Permit CITY OF TIGARD BUILDING PERMIT
• COMMUNITY DEVELOPMENT Permit #: BUP2011 -00089
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/29/2011
Parcel: 1 S136CD00401
Jurisdiction: TIGARD
Site address: 8020 SW PFAFFLE ST
Project: H & S Holdings Subdivision: CITY BIBLE CHURCH Lot:
Project Description: TI
Contractor: PHAIR CONSTRUCTION COMPANY Owner: PFAFFLE OFFICE, LLC
18955 BRYANT RD PCCC LLC
LAKE OSWEGO, OR 97034 915 NW TORREYVIEW LN
PORTLAND, OR 97228
PHONE: 503 - 572 -8606 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 04/29/2011 $256.00
Class of Work: ALT DC Provision Review, COM TI - LRP 04/29/2011 $38.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 04/29/2011 $1,770.35
Stories: 0 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 04/29/2011 $212.44
Value: $210,000 Plan Review 04/29/2011 $1,150.73
Plan Review - Fire Life Safety 04/29/2011 $708.14
Info Process /Archiving - Lg Sheet (over 04/29/2011 $16.00
Floor Areas: 11x17)
Metro Const. Excise Tax - Commercial 04/29/2011 $252.00
Total Area: 0 Use
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,403.66
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: No 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. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Not 'cation Center. Those rules 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 callin, 43.232.1987 or 1.800.332.2344.
Issued B Permittee Signature: A AM A
1
Ca 5 by 7:00 a.m. for the next available inspectio date.
This permit card shall be kept in a conspicuous place on the job site until completion • f the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application.
e CEIVE®
Commercial FOR OFFICE USE ONLY
APR 2 9 2011 Received
City of Tigard Daten3 4 ita� /n Permit No.: i� / ,' .., v
13125 SW Hall Blvd., Tigard, O' t • O F TIGARD Plan Revi L / ` 1 � Other Permit:
Phone: 503.718.2439 Fax: 5; ` DateB • aWi
TIGARD Inspection Line: 503.639.4175 • L
' G DIVISION Date Re."" Juris: Ell See Page 2 for
Internet: www.tigard - or.gov Notified/Method: 7�4 Supplemental Information
TYPE OF WORK REQUIRED DATA: I- 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
❑ Addition /alteration /replacement JKOther. Tet - Sw1 t r le(M?. $ equipment, materials, labor, overhead, an. the profit for the
CATEGORY OF CONSTRLCTION work indicated on this application.
❑ 1- and 2- family dwelling ;Commercial/industrial
Valuation: $
El Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathroo , :
JOB SITE INFORMATION AND LOCATION Total number o oors:
Job site address: 2o New dwell' - : area: square feet
City/State /ZIP: 't ( op_ Garage arport area: square feet
Suite/bldg. /apt. no.: Project name: Co z 0 -- ` J - red porch area: square feet
Cross street/directions to job site: . ,4- ,S 1 -i t wy 5 seek area: square feet
Other structure area: square feet
REQUIRED DATA: COMMI:RCLUI L CHL(:KLIS'I 1
Subdivision: Lot no.$� / / 4o0 Permit fees* are based on the value of the work performed.
Tax map /parcel no : I r 1 '! (, G D /062- 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.
2 ai C¢-_ 0 / N !mot! /7/01 - - 577 1 ' Valuation: . $
210, Q��
t r o L 1 ✓ l . ol�"Ie-f 117 d tAe-- — S- . .area: 2 50 5 square feet >O)ry$s '5 t • ' �! area: 2 t 247 square feet %Mier l
d l t£1 r ❑ TENANT Number of stories: /
Name: , 5 � � �(N Type of construction: V -
Address: - c0 e- O . O II S # /04 Occupancy groups:
City/State /ZIP: 1'.4 t� e� 7 7 2
� 5 Existing:
Phone: ( ) Fax: ( )
Nee ■■
APPLICANT' ❑ CONTACT PERSON
- --
L BUILDING PERMIT FEES*
Business name: .� I Zed c 1 e4 . • •a r 1 - .• tom- ` -
(Please refer to fee schedule}
(J Wt FCG Structural plan review fee (or d eposit): I I
L
Contact name: < a I l 7— .. 4.1 t p 1avmI e 1
FLS plan review fee (if applicable):
Address:
O 2 ` �tW! t�l/LJ Total fees due upon application:
City/State /ZIP: FrA -tz„ lc i t OP- ° I - 22 I 4-
Phone: (c 2 3 5 - Q 6. oo Fax: ( '- I// 4 ' 0 / Amount received:
PHOTOVOL:TAICSOLAR PA \EL SYS1E\1 FEES*
E- mail: }} Y
2 n e,ekti - Zecl dal wl Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: P A a(r. ppe,ta 1 Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: ‘S / Solar Installation Specialty Code checklist.
City/State /ZIP: Z-e, L OS o O 're ?l J Permit fee (includes plan review $180.00
Phone: (5105 .7 2, • e(0, , Fax: ( ) / and administrative fees):
4 State surcharge (12% of permit fee): $21.60
CCB lie.: 1 2_. o 7 D /ly / t
I Total fee due upon application: $201.60
Authorized signature: 1 1 This permit application expires if a permit is not obtained
111 1 . within 180 days after it has been accepted as complete.
Print name: ait MI I t Date:4 / ( * Fee methodology set by fri- County Building Industr)
/ 1 Service Board.
I: \Building\Permits \BUP -COM PermitApp.doc 02/24/2011 440 4613T(11/02 /COM/WEB)
Il "
l Building Division
Development Code Provision Review
T I G A R D Commercial Projects - No Associated Land Use Case
Building Permit No: tif1C) / /- -cx�8 ted Review
Plan Submittal Date: L i r9 /// 707
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 / if approved.
Planning Review (contact J 0 A n Fled at 503-718-0 or J 1m (1 @tigard - or.gov)
[ Zoning L P Permitted Use Yes I I ' No ❑
Ltd Land Use Required: Yes ❑ No V (explain below)
Notes: ar..Sdek ( J6rvi((!,f
L4' Approved ❑ Not Approved Date: 4 a9' /(
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN
Debbie Adamski
From: Albert Shields
Sent: Friday, April 29, 2011 9:37 AM
To: Dan Nelson; Debbie Adamski
Cc: John Floyd
Subject: Pacific Crossroads Building A, BUP2008 -00056 & OTC
Vis a vis today's OTC for the TI build -out, this confirms that:
1. $21,168 in TIF for a general office building was paid 6/30/08. No additional TIF is due unless the use is changed.
2. No Parks SDC will be due: credit for 2 SFRs exceeds charge for 5,041 sq ft office building.
Albert.
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may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E -mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule."
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