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Permit
CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit #: BUP2012 -00080 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/24!2012 Parcel: 25101 BB01400 Jurisdiction: Tigard Site address: 12006 SW GARDEN PL Project: CDI Custom Decorators Subdivision: CROW PARK 217 Lot: 2 Project Description: New storage room. Contractor: GUILD CONSTRUCTION INC Owner: WALTON CWOR PARK BC 8 LLC PO BOX 674 BY CTMT - WALTON RE TAX BEAVERTON, OR 97075 4678 WORLD PARKWAY CIR ST LOUIS, MO 63134 PHONE: 503 - 957 -1173 PHONE: FAX: 503 - 291 -1532 • FEES Specifics: Description Date Amount Type of Use: COM DC Provision Review, COM TI - Ping 04/24/2012 $64.00 Class of Work: ALT DC Provision Review, COM TI - LRP 04/24/2012 $9.00 Dwelling Units: 0 Permit Fee - Additions, Alterations, 04 /24/2012 $180.17 Stories: 1 Height: 0 ft Demolition Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 04 /24/2012 $21.62 Value: $6,500 Plan Review 04 /24/2012 $117.11 Plan Review - Fire Life Safety 04/24/2012 $72.07 . Info Process /Archiving - Sm $0.50 (up to 04/24/2012 $2.50 Floor Areas: 11x17) Total Area: 0 Accessory Struct: 0 - Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $466.47 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. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0. . rough • • - • 52 -00 e • •. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issucld By: i I /', Permittee Signature: ii- Call 503.659.4176 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 Commercial g FOR OFFICE USE ONLY City of Tigard _ � � ` Dat e/B : 'r te Permit No.• ° 13125 SW Hall Blvd., Ti ard, OR .� DDD T �.' Plan Review , – �� – 1 M ,,� � Phone: 503.718.2439 Fax: 503. `vl: ' • 0 A rl� . Date/B : //i/`'r "1. Other Permit: TI G A R D Inspection Line: 503.639.4175 ' 9 of c.® D ate Ready : • : 1 r s: i�p Supplemental Page 2 for laformation Internet: www.tigard- or.gov ^ � \ P�i GG ` \ � � Notified/Method: 0 TYPE OF WORE, .„, � REQUIRED DATA: 1- AND 2- FAMILY DWELLING New construction ❑ Don ' 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. ❑ I- and 2- family dwelling 'Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: z.,0 0 6 30 (, 44 pi, New dwelling area: square feet ') City /State /ZIP: POVila "� / / Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: (fl C /p . (ra r j Covered porch area: square feet Cross street/directions to job site: s � 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. )l i ' G1 p 2 �� Valuation: $ 6 519 0 �/ W �J „ Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER EXTENANT Number of stories: / Name: CIA St0 Nt,, Q.eGO ►^, vs Type of construction: 6 Address: / 200 6 10 tau, t , 4, Pl € _ — Occupancy groups: City /State /ZIP: PO w e 1 a kG ©rl-- (� 7 / , 7 Existing: Phone: «Oa z,5 .3 ii, 7 Fax: ( / o 375 ` 7 7s- New: APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: Li , 'I 'I,� �� (Please refer to fee schedule Structural plan review fee (or deposit): Contact name: Kr.� i t, t95 �v� Address: Po & 64, Cit y /State/ZIP: � , eta FLS plan review fee (if applicable): v CA, h t ,� 0 ''7 (� 7 l .7 I! mob 7 Total fees due upon application: J `f Phone: ( ` / 1 5 7 / j I Fax:: (503 zgi 'I '153 L...., Amount received: E -mail: X ps.�µk 1:K 41,... ya ks 00. 60 Kit PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of C / ONTRACTOR roof -top mounted Photo Voltaic Solar Panel System. Business name T 4....--- Submit two (2) sets of roof plan with connection details and fire department access, along with the 2010 Oregon Address: p 0 k ' 67 V I^ Solar Installation Specialty Code checklist. City/State/ZIP: y B V TOL 0 /' - 1 ? — Ob7 Permit fee (includes p lan review and administrative fees): $180.00 Phone: (!03 G 7 / -11 �0 Fax: (5 l j 7�T, -/g Z� State surcharge (12% of permit fee): $21.60 CCB lic.: / b gill ✓ ` Total fee due upon application: $201.60 This permit application expires if a permit is not obtained Authorized signature: 2/ within 180 days after it has been accepted as complete. Print name: K. ), )( - Date: y ...2L/.- I- * Fee methodology set by Tri -County Building Industry Service Board. l:\Building\Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11/02 /COM/WEB) Building Division Development Code Provision Review TIGARD • Commercial Projects - No Associated Land Use Case Building Permit No: ,a 0/A-000k) Expedited Review Plan Submittal Date: / �— To the Applicant: P Z-00& 56v aw M > 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. Pla,ing Review (contact �/ `� at 503- 718 - or L,_@tigard-or.gov) Zoning Permitted Use Yes LW No ❑ Land Use Required: Yes ❑ No (explain below) Notes: i R , 6)-Ad .,i ,t ..41//I /Approved ❑ Not Approved Date: 1 // 9 11 / // 2--- fiffv Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert@tigard - or.gov) Notes: A OBI Routed back to Building Division Date: I: \CURPLN e ° Building Division Over- The - Counter (OTC) Building Permit TIGARD Check List Project Description: TI APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION *Class of Work: A ( _ Occupancy Group: a Type of Construction: *Type of Use: Occupancy Load: Oregon Specialty Code: 20( 0 SPECIFICS Number of Stories: I 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: Fire Alarms: Smoke Detectors: Parapet: Manual Pull Stations: Protected Corridors: Total Project Valuation: $ /0 7 01 °C) FEES DUE $ ,C0 DC Prov Rvw, COM TI — Ping $ , CO DC Prov Rvw, COM TI — LRP DC Provision Review Fee for COM TI $ ( ,1 / Permit Fee — Add, Alt, Demo Project Valuation Planning LRP $ 2....t , ( •,Z 12% State Surcharge Up to $4,999 $0.00 $0.00 $ 1 17. (( Plan Review, Structural $5,000 - $74,999 $64.00 $9.00 $ 7'2,07 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 $ Z.• j � � 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: $ 447 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; 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