Permit CITY OF TIGARD BUILDING PERMIT
a : COMMUNITY DEVELOPMENT Permit #: BUP2012 -00031
Date Issued: 03/13/2012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S112DC00100
Jurisdiction: Tigard
Site address: 15605 SW 72ND AVE
Project: Consumer Cellular Subdivision:HERN PACIFIC TIGARD INDUSTRIAL Lot: 1 -2
Project Description: Racking.
Contractor: ABOVE ALL INSTALLATIONS LLC Owner: PACTRUST
15752 SW 82ND AVE 15350 SW SEQUOIA PKWY #300
TIGARD, OR 97224 PORTLAND, OR 97224
PHONE: 503 - 969 -2506 PHONE: 503 -624 -6300
FAX:
FEES
Specifics:, Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 02/16/2012 $393.11
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 02/16/2012 $47.17
Stories: 0 Height: 0 ft Plan Review 02/16/2012 $255.52
Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 02/16/2012 $157.24
Value: $20,500 Info Process /Archiving - Sm $0.50 (up to 02/16/2012 $11.00
11x17)
Info Process /Archiving - Lg $2.00 (over 03/13/2012 $2.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $866.04
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 -0• • 9 0 rou? - - 952 -0a -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
• sued By: i , • 441 , Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available insp ctlon 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.
i Build Permit Application
Commercial �� r(,It c,1 rlc USE c,NI.1
lig
City of Tigard �� D `w a. ed m _� Permit No.: /96/6 0 a 13125 SW Hall Blvd., Tigard, 0TH. 8.19 �- \ti Plan Review �M +her Permit
2 Phone: 503.718.2439 Fax: 50 60 � 6 Date/B : di�TI MO , L . /
�. : — . ,�
rIGnitI) p "
I ection Line: 503.639.4175 G G Date Read y: r�9: % ee Page 2 for
� Internet: www.tigard - or.gov 31 � SXQ Notified/Method: �® �� f�` Supplemental Information
TYPE OF s - �� �� REQUIRED DATA: 1- AND 2- FAMILY DWELLING
El 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
CATEGORY OF CONSTRUCTION work indicated on this application.
El l- and 2- family dwelling ommercial/industrial Valuation: $
❑ Accessory building ulti- family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:
Lc -4 0 ( 7),„‘„,,e_ `/ A New dwelling area: square feet
City/State /ZIP: y n 7 , I. ? ).--2_y Garage/carport area: square feet
Suite/bldg. /apt. no.: `� Project name: ( 00 I) ems �ii
. l� Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
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.
14 _ /' Valuation: $ ��PD
K! f Existing building area square feet
New building area: square feet
CiLPROPERTY OWNER ❑ TENANT Number of stories:
Name: /ad � �. � vs Type of construction:
Address: /_ Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) _f' 3 t y 13o? Fax: ( ) New:
APPLICANT CONTACT PERSON BUILDING PERMIT FEES*
`` (Please refer to fee schedule)
Business name: No d - Structural plan review fee (or deposit):
Contact name: .
p��� ✓l f err FLS plan review fee (if applicable):
Address: 7 3 7? $ E_ m i bvG.✓it.-/ - e.— E -y..
Total fees due upon application:
City /State /ZIP:
Phone: (Si) 3 $ 7 q 0 0 I Fax: : ( ) Amount received:
E -mail:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: /•A /&in a h Submit two (2) sets of roof plan with connection details 9eLbizzyjd 7 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
� 061i JS� Fax: ( ) and administrative fees):
( )
Phone: State surcharge (12% of permit fee): $21.60
CCB lic.:
,
_ Total fee due upon application: $201.60
Authorized signature: A % �2 C��� This permit application expires if a permit is not obtained
- ,, ,,:0 , -
�/J within 180 days after it has been accepted as complete.
Qom- Date: Fee methodology set by Tri -County Building Industry
Print name:
!7 f Tic /') / � / �- I /b _ + Service Board.
1: \Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(I 1/02 /COM/WEB)
4s
e
° Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification 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 altered 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] $
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): $
I: \Building \Permits \BUP -COM PermitApp.doc 03/03/2011