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Permit CITY OF TIGARD BUILDING PERMIT 111111 COMMUNITY DEVELOPMENT Permit #: BUP2011 -00175 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/10/2011 Parcel: 2S101AD00400 Jurisdiction: Tigard Site address: 6655 SW HAMPTON ST 110 Project: Noreen Spiegal, CPA Subdivision: WEST PORTLAND HEIGHTS Lot: 14 -31, P Project Description: TI Contractor: MALIBU PACIFIC Owner: HAMPTON OAKS LLC 735 NE JACKSON SCHOOL RD 6665 SW HAMPTON HILLSBORO, OR 97124 2ND FLOOR TIGARD, OR 97223 PHONE: 503 - 693 -9797 PHONE: FAX: 503 - 693 -9796 FEES Specifics: Description Date Amount Type of Use: COM DC Provision Review, COM TI - Ping 08/10/2011 $64.00 Class of Work: ALT DC Provision Review, COM TI - LRP 08/10/2011 $9.00 Dwelling Units: 0 Permit Fee - Additions, Alterations, 08/10/2011 $164.96 Stories: 0 Height: 0 ft Demolition Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 08/10/2011 $19.80 Value: $5,350 Plan Review 08/10/2011 $107.22 Plan Review - Fire Life Safety 08/10/2011 $65.98 Info Process /Archiving - Sm Sheet (up to 08/10/2011 $0.50 Floor Areas: 11x17) Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $431.46 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 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 a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1 800.332.2344. Issued By: � Perms' ee Signature: Cal 111 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. .. x - A . 111KgitiffiId lr y ST.. . 1 From:MALIBU PACIFIC GENERAL CONTRS 503 +693 +9796 08/09/2011 08:40 #348 P.001/004 Building Permit Applicatio>rQ jVED Commercial r FORGEIICE USE O" . 1 O 2°11 III City of Tigard AUG Received b D AGRI T/7 M Mi ! E_ a s 13125 SW Hall Blvd., Tigard, OR 97223 G�! pp Plan Review Q TIV AA� Other Permit. Phone: S(13,71 8.2439 Fax: 503.598.��t'� tic *t D;,W � � �r / /��� A Tfi; \R1] Inspection Line: 503.639.4175 BUILDING DIVISIOI. -�-- - - el Se e.Page 21•or Internet: www.tigard- nr.gov �� Supplemental Information . N x ,� -. Y , .e s� LD1 ,. „wr S :�: � 31 vY rk ' G y. ,, �,,a�' t -,.',.. ., ^§` V lt - r - o f F . : h'- 1 p . kr' " ' , $ G 4➢_ ', e 4 > 'sC S ' b t ;e - 1. I t..l.ti. �F �� •^ = sxza, .._..;.:. -, .,.. Sa�.v.f . .: , a a; - �> � i »� .r.. - ....- .I - ...f�_ ....K..i: ' ❑ 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: j CAM Ti'" i E,U r equipment, materials, labor, overhead,.and the profit for the w } .t -a y a 7,4 ,., work indicated on this application. ',,. ..: ... ,...;� fur t -rk ..,.c , --,,----=-:,....:-:- -.-ri -- ,-- - -,... l vim_. a.r r : Valuation: $ ❑ 1 and 2- family dwelling Ri ComtnerciaViudusUtal ❑ Accessory building ❑ Multi - family Number of bedrooms: El Master builder ❑ Other: Number of bathrooms: 'g l „ 44i u f , € Total number of floors: Job site address: 400, cc: s, I.J, i.,64 pgoeJTOh/ S Tee .S?rz i i © New dwelling area: square feet - j j City/State/ZIP: Porz - r A /i ) I ae - (172:2 Garage/carport area: square feet Suite/bldg. /apt. no.: j j p I Project name: kl 0,:t6 S fEf6 .L_ 1 CP-A Covered porch area: square feet Cross, street/directions to job site: Deck area: square feet Other structure area: square feet Subdivision: I Lot no.: Pennt 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 1 i t r � work indicated on this application. S SO A b i� DE wt ; s; Ai t. t..9,4 c.c.s Valuation: $ 3 Existing building area: square feet New building area: square feet x - ]: rn a yi - .y - . , Number of stories: a Name: HAMtf' j Dia 0 Aj‹s 9 LLC Type of construction: Address: 6(,04,S S", (,...9, ./.,JAN p, Oat STeEer Svi7E zap Occupancy groups: City/State /ZIP: tit rLAN P — 2 O 97 23 Existing: Phone: (Sc x3) ( j?(,S -- gi f Fax: (S03) 0G s -7 z.145 New: tta i r- i, .a e i.i 3 1 t .; . -� .,..V 6 ..- ,�, . � r,:c i,. i ._ � g, , r .„,0 „, :::n..ti2 ':#i t,.„ a s ...� ' roltil#}w t ,� 04, � :` r._ --, . .. : ,.ht1•..� Business name: fri /4x.../fit,.? PA rrtriG ,iBRAa✓ +T( G7 f Structural plan review fee (or deposit): Contact name: Ce.A; G ti 1 FLS plan review fee (if applicable): Address: -735. /j ,E, - .TA cLcoN 5 a , City/State /ZIP: / i LLSeo c- / z4/ Total fees due upon application: Amount received Phone: (OJ) (09 3- 9 7 9'7 Fax:: ( [, - 97 9 E -mail: t r - r i �. �- ,n,, Commercial and residential prescriptive installation of 4 ' ... z +. a ¢; -- r_,. ; -3 - .., roof -top mounted PhotoVoltaic Solar Panel System. Business name: M AUQ U ''ei c j)i j.J eA ., C p h a p. r - :, Submit (2) of oof plan th eoails and• firedepartment two sets access , along wi with (he nttection 2010 O Address: 7 ES /V, E, �/q ckSoif' SC NO DL et:, , Solar installation Specially Code checklist. City /State/ZIP: 1 Permit fee (includes plan revie � 1 tr St3''. J d 9 7 / Z and administrative fees): $180.00 Phone: (.S03) (a 3-97 9 7 Fa.: (Sca) 693 '--9 - 7 i G, State surcharge (12% of permit fee): $21.60 CCB tic.: 7 ®e,zS /� Total fee due upon application: $201.60 Authori zed signature: 0 � -� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Ce /I /.6 ..S,//bA6E Date: ' l0 j i * Fee methodology set by Tri County Building Industry Service Board. 1:\Building\Pcrmits\BUP -COM PermilApp doe 02/24/2011 440 4613T('11/02 /COM/WEB) Building Division . . Over- The - Counter (OTC) Building Permit TIGARD Check List • Project Description: APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION *Class of Work: -N Occupancy Group: Type of Construction: *Type of Use: cox& Occupancy Load: 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: $ 5 � ? CO FEES DUE $ b -,Cr, DC Prov Rvw, COM TI — Ping $ eCO DCProvRvw,COMTI —LRP DC Provision Review Fee for COM TI $ Permit Fee — Add, Alt, Demo Project Valuation Planning LRP $ ° f , ` 12% State Surcharge Up to $4,999 $0.00 $0.00 $ 7,2`2 Plan Review, Structural $5,000 - $74,999 $64.00 $9.00 $ /0 Plan Review, Fire Life Safety $75,000 - $149,999 $160.00 $24.00 $ Info Proc /Arch, Lg (over 11x17 $2.00) $150,000 and over $256.00 $38.00 $ c I 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: $ ■ TOTAL FEES DUE *OPTIONS: TYPE OF USE: COM = commercial; CMS = commercial manufactured structure. CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; END = foundation; DEM = demo; FN.D = 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 Building Division Development Code Provision Review TIGARD Commercial Projects - No Associated Land Use Case Building Permit No: PA01 1 001 7 5 'Expedited Review Plan Submittal Date: 97,61/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 only if approved. Planning Review (contact at 503- 718NO or @ tigard- or.gov) ® j Zoning M4' 1 Permitted Use Yes IEK No ❑ L Land Use Required: Yes ❑ No (explain below) Notes: /!,(/k�'� / X I Approved ❑ Not Approved Date: Oeg Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov) Notes: 4 Routed back to Building Division Date: I: \CURPLN