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Permit ,, CITY OF TIGARD BUILDING PERMIT 11 11 "' COMMUNITY DEVELOPMENT Permit #: BUP2011 -00211 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718 2439 Date Issued: 09/29/2011 Parcel: 2S101AB00100 Jurisdiction: TIGARD Site address: 12017 SW 70TH AVE Project: Dr Sepehri Subdivision: Lot: Project Description: TI Contractor: CRAFT MASTER OF OREGON Owner: RED ROCK BUSINESS ASSOCIATES LLC 6663 SW BEAVERTON HILLSDALE HW 23077 SW NEWLAND RD STE #220 WILSONVILLE, OR 97070 PORTLAND, OR 97225 PHONE: 503 - 997 -7172 PHONE FAX: FEES Specifics: Description Date Amount Type of Use: COM DC Provision Review, COM TI - Ping 09/29/2011 $256 00 Class of Work: ALT DC Provision Review, COM TI - LRP 09/29/2011 $38 00 Dwelling Units: 0 Permit Fee - Additions, Alterations, 09/29/2011 $1,468 35 Stories: 0 Height: 0 ft Demolition Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 09/29/2011 $176.20 Value: $160,000 Plan Review 09/29/2011 $954 43 Plan Review - Fire Life Safety 09/29/2011 $587 34 Info Process /Archiving - Lg Sheet (over 09/29/2011 $16.00 Floor Areas: 11x17) Metro Const. Excise Tax - Commercial 09/29/2011 $192.00 Total Area: 0 Use Accessory Struct 0 Basement 0 Carport: 0 Covered Porch: 0 Deck. 0 Garage: 0 Mezzanine 0 Total $3,688 32 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 co. o - rules or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344 Issued By: <:;� ,� � Permittee Signature: , ' `1 // C -- '04 1 .4175 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. Building Permit Application �, : Y in, `nlmer,c><al FOR OFFICE USE ONLY City of Tigard r �\ R eceive d 1 N , Date/B Permit No _ V i. ° 13125 SW Hall Blvd , Tigard OR 97223 > � � Plan Rev€ew " • f Phone 503 718 2439 Fax 503 598 1960 G �� te/B i� Atu IU Other Permit TIGARD Inspection Line 503 639.41 75 6G,� N \SI Date Ready /By' 0 See Page 2 for Internet www tigard -or goy C w`G� Notified/Method Supplemental Information , a' ° ^z,'yi a•�°� .�,vyp ^ Y F = -W .: t., €° �.°':�i &'' �1 A! �.,g: <..: D:* TA "l:r:AND`2 MI ...m. �: 1 - �FA PEA ORK•l;7!r 1,E,-. A= I O ; O�, ` 'ax' -u� , ~� � F REDLYaDV►'EI,L 1\'G,, e l ❑ 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 T ; ; ` ' CATE- OR ZOF. y .' "' GOIVSTI2UCTIONa€ `� ,� Aral work indicated on this application. ❑ l - and 2- family dwelling Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: ,'a ; s. <., jai, INFORMATION rNIJ OAT'ION , 7-,,„4.,';',77, Total number of floors: Job site address:' Z•C) 11 sub 7o1-1-, AVie • New dwelling area: square feet City /State /ZIP: 1--; of A 6 R_ an 22 7 , Garage /carport area: square feet Suite/bldg. /apt. no.: ) Project name: t"i s, , l V . Covered porch area: square feet Cross street/directions to job site: � - Deck area: square feet Other structure area: square feet ;`REQi1TRED ATA: • COMMERCIAL-USE CHECKLIST 'r„' Subdivision: 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 ,e a l ESCRIP'TIbN 'pI W ��. � %; s "€ work indicated on this application. ,d���y k,.�� °<y „� ,,,, � •.€ ..;mss ” _�% %?is "��< - . 11 Valuation: $ 110,006 - r . 1\.‘44.) - eh4 --liY. 0, p mew, wA LtS , p hi KS Existing building area: (}115 square feet [I 5�,H New building area: I J 9 ) 5 square feet t E .. B 1'ERTY< ©7, 7 ;;' Iii:.': , s TE]IANT= i Number of stories: Name: p- • 17 s A • V .; Type of construction: V $ sr. „..,, A , ce i Address: ' ' .