Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2011 -00101
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/19/2011
Parcel: 2S101DC04601
Jurisdiction: Tigard
Site address: 7409 SW TECH CENTER DR 100
Project: Solutions Yes Subdivision: TECH CENTER BUSINESS PARK Lot: 2
Project Description: TI
Contractor: SUMMIT CONSTRUCTION Owner: NORRIS & STEVENS
PO BOX 10345 621 SW MORRISON
PORTLAND, OR 97296 PORTLAND, OR 97205
PHONE: 503 - 223 -9703 PHONE: 503 - 223 -3171
FAX: 503 - 242 -3841
FEES
Specifics:
Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 05/19/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 05/19/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 05/19/2011 $707.41
Stories: 0 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 05/19/2011 $84.89
Value: $48,000 Plan Review 05/19/2011 $459.82
Plan Review - Fire Life Safety 05/19/2011 $282.96
Info Process /Archiving - Lg Sheet (over 05/19/2011 $6.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,614.08
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
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 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 obtain • • • - • - .les or direct questions to OUNC by c- I • 503.232.1987 or 1.800.332.2344.
Issued By 1t / ermi' ee ignature: It L .
Call - 0 s�' 7 5 by 7:00 a.m. for the next available inspecti 1 • :t:.
This permit card shall be kept in a conspicuous place on the job site until completion of I ••ect.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
.OI11I11ercial ' ,FOR OFFICE USE ONL " . " Received
City of Tigard Date /B 5� gt Permit No : to 1--(
'" 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review �r�j � �
Phone: 503.718.2439 Fax: 503.598.1960 DateB ` Other Permit
T IGAIRD Inspection Line: 503.639.4175 �� Date dy '.y. ions 0 See Page 2 for
Internet: www.tigard- or.gov R h Note Rea Rea Method: Supplemental Informatio❑
TYPE OF WOR A` REQUIRED DATA: 1- AND 2- FAMILY DWELLING
['New construction ❑ Demolition C, � Permit lees* are based on the value of the work performed.
l, A(, G �1 Indicate the value (rounded to the nearest dollar) of all
Addition /alteration /re p lacement ❑ Other: N� equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCT, \\' work indicated on this application.
Valuation: S 1 8
Ill 1 -and 2- family dwelling ❑ Commercial /industrial
❑ 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: 7201 G:,`t(/ T I � ' n - '� I � New dwelling area: square feet
City /State /ZIP: ��� i 9 \ `� Garage /carport area: square feet
*Sr dg. /apt. no.: •dp Project name: „40 ja a . _ w _ 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.
Indicate the value ( rotnded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
Existing building area square feet
New building area: square feet
X OWNER 1 0 TENANT Number of stories:
Name: % ! Type of construction:
Address: 6O 1 it■LI4e2gOiSOkl Occupancy groups:
City /State /ZIP: Mk /IAA � 20 Existing:
Phone: 503 •22.:3 , l� Fax: ( . New:
APPLICANT .v ' ' . ❑' CONTACT 'PERSON BUII DING PERMIT.FFES*
Business name: (Please refer to f ee schedule) ;
� -,-,- >• "��° ilZ�ia" �_ �■ �r_ Structural plan review fee (or deposit):
Contact name: /w13/�
V ` FLS plan review fee (if applicable):
Address: f O . `IO .. 1 ! —
City /State /ZIP: " rA.L,,_. Da Total fees due upon application:
Phone:933l 97i.I Fax:: ( 7�,� Amount received:
f 1 / PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E -mail:
Commercial and residential prescriptive installation of
'�' • CON712AC`I'OR _ roof -top mounted PhotoVoltaic Solar Panel System.
�
Business name: <� tIM f ��- +V juls� -r' �V=im+ ,��� Submit two (2) sets of roof plan with connection details
ra-+= and fire department access, along with the 2010 Oregon
Address: • , O s Bnx A:2_515 Solar Installation Specialty Code checklist.
f/ i q ��f� $180.00
cl/„ Permit fee (includes plan review
City/State /ZIP: "
�� -�, 1 ! C� and administrative fees :
Phone: `i ' . 1 Fax: al / . iig, 1 I State surcharge (12% of permit fee): $21.60
CCB lie.: / ��7 /
1O/�— Total fee due upon application: $201.60
Authorized signature: ! r ` f ' This permit application expires if a permit is not obtained
( A; � I i r, ' • within 180 days after it has been accepted as complete.
Print name: p Date: * Fee methodology set by 'Fri- County Building Industry
VII Service Board.
1. \ Building \ Permits \B UP -COM PermitApp.doc 02/24/2011 440- 46131(11/02/COM /WEB)
4 " Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: e 11-00 (01 Expedited Review
Plan Submittal Date: 51/1//
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 ' d4 4 / 4i at 503-718-°'o or jo 4 @ tigard- or.gov)
❑ Zoning Z- / Permitted Use Yes El No ❑
❑ Land Use Required: Yes ❑ No Er (explain below)
Notes: Aid 044.1 /_l UIG •
E Approved ❑ Not Approved Date:
Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard - or.gov)
Notes:
Routed back to Building Division Date:
L \CURPLN
Building Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List
Project Description: '( (
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: Occu.anc Grou.: 'owmii Type of Construction: r
*Type of Use: r l(f� Occupancy Load: a - Oregon Specialty Code: ()
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: Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ FEES DUE
$ i , Q(:) DC Prov Rvw, COM TI — Ping
$ s , iF DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ , .` Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ OW 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ dip Plan Review, Structural
$5,000 - $74,999 $64.00 $9.00 $ Plan Review, Fire Life Safety
$75,000 - $149,999 $160.00 $24.00 $ (. , CO, Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $256.00 $38.00 $ 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: $ (NG (4,08 TOTAL 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;
FND = 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