Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2011 -00075
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/03/2011
Parcel: 2S112AA00300
Jurisdiction: Tigard
Site address: 14200 SW 72ND AVE
Project: Gerber Blades Subdivision: NELSON BUSINESS CENTER Lot: 0
Project Description: Install nitrogen tank on existing pad and install (7) protective bollards.
Contractor: AIRGAS NOR PAC INC Owner: GERBER LEGENDARY BLADES
11900 NE 95TH ST STE 400 14200 SW 72ND AVE
VANCOUVER, WA 98685 PORTLAND, OR 97223
PHONE: 360- 944 -4000 PHONE: 503 - 403 -1272
FAX:
FEES
Specifics:
Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 05/03/2011 $225.80
Class of Work: ALT Demolition
Dwelling Units: 0 Plan Review 04/15/2011 $146.77
Stories: 0 Height: 0 ft Plan Review - Fire Life Safety 04/15/2011 $90.32
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 05/03/2011 $27.10
Value: $10,000 Info Process /Archiving - Sm Sheet (up to 05/03/2011 $11.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $501.49
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet: 1 Bolts in Concrete
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 and at other applicable law. At work will
be done in rant.- 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. ENTION: Oreg• law re. - s you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 1 -0010 through OAR 952 • • 8090. Yo 'ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332. 4.
Is ued By: , Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available in pection date.
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 FOR OFFICE USE ONLY
Received Permit No .: / / /
lig City of Tigard �/� 1 Date iv : m _ , , - GIQp7S
• 13125 SW Hall Blvd., Tigard, OR 97224 P R 1 5 2 011 Plan Review,,
Phone: 503.718.2439 Fax: 503.598.1960 Dag : I ! '" Other Permit:
T 1 G n R t> Inspection Line: 503.639 CITY OF TIGA'l d ea. y/ : y: furls: RI See Page 2 for
Internet: www.tigard- or.gov Noti6 .Al t ho d: �9 //_ , Supplemental Information
RI )tI � IP f Plfl, r'
TYPE OF WORK / ' ari UIRED 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
® 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 ® 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: j i-/ laO S j,,/ 72 ^� AVC.. New dwelling area: square feet
City/State/ZIP: Po A2 i OIL ( r - nig - U Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: i,e, kiirc Tc.wttL 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: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 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.
k K Valuation: $ / 0 (900
Tif,s►� oac ( t) 3,0005r,i, buit� J.) ;r - rose" deter o exrsf/i —
4-ctvA- PaA av�L Seveh ( - 7) Pry i-i /G b��+1ta S Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: C- eirk,er Les e,,Q.o `gi. e s Type of construction:
Address: I L( 2.00 C '? 2:-...1-- z ,vt.. Occupancy groups:
City/ State/ZIP: 1portut ^_ / 011 q.)9.9)-/ Existing:
Phone: (503) L-( j - 12_,--, 2_. Fax: ( ) New:
IR APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: 5*; L (..p j � o.,,
(Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name:
y\ 145 ktNCO 1 FLS plan review fee (if applicable):
Address: C ) -22 SE tiJp05,{v,.-t- 'alv .
City/ State/ZIP: � j-k c.. (9►2 e) 2 b b Total fees due upon application:
Amount received: 6a 37 . v?
Phone: ( 5 0 3 ) ` 1 ") - C b a b Fax:: (5�3) `771 - 1 � )
E -mail: �Cvvro+, Q- Ste; ��� C0� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation o
roof -top 1 stinted PhotoVoltaic Solar Panel Sys .
k , p t Submit two ets of roof plan with co I = on details
Business name: t r kc, !
5 and fire departm - cess, along - to a 2010 Oregon
Address: IlCOO !Jt_ Cs- %9 Si- Solar Installation Speci' • C• , checklist.
City/ State /ZIP: \j aye rvs l l' (, f 4 q i-h� s- Permit fee (inclus p view $180.00
i and s' 'strative =• :
Phone: (3(,0) q t,(y _ y e0 I Fax: ( ) States .- .: le (12% of permit fee): ` $21.60
CCB lic.: 1/0 ?s-sOC'1 Total fee due upon application: $201.60
Authorized signature: � _ This permit application expires
within 80 days after it hasbeen accepted as complete.
Print name: t r k1/440 Date: y / ,J / — /, * 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)
"1 _ '' Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: Pt), P o 11 - OCt ? s ❑ Expedited Review
Plan Submittal Date: 'i /i i '/i
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 . o ly iif approved.
Planing Review (contact ' at 503 - 718 - .. `/ or & - @ tigard- or.gov)
id Zoning ,_.+- 44 Permitted Use Yes C9" No ❑
Land Use Required: Yes ❑ No V (explain below
q ( p below)
Notes: 1 k l< d► 07 kW / 71 - --el-e4-44/4 —
J
I Approved ❑ Not Approved Date: 4 0 f /
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
0 .4 0 \ -- --
Routed back to Building Division Date:
I: \CURPLN