Permit 1 y U CITY OF TIGARD BUILDING PERMIT
1 1 COMMUNITY DEVELOPMENT Permit #: BUP2012 -00190
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.718.2439 Date Issued: 10/10/2012
Parcel: 2S113AC00102
Jurisdiction: TIGARD
Site address: 7272 SW DURHAM RD, STE# 100
Project: Indio Spirits Subdivision: COUNCIL VIEW ACRES (LOTS 21-44) Lot: 25 -27,2:
Project Description: TI
Contractor: MATTHEW OLSON CONSTRUCTION Owner: PACIFIC REALTY ASSOCIATES
5320 SW DOVER LN ATTN: N PIVEN
PORTLAND, OR 97225 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE 503 - 892 -0066 PHONE'
FAX. 503 - 892 -0067
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee - Additions, Alterations, 10/10/2012 $1,504 59
Demolition
Occupancy Grp: H234 Occupancy Load: 19 12% State Surcharge - Building 10/10/2012 $180.55
Dwelling Units: 0 Plan Review 10/10/2012 $977.98
Stories: 1 Height: 0 ft Plan Review - Fire Life Safety 10/10/2012 $601 84
Bedrooms: 0 Bathrooms: 0 Metro Const. Excise Tax - Commercial 10/10/2012 $198 60
Value: $165,500 Use
Info Process /Archiving - Lg $2.00 (over 10/10/2012 $8 00
11x17)
Floor Areas: Info Process /Archiving - Sm $0.50 (up to 10/10/2012 $6 00
11x17)
Total Area: 0 DC Provision Review, COM TI - Ping 10/10/2012 $268 00
Accessory Struct 0 DC Provision Review, COM TI - LRP 10/10/2012 $39.00
Basement: 0
Carport: 0
Covered Porch 0
Deck 0
Garage. 0
Mezzanine: 0
Total $3,784 56
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 is- -- ce, or if wor• s suspended for more the 180
days • • • ' • -gon law requires you to follow the rules adopted by the Oregon Utility Notif = - -r Those ules are set forth in OAR
952 11 -0010 through OA • 2 -00 -• •90 You may obtain a copy of the rules or direct questions to OUNC by call s -63 232 198 or 1 800 332 -344.
I sued By: k / !"dor Permittee Signature: I
Call 503.639.4175 by 7:00 a.m. for the next available Inspe Lion date.
This permit card shall be kept in a conspicuous place on the job site until • • mpletion • f t'
Approved plans are required on the Job site at the time of each • . • ectl • .
Building Permit Application
Commercial
FOR OFhICI USE ()NIA
of Tigard RECEIVED Received e , ffmg� AV/ a � p e,
. ° 13125 SW Hall Blvd., Tigard, OR 97223 Da n R ! / Permit No de i
Phone: 503 718 2439 Fax. 503 598.1960 n Date/BevieM aI ni •her Pe rmit.
`u r.J
- r 1 G A R u Inspection Line: 503.639 4175 �'� r T 0 ! .r i2 • Date Ready :y. mn9
tigard-or gov Supplemental See Page l for
Internet. www ti
g g WADING OF WARD
`� Notified/Method Supplemental loformation
TYPE OF WADING DIVISION REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Addition/alteration/replacement 11 Indicate the value (rounded to the nearest dollar) of all
❑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: $ V
❑ 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: 1 777 Z S tJ ,DkjY I'QI4,%A. ,A 1 New dwelling area: square feet
City /State /ZIP: 7 \ gp�,Y,0 9 / Z2 } Garage/carport v g carport area: square feet
Suite/bldg. /apt. no.: (CO I Project name: l 11910Lo sQ , ' i s 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: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (routded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
T t DC ti4 lb 4I Nq SpGa(,_: _ Valuation: $ I �C S �O
J 1 Existing building area square feet
New building area: square feet
e rZPROPERTY OWNER I ❑ TENANT Number of stories:
n
Name: fQt & I e.yA.v` N. C G‘V
t VV k1t Type of construction:
Address: IS 3t0 SO g. 6 at Q e y t r �
U
( O Occupancy groups:
'r
City /State /ZIP: _d r1� 97 22 4 1
I. I I,, ' I Existing:
Phone: (6 ;3 ) 1X'2• 0•0 Fax: ( Le24 77S
New:
iia APPLICANT '❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: 6 _ (Please refer to fee schedule)
t Structural plan review fee (or deposit):
V rn. - La
Contact name: ►Vtr'{,
Address: FLS plan review fee (if applicable):
City /State /ZIP: Total fees due upon application:
Phone: ( 70'7 ( 9 41} I Fax: : ( ) Amount received:
E -mail: r y�met 0_ p 0 . 0 us1„_ W . ^ - PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
V CONTRACTOR Y v\ Commercial and residential prescriptive installation of
roof -top mounted Photo Voltaic Solar Panel System. .
