Permit CITY OF TIGARD BUILDING PERMIT
III
• ' -- COMMUNITY DEVELOPMENT Permit #: BUP2012 -00139
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/18/2012
Parcel: 2S 102AA03000
Jurisdiction: Tigard
Site address: 8740 SW SCOFFINS ST
Project: Cosale Office Subdivision: TIGARD HIGHWAY TRACTS Lot: 24
Project Description: Interior spatial upgrades, additional offices, kitchen, stair railing, lighting
Contractor: LANSING DESIGN CONSTRUCTION INC Owner: LANSING, ROB
7409 SW TECH CENTER DR., #135 17237 KELOK RD
PORTLAND, OR 97223 LAKE OSWEGO, OR 97034
PHONE: 503 - 734 -8910 PHONE: 503 - 544 -4673
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review, COM TI - Ping 07/18/2012 $167.00
Occupancy Grp: B Occupancy Load: DC Provision Review, COM TI - LRP 07/18/2012 $25.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 07/18/2012 $955.35
Demolition
Stories: 0 Height: 0 It 12% State Surcharge - Building 07/18/2012 $114.64
Bedrooms: 0 Bathrooms: 0 Plan Review 07/18/2012 $620.98
Value: $80,000 Plan Review - Fire Life Safety 07/18/2012 $382.14
Info Process /Archiving - Lg $2.00 (over 07/18/2012 $52.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,317.11
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: No 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 Cod 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 issuan 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 Ce er. 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 503.232.198 • • • r 1.800.332.2344.
` •
I1 I' N
Issued By: e'^ //J Permittee Signature: N
Call 503.639.4175 by 7:00 a.m. for the next available Inspection da
This permit card shall be kept In a conspicuous place on the job site until comple • n of the •'.•;
Approved plans are required on the job site at the time of each Inspection.
r
Building Permit Application
Commercial RECEIVED FOR OFFICE USE ONLY
IN City of Tigard Received � all P ermit No.6tt P A O (9i0139
DateB :
-
° 13125 SW Hall Blvd., Tigard, OR 97223JUL 1 8 �012 Plan Revie � ]• I
Phone: 503.718.2439 Fax: 503.598.1960 DateB : F ( Niegire : er Permit:
•
T 1 GA R D Inspection Line: 503.639.4175 CITY OFTIGARD Date Ready : y: luris: RI Page 2 for
Internet: www.tigard - or.gov BUI N DINGDJVISIO Notified/Method: 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 (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.
❑ 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: 8740 SW Scoffins Stt New dwelling area: square feet
City /State /ZIP: Tigard, OR, 97223 CO9lear 49 lG Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name!- MuIn"S Tfgafti— Remodel 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.: 2S102AA03000 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.
Interior spatial upgrades, additional offices, kitchen, stair railing, lighting Valuation: $580,000.00
Existing building area: 7200 square feet
New building area: 0 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 2
Name: Rob Lansing Type of construction: VB
Address: 17237 Kelok Rd Occupancy groups:
City /State /ZIP: Lake Oswego, Or 97034 Existing: B
Phone: (503)544 -4673 Fax: ( ) New: B
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: Lansing DesigniConstruct (Please refer ro fee schedule)
Structural plan review fee (or deposit):
Contact name: Greg Lansing
Address: 7409 Sw Tech Center Dr #135 FLS plan review fee (if applicable):
City /State /ZIP: Tigard, OR 97223 Total fees due upon application:
Phone: (503) 734 -8910 Fax::( )
Amount received:
E -mail: greg.lansing @gmail.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: Lansing DesigniConstruct Inc Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 7409 SW Tech Center Dr #135 Solar Installation Specialty Code checklist.
City /State /ZIP: Tigard, Or 97223 Permit fee (includes plan review $180.00
and administrative fees):
Phone: (503) 734 -8910 Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: 190463
Total fee due upon application: $201.60
Authorized signature: ' This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Greg Lansing iii I Date: 7/12/12 ' Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc I •/2011 440- 613T(1I/02 /COM/WEB)
1 1 11 111 Q ° Building Division
Over- The - Counter (OTC) Building Permit
TIGnRD Check List
Project Description: 1 ( &Paola- L O' 3 )
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: Occupancy Group: g T A. e of Construction:
*T of Use: VA A Occu.anc Load: Ore:on S.ecial Code: PW4110
SPECIFICS
Number of Stories: 7/ 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: W Fire Alarms: NO Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ go, ono FEES DUE
$ I (o7, ritODC Prov Rvw, COM TI — Ping
$ •v DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ , 35" Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ miff 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ • • . e' Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ • , 2. Plan Review, Fire Life Safety
$75,000 - $149,999 $167.00 $25.00 $ • 2, i Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $268.00 $39.00 $ 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: $ Z317, 41 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 07/01/2012
RECEIVED
114 o ° Building Division Jut 1 g '-0
Development Code Provision Review
T I G A R D Commercial Projects - No Associated Land Use DING D VIS 0
Building Permit No: &L 0 - BD l [ M Expedited Review
Plan Submittal Date: 7////2—
‘7 Sill 5404/'5
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 o if approved.
Plan 'ng Review (contact f at 503 - 718 -4RM or //vie @ tigard- or.gov)
E Zoning x J9 Permitted Use Yes ❑ No ❑
E Land Use Required: Yes ❑ No (explain below)
Notes: f � U ' de rat '
Approved ❑ Not Approved Date: ' 7 /4 %
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes: NI 6-.
Routed back to Building Division Date:
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I: \CURPLN