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Permit
„ CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit #: BUP2011 -00087 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/29/2011 Parcel: 2S113AD01700 Jurisdiction: Tigard Site address: 16850 SW 72ND AVE Project: Bridal Exclusive Subdivision: ROSEWOOD ACRE TRACTS Lot: 30 Project Description: TI Contractor: OWNER Owner: BRIDGEPORT LAND LLC 3939 NW ST HELENS RD PORTLAND, OR 97210 PHONE: PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM DC Provision Review, COM TI - Ping 04/29/2011 $64.00 Class of Work: ALT DC Provision Review, COM TI - LRP 04/29/2011 $9.00 Dwelling Units: 0 Permit Fee - Additions, Alterations, 04/29/2011 $652.31 Stories: 1 Height: 0 ft Demolition Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 04/29/2011 $78.28 Value: $42,500 Plan Review 04/28/2011 $424.00 Plan Review - Fire Life Safety 04/28/2011 $260.92 Info Process /Archiving - Lg Sheet (over 04/29/2011 $8.00 Floor Areas: 11x17) Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,496.51 Required: Required Items and Reports (Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Yes Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 0 This per ' is issue. • •'ect to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will bed a in accordance wit -ppro - • • -ns. •is permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 da . ATTENTION: Oregon I. requires ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9 2- 001 -0010 through OAR 95 /01-0090. •u ma obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / I ued By: ` Permittee Signature: r „L Call 503.639.4175 by 7:00 a.m. for the next available inspec on date. This permit card shall be kept in a conspicuous place on the job site until completion o e project. Approved plans are required on the job site at the time of each inspection. Building Permit Application r , Commercial FOR OFFICE USE ONLY Cl of Tigard RECEI\IED R eceived T� Ill `J DateB : ' l ii r 1a a 13125 SW Hall Blvd., Tigard, OR 9 i t ,, Plan Re : �>! I • Phone: 503.718.2439 Fax: 503.5' : ' 1 2 8 2011 Dates 'e , 1 Other Permit: 71 G n R n Inspection Line: 503.639.4175 Date Rea "r " . - ® See Page 2 for Internet: www.tigard - or.gov CITY ©F° TIGA D Notified/Method: NMI Supplemental Information rt't' -- a . $ 41'ORIt i� t aI a Ili ❑ 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the f "" work indicated on this application. '' .... F; ' ',1 C )' C O: S7Rt'C " IION . ❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $ ❑ Accessory building CI Multi-family Number of bedrooms: II] M ?aster builder ❑ Other: Number of bathrooms: JOB SITE INF OR\LCI ION AND LOCATION Total number of floors: Job site address: 16850 SW 72 " Ave New dwelling area: square feet City/State /ZIP: Tigard, OR 97224 Garage/carport area: square feet Suite/bldg. /apt. no.: Project name: Bridal Exclusive Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DA'i : COMINIERC:1,1L-I SE ClIECkLlsT 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 work indicated on this application. Demolition of exsiting tenant space Valuation: $$42,500.00 New interior buildout Existing building area: 49120 square feet — New building area: 0 square feet ®e t t :F -'.� c..., , ! j P" �� ,..> Number of stories: 1 Name: Hamilton Properties Type of construction: 3 -B Address: 3939 NW St. Helens Rd Occupancy groups: City/State/ZIP: 97210 Existing: M Phone: (503)224 -2676 Fax: ( ) New: M Business name: Group Mackenzie Structural plan review fee (or deposit): Contact name: Adam Solomonson FLS plan review fee (if applicable): Address: 1515 SE Water Ave. City/State/ZIP: Portland, OR 97214 Total fees due upon application: Phone: (503) 224 -9560 Fax: : (503) 228 -1285 Amount received: E -mail: ajs @grpmack.com 1;'.4W,. t # - t . k e t ,.; ,h r Commercial and residential prescriptive installation of : roof -top mounted Photovoltaic Solar Panel System. Business name: 40 ,,V �� Submit two (2) sets of roof plan with connection details 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.: � Total fee due upon application: $201.60 Authorized signature:1p This permit application expires if a permit is not obtained l� within 180 days after it has been accepted as complete. /... Print name: Azor..1 G- i� �g� � , / f 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 I G A R D Commercial Projects - No Associated Land Use Case Building Permit No: P Odd r - (x'f g 7 I Expedited Review Plan Submittal Date: f �A' / J� 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 at 503 -718- 21' 3 k or J o i, @tigard - or.gov) ❑ Zoning C -CT Permitted Use Yes l No ❑ ❑ Land Use Required: Yes ❑ No (explain below) Notes: � I r,t, 0 ^1. - \ w� f it' @ Approved ❑ Not Approved Date: '7 ` t " ( ( Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov) Notes: Routed back to Building Division Date: I: \CURPLN