Permit � - CITY OF TIGARD BUILDING PERMIT
' COMMUN DEVELOPMENT Permit #: BUP2012 00193
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/16/2012
Parcel: 2S113AC00102
Jurisdiction: TIGARD .
Site address: 7272 SW DURHAM RD, STE# 800
Project: Spec Space Subdivision: COUNCIL VIEW ACRES (LOTS 21 -44) Lot: 25 -27,22
Project Description: Spec Office TI
Contractor: DURUS CONSTRUCTION LLC Owner: PACIFIC REALTY ASSOCIATES
•
15806 UPPER BOONES FERRY RD ATTN: N PIVEN
LAKE OSWEGO, OR 97035 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 320 -8601 PHONE:
FAX: 503 - 244 -4318
Specifics: FEES
' Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review, COM TI - Ping 10/16/2012 $67.00
•
Occupancy Grp: B Occupancy Load: 43 DC Provision Review, COM TI - LRP 10/16/2012 $10.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 10/16/2012 $774.63
Demolition
Stories: 1 Height: 0 ft 12% State Surcharge - Building 10/16/2012 $92.96
Bedrooms: 0 Bathrooms: 0 Plan Review 10/16/2012 $503.51
Value: $55,200 Plan Review - Fire Life Safety 10/16/2012 $309.85
Info Process /Archiving - Lg $2.00 (over 10/16/2012 $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 $1,763.95
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors: y,
;
Smoke Detectors: Manual Pull Stations: .
Accessible Parking: 0
,r,
This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty • •es—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 issuance, • if Work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility N. • ification Center. Tho = 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 :I g 503.232.1987 • 1.800.3'2.2344. •;
Issued By: qu / 4 Permittee Signature: 4117 ��__ '
Call 503.639.4175 by 7:00 a.m. for the next available ins • •ction d II
This permit card shall be kept in a conspicuous place on the job site unti ompl • l • , of the proj = t.
Approved plans are required on the job site at the time of each ' spec n.
Building Permit Application
Commercial FO OFFICE'U
City of Tigard Received
Date/B e � t/ Perm No. 6 to aat ol _ to
III ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie -. .� W
• 0 . Phone: 503.718.2439 Fax: 503.598.1960 DateBy: t ' ri I (� I Other Permit:
TI G n It p Inspection Line: 503.639.4175 Date Ready :y: Jun El See Page 2 for
Internet: www.tigard- or.gov Notified/Method: 1i 447 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
A .Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I- and 2- family dwelling pc ommercial /industrial Valuation: $
El Accessory building 6 ❑ Multi- family Number of bedrooms:
El Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 27 Z S t,J V W -4 S D`o New dwelling area: square feet
City /State /ZIP: eo,r r t� 5.g... 1722-4 V Garage /carport area: square feet
Suite/bldg. /apt. no.: San Project name: 5 �e, P&.. � s boo Covered porch area square feet
Cross street/directions to job site: r 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 (rotnded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
((��
DESCRIPTION OF WORK . work indicated on this application.
� c.. OCT -tL2. T 1 Valuation: 5 SS 0
Existing building area square feet
New building area: square feet
e g PROPERTY OWNER ❑ TENANT Number of stones:
Name: Qa�'�r b}.. ` e . p t C (hJ `re Type of construction: ,...? Address: ( 3 vJ Sc O t e , Pr-Go Occupancy groups:
City /State /ZIP: P , i tf'�C D ' 2 7� Existing:
Phone: (�3) Let,, �. _ (goo Fax: (�� ( 2) 77SG New:
p APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:
� Structural plan review fee (or deposit):
Contact name: t J mil. ».4 �/ Ul
v `�{ FLS plan review fee (if applicable):
Address:
City /State /ZIP: -f p'/�( Total fees due upon application:
Phone: (0 3) 7a l - ��J � T Fax: : ( ) Amount received:
E - mail: r u et� 04 nQ _ p Q r us f ( PHOTOVOLTAIC SOLAR PANEL S YSTEM FEES*
J Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: D U C� `-UGV - l Submit two (2) sets of roof plan with connection details
O and fire department access, along with the 2010 Oregon
Address: I Srd ace u o6, g . re,./.., Solar Installation Specially Code checklist.
City /State /ZIP: La D W0 O C7 7,a�1 Permit fee (includes plan review $180.00
!�3) 20 — �" (r,3) lL� 4 _. qi./ and administrative fees,, fee): Phone: vv Fax: � State surcharge (12 % of permit fee): $21.60
CCB tic.: I S S 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.
( (' * Fee methodology set by Tri- County Building Industry
Print name: �+ Date: � �J Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11/02 /COM/WEB)
!A .
Building Division
. .
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: f aDI?- 00193 ❑ Expedited Review
Plan Submittal Date: to /((a 11 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 left only if approved
Planning Review (contact l ///y /9171 a t 503 -718 -3 y or �'/ @ tigard- or.gov)
[atoning ..1 - 1 3 / / Permitted Use Yes ❑ No ❑ ? -- 77
❑ Land Use Required: Yes ❑ No,,Er (explain below)
Notes: /14 c/s2 — sc
e (�,�I !� >4 �7 IGGC c. , - 76 �P .
Y
Approved ❑ Not Approved Date: /0"/6 �.
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert@tigard-or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN
Building Division
T rc n R D Over- The - Counter (OTC) Building Permit
Check List & UDI �}3
Project Description: .'
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: Occupancy Group: Type of Construction: Zj
*Type of Use: arj,QA Occupancy Load: Oregon Specialty Code: 2.0t0
SPECIFICS
Number of Stories: I 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: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ — 24 eV FEES DUE
$ �7 DC Prov Rvw, COM TI — Ping
$ Cr) DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ 77' , f- ' Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ ' b 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ �iCJ , Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ ' Plan Review, Fire Life Safety
$75,000 - $149,999 $167.00 $25.00 $ b, QC � 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: $ (17 63,'h TOTAL FEES DUE
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; END = foundation; DEM = demo;
END = foundation; PPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies);
REP = repair.
1: \Building \Forms \OTC - BUP.docx 07/01/2012