Permit CITY OF TIGARD BUILDING PERMIT
- COMMUNITY DEVELOPMENT ='1 • = -2012 -00124
T [GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 9 �� Date Issued: 06/19/20
7
• - • ce: S11 •r•: *00
Jurisdiction: Tigard
Site address: 16578 SW 72ND AVE B9
Project: Gingerbread Traditions Subdivision: ROSEWOOD ACRE TRACTS Lot: PTS C,C
Project Description: Racking storage from 12•.
Contractor: NORLIFT OF OREGON INC Owner: PACIFIC REALTY ASSOCIATES
PO BOX 68348 ATTN: N PIVEN
PORTLAND, OR 97268 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 519 -3043 PHONE: 503 - 624 -6300
FAX: 503 - 632 -7178
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee - Additions, Alterations, 06/19/2012 $73.61
Demolition
Occupancy Grp: Occupancy Load: 12% State Surcharge - Building 06/19/2012 $8.83
Dwelling Units: 0 Plan Review 06/19/2012 $47.85
Stories: 0 Height: 0 ft Info Process /Archiving - Lg $2.00 (over 06/19/2012 $2.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $1,050 Info Process /Archiving - Sm $0.50 (up to 06/19/2012 $6.00
11x17)
•
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $138.29
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 '. - - -- • - ice 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 •TTENTION: 0 , ,on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
9 - 001 -0010 through OAR 2-11 ou may obtain a copy of the rules or direct questions to OUNC by mg 5 32.1987 or 1.800.332.2344.
Issued By: l l4 '4 l li� �/ / Permittee Signa
d-I( 1 /(Pu'j
Call 503.639.4175 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.
CITY OF TIGARD BUILDING PERMIT
: • COMMUNITY DEVELOPMENT Permit #: BUP2012 -00124
T I G ARE) 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued:
Parcel: 2S113AA01000
Jurisdiction: Tigard
Site address: 16578 SW 72ND AVE B9
Project: Gingerbread Traditions Subdivision: ROSEWOOD ACRE TRACTS Lot: PTS C,C
Project Description: Racking storage from 12'.
Contractor: NORLIFT OF OREGON INC Owner: PACIFIC REALTY ASSOCIATES
PO BOX 68348 ATTN: N PIVEN
PORTLAND, OR 97268 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 519 -3043 PHONE: 503 - 624 -6300
FAX: 503 - 632 -7178
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 06/19/2012 $73.61
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 06/19/2012 $8.83
Stories: 0 Height: 0 ft Plan Review 06/19/2012 $47.85
Bedrooms: 0 Bathrooms: 0 Info Process /Archiving - Lg $2.00 (over 06/19/2012 $2.00
Value: $1,050 11x17)
• Info Process /Archiving - Sm $0.50 (up to 06/19/2012 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0 •
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $138.29
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 - 001 -00 rough • - 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued y: � � � Permittee Signature: (&Efri4r.":"111.
Call 603.639.4175 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
Received l 0 / b Pa )/
City of Tigard DateBBy: 7 f7� Permit No.:
'
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review �n `
I' I G A K D C Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: la..ijs
Inspection Line: 503.639.4175 Date Ready/By: runs: ® See Page 2 for (/
1
Internet: S et: www.tigard- or.gov Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees' are based on the value of the work performed.
Indicate the value (rotnded to the nearest dollar) of all
dgl 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: / /o f , 8 S 14/ 7A n New dwelling area: square feet
City/State /ZIP: 7 lir / a)2 Garage /carport area: square feet
Suite/bldg. /apt. no.: J Project name: 6 r h ✓ er , h BOt._ Covered porch area square feet
Cross street/directions to job site:
Ttit_41 r tIp►7 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.
A lt_ e.A_ 1 "� ... AO r 01-9e._ vl? le /' A' ' Valuation: $ / o -rL u ,�
p in 1€/e/ s�/f j an ,f , 5 , ,, a 1 P rh / ? t]V0 Existing building area square feet
0 New building area: square feet
81 PROPERTY OWNER ❑ TENANT Number of stories:
Name: p ' -Ir,s f Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) bay ,6 3 v o Fax: ( ) New:
APPLICANT gla CONTACT PERSON BUILDING PERMIT FEES*
, / (Please refer to fee schedule)
Business name: fv d�
� – 74 Structural plan review fee (or deposit):
Contact name: ge-,'" 1 jC/rr ` `y
FLS plan review fee (if applicable):
Address:
73 7 3 S F M,-/ u.it , L • yt eff ii-A
Total fees due upon application:
City/State /ZIP:
pOr H y,it Dg 9 2 Amount received: //R. At
Phone: (31)3) _r/ 1 3 G y 3 Fax: : (571j) 4 32..- 7/ 7
E -mail: — PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Co -• - rcial and residential prescriptive installation of
roof -top •unted PhotoVoltaic Solar Panel SysTgr.
Business name: do ( I ' r Submit two ets of roof plan with co on deta
and fire departme . • ccess, along ' - i e 2010 Oregon
Address: / t'
73 7 3 3 F_ Jh r -/ k k t re__ 4 5.2 l y , Solar Installation Spe Co. ecklist.
City/State/ZIP: Permit fee (includ review
Y IO (�Q Arty( 0 l2 9 7� / Z Z )
Phone: $180.00
( U 9 3 ) S/ 9 3 U y 7 Fax: (J' ? 7/ State su � - •1 ge (12% 1 4 2 5 and - ni of pefpe
rmit fee): $21.60
CCB lie.: 2,_q es
� k..1 _ � � Total fee due upon application: •- 11.60
Authorized signature: /� G� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: /' �� �,4 ' Date: 6A61/2___ ' Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440 -4613T(l 1/02 /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): $
l: \Building \Permits \BUP -COM PermitApp.doc 03/03/2011