Permit •
CITY OF TIGARD BUILDING PERMIT
>D • COMMUNITY DEVELOPMENT Permit #: BUP2012 00143
T G A D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/24/2012
I.
Parcel: 2S113AC00101
Jurisdiction: TIGARD
Site address: 16655 SW 72ND AVE 400
Project: Microlnterconnects Subdivision: COUNCIL VIEW ACRES (LOTS 21 -44) Lot: 37
Project Description: Office/Warehouse TI
Contractor: BNK CONSTRUCTION INC Owner: PACIFIC REALTY ASSOCIATES LP
45 82ND DR, SUITE 53B ATTN: N PIVEN
GLADSTONE, OR 97027 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 557 -0866 PHONE:
FAX: 503 - 557 -1085
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee - Additions, Alterations, 07/24/2012 $752.04
Demolition
Occupancy Grp: B Occupancy Load: 48 12% State Surcharge - Building 07/24/2012 $90.24
Dwelling Units: 0 Plan Review 07/24/2012 $488.83
Stories: 1 Height: 0 ft Plan Review - Fire Life Safety 07/24/2012 $300.82
Bedrooms: 0 Bathrooms: 0 Info Process /Archiving - Lg $2.00 (over 07/24/2012 $6.00
Value: $52,400 11x17)
DC Provision Review, COM TI - Ping 07/24/2012 $67.00
DC Provision Review, COM TI - LRP 07/24/2012 $10.00
Floor Areas:
•
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,714.93
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 • ' .an =, = if work is suspended for more the 180
days. ATTENTION; Oregon law requires you to follow the rules adopted by the Oregon Utili otificati• 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 • • calling 503. '32.1987 or 1 800.332.2344.
ji ltagiti
Issued By: Permittee Signatur • *-_
Call 503.639.4175 by 7:00 a.m. for the next available In • : ction te.
This permit card shall be kept in a conspicuous place on the job site un i comp): . • n of the project.
Approved plans are required on the job site at the time of each : • action.
Building Permit Application I D
Commercial r L f(R Oil iCE 115E ONLY
City of Tigard JUL 2 4 2012 DatReceived ' '1/ 2" ( /, �PaD.ra- dbr
:::::::eit, ° 13125 SW Hall Blvd., Tigard, OR 97223 T� �n� Plan Review ' C Phone: 503.718.2439 Fax: 503.598.19( yOL" iiGARD Daty: '`i ..t 7 f z3` t2.... ELC .Z 0�7L�
TI G n It D Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready : : Juris: ® See Page 2 for
Internet: www.tigard - or.gov 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 (routded 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: kikk2ss 6 Av .,� New dwelling area: square feet
City/State /ZIP: TiO v & af. ck722Li Garage /carport area: square feet
— TV
Suite/bldg. /apt. no.: V U Project name: itot t rb ‘ vk yM 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.
OC`_ C. / � O V Valuation: $ S21 0
t"1� I Existing building area square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: Vae.Tr v S I. Type of construction:
Address: % S'3 ST) g Q . 0 j O Lc, ` i i, 300 Occupancy groups:
City /State /ZIP: Pcw. a,,, a ole_ 7 Existing:
Phone: (ca L 24 — (12:10.0 Fax: ( £ 2 � L f lY New:
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:
a3--- O W ✓� i✓- Structural plan review fee (or deposit):
Contact name: 1 C 6. v t 1 e _
`�I FLS plan review fee (if applicable):
Address:
City /State /ZIP: Total fees due upon application:
Phone:
( 7o1 ... , la44 Fax: ( ) Amount received:
E -mail: r 1 e cha W
-S-�- . 1e�
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
J CONTRACTOR Commercial and residential prescriptive installation of
roof -top mounted PhotoVoltaic Solar Panel System.
Business name: E n V _ _ C S v GkirNI Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 14 S e ar % CA Dr f & %-e. s'3%. Solar Installation Specialty Code checklist.
City/State /ZIP: 1s1b- �� I�OZ� Permit fee (includes plan review $180.00
( and administrative fees):
Phone: (5)3 ) 5.57 — O6(42 I Fax: csiz SS 1,.' oSS State surcharge (12% of permit fee): $21.60
CCB lic.: CA Q il Total fee due upon application: $201.60
Authorized si _ • . '�iTl "P This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print nam:. 12 ,ft' C.6 v , e _ a Date: q-121-1 a " Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(I 1/02 /COM/WEB)
Ph ° Building Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List 1(,(P g41a' --OD1 3
Project Description: I `
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: L� Occupancy Group: Type of Construction: ?
*Type of Use: 3 CL. Occupancy Load: AP) Oregon Specialty Code: - 20
SPECIFICS
Number of Stories: 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: l Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $J2 FEES DUE
$ ( C) DC Prov Rvw, COM TI — Ping
$ 7 Q ,( ) DCProvRvw,COMTI —LRP
DC Provision Review Fee for COM TI $ 1 5Z. • Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ ' , . ' 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ 4 IMI r 3 Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ W;,r •lan Review, Fire Life Safety
$75,000 - $149,999 $167.00 $25.00 $ b r of) 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: $ (7(tl 3 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.
L: \ Building \forms \OTC - BUP.docx 07/01/2012
114 o ° Building Division
Development Code Provision Review
TI G n R D Commercial Projects - No Associated Land Use Case
Building Permit No: 'Jur doi,) --cO) [la' Expedited Review
Plan Submittal Date: 1 2/
To the Applicant: ( %; /� V4 ' 7h
> 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 my if approved. / -
Pla ng Review (contact at 503-718-�i ��b or dip @t or.gov)
L'10 Zoning i ,p P ermitted Use Yes No ❑ rr
g ,l 1�
•
Land Use Required: Yes ❑ No (explain below)
Notes: / ( i
Approved ❑ Not Approved • Date: 71, 1 17.,.
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
/) //1
Routed back to Building Division Date:
•
•
I: \CURPLN