Permit CITY OF TIGARD BUILDING PERMIT
° 2 COMMUNITY DEVELOPMEN Permit #: BUP2011 00162
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/28/2011
Parcel: 2S110DCO2300
Jurisdiction: Tigard
Site address: 11555 SW DURHAM RD A -1
Project: JB O'Brian's Pub Subdivision: Lot:
Project Description: TI to correct occupant load.
Contractor: FRED EICHLER CONSTRUCTION LLC Owner: HIP WILLOWBROOK LLC
PO BOX 659 BY HARSCH INVESTMENT CORP
WILLAMINA, OR 97396 -0659 PO BOX 2708
PORTLAND, OR 97208
PHONE: 503 - 876 - 2358 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - PIng 07/28/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 07/28/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 07/28/2011 $149.75
Stories: 1 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 07/28/2011 $17.97
Value: $5,000 Plan Review 07/28/2011 $97.34
Plan Review - Fire Life Safety 07/28/2011 $59.90
Info Process /Archiving - Lg Sheet (over 07/28/2011 $2.00
Floor Areas: 11x17)
Info Process /Archiving - Sm Sheet (up to 07/28/2011 $0.50
Total Area: 0 11x17)
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $400.46
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No 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 - . - • - - - 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. A ENTION: Oreg. • law • •' es y• to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -00' 0010 through OAR 95 0' -0090. Yo m- obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued = : I I l Permittee Signature: #11111111W
Call 503.639.4175 by 7:00 a.m. for the next available inspection da
This permit card shall be kept in a conspicuous place on the job site un ' - pletion of the project.
Approved plans are required on the job site at the time o each inspection.
Building Permit Application
Commercial RECEIVED I (I k 01 1 It I I ‘,I t I A I 1
City of Tigard RECEIVED Received 7 Aix // G
g Date/B ^ � Permit No.: .1��f' _,/t !
11 • 13125 SW Hall Blvd., Tigard, OR 9722 I • I L 2 2 2011 Plan Review ....... 11!!!III
Phone: 503.718.2439 Fax: 503.598. Date/By. r / G 7 ( Other Permit: II
TIGARD
Inspection Line: 503.639.4175 Date Ready/By. � Juns: ® See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Notified/M 1 ethod: '7 X ..7 1 67 Supplemental Information
BUILDING DIVISION t�,� y
TYPE OF WORK REQUIRED 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
.g 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: —11, 0 f7 $
❑ 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: 1155''s 5 I�l rx...) I,\ a D New dwelling area: square feet
City /State /ZIP: Garage /carport area: square feet
Suite/bldg. /apt. no.: ./4-- / I Project name: S la, p)' B(1ie,%.046 wS Covered porch area: square feet
Cross street/directions to job site: 0 , / p w T . q 9 Deck area: square feet
l 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
bESCRIPTION OF WORK work indicated on this application.
T- T... - oGG . G�I�.v(.A� tdN S Valuation: $ jo
Existing building area: ZA square feet
New building area: 1 m5 square feet
0 PROPERTY OWNER I 0 TENANT Number of stories: 1
Name: .3 ) i - k 1 Type of construction: f
Address: 1 1 's" S wv j Z1Nrh'^N ---07 4 A 1 Occupancy groups:
City /State /ZIP: Ti (. i - i D cD_Z 11 z_2-1 Existing: A,_ ..._ (S)
Phone: (s--.-..- q N / 5t q'2_ Fax: ( )
New: ". -.2,
❑ APPLICANT ,0- CONTACT PERSON BUILDING PERMIT FEES"
Business name: (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name: ,a-. j \.a., , t .,
Address: FLS plan review fee (if applicable):
S °"''''\ L
CitylState /ZIP: Total fees due upon application:
Phone: (SO's ";141 qq $ ( I Fax:: ( )
Amount received:
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR ` Commercial and residential prescriptive installation of
^ ` roof -top mounted PhotoVoltaic Solar Panel System.
Business name: ca b L42 t„ �$t e.17p� L Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: t) il-X4X tocei Solar Installation Specialty Code checklist.
City/State /ZIP: ( I (,(4. { f N � e2 973 % - o (p59' Permit fee (includes plan review $180.00
and administrative fees):
Phone: ('�5) $ ? • O ��77 -�j Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lie.: St /5" re 75'7 2/ 20 j 2- Total fee due upon application: $201.60
Authorized signature: . This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 42P I Date: 1 -27, --11 * Fee methodology set by Tri- County Building Industry
Service Board.
I:\ Building \Permits\13 ''- COMPennitApp.doc 02/24/2011 440 4613T(I1 /02/COM/
Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: Fl ?P� 1 I - On (67--- a<Cpedited Review
Plan Submittal Date: 7/Z2 / 11
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 6 7: _ at 503 -718- 24 3 `'( or til' ' @tigard - or.gov)
,Zoning (- (�" Permitted Use Yes ,.0 No ❑
❑ Land Use Required: Yes ❑ No, (explain below)
Notes: b 7 ooki l �( 0 ie ! S ii f ) P sej
V
.Approved 0 Not Approved Date: 7 4� f(
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN
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