Permit •
•
- ' p CITY OF TIGARD BUILDING PERMIT
.,a COMMUNITY DEVELOPMENT Permit #: BUP2012 -00203
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/30/2012
Parcel: 2S113AC00102
Jurisdiction: TIGARD
Site address: 7250 SW DURHAM RD, STE# 900
Project: Universal Tea Co Subdivision: COUNCIL VIEW ACRES (LOTS 21 -44) Lot: 25 -27,2:
Project Description: Renewal TI - existing space
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY #300 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503- 624 -6300 PHONE: 503 - 624 -6300
FAX: 503 - 624 -7755
Specifics: FEES
Description . Date Amount
Type of Use: COM
•
DC Provision Review, COM TI - Ping 10/30/2012 $67.00
Class of Work: ALT Type of Const: IIIB
Occupancy Grp: B Occupancy Load: 99 DC Provision Review. COM TI - LRP 10/30/2012 $10.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 10/30/2012 $849.93
Demolition
Stories: 1 Height: 0 ft 12% State Surcharge - Building 10/30/2012 $101.99
Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 10/30/2012 $339.97
Value: $65,400 Info Process /Archiving - Lg $2.00 (over 10/30/2012 $6.00
11x17)
Plan Review 10/30/2012 $552.45
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
•
• Carport: 0
• Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,927.34
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
z
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 issuance, 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 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 by calling 503.232.1987 or 1.800.332.2344.
/ f
Issued By: ` ,� -try Permittee Signature: t' r"1' t `.. ' 70k1
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept In a conspicuous place on the job site until completion of the project
Approved plans are required on the job site at the time of each Inspection.
Building Permit Application
Commercial RECEIVED F OR OFFICE USE ONLY •
R eceived
City of Tigard Permit No.: Q 2
•J g Date/By: u/ /V �•� _ � / t��eZ' 00 OS-w
II ® q 13125 SW Hall Blvd., Tigard,OR 97223 2 3 2012 Plan Rev,ew /� Z� Phone: 503.718.2439 Fax: 503.598.1960 Date/By: I j I l +they Perms:
TI G A R D Inspection Line: 503.639.4175 p � Date Ready : y: (t/ 3 0 / !L Si Juris See Page 2 for
Internet: www.tigard- or.gov CI 1 T IGC11�L Notifie l .�i CP Supplemental Information
BUILDING DIVISION cD/ aLfit 2 Wj4 i ' X1'30 / /2- Crk.4.- Lil l a•/
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
24Addition /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: $
❑ 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: l ZSc) L e t ,...) pt.; rt uA \ 94)04 New dwelling area: square feet
City /State /ZIP: 4)._J_.( eAAPV.1. Q ie, 1 Z2---14 Garage /carport area: square feet
Suite/bldg. /apt. no.: 9 Q'3 Project name: U vvV e.A.( ck` k .e e-0 , 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 (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK . work indicated on this ✓1 application.
u ( 3
.0.� 71 6k1 - n s 12 Ot� (S h Valuation: $ lJC_`c i -- rj
Existing building area square feet
New building area: square feet
. - PROPERTY OWNER ❑ TENANT . Number of stories:
Name: I �(S 7 l �, m c 6 1 V( Type of construction:
Address: ( SO C> t� OD Occupancy groups:
City /State /ZIP: eart 0 4 V 41-712.`t K ` - f Existing:
Phone: ( Z ta zit -62,16o Fax: (03) LT 27 ?SS New:
. gc APPLICANT ❑ CONTACT PERSON : : . BUILDING PERMITfEES*
• Business name: 12 M CCS v I � (Please refer to fee schedule)
y CC S\ Structural plan review fee (or deposit):
Contact name:
FLS plan review fee (if applicable):
Address:
City /State /ZIP: Total fees due upon application:
/ � Amount received:
---�
Phone: ( 3 407_ tF3 414 Fax: : ( )
E -mail: y/y
a...,/ W Chi � o`e tt u , cow, PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
V Commercial and residential prescriptive installation of
tJ ONT RACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: _ _ Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City /State /ZIP: Permit fee (includes plan review $180.00
and administrative fees):
Phone: ( ) Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: �0
Total fee due upon application: $201.60
Authorized signature. d I' This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 12_,...t - r , - -. u l Date: ` 2 / (2 * Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(I I/02 /COM/WEB)
'' Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: 6 (LP o1(?(a- 00 a0-3 ❑ Expedited Review
Plan Submittal Date: a--
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 t / at 503 - 718 - 2.-qty or @tigard - or.gov)
mooning t ---1 Permitted Use Yes ❑ No
.421 Use Required: Yes ❑ No (explain below)
Notes: 5 4-y, r 57'-,# 7 7' di/Fe/text/
❑ Approved ❑ Not Approved Date:
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
Over -