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Permit 111 CITY OF TIGARD BUILDING PERMIT 11 1 COMMUNITY DEVELOPMENT Permit #: BUP2012 -00194 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/16/2012 Parcel: 2S 113AC00102 Jurisdiction: TIGARD Site address: 7272 SW DURHAM RD, BLDG# 400 Project: Lucas Foods Subdivision: COUNCIL VIEW ACRES (LOTS 21-44) Lot: 25 -27,2: Project Description: 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: 503 - 624 -6300 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: 10 DC Provision Review, COM TI - LRP 10/16/2012 $10.00 Permit Fee - Additions, Alterations, 10/16/2012 $301.85 Dwelling Units: 0 Demolition Stories: 1 Height: 0 ft 12% State Surcharge - Building 10/16/2012 $36.22 Bedrooms: 0 Bathrooms: 0 Plan Review 10/16/2012 $196.20 Value: $14,400 Plan Review - Fire Life Safety 10/16/2012 $120.74 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 $738.01 Required: Required Items and Reports (Conditions) Fire Sprinkler: Yes 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 i 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. ENTION: Oregon, law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95 01 -0010 through OAR 952 -0e -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Is ed By: 1� /, � Permittee Sign G �G r e�ri Call 503.639.4175 by 7:00 a.m. for the next available Inspection • •te. This permit card shall be kept in a conspicuous place on the job site u e • • mpletion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Applic •t' I . ' E1D . i 1' '' Commercial 16 1 FOR OFFICE USE ONLY 20 `� Received / (P9 _ I �� 6 , !n City of Tigard Permit No.: �d(J t`7 q 13125 SW Hall Blvd., Tigard, OR 97223 ' �! A� Plan Revie Phone: 503.718.2439 Fax: 50 �9 Tiv' ►O'� DateB : Rete / : ( �; O En Other Permit: T I G n It D Inspection Line: 503.639.4175 1 D►NGDIN I Date Ready'' kris: RI 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 (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. ❑ I- and 2- family dwelling Commercial /industrial Valuation: $ El Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder I=1 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 7 7. ..7 ?... 1 ,,,3 c A) QV' \^ ��^ New dwelling area: square feet City /State /ZIP: � �� J t ) e ` q z _ Garage /carport area: square feet Suite/bldg. /apt. no.: �� { ?�` J Project name: / c t U S C Covered porch area: square feet Cross street/diredions to job site: ( � r � 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. - r - - — I/) ^ �/� `Ciw •fa-( T 1 Valuation: $ I Lt f 'IO O 1C. Existing building area 1 , square feet New building area: square feet PROPERTY OWNER ❑ TENANT Number of stories: Name: Pa.e 1 1 s� _. Type of construction: Address: le •ado > e 1 CUP Occupancy groups: City /State /ZIP: '01/4(--1- ate- D11-- 972.Z Existing: Phone: (gTA Le-2.4 - l7 3 Fax: (S03 tag ....."-/ 7S' New: (APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* C (Please refer to fee schedule) S _ Business name: � Structural plan review fee (or deposit): � Contact name: � " I M tC6 V % % r e — . FLS plan review fee (if applicable): Address: City /State /ZIP: Total fees duc upon application: Phone: ( S63 ) - 7 0 7 - vm.i.c. Fax: : ( ) Amount received: E -mail: \C U n . A y /\ �,p v s V S �- f eD PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CJ \mow I `r ' Commercial and residential prescriptive installation of CONTRACTOR roof -top -sunted Photo Voltaic Solar Panel System. _,_ Business name: u Ir V C v G Submit two ets of roof plan with connection de : s S t�l S �� and fire departme .ccess, along with the 2011 Oregon Address: t ' & „ Dew s R e` J � Solar Installation Spec , Code checkli City /State /ZIP: �� e r� (/ / p �(C �� ( �� oe _ 9 7D 3 �" Permit fee (includes rev'. • $180.00 � '""�ti l^ r t and administr. -es): Phone: ( 3) 3 ZO - SC233 F ax: 3) w ag. 0 (Hi State surcharge '0 of permit fee): $21.60 CCB tic.: l �l 1 Total fee sue 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: "�� • = Date: ! b iI * Fee methodology set by Tri- County Building Industry �' Service Board. I: \Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440-461 3T(I 1 /02 /COM/W EB) Building Division Development Code Provision Review T I G A R D Commercial Projects - No Associated Land Use Case Building Permit No: _ EA / t ©C' /95 L ISCExpedited Review Plan Submittal Date: /o / /0 2- 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 % e te." W'( SSat 503-718-;P/;.-or Gr tZ r @tigard- or.gov) (Zoning I P Permitted Use Yes Ii No ❑ 1 Land Use Required: Yes ❑ No li✓l (explain below) Notes: E)11-54 WAILS I dttit i tc. $p 'l 2 '7Z 5W 61.) r kz„�, ` co es.O B Approved ❑ Not Approved Date: /°/14 1 /ADO-- Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @ tigard - or.gov) Notes: Routed back to Building Division Date: I: \CURPLN o • Building Division Over -The- Counter (OTC) Building Permit Tlcnio Check List Project Description: 1 APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION *Class of Work: Occupancy Group: j Type of Construction: Z� *Type of Use: Occupancy Load: f Oregon Specialty Code: 7_,C )k 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: Smoke Detectors: Parapet: Manual Pull Stations: Protected Corridors: Total Project Valuation: $ (A FEES DUE $ &7. (o DC Prov Rvw, COM TI — Ping $ i(`) ,00 DC Prov Rvw, COM TI — LRP DC Provision Review Fee for COM TI $ • I ,e745 Permit Fee — Add, Alt, Demo Project Valuation Planning LRP $ 2-- 12% State Surcharge Up to $4,999 $0.00 $0.00 $* Plan Review, Structural $5,000 - $74,999 $67.00 $10.00 $ 20,7 f Plan Review, Fire Life Safety $75,000 - $149,999 $167.00 $25.00 $ r' 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: $ --- M,(91 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; END = 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