Business name: itAdjgg4,j Data � f % /? � Submit wo (2) sets of roof plan with connection - details
Address: /�� - _ c (/1I1 v , and fire • - • ent access, along wi 2010 Oregon
d/VY , .- Solar Installa • 'emit)) Code-checklist.
City /State /ZIP: ����� f piicep - -7 Permit fee (inc . ! - Om review
'l {�a '1 v and•admmistr. ; - fees): $180.00
T
Phone: (� v 1 2 " 00 I4 Le I Fax: ( )
CCB lic.:
State surcharge
/
(12% of permit e- • $21.60
Total fee due upon application: $201.60
Authorized signatur.
_—_� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: «�_�'� ev . 1 Date: I o m * Fee methodology set by Trt -County Building Industry
Service Board
1: \Building\Permtts : P -COM PermitApp doc 02/24/2011 440- 4613T(11/02 /COM/WEB)
111 M Building Division
Development Code Provision Review
T r c a R Commercial Projects - No Associated Land Use Case
Building Permit No: 1lP 901-.2- -40 190 xpedited Review
Plan Submittal Date: /01/0/ y
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 le only if approved.
Plan 'rig Review (contact at 503-718- D� ' Or @ tigard or.gov)
Lid Zoning _ Permitted Use Yes 2.-
ET No ❑
lr Land Use Required: Yes ❑ No (explain below) t /....
Notes: H /` + i fi 44'/ /`
L''J Approved ❑ Not Approved Date: /O 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
1,1 a Building Division
Over- The - Counter (OTC) Building Permit
TIGARD
Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: Mil Occu.anc Grou.: MIMI Type of Construction: 2 �j
*Type of Use: Occupancy Load: 1 Oregon Specialty Code: 06) (T)
SPECIFICS
Number of Stories: 1 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: tees Fire Alarms: Ifirr3 Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ 16,f 60 FEES DUE
/ $ QO DC Prov Rvw, COM TI — Ping .
$ `?r 25 G C'� DC Prov Rvw, COM TI — LRP ��
DC Provision Review Fee for COM TI $ I' Q - Permit Fee — Add, Alt, Demo 3 k
Project Valuation Planning LRP $ (:),' i _ 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ ` , e` Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ r `7a Plan Review, Fire Life Safety
$75,001 - 149 '1.167.00 $25.00 $ i i , CO Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $268.00 '�3 .11 $ i , 00 Info Proc /Arch, Sm (up to 11x17 $0.50)
$ far • Metro Construction Excise Tax
/ �, S 1 E-- ( ' 2 -e- E a- , $ 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: $ 1 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
FOR OFFICE USE ONLY — SITE ADDRESS: 72-7.2 5 a:) k,
This form is recognized by most building departments in the Tri -County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
114 a . Transmittal Letter
T I c_, A {t,D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
TO: � DA +;
DEPT: BUILDING DIVISION
pr T 5 2 „;t
FROM: CITY OFTIGARD
D BUILDING DWIS
COMPANY: p...Q__ ✓-—
PHONE: yz) ` load - (Jo 500 - By:
RE: 7,17 2.- 5 - 0 u--t ho-wCP /QU P d !'aQ -00 /90
(Site Address) (Permit Number)
\, ✓ -CX 4- O or _.........._,A
rolect name or sus I tvt i
on name an' of num I er
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 3— Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
. Beam calculations. Engineer's calculations.
Other (explain):
REMARKS:
FOR OFFICE USE ONLY
Routed to Permit . tc .n:- \ Date: Initials:
Fees Due: ❑ : s a o Fee Description: Amount Due:
. J $
$ J
Special
Instructions:
ID
Reprint Permit (per PE): ❑ Yes N 0 I1 one
Applicant Notified: Date: (r-FAC]
nitials: 0,e ,
o f j 14. Vot 617 u
g
l: \Buildin \ Forms \TransmittalLetter - Revisions.doc 05/25/2012