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Permit CITY OF TIGARD BUILDING PERMIT • ` COMMUNITY DEVELOPMENT Permit #: BUP2011 -00240 TI GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/30/2011 Parcel: 2S112DC01400 Jurisdiction: Tigard Site address: 15865 SW 74TH AVE 105 Project: Cognex Subdivision: FANNO CREEK ACRE TRACTS Lot: 4 Project Description: TI Contractor: PACIFIC CREST STRUCTURES INC Owner: JDS LLC 17750 SW UPPER BOONES FERRY RD SUITE CRITERION CREEKVIEW LLC 190 ATTN JAMES A MEYER DURHAM, OR 97224 PO BOX 6525 BEAVERTON, OR 97007 PHONE: 503 - 968 -8949 PHONE: FAX: 503 - 598 -6658 FEES Specifics: Description Date Amount Type of Use: COM DC Provision Review, COM TI - Ping 11/30/2011 $160.00 Class of Work: ALT DC Provision Review, COM TI - LRP 11/30/2011 $24.00 Dwelling Units: 0 Permit Fee - Additions, Alterations, 11/30/2011 $1,130.11 Stories: 1 Height: 0 ft Demolition Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 11/30/2011 $135.61 Value: $103,475 Plan Review 11/30/2011 $734.57 Plan Review - Fire Life Safety 11/30/2011 $452.04 Info Process /Archiving - Lg Sheet (over 11/30/2011 $6.00 Floor Areas: 11x17) Info Process /Archiving - Sm Sheet (up to 11/30/2011 $4.50 Total Area: 0 11x17) Accessory Struct: 0 Metro Const. Excise Tax - Commercial 11/30/2011 $124.17 Basement: 0 Use Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $2,771.00 Required: Required Items and Reports (Conditions) Fire Sprinkler: Yes 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. • : • Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95 $01 -0010 through • , • 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by call • $ 503.232.1987 or 1.800.332.2344. I ued By: s it i Permittee Signature: miry • •r -i I�,t1 Call 503.639.4175 by 7:00 a.m. for the next available inspectio , C � This permit card shall be kept in a conspicuous place on the job site until completion of the proj Approved plans are required on the job site at the time of each inspection. Building Permit Application CQII1m F OFFICE USE - ONLY - t City of Tigard Received Y Date /B . I Permit No.' 14 p ' t .i 06111, 6 " 1312 SW hall Blvd., Ti°ard,OR 97223 ' V 1 Irr Plan R Phone: X03.718.2439 Fax: 503.59:: ;0: O � � Date /I3 _ �i � Othe Permit TIGARD Inspection Line: 503.639.4175 1 1 r L D ate R eady /•y �� 0 See Page 2 for Internet: evww.tigard- or.gov —. - Ay Notified /Method: , Al _MI Supplemental Information TYPE OF WORIK �(--s,,,,,, l � REQUIRED, DATA; l- `ANll.'.2- FAMILY. DWELLING ❑ New construction III Di nJt i Permit fees* are based on the value of the work performed. �, ��`h'' Indicate the value (roulded to the nearest dollar) of all ddition /alteration /replacement 111 Other: equipment, materials, labor, overhead, and the profit for the • ,, , CATEGORY OF CONSTRUCTION work indicated on this application. 111 I - and 2- family dwelling Commercial /industrial Valuation: $ r®a ❑ Accessory building El Multi-family Number of bedrooms: l ❑ Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND . LOCATION Total number of floors: Job site address: pft New dwelling area: square feet City /State /ZIP: 6 Garage /carport area: square feet ..... 1 ite/ ldg. /apt. no.: { 05 Project name: _ - • Covered porch area square feet at Cross street/directions to job site: 0 / S l : / ow Deck area: square feet Other structure area: square feet . REQUIRED-DATA: CORCIAL- USE,CHECKLIS'F Subdivision: Lot no.: Permit fees* are based o M ME the value of the work performed. Tax ma / parcel no.: Indicate the value (rowded to the nearest dollar) of all p p� equipment, materials, labor, overhead, and the profit for the . 'DESCRIPTIQN OF WORK • • , ` . . work indicated on this application. cs { e a l>L/ Valuation: S �.f irrv K1 i Existing building area square feet 4 6/ 15r. ` g/� 7`� New building area: square feet P ROPERTY OWNER "7` �T ❑ TENANT Number of stories: Name: % f A PX14C.-02grArTt Type of construction: Address: 112, .... ciin � 3—.' ps Occupancy groups: City /State /ZIP: ,�, A 40 Existing: Phone:) "0: `� - s1--1, Fax: ( 6214 .► 59ZS New: - )A.,APPLIC:ANT ! ❑ CONTACT 'PERSON . -BUILDING PERMIT FEES* " Business name: ©� + sti f , e1_ 4 - - (Please refer to fee schedule). w�7 . Structural plan r eview fee (or deposit): Contact name: AI w�' FLS plan'rev f ee ( appl Address: l City /State /ZIP: j �\� 'C�_ 9'�2-� Total fees due upon application: Phone: �'�`� Pax:: Amount received: 3 zz.. • . I 144 ( G)5 224' .• � Zi E-mail: PHOTOVOLTAIC SO PAN SYSTEM FEES* Commercial and residential prescriptive installation of ' CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: r1 F_Grger ery Submit two (2) sets of roof plan with connection details and fire department access, along with the 2010 Oregon Address:`- _ Solar Installation Specialty Code checklist. City /State /ZIP: ©a, — Permit fee (includes plan review and administrative fees): $180.00 Phone: A 1'� !eC�C)� ) ( t� �c Pax ( 7) Stale surcharge (12% of permit ,fee): $21.60 CCB lie.: C FF !,� '-1(„ &'-115 _ Total fee due upon application: $201.60 Authorized signature: / �� ■ This permit application expires if a permit is not obtained '' rii� • within 180 days after it has been accepted as complete. Print name: 't4.4 N ( . ti w "'j'� \1... bate: ( 1 4, r t I Fee methodology set by Tri- County Building Industry Service Board. I: \Building ) Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(1 I /02 /COM /WEB) • Building Division Development Code Provision Review TLGARD Commercial Projects - No Associated Land Use Case Building Permit No: i5Gt42d/i — CwdsKd CzYI xpedited Review Plan Submittal Date: 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 (, ( CO'; e J at 503-718-, or (,he rte c, @tigard - or.gov) Zoning - P Permitted Use Yes No ❑ IX Land Use Required: Yes ❑ No ❑ (explain below) Notes: Tit Ex-Pans 43/1 of an K∎S�ir.s - �r.�' '��rfD of s r : ov. 01 12.4-0 we N.. L; k d Ir R I (3, 77 52. 1 - ). i , ChoKse wsu lc/ Pe (A; a. 4-g l a f 5 tpac a -Fir -M1.4 e A 'CI u : / 01; n5 . 4 d e par/c:.� ..rPl• el' a.- r ev v;de d a/1-s; * 1 '- -li t_ L' rag e. al it . Approved ❑ Not Approved Date: //- /6 • // Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard- or.gov) Notes: Routed back to I uilding Division Date: I: \CURPLN