Permit CITY OF TIGARD j BUILDING PERMIT
3 1111 Permit #: BUP2012 -00005
• - COMMUNITY DEVELOPMENT
�
TI GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/13/2012
Parcel: 2S113AA01000
Jurisdiction: Tigard
Site address: 16578 SW 72ND AVE B9
Project: Spec Space Subdivision: ROSEWOOD ACRE TRACTS Lot: PTS C,C
Project Description: TI
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY #300 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 624 -6300 PHONE: 503 - 624 -6300
FAX: 503 - 624 -7755
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 01/13/2012 $160.00
Class of Work: ALT DC Provision Review, COM TI - LRP 01/13/2012 $24.00
Dwelling Units: 0 Info Process /Archiving - Lg $2.00 (over 01/13/2012 $6.00
Stories: 1 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0 Permit Fee - Additions, Alterations, 02/24/2012 $1,068.30
Value: $94,500 Demolition
12% State Surcharge - Building 02/24/2012 $128.20
Plan Review 02/24/2012 $694.40
Floor Areas: Plan Review - Fire Life Safety 02/24/2012 $427.32
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,508.22
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet: 1 Special Inspection (see plans)
Fire Alarm: Yes 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 ' cordan '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. TTENTION: Orego law -quires you to follow the rules adopted by the Oregon Utility Notification enter. Those rules are set forth in OAR
952 01 -0010 through OAR 95 • .1-0190. You may obtain a copy of the rules or direct questions to OUNC by calling 503 2,1987 or 1.800.3 .
Q i�
Iss d By: 1� / "Of Perm ittee Signature: /
Call 503.639.4175 by 7:00 a.m. for the next available spection 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.
CITY OF TIGARD BUILDING PERMIT
``! COMMUNITY DEVELOPMENT Permit #: BUP2012 -00005
GAR.D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/13/2012
TI.
Parcel: 2S 113AA01000
Jurisdiction: Tigard
Site address: 16578 SW 72ND AVE B9
Project: Spec Space Subdivision: ROSEWOOD ACRE TRACTS Lot: PTS C,C
Project Description: TI
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY #300 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 624 -6300
PHONE: 503 - 624 -6300
FAX: 503 - 624 -7755
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 01/13/2012 $160.00
Class of Work: ALT DC Provision Review, COM TI - LRP 01/13/2012 $24.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 01/13/2012 $1,008.06
Stories: 1 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 01/13/2012 $120.97
Value: $87,000 Plan Review 01/13/2012 $655.24
Plan Review - Fire Life Safety 01/13/2012 $403.22
Info Process /Archiving - Lg $2.00 (over 01/13/2012 $6.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,377.49
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503 %32.1987 or :. 1.332. :44.
Issued By • Permittee Signature
all • r�: 9.4175 by 7:00 a.m. for the next availab; s• t ion date.
This permit cards a .e kept in a conspicuous place on the jo. site u it completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial �j FOR OFFICE USE ONLY
7 City of Tig ard RECEIVE:, Received / / j Permit No.: 44 I '►
13125 SW Hall Blvd., Tigard, OR 97223 Han Review��7
Phone: 503.718.2439 Fax: 503.598.19 0 DateB : 4� /Af
T I C. A R D Inspection Line: 503.639.4175 1, Date Ready/By: Jura ® See Page 2 for
Internet: www.tigard- or.gov RD Notified/Method: ''1 Supplemental Information
CITY OF TIGARD
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i_ 3 z Tfi a S O - _� t - �tEQUI iiiiik A 1= AND 2 -FAMI) iii �ithiY i
❑ 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
r tx - -_ . �' p `- work indicated on this application.
't fa � `� �`� '
j- .0` -si . ,A,. f t F 0 1 J 110`1 . : .. aPP
dwelling Valuation: $
❑ 1- and 2-family g ❑ Commercial/industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
-- , —,---- - s
, -- . -... -- _ -1- sf£ ='3+ kil; Y�._ a=, K „ ism' his= _ �'3w k3<j'k' - _
_ h z 7OB'SifFeilNFO S TIONF =]E
` , .ATIOl ax -''° 4 � �eva' Total number of floors: •
_ l..t ... , _.C. < . 4” f* i :s.s. « _ 7.-"-, `S ;..i.emm i. .. eis..., x46. -
Job site address: New dwelling area: square feet
City /State /ZIP: 4 j , y Garage /carport area: square feet
Suite/bldg. /apt. no.: Project n ame: . , .v — — _ o ered torch area: square feet 10.
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
LiIRLI - b C C =tjS i .,:
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
`: - :� i '�'?ied`.;s "a':l '4; F;';1�;x;� `"=;;;; a:' r� ^� %.y";_er� �:., = =a,a.. .� }.: ap, _ ; ..rn=
equipment, materials, labor, overhead, and the profit for the
ire ? ,' S ��g,O r ` M,�O . a- � .`- work indicated on this a. .lication.
-.447. tt... : ^' _ -. r:.Vd 1�z ' t. fir w .. 4. . �..r.w _ %-, ._ "r -
�� _ , , 11 .11P Al Valuation: S v ) ,,.2
i
j e' err ' - ' 74— o• dr J / Existing building area: square feet
New building area: square feet
,,, ,;. ;. �.:x_,, .%o , .:, r,: ,- el , „ .,, . ,t - �; yr ,4-D. �.4 ... r e s t .; :.,
t. PROPF.RTxY? O I v 5 ENAN - ,, - �+,�. Number of stories:
/
3.,.. ::.; . c ,.; t. r r �. : ea..n , rs - k�{:. - a za . _. ,.. r��S.
Name: PacTrust Type of construction: 1),/c—,
Address: 15350 S.W. Sequoia Pkwy., Suite 300 Occupancy groups: /�
City/State /Z1P: Portland, OR 97224 Existing: , --:/e7.e.
Phone: ( 503 y ) 624 - 6300 Fax: (503) 6 4 -7755 y New :�
' l } ''� - , , , 1 , ' -$ ` .: - $ - �(¢ ' ' _ a . l t 7 Y 2 a : � , -'s "X:, n Y� =.': v - -,. Y § ^y. y +
Business name: PacTrust All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
DPnni s Pagni under ORS 701 and may be required to be licensed in the
Address: 15350 S.W. Sequoia Pkwy., Suite 300 jurisdiction in which work is being performed. If the
City/State/ZIP: Portland, OR 97224 applicant is exempt from licensing, the following reasons
apply
Phone: (503) 624 - 6300 I Fax: : ( 503 ) 624 - 7755
E -mail:
Business name: • . or :�„ if , - MITT' t W -, •
Address: f <— 7) eC-A) d—Cp ', / r; ''''# .:
City/State /Z1P: Structural plan review fee (or deposit).
�� ��� FLS plan review fee (if applicable):
Phone: (56) �fA3r,6 . Fax: ( )
CCB lic.: 0. I , • Total fees due upon application:
Apr Amount received:
Authorized signature:
�, ` This permit application expires if a permit is not obtained
Ellif r ` within 180 days after it has been accepted as complete.
- Date: _ * Fee methodology set by Tri -County Building Industry
Service Board.
1: \Building\Pernits\BUP -COM PermitApp.doc 09 /09/10 440- 4613T(11/02/COM/WEB)
Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: /314Pa 4,1).---(X)on5 C<xpedited Review
Plan Submittal Date: 1 //0,‘
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 '--)0 F4 ( at 503 - 718 -0 . or __J 0 h Phi @ti or.
Lr /
❑ Zoning - 1 — L Permitted Use Yes No ❑
❑ Land Use Required: Yes ❑ No L7 (explain below)
Notes: /VD CA4 J L /h vR,
ISM' Approved ❑ Not Approved Date:
Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard- or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN