUP.docx 01/13/2011