Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BU P2011-00095
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/11/2011
Parcel: 25101 DC00200
Jurisdiction: Tigard
Site address: 13535 SW 72ND AVE 200
Project: Optilink Subdivision: 72ND AVE OFFICE BUILDING Lot:
Project Description: TI
Contractor: PACIFIC CREST STRUCTURES INC Owner: PNWP LLC #2
17750 SW UPPER BOONES FERRY RD SUITE BY PACIFIC NW PROP LTD PTNSP
190 PO BOX 2206
DURHAM, OR 97224 BEAVERTON, OR 97075
PHONE: 503 - 968 -8949 PHONE:
FAX: 503 - 598 -6658
FEES
Specifics:, Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 05/11/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 05/11/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 05/11/2011 $767.10
Stories: 0 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 05/11/2011 $92.05
Value: $55,000 Plan Review 05/11/2011 $498.62
Plan Review - Fire Life Safety 05/11/2011 $306.84
Info Process /Archiving - Lg Sheet (over 05/11/2011 $6.00
Floor Areas: 11x17)
Info Process /Archiving - Sm Sheet (up to 05/11/2011 $5.00
Total Area: 0 11x17)
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,748.61
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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 Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952 - 001 -0090. You may obtai oft .uestions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Per • ttee Signature:
LL.c/ - I • -r 5 by 7:00 a.m. for the next available inspection 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 8,,)4C) FOR OFFICE USE ONLY
IN City of Tigard %\\ Received Date/B : , '�® Permit No.. S / /1-- ,5
° • 13125 SW Hall Blvd., Tigard, OR 1 Plan Review �`1�®
• -
Phone: 503.718.2439 Fax: 503. 8.1960 y 1 �� ` 9 Date /B : y��d��� Other Permit:
TIGARD. Inspection Line: 503.639.4175 ° G fl� $ \O\ Date Ready :y. -- t � u . ns � : -� r ® See Page 2 for
Internet: www.tigard- or.gov 0, ..0% ,� Notified /Method: ' fff- L Supplemental Information
Is 'e'
TYPE OF W t, ` REQUIRED DATA: 1- AND 2- FAMILY DWELLING
e
❑ 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: 13535 SW 72 Avenue New dwelling area: square feet
City/State /ZIP: Tigard, Oregon 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 200 Project name: Reduction of Suite 200 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 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.
Demo of existing walls, doors, relites and installation of new walls, doors, Valuation: $$55,000.00
relites, cabinetry and plumbing Existing building area: 46190 square feet
New building area: NA square feet
® PROPERTY OWNER ( ❑ TENANT Number of stories: 2
Name: Pacific NW Properties Type of construction: H -B
Address: 6600 SW 105 Ave Occupancy groups:
City/State /ZIP: Beaverton. Oregon 97005 Existing: B
Phone: ( ) Fax: ( ) New: B
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: Mildren Design Group PC (Please refer mleeschedule)
Structural plan review fee (or deposit):
Contact name: Curt Trolan
FLS plan review fee (if applicable):
Address: 7650 SW Beveland Street, Suite 120
Total fees due upon application: ) 7 L f' 8 ' ( 'p /
City/State /ZIP: Tigard, Oregon 97223 / ///
Phone: (503) 244 -0552 Fax: : (503) 244-0417
Amount received:
E -mail: curt @mdgpc.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: Pacific Crest Structures Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 17750 SW Upper Boones Ferry Road, Suite 190 Solar Installation Specialty Code checklist.
Ci /State /ZIP: Tigard, Oregon 97224 Permit fee (includes plan review
g
g and administrative fees): $180.00
Phone: (503) 968 -8949 Fax: (503) 598 -6658
State surcharge (12% of permit fee): $21.60
CCB lic.: 66915
d Total fee due upon application: $201.60
This p Authorized signature: G ��� permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Curt Trolan Date: 9 May 2011 * Fee methodology set by Tri- County Building Industry
Service Board.
1: \Building\Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11/02/COM /WEB)
Il
Building Division
Over -The- Counter (OTC) Building Permit
TIGARD
Check List
Project Description: —fl
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: &L_T Occupancy Group: Type of Construction: 2
*Type of Use: ‘,.:074` Occupancy Load: Oregon Specialty Code: 2.4 ((Th
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: r. Fire Alarms: ( Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ / J Cop FEES DUE
$ DCProvRvw,COMTI — Ping
$ ,07) DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ _...; Permit Fee — Add, Alt, Demo
s
Project Valuation Planning LRP $ _,(j 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ Ai , ,L Plan Review, Structural
$5,000 - $74,999 $64.00 $9.00 $ 7 ! ta Plan Review, Fire Life Safety
$75,000 - $149,999 $160.00 $24.00 $ ',.(e Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $256.00 $38.00 $ ' Cr) 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: $ - r i kb o f OTAL 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;
END = 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
Ill
Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: i'IPAd /I — 6C-U Ei 1✓xpedited Review
Plan Submittal Date: - / / / //f
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 503-718-2 u or A @ tigard or.gov)
Zoning C P Permitted Use Yes No ❑
Land Use Required: Yes ❑ No lIK (explain below)
Notes:
f '�' " / ` e ��
,� ��.�llo �'I /� (� G D�
/Approved ❑ Not Approved Date: ` /''
4,
Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard- or.gov)
Notes: ' r
I
1
Routed back to Building Division Date:
I: \CURPLN