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Permit CITY OF TIGARD BUILDING PERMIT '�''` COMMUNITY DEVELOPMENT Permit #: BUP2011 -00181 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/19/2011 Parcel: 2S112DA01400 Jurisdiction: Tigard Site address: 6650 SW REDWOOD LN 210 Project: NuScale Subdivision: 1996 -048 PARTITION PLAT Lot: 2 Project Description: TI Contractor: DURUS CONTRUCTION LLC Owner: PACIFIC REALTY ASSOCIATES 15806 UPPER BOONES FERRY RD ATTN: N RIVEN LAKE OSWEGO, OR 97035 15350 SW SEQUOIA PKWY #300 PORTLAND, OR 97224 PHONE: 503 - 320 -8601 PHONE: 503 - 624 -6300 FAX: 503 -244 -4318 FEES Specifics: Description Date Amount Type of Use: COM DC Provision Review, COM TI - Ping 08/19/2011 $64.00 Class of Work: ALT DC Provision Review, COM TI - LRP 08/19/2011 $9.00 Dwelling Units: 0 Permit Fee - Additions, Alterations, 08/19/2011 $195.38 Stories: 3 Height: 0 ft Demolition Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 08/19/2011 $23.45 Value: $7,500 Plan Review 08/19/2011 $127.00 Plan Review - Fire Life Safety 08/19/2011 $78.15 Info Process /Archiving - Lg Sheet (over 08/19/2011 $4.00 Floor Areas: 11x17) Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $500.98 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 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 -00 roug c t R 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1 or 1.800.33 4. Issued :y: L Permittee Signature: 4, ` Call 503.639.4175 by 7:00 a.m. for the next available inspection d.' v / 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 • Commercial RE CEIVED ' izoi, OFFICE USE ONLY.`:' .: .:; , City of Tigard AUG 19 2011 R Date/B D / yn eceived (� /�� , ' PermitNo.: %il.....,, /g 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review r!7 Dat : � �' �� Other Permit: ' I Phone: 503.718.2439 Fax: 503 T yr TIGARD T I G A R I) Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: Supplemental Information ,.,.0 - { `'c T;Y UII WORD 3 ' x z,� - = REQUIItED DATA - I *ii FA :∎iit li4i1.IN4' w ❑ 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: equipment, materials, labor, overhead, and the profit for the x t 0 r - , - 1p....r work indicated on this application. El and 2- family dwelling 0 ommercial/industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder 0 Other: Number of bathrooms: ,-------- MR S f iron t list th fT0 4 ATIOi _ Total number of floors: Job site address: � � _f ). d ti v New dwelling area: square feet City/State /ZIP: ?d /7 f /t d e,,,, 9 7 7 ) ei Garage /carport area: square feet Suite/bldg. /apt. no.: I Project names , i 4, Covered•porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet 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 4 t y.. t trt, i .t . CtX -'0:1-4-:- work indicated on this application. Valuation: $ 'd,0 Existing building area: square feet New building area: square feet 431 F RI " *Teit ? .. n '.M MpN'P Number of stories: Name: PacTrust Type of construction: "'f = r Address: 15350 S.W. Sequoia Pkwy., Suite 300 Occupancy groups: jr City/State /ZIP: Portland, OR 97224 Existing: --576 Phone: ( 503 624 Fax: ( 503 ) 624 New: 4;2''' - L , A p w ' - �� . ' _ +.mss P .'' �mia ,, ,r, :._ -; 1,0 - . ,° � C " ' , i l ._. Business name: PacTrust All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board DPnni n Pagni under ORS 701 and may be required to be licensed in the Address: 15350 S.W. Sequoia Pkwy., Suite 300 jurisdiction in which work is being performed. If the City/State /ZIP: Portland, OR 97224 applicant is exempt from licensing, the following reasons apply: Phone: (503) 624 - 6300 I Fax:: ( 503 ) 624 - 7755 E -mail: _ �i fill -, � f ' k-� Business name: o p t' ( e C/-J 7 ' `' ' - t to 4 t 'f � s; Address: G . 4 `X t L341: 1 21i- , s ,?;;.- -R. a a tk 3=. o Structural plan review fee (or deposit): City/State /ZIP: Phone: ( ) I Fax: ( ) FLS plan review fee (if applicable): CCB lie.: l S' J 8�/ 1 Total fees due upon application: Amount received: Authorized signature: This permit application expires if a permit is not obtained Print name: D / I , within 180 days after it has been accepted as complete. * N /'Y tse % a �// �f �/ Fee methodology set by Tri Building Industry / Service Board. I:\Building\Permits\BUP -COM PermitApp.doc 09 /09/10 440- 4613T(11 /02/COM/WEB) . III Building Division Accessibility: Barrier Removal Improvement Plan TIGARD. REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation, alteration or modificat 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 aliered'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] $ 1 a - 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: $ (f) Accessible drinking fountains: and, $ • (g) When possible, additional accessible elements such as storage and alarms: $ TOTAL (shall equal line [2] of Valuation Computation): $ ;0 . Ap 2 6 p Ji n-"A &" • % \ ,1 I: \Building \ Permits \BUP -COM PennitApp.doc 06/25/08 1111 . Building Division TIGARD • Over- The - Counter (OTC) Building Permit • Check List Project Description: " 11 APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION *Class of Work: Occupancy Group: Type of Construction: *Type of Use: Occupancy Load: 4 Oregon Specialty Code: C) 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: l67 Fire Alarms: Smoke Detectors: Parapet: Manual Pull Stations: Protected Corridors: Total Project Valuation: $ 4J FEES DUE $ A £0 DC Prov Rvw, COM TI — Ping $ ,• DC Prov Rvw, COM TI — LRP DC Provision Review Fee for COM TI $ �j Permit Fee — Add, Alt, Demo Project Valuation Planning LRP $ 1?, , — 12% State Surcharge Up to $4,999 $0.00 $0.00 $ f77, On Plan Review, Structural $5,000 - $74,999 $64.00 $9.00 $ ' `7 ; 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 $ 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) TONAL FEES DUE *OPTIONS: TYPE OF USE: COM = commercial; CMS = commercial manufactured stru tore. 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 Building Division Development Code Provision Review TIGARD Commercial Projects - No Associated Land Use Case Building Permit No: l o LA. P / I iS1 C Review Plan Submittal Date: 0 9// 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 4.14 only if approved. l J� Plan -ing Review (contact at 503 718 �/`r Dor @tigard or.gov) Zoning £ Permitted Use Yes L No ❑ Ud Land Use Re wired: Yes ❑ No lk (explain below) r Notes: —4.2/4"/ 1 Is .. '/i / - /Approved ❑ Not Approved Date: '/�9/ll l Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard- or.gov) Notes: Routed back to Building Division Date: I: \CURPLN .5o s4(1g//'1 ?/o Building Division .14 Development Code Provision Review TIGARD Commercial Projects - No Associated Land Use Case Building Permit No: 119tA r / ' - o° /-?/ Review Plan Submittal Date: g// Sf // 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. ' J� Planying Review (contact at 503-718,03 �/Y(}or y,. @ti:ard or.•ov) Or Zoning . 1 Permitted Use Yes L No ❑ be land Use Re uired: Yes ❑ No L'i' (explain below) Notes: ■ / 13� / sy • • c Ii Approved ❑ Not Approved Date: OA Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov) Notes: Routed back to Building Division Date: r: \cuRPLN CITY OF TIGARD RECEIPT I 1111115 . . ' I ... 13125 SW Hall Blvd Tigard OR 97223 503.639.4171 'TIGARD Receipt Number: 183706 - 08/19/2011 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID BUP2011 -00181 DC Provision Review, COM TI - Ping 100 - 0000 -43112 $64.00 BUP2011 -00181 DC Provision Review, COM TI - LRP 100-0000-43117 $9.00 BUP2011 -00181 Permit Fee - Additions, Alterations, 230 - 0000 -43104 $195.38 Demolition BUP2011 -00181 12% State Surcharge - Building 100- 0000 -24001 $23.45 BUP2011 -00181 Plan Review 230 - 0000 -43106 $127.00 BUP2011 -00181 Plan Review - Fire Life Safety 230 - 0000 -43108 $78.15 BUP2011 -00181 Info Process /Archiving - Lg Sheet (over 230 - 0000 -43135 $4.00 11x17) Total: $500.98 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 01577C DADAMSKI 08/19/2011 $500.98 Payor: Dennis Pagni - PacTrust Total Payments: $500.98 Balance Due: $0.00 Page 1 of 1