Permit ,, CITY OF TIGARD BUILDING PERMIT
II COMMUNITY DEVELOPMENT Permit #: BUP2011 -00254
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/06/2011
Parcel: 2S113AC00103
Jurisdiction: Tigard
Site address: 7244 SW DURHAM RD, BLDG# 500
Project: RSD Refrigeration Subdivision: COUNCIL VIEW ACRES (LOTS 21 -44) Lot: 25 -27,2:
Project Description: TI. Adding office in existing warehouse.
Contractor: DURUS CONTRUCTION LLC Owner: PACIFIC REALTY ASSOCIATES
15806 UPPER BOONES FERRY RD ATTN: N PIVEN
LAKE OSWEGO, OR 97035 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 320 -8601 PHONE:
FAX: 503 - 244 -4318
FEES
Specifics:, Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 12/06/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 12/06/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 12/06/2011 $256.22
Stories: 1 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 12/06/2011 $30.75
Value: $12,000 Plan Review 12/06/2011 $166.54
Plan Review - Fire Life Safety 12/06/2011 $102.49
Info Process /Archiving - Lg $2.00 (over 12/06/2011 $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 $633.00
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 odes 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 i.su:nce or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifica io• Ce er 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 514.2:2. •87 or 1.800.332 2344.
Issued By: 1- ••, Signature:
� -
C.QE3 0.4175 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
RECEIVE FOR OFFICE USG ONLY
III City of Tigard Date /B : /� � rn Permit No.: A t / r —W'
v 13125 SW Hall Blvd., Tigard, OR 97224 c Plan Review f
a ' Phone: 503.718.2439 Fax: 503.598.19M C 6 2011 Date/8 : A�, / m Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Rea. :y: ® See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: y / / / IN en Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
[ .ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling Commercial /industrial
Valuation: $
❑ Accessory building El Multi-family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: -- TaLI1.4 S W kit. r■,,U 2A . New dwelling area: square feet
City /State /ZIP: .v (` ir I Gv...4\ U 9 3 l Garage /carport area: square feet
Suite/bldg. /apt. no.: 5(a Project name: S D S UpeiN Covered porch area: square feet
Cross street/directions to job site: S, 74 z`it..4 A .4 Deck area: square feet
U t., C \AG. 14.--%, Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
G�(Xc� 1 A3 O O V } i C.Q. t /\ e k ; ) . ,, W u, f--2�t.�L,L IE Valuation: $ 2
_, t
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: rO.G i t t.A. Type of construction:
Address: I 5 3 SO ` Sw C)
Sej 1 0. P k.\f -►7 �} 3 dO Occupancy groups:
City /State /ZIP: R ,t. \ A- OZ G l L{ Existing:
Phone: ( (t2 - (300 Fax: (5a3) (42L -j _ - 1.3c � { J New:
❑ APPLICANT If CONTACT PERSON NOTICE
Business name: ,-- b w IA Cs et ( LA - al (1 n All contractors and subcontractors are required to be
Contact name: Ch f �lxl (P� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be 1censed in the
Address: 1 rJ 83 Le u ree r 1,600,2, , -C/ ge4 jurisdiction in which work is being performed. If the •
City /State /ZIP: C7Swe t7Z applicant is exempt from licensing, the following reasons
apply:
Phone: (�) 32U - S03 Fax:: (,503) (p3 81 kY
E -mail: a \r_ i 5 e A.,. U-,S t` c_ • Civ r
'CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: :.,.0 y) C S r --tJ4 ,` k- \ Permit fee:
Address: 1 CO G<<Gy,.S � o
✓ State surcharge (12% of permit fee):
City /State /ZIP: ,� tt �
C A v �f /` "703 5 FLS plan review (40% of permit fee):
Phone: ( ) 14 Fax: ( ) (Due upon application.)
CCB lic.: �r I g 1/ Total permit fees:
Authorized si ature: Amount received:
N This permit application expires if a permit is not obtained
Print name: Ulti S• &,(1,44 Date: 1 Z I / b./ 1 r withi 180 days after it has been accepted as complete.
!!! t l * Fee methodology set by Tri -County Building Industry
Service Board.
I:\ Building \Permits\FPS- PermitApp.doc 02/01/2011 440- 4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done: •
1.) ❑ New 2.) Modification to sprinkler only:i .
❑ Addition ❑ 1 -10 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A) Commercial Sprinkler
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm --
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
•
D.) Residential Sprinkler (Stand Alone System)
Square Footage: Permit Fee: . . _ •
0 to 2,000 $198.75
2,001 to 3,600 $246.45
•
3,601 to 7,200 $310.05 • '
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
Project valuation subtotal (see A, B & C above): $ •
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $
FLS Plan Review (40% of permit fee): $
TOTAL: $
Plan review requires a completed application and three (3) sets of plans at submittal.
Plan review fees are required at submittal.
I:\ Building \Permits \FPS - PermitApp.doc 02/01/2011 2
.
77/q .
1 14 ° Building Division ai r u - l z
Development Code Provision Review
TICAR° Commercial Projects - No Associated Land Use Case
Building Permit No: gq02 l� Qd- ll1 e:cp edited Review
Plan Submittal Date: 0 /v //
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 - 718- A — orr @tigard- or. gov)
IS / Zoning — P Permitted Use Yes V No ❑
E Land Use Required: Yes ❑ No V (explain below)
t , /
Notes: ,i/11,/ / 1„(., J/ „/ /. hd.ed / i ,-el oP 5 j
/ ,
I I . i / I . 'Z.-A./ % / , y - J-
Ad
/Approved ❑ Not Approved Date: 1 1'/b /i/
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
A )7
Routed back to Building Division Date:
ii
G
L \CURPLN
14 q
Building Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List
Project Description: ( 1
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: 7 41.....1 — Occupancy Group: Type of Construction: ''
*Type of Use: ,,( Occupancy Load: Alf Oregon Specialty Code: 2.(D1 0
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: (i- Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ p• I aao FEES DUE
$ 00 DC Prov Rvw, COM TI — Ping
$ , ele')__ DC Prov Rvw, COM TI —LRP
DC Provision Review Fee for COM TI $ ,' ' Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ l�� Plan Review, Structural
$5,000 - $74,999 $64.00 $9.00 $'4 Plan Review, Fire Life Safety
$75,000 - $149,999 $160.00 $24.00 $ WO 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: $ (O3 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;
END = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies);
REP = repair.
I: \Building \Forms \OT C- BUP.docx 01 /13/2011