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Permit
• 14 CITY OF TIGARD BUILDING PERMIT ' .- ;.,.= = COMMUNITY DEVELOPMENT Permit #: BUP2011 -00145 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/06/2011 Parcel: 25101 AD03100 Jurisdiction: Tigard Site address: 6950 SW HAMPTON ST 340 Project: Energy Connect Subdivision: Lot: Project Description: TI Contractor: OWNER Owner: WESTON INVESTMENT CO 2154 NE BROADWAY . PORTLAND, OR 97232 PHONE: PHONE: 503 - 284 -2147 FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee - Additions, Alterations, 07/06/2011 $393.11 Class of Work: ALT Demolition Dwelling Units: 0 12% State Surcharge - Building 07/06/2011 $47.17 Stories: 3 Height: 0 ft Plan Review 07/06/2011 $255.52 Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 07/06/2011 $157.24 Value: $21,000 Info Process /Archiving - Lg Sheet (over 07/06/2011 $6.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $859.04 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 d s!ATTENTI•'. • egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 52- 001 -0010 through OA • 2 -00 :498 • u may obtain a copy of the rules or direct questions to OUNC by calling 503,232.1987 or 1.800.332.2344. sued By: /40 I Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available inspection ate. 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. fr ' Building Permit Application Commercial . FOR OFFICE USE ONLY City of Tigard Received 7 r ..102 P erm it • No. ' 13125 SW Hall Blvd., Tigard, OR 972 :_ d Plan Review 7 Phone: 503.718.2439 Fax: . 6 � DateB : /.C IFKAHO Other Permit: TI GAItD Inspection Line: 503.639.4175 ,'� Date Ready :: luris: El See Page 2 for Internet: www.tigard or.gov V t o Notified/Method: Supplemental Information TYPE OF WORK � �\ \O t REQUIRED DATA: 1- AND 2- FAMILY"DWELLING ❑ New construction b]Ort" ` Permit fees* are based on the value of the work performed. � ' Indicate the value (roatded to the nearest dollar) of all Addition/alteration/replacement Tether: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling F 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: 050 61(..1 /46 1 ,i r s--- New dwelling area: square feet City /State /ZIP: � ` , ) v 4 Garage /carport area: square feet Suite/bldg./apt. no.: 34/ cj Project name: E rne r &W Covered porch area square feet Cross street/directions to job site: Ni ), S J 7,2 ^- 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 (roulded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. 50'Nai 1 'FT. Valuation: $ a I 000. Existing building area 352 Li square feet New building area: 3 52 Li square feet PROPERTY OWNER � ❑ TENANT Number of stories: 3 ` Name: Wei nt 1 N vies 4_,, �I 1l Type of construction: — 6 Address: ?) 5t/ Ai 6 groael Occupancy groups: City /State /ZIP: P f (ai , V ) 97? 3 2- Existing: U Phone: ( t53) 2Y,t(_ ,?/ y 7 Fax: ( ) New: I (t APPLICANT 121 CONTACT PERSON BUILDING`PERMIT Ante (Please refer to fee schedule) Business name: f�YHe 2 Fv - + PyVo- ' 4. ii..,Py,4 Structural plan review fee (or deposit): Contact name: 111614c C )O 1 Address: 0 2 5i o N 6 Al 117's<0,1-- FLS plan review fee (if applicable): City /State /ZIP: 1 d ) c) 4 q 7Z 3 Z Total fees due upon application: I or a,� Phone: (5�) no 5 _ 3 027 Fax: : ( 503) 2eL7 _ /66 Amount received: PHOTOVOLTAIC SOLAR PANEL-SYSTEM FEES* E -mail: (k e Qp/n p 4 Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Business name: -, r, ✓l Ceti N • ' _ Submit two (2) sets of roof plan with connection details and fire department access, along with the 2010 Oregon Address: 0 29 0 �_ _. -- I ©L D e17 Solar Installation Specialty Code checklist. City/State /ZIP: tr'.1- . r / 9 7132 Permit fee (includes plan review $180.00 and administrative fees): Phone: (' )3) -' _ t /3 3 • (53) .28 / 7 State surcharge (12% of permit fee): $21.60 CCB lie.: ( (:. 4_ ..�j�� ' p��"" Total fee due upon application: $201.60 Authorized signature: ' " 7t _ i- 1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 4, Y lC GL4 I f Date: 7/49/ 1 / * Fee methodology set by Tri- County Building Industry Service Board. I:\Building \Permits\BUP -COM PermitApp.doc 02/24/201 I 440- 4613T(11/02 /COM/WEB) 11 " Building Division Accessibility: Barrier Removal Improvement Plan TIGARD REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation, alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per -cent (25 %). VALUATION: Total of all renovation, alteration or modification being done, excluding painting and wallpapering: [1] $ MULTIPLIER (25% barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ (b) An accessible entrance: $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for each sex or a single unisex restroom: $ (e) Accessible telephones: $ (0 Accessible drinking fountains: and, $ (g) When possible, additional accessible elements such as storage and alarms: $ TOTAL (shall equal line [2] of Valuation Computation): $ • 1: \Buil ding \ Permits \BUP -COM PermitApp.doc 03/03/2011 lir Building Division Over- The - Counter (OTC) Building Permit TIGARD Check List Project Description: l APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION *Class of Work: k-i— Occupancy Group: Type of Construction: 2.-1;3 *Type of Use: eCi'f,(,t Occupancy Load: Oregon Specialty Code: 2.4,:n(Q 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: Cr ' > Fire Alarms Smoke Detectors: Parapet: Manual Pull Stations: Protected Corridors: Total Project Valuation: $ Z- OCCO FEES DUE $ ,& DC Prov Rvw, COM TI - Ping $ , &� DCProvRvw,COMTI -LRP DC Provision Review Fee for COM TI $ �j , ( � Permit Fee - Add, Alt, Demo Project Valuation Planning LRP $ 7 7 12% State Surcharge Up to $4,999 $0.00 $0.00 $ : d-- ZPlan Review, Structural $5,000 - $74,999 $64.00 $9.00 $ i 57. Plan Review, Fire Life Safety $75,000 - $149,999 $160.00 $24.00 $ -gl 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: $ e l%52, , 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 Il Building Division Development Code Provision Review T[GARD Commercial Projects - No Associated Land Use Case Building Permit No: / r Coil - 60/ ` ❑ Expedited Review Plan Submittal Date: 7 /41st 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. 044 �� Planning Review (contact Jahn Ra at 503 - 718 -cl tZ'l or J p44 d'! @tigard- or.gov) ❑ Zoning 4 1/6 Permitted Use Yes No ❑ ❑ Land Use Required: Yes ❑ No Nr (explain below) Notes: W Approved ❑ Not Approved Date: dtl a , 144 , Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov) Notes: Routed back to Building Division Date: I: \CURPLN