Permit ,� CITY OF TIGARD
BUILDING PERMIT
` COMMUNITY DEVELOPMENT Permit #: BUP2012 -00026 12
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/09/2012
I , .. Parcel: 2S112ACO2200
Jurisdiction: Tigard
Site address: 14835 SW 72ND AVE
Project: GeoPacific Engineering Subdivision: FANNO CREEK ACRE TRACTS Lot: 48
Project Description: Creating new office space.
Contractor: CASCADE ACOUSTICS INC Owner: GAROUTTE, GENE & NORENE FAMILY T
PO BOX 189 632 CHARMAN ST
TUALATIN, OR 97062 OREGON CITY, OR 97045
PHONE: 503 - 612 -0100 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 02/08/2012 $134.54
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 02/08/2012 $16.14
Stories: 0 Height: 0 ft Plan Review 02/08/2012 $87.45
Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 02/08/2012 $53.82
Value: $3,700 Info Process /Archiving - Sm $0.50 (up to 02/08/2012 $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 $292.95
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 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1 • :7 or 1.800.332.23•.•
Issued By: c.' Permittee Signature:
Ca` ►' 5 by 7:00 a.m. for the next available inspect' / date.
This permit card shall •e ept in a conspicuous place on the job site unti ompletion of the project.
Approved plans are required on the job site at the time of ch inspection.
•
Building Permit Application
Commercial '` FOR OFFICE USE ON
City of Tigard � � � 0'� Received ® j� Perm
Date/B tNo.: 4 la ,
li
�f
!r 13125 SW Hall Blvd., Tigard, OR 972 r % P lan Review '
C . Phone: 503.718.2439 Fax: 503.598.1960 a Iy��S Date(By: Other Permit: •
TI G A R •
D Inspection Line: 503.639.4175 ��. G�1 N. 9.`-' Date Ready/By: ,.9 , r El See Page 2 for
Internet: www.tigard- or.gov �` �`� Notified/Method: oC A Z._ •%.'. Supplemental Information
r` N• NIS V4-/ ec/ /_T "-! /itl gig/ E
TYPE OF WORK ,‘ 0v .. 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
A l Addition/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 ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: / $ 3 S S J 7z 6. New dwelling area: square feet
City /State /ZIP: - ' { d ,l`,,,k_ ) 7 7 c / Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Geo pcLG a I.:-; ` cf:4 -cfe_0_, 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 (romded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
, / , / A Valuation: $ 3 700
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER , ❑ TENANT Number of stories:
Name: e , psi 6.u . L C Type of construction:
Address: C!?. we — ci. S A. b0 ...e.__ Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: eD P.4._47 L C ,-c_ e 0 , Q r C— Structural plan review fee (or deposit):
Contact name: i ' ev, t -,^ n.:a_ `-' FLS plan review fee (if applicable):
Address: f `? CO S i 6 tbpe-a 2r -.
Total fees due upon application: 4,94/ City /State /ZIP: 7 ! � 1-1.5.-- rz.� o , R act_
Phone: Fax: : Amount received: , ,)./� 1
PHOTOVOLTAIC SOLAR PANEL YSTEM FEES*
E -mail:
�;A"brLQ( 5Q. ®P,c-,(lt`t cpt ., t.nitt1
Commercial and residential prescriptive installation of
CONTRACTOR , • roof -top mounted PhotoVoltaic Solar Panel System.
Business name: � ri_S ,.-- ,,4 . 5 o r L 3 Submit two (2) sets , f roof plan wi onnection details
and fire department access, alo • with the 2010 Oregon
Address: Po- 6 x /?`7 Solar Installation Spec .lty rode checklist.
G' K —� Permit fee (inclu.t plan r
City /State /ZIP: � ,-A Q and ad nis live fees): $180.00
Phone: (56) )C 1,2. U j c)( Fax: ( ) State surcharge 2% of pe fee): $21.60
t B lie.: 37 3-3 s- ///ts/i - -
-r Total fe due upon appticatio • $201.60
Authorized signature: P _ This permit application expires if a permit is not obtained
within 180 4ays after it has been accepted as complete.
Printname: 7 b , v ! � Date: Z / Z * Fee methodology set by Tri- County Building Industry
�l Service Board.
I:\Building\Permits :UP -COM PermitApp.doc 02/24/2011 440- 4613T(I1/02 /COM/WEB)
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): $
1: ABuilding \ Permits \BUP -COM PermitApp.doc 03 /03/2011
" Building Division
Development Code Provision Review
T[GARD Commercial Projects - No Associated Land Use Case
n �
Building Permit No: t-t i_ l �` - �d a `� Expedited Review
Plan Submittal Date: A g
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 o at 503 - 718 -0V/25 or 0 41, Pe/ @ tigard- or.gov)
❑ Zoning Permitted Use Yes No ❑
❑ Land Use Required: Yes ❑ No 11 (explain below)
Notes: /c% C'4asje " PO.
L'1 Approved ❑ Not Approved Date: - 10`1.1_
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN