Permit :'� CITY OF TIGARD BUILDING PERMIT
. COMMUNITY DEVELOPMENT Permit #: BUP2011 -00179
" ' Date Issued: 08/11/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S102AB02402
Jurisdiction: Tigard
Site address: 12501 SW MAIN ST
Project: Allstate Insurance Subdivision:ELECTRIC ADDITION TO TIGARDVILLE Lot: 15
Project Description: Tenant Improvement - adding offices and conference room.
Contractor: OWNER Owner: ANKELE, MARVIN R & KATHRYN J
12511 SW MAIN
TIGARD, OR 97223
PHONE: PHONE:
FAX:
FEES
Specifics:
Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 08/11/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 08/11/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 08/11/2011 $164.96
Stories: 1 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 08/11/2011 $19.80
Value: $5,200 Plan Review 08/11/2011 $107.22
Plan Review - Fire Life Safety 08/11/2011 $65.98
Info Process /Archiving - Sm Sheet (up to 08/11/2011 $0.50
Floor Areas: 11x17)
Investigation Fee (Equals Permit Fee) 08/11/2011 $164.96
Total Area: 0 Investigation Building 12% State 08/11/2011 $19.80
Accessory Struct: 0 Surcharge
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $616.22
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 a copy of th erect questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
/� / • Issued By: G� - erm .. -- Signature:
Call 50 '. ° i1:t∎• 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 RECEIVED '
RECEI Fn !? OFFICE USE ONLY'
Cominerclal - _
City of Tigard AUG 1 1 Received /� Pe rmit No.: /JG +' 7
13125 SW Hall Blvd., Tigard 97223 211 Date /B : 1 u r i
g Plan Review I,�-p��
DateB : 4fm-A Other Permit:
, ', :,`= Phone: 503.718.2439 Fax: 503.598.196¢,•1 OF TIGARD
T 1 ARD Inspection Line: 503.639.4175 1. D ate Ready . Juris. El See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: 2' 4' Supplemental Information
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❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rotnded to the nearest dollar) of all
Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
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❑ 1- and 2- family dwelling [� Commercial /industrial Valuation: $
III Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
Total number of floors:
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Job site address: z5 ■ S4,.. MPt"Zi Si R j New dwelling area: square feet
City /State /Z1P: Tz G l7 Z. CLe 22...2 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area square feet
Cross street/directions to job site: Mme-- . -r / . AA 4\1_, Deck area: square feet
Other structure area: square feet
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Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rotnded to the nearest dollar) of all
_ -R,; „E RZ ^iE equipment, materials, labor, overhead, and the profit for the
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W work indicated on this application.
Valuation: $ 20
O £E3Kr i -N I1 ..F -. 1N� 11 J () Existing building area 3' square feet
New building area: 5d-9 square feet
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Name: m A, ev2sJ A � Type of construction:
Address: 125(1 S1/4-Z M 519.4- Occupancy groups:
City /State /ZIP: .1 O Z C V 1'22 Existing:
Phone: (5cJ 6.7-4-.1 —7 Q 1 7 Fax: (S3) (,, .. 1 `7 i4c.1 New:
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Business name: "� �d ` 4
ALLS'TA -1E, Structural plan review fee (or deposit):
Contact name: - 1'i.14 , - S "-v
FLS plan review fee (if applicable):
Address: 12501 --. Pkpea- .( ?..c.77 —
City /State /ZIP: Total fees due upon application:
T. GPc 02 C 1 '223
Phone: (i3) A.11‘ .b: !i c.. J Fax: : (as ) 1.+Z 1 mac+ Amount received:
,gxxxK� &rte ,u€ .ask >s& fi.:�'u”, W�+>�wamhd r r st, ,�-�
. PHOTOVOLTAIC SOL ARxPANEL $YSTEMFEES *'
E -mail: �.:.�.. :. W.x.�a ,.- k 3...n.oi ..q
5:3 Ttri °ii Yr .p:' r"yl: "rri4 {P it -:.' wpb. -x :=m�,> � u.is�g ='grii.:' .�;::=�.._;.r:. +.:-._ -.-P Fez.,: e e.:T--imii'e :;.'a'f ...a Commercial and residential prescriptive installation of
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¢ "t.,^�i�r,��aIt�,> �::��t���R� - �w�.,����:;� �����E.:, �,' xM; �� ,:'. =frr ?«r!°��.r..5 < °� -,�f _r�� ���`��t �x����ll�l;��t ?:� roof -top mounted Photovoltaic Solar Panel System.
Business name: M.10\24.1,.. A,J `4- L 1 , Ju1,J > Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: I2 S1 o.--) I''' A -1J S7 i Solar Installation Specialty Code checklist.
City/State/ZIP: °C.)`74.:,.. Permit fee (includes plan review
y �� V � and administrative fees): $180.00
Phone: ( 5t1 ) (p 3 5 -1, Fax: (5%1(3 ) ( -1 State surcharge (12% of permit fee): $21.60
CCB lie.:
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: y, r,, S �� Date: 1 I 1 t I * Fee methodology set by Tri- County Building Industry
1 Service Board.
I:\Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440-4613T(1 1 /02/COM/WEB)
Building Division
.
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: `-- eauY / � b / —OW 7 C / Expedited Review
Plan Submittal Date: �lii
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 ap roved. rG
Plan g Review (contact i � at 503 - 718 -9L / )y @tigard- or.gov)
l!d Zoning M/S4P Permitted Use Yes LI" No ❑
E1" Land Use Required: Yes ❑ No L7 (explain below)
Notes: , U - g iL r ,/j, ,1/1
t Approved ❑ Not Approved Date:
Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard - or.gov)
Notes: i
1
Routed back to Building Division Date:
I: \CURPLN
Ma ;7i .sZ ,
CITY OF TIGARD .
Approved f ... x1 \ \ \ \ ,
Conditionally Approved [ ]
See Letter to: Fo11nw_ _ ]
Attache. ................... W
Permit Number: r1 _ !,
Ai._ • fi
By: rk - . Date: =Ill /n 17 , i `� 4
- ' 36 „ ' f .nny •
OFFICE COPY , Reception/Producers .
Area
I Conference Room
,
t 9 / ' -
L .. . . . . . . . . . X ' ■ ad v
'I; : . •
'.. _ tO r , U Ik)tC_TlC) - a
I Office 2 - �� 1_ �
Office I Project Nam i
•
-
Applicant Name: Marvin Ankele
� "`f • Site Address: 12501 SW Main Street, Tigard, OR 97223
. • • 1 Suite Number: N/A
• i Phone Number: 503 -639 -7012
I Tax Map: #2S12AB -02402
Tax Lot: #2402
•
Zoning: Commerical
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. j 3d " Entry •
Reception /Producers
Area
Conference Room .
X .43' '. , .
3i
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Office I Office 2 Project Name: Allstate
Applicant Name: Marvin Ankele
!y � Site Address: 12501 SW Main Street, Tigard, OR 97223
Suite Number: N/A
• . . : Phone Number: 503 -639 -7012
•
Tax Map: #2S12AB -02402
Tax Lot: #2402
Zoning: Commerical
•