• UR r/ A • _ Occupancy groups: City /State /ZIP: ` d R. oi72-Z3 Existing: 13 Phone: (�5) S74~' + 600 Fax: Fax: (C� 3) 107 42366 New: �' AP.PLIGAI i:, ' ;- ONTACT >. --ERSON, ? 1 * ` u a. o ;, � . C � " y -..: € „'::�B � ILUING'PI"RI4ITI' Fi ES v `._ „,;..41 . : ��„ ,. WRP!¢ase, =” "refer to j }?:�:_ . .. Business name: T ni / ' y �� + Ascot, tv�GS . J Structural plan review fee (or deposit): Contact name: 'rGu -a CstA -ve.I, FLS plan review fee (if applicable): Address: 3 3 p s M L1.. Buy D. 5 LA L-T 3so City /State /ZIP: 6 le tt-A D ! b iZ t 12_ 1 4- Total fees due upon application: Phone: ( T. J O3) Z�j e, _. Q2a,3'� Fax:: (SO5) r� 4.11 .'�lp Q Amount received: • E -mail -4-c C? n L K-' i,1 Ss cs cth es .Co ►'►� ;' <PI3OT4VU TAI =SQLAI `P EIs € € "SY,•STEM'FEES e ;, J , z 2 „€_ ;ma x• :; ; - - Commercial and residential prescriptive installation of r q ON "I'CRA C TOR ^ S'. ` k roof-top mounted PhotoVoltaic Solar System. ., a��'•' v4, .m< ..� „�.,. :.': .:; i; >, �,� < = ,u� °' r ,t P o Panel Syste Business name: r ,� M as +,. � rsi -viA... Submit two (2) sets of roof plan with connection details �” 1 and fire department access, along with the 2010 Oregon Address: U t W , W ' .�.VW4>h —L �; I , 1 1r.,, - - i Z ,,, b Solar Installation Specialty Code checklist. City /State /ZIP: p � administrative ees): h 2-7J p „� Perm fee (includes plan review $180.00 / and ref view (563 ) °I o� 1 . 1 1 i 2_ Fax. ( C 6 3 ) Z 1 I State surcharge (12% of permit fee): $21.60 CCB lie.: 1 11 Q b f 7 / J /I? 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: I ZZ -p5,, q {�C'�` r!- ^T v j 1"fT Date: _ � 1 - }v,l -� t /I I • !/ • r)7 , I j * Fee methodology set by Tri- County Building Industry Service Board I \Building \Pemuts \BUP -COM PermitApp doe 02/24/2011 440 4613T(11 /02 /COM/WEB) Building Division Over- The - Counter (OTC) Building Permit TIGARD Check List s ^ Project Description: . I APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION *Class of Work: o— Occupancy Group: Type of Construction: *Type of Use: Occupancy Load: Oregon Specialty Code: C "ji 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 S Fire Alarms: Smoke Detectors: Parapet: Manual Pull Stations: Protected Corridors: Total Project Valuation: $ V < -U'C,) FEES DUE $ '26 CCO Prov Rvw, COM TI — Ping $ e 3, DC Prov Rvw, COM TI —LRP DC Provision' Review Fee for COM TI $ "-Permit Fee — Add, Alt, Demo Project Valuation Planning LRP $ 7 s ) 12% State Surcharge Up to $4,999 $0.00 $0.00 $ 'r' - Plan Review, Structural $5,000 - $74,999 $64.00 $9.00 $ 4r4 Plan Review, Fire Life Safety $75,000 - $149,999 $160.00 $24.00 $ _ 111 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) $ '1 2..,,2") 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: $ < ' - LTOTAL FEES DUE *OPTIONS: I 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 Building Division Development Code Provision Review TIGARD Commercial Projects - No Associated Land Use Case Building Permit No: ijPoii O()�) \ . Expedited Review Plan Submittal Date: l� 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. I , Planning Review (contact (r /j/ - at 503-7104 or @ tigard- or.gov) Cr Zoning CZ P Permitted Use Yes No El 'Land Use Required: Yes ❑ No C�3 (explain below) Notes: _ / et • Ai /-//4' smar =t /Approved ❑ Not Approved Date: 9 ` Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert@tigard-or.gov) Notes: Routed back to Building Division Date: I: \CURPLN