Permit W CITY OF TIGARD BUILDING PERMIT
11 1 3 COMMUNITY DEVELOPMENT Permit #: BUP2011 -00074
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/12/2011
Parcel: 2S110DCO2300
Jurisdiction: Tigard
Site address: 11535 SW DURHAM RD C -2
Project: Edward Jones Subdivision: Lot: 0
Project Description: TI
Contractor: TOP DRAWER DEVELOPMENT Owner: HIP WILLOWBROOK LLC
24400 SW BAKER ROAD BY TAX DEPARTMENT
SHERWOOD, OR 97140 PO BOX 2708
PORTLAND, OR 97208
PHONE: 971 - 404 -8798 PHONE:
FAX: 503 - 625 -0821
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 04/12/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 04/12/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 04/12/2011 $271.43
Stories: 0 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 04/12/2011 $32.57
Value: $12,870 Plan Review 04/12/2011 $176.43
Plan Review - Fire Life Safety 04/12/2011 $108.57
Info Process /Archiving - Sm Sheet (up to 04/12/2011 $2.50
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $664.50
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: No Protected Corridors:
Smoke Detectors: No 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. A - e • Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules ar- set forth in OAR
952 -• • 1 -0010 through O' - 952 -• • -0090. You may obtain a copy of the rules or direct questions to OUNC by calling %I .232.19877 or 1.800.332.2344.,
t
Issued By: ` 0 / ,C iil. :4 ' Permittee Signature: el '' `f&W • r
Call 503.639.4175 by 7:00 a.m. for the next available inspection date. raw
This permit card shall be kept in a conspicuous place on the job site until completion of the p •tect.
Approved plans are required on the job site at the time of each inspection.
1
Building Permit Application
Commercial RECE IVE FOR OFFICE USE ONLY
[ ,�
City of Tigard APR Date/By: 7 / � t/ Permit No.: , �,l`/�� 7,
ill g " 13125 SW Hall Blvd., Tigard, OR 97223 t l 2 ZQ 17 1 1 ' e ceived Plan Review Other Permit: /
Phone: 503.7 Fax: 503.598.1960 /� T �
Date/By:
T I GARD Inspection Line: 503.639.4175 CI 1 i OF TI ' •� Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard- or.gov
BUILDING DIVISION Notified/Method: Supplemental Information
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
j• Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1- 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: 115a05 05 . 1/1 OV f tri at•VV1 , U i i-e i✓Z New dwelling area: square feet
City/State /ZIP: 1`15/1/(2 I v I, 1'2_ `41 4 Garage /carport area: square feet
Suite/bldg. /apt. no.: 6-2, Project name: EDWnQrj ",v E s Covered porch area: square feet
Cross street/directions to job sie: 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 WO work indicated on this application. �y /�+ p
PA i ? T 1 Do-if tU4 LL_ 1- o /'"IIf =_ pe Valuation: $ 1 1 b� — I t
Existing building area: I 0 square feet
New building area: s
g � uare feet q
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction: Merl/ FQ.AN`F/
Address: Occupancy groups: N 0 G ttANtre
City/State/ZIP: Existing:
g
Phone: ( ) Fax: ( )
New:
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: . im. - - i( (�eve..1C p ew�� (Please refertod le)
I deposit):
Contact name: a,wva! k s
Structural plan review fee (or
Address: 2,1410 Q C� (,U `" 'J FLS plan review fee (if applicable):
City/State /ZIP: Sverw i / [7 1 z on, I Total fees due upon application:
Phone: (q, l ) Lip L i 13. c b Fax: : (V5 ( , D g,-2___ Amount received:
Q PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
7 - 4 1 E - m a i l : - 4 1 MA_ , /- pPLA1,S' L . l F101 2 , (-evil Commercial and residential prescriptive installation of
CONTRACTOR . roof -top mounted Photo Voltaic Solar Panel System.
Business name: 4 ' Submit two (2) sets of roof plan with connection details
/ I I , i / and fire department access, along with the 2010 Oregon
Address: �: 1 Solar Installation Specialty Code checklist.
City/State/ZIP: J v Ct/ Permit fee (includes plan review $180.00
1 and administrative fees):
Phone: ( ) Fax: ( )
State surcharge (12% of permit fee): $21.60
CCB lic.: f q Z
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
,•1_:� - /r■■711. within 180 days after it has been accepted as complete.
Print name: �W t 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)
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1 111
Building Division
Development Code Provision Review
T I G A R D Commercial Projects - No Associated Land Use Case
Building Permit No: eti/9O N- '1O 7g Expedited Review
Plan Submittal Date:
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 only i • approved.
Planning Review (contact at 503 - 718 -oN40 or ' 4 @ tigard- or.gov)
19 Permitted Use Yes No ❑
Land Use Required: Yes ❑ No E3 (explain below)
Notes: Lj �; k 11 P7 pV-144/1 ' a,"( / ° a 77.?4,, i ; Lf2 �'� •
Approved ❑ Not Approved Date: 1 /(/' 7 11
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert@tigard-or.gov)
Notes: A
rs
Routed back to Building Division Date:
I: \CURPLN