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Permit
CITY OF TIGARD BUILDING PERMIT III °• COMMUNITY DEVELOPMENT Permit #: BU P2011-00260 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/08/2011 Parcel: 2S 101 AA08700 Jurisdiction: Tigard Site address: 12511 SW 68TH AVE Project: Heintzberger Payne Subdivision: WEST PORTLAND HEIGHTS Lot: 34 Project Description: Removal of (2) non - bearing walls that currently form a file closet. Contractor: OWNER Owner: BEVELAND BUILDING LLC 12511 SW 68TH AVE PORTLAND, OR 97223 PHONE: PHONE: 503 - 597 -1600 FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee - Additions, Alterations, 12/08/2011 $70.22 Class of Work: ALT Demolition Dwelling Units: 0 12% State Surcharge - Building 12/08/2011 $8.43 Stories: 2 Height: 0 ft Plan Review 12/08/2011 $45.64 Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 12/08/2011 $28.09 Value: $1,000 Info Process /Archiving - Sm $0.50 (up to 12/08/2011 $1.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $153.38 Required: Required Items and Reports (Conditions) Fire Sprinkler: No 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 - - • - th 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. A NTION: Oregon aw r- • ires you to follow the rules adopted by the Oregon Utility Notification C- • er. - •se rules are set forth in OAR 952 -01 -0010 through OAR 952 - , i -009 %. •u may obtain a copy of the rules or direct questions to OUNC by calling 503.232 1.800.3 .2344. i Iss ed By: _ .1 Permittee Signature: IMF ms s.. AI D - :!...41 / . �-v Call 503.639.4175 by 7:00 a.m. for the next available insp ction date. This permit card shall be kept in a conspicuous place on the job site until completion of the projec• Approved plans are required on the job site at the time of each inspection. • Building Permit Application .al FOR OFFICE USE ONLY Co mmercial Receid City of Tigard Date /B : • Z ' ! Permit No.: 4 , . / - ! j 13 13125 SW Hall Blvd., Tigard, O' '• ` O � \ Plan Review LI Other Permit Phone: 503.718.2439 Fax: >yt.'!.1 , `l, Date /B • Apaior � TIGARD Inspection Line: 503.639.417 _\ Date Ready :y: Juris. El See Page 2 for Internet: www.tigard- or.gov O � � RR ` � \ �P � \ �\ �' Notified /Method Supplemental Information 1; �.r �?� I 'aY ?I . x TAiF1= :AND2FAM L WELL �.,.,,� . .... , =_r. , ". �... �"..,, . , ..TY,PE 3OF ,.... � .., ; ' . . �: . �'�:'�REQU t t,<. �,. IREU;,;DA ['New construction ❑itt) ition Permit fees* are based on the value of the work performed. VV Indicate the value (rounded to the nearest dollar) of all ® Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the z, =, _ `- ifii 3 "'�rts.yry >- i. work indicated on this application. = "a z5 ECITEGORY••:OR " CUPISTRUGTIO N < ; . fi x, '... . ,.....: .. .//. .i %� ' � ., .:��,,,.,., ....... -.::�� :. . .. _." ��.:��.:::. -. ..�,R. - a:,.:s.;.::::- I ;:> Valuation: $1000 ® I- and 2- family dwelling ® Commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: ,• � s =. � • °�" ` °� ' " '� Total number of floors: a ��:• • ' � 'JQB -> S ITE ;INFORMATIC?iV ";'AIVD,; < LOC'A TON ��' ,� Job site address: 12511 SW 68th New dwelling area: square feet City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: 4 N Tx ], egatje. A 0t Covered porch area: square feet Cross street/directions to job site: 68 & Beveland Deck area: square feet North of Hwy 217 Other structure area: square feet .REQUIRED< DATA' `,COMMERCIAL-USE4CHECKL[ST''' _ }5,'.'. .. :.: >d'3LK.er.: _., >., ,�x'`�J.;. ,,,..� .:e "mod ..s �,- __: Subdivision: West Portland Heights Lot no.: 29 Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the ��.i:: > % -.- . � ° work indicated on this a TI®NT'OF':VI+ ORK > ° "'.'. <. ,3._.. application. r Removal of two non - bearing walls that currently form a file closet Valuation: $ Existing building area: square feet New building area: square feet I , .;,;1 zrz,: :•. . >. �';s` ; >y of stories: N � ; ; r PR OPERTY' OWNE : ,,, ' , =T,ENANT , 7 - ^ , Number o s o Name: Beveland Building LLC Type of construction: Address: 12511 SW 68th Occupancy groups: City /State /ZIP: Tigard, OR 97223 Existing: • Phone: (503)597 -1600 Fax: (503)597 -1649 New: `` � � CONTACT ' °''�`�' BUILDING�P<ER $* " "� _ � :" � ° ® ys� ® ; a � = - Business name: Heintzberger Payne Structural plan review fee (or deposit): Contact name: Fred Payne . FLS plan review fee (if applicable): Address: 12511 SW 68th Total fees due upon application: City /State /ZIP: POrtland Amount received: Phone: (503) 597 -1621 Fax: : (503) 597-1649 .,.,•::z.;, ^:<,;., , 3:. "r,e .- ...,,,,•- <;,, x;<, <,- ;,; ;, x 'a% PHOTOYOLTr1I PANEI/,`SYSTEM`FEES *. ,1 E -mail: fredp @HeintzbergerPayne.com .,....,... K...._, ,, ,.:.." ." , me ,te -,..1 , .y,�_ , x, �?��,, ",,� � Com mercial and residential prescriptive installation o `a :: a�T = R <: ' :;€ '" � GONT O Solar Panel S � �. �:��:. ° -: roof -to mounted Photovoltaic So stem. ' � Y Business name: Owner 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: Permit fee (includes plan review $180.00 Y and administrative fees): Phone: ( ) Fax: ( ) State surcharge (12%ofpermit fee): $21.60 CCB lie.: Ip� Authorized signature: Total fee due upon application: $201.60 L "` ", 1 ii `'T.� This p ermit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Edward Heintzberger Date: 12/7/2012 * Fee methodology set by Tri- County Building Industry Service Board. I: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440 4613T(I I /02/COM/WEB) / 26 / i 41,✓ !. /r-vf 1110 Building Division Development Code Provision Review TIGARD Commercial Projects - No Associated Land Use Case Building Permit No: P (f — 00groO 03- expedited Review Plan Submittal Date: /' {j;;' 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 o / nl if approved. Planning Review (contact (' at 503 -718- 24 /V© or 40 @ tigard- or.gov) Ean Zoning MI( LS Permitted Use Yes No ❑ G Land Use Required: Yes ❑ No (explain below) Notes: )wtr,t% (I� ot_r_e_a. . , / ~ i `Q Approved ❑Not Approved Date: // ✓// / Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard- or.gov) Notes: N/ Routed back to Building Division Date: I: \CURPLN 1114 ° B uilding Division Over- The - Counter (OTC) Building Permit TIGARD Check List Project Description: T( APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION *Class of Work: Occupancy Group: a3 Type of Construction: *Type of Use: C -Calk Occupancy Load: - Oregon Specialty Code: - 0(,(O 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 'p^ W Fire Sprinklers: 00 Fire Alarms: Smoke Detectors: Parapet: Manual Pull Stations: Protected Corridors: • Total Project Valuation: $ () ono FEES DUE $ DC Prov Rvw, COM TI - Ping $ DC Prov Rvw, COM TI - LRP DC Provision Review Fee for COM TI $ ) 22— Permit Fee - Add, Alt, Demo Project Valuation Planning LRP $ a m, .3 12% State Surcharge Up to $4,999 $0.00 $0.00 $ t Plan Review, Structural $5,000 - $74,999 $64.00 $9.00 $ of 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 $ -1 , C 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: $ � /5 7 3, TOTAL FEES DUE *OPTIONS: TYPE OF USE: COM = commercial; CMS = commercial manufactured structure. CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = 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 \OTC - BUP.docx 01/13/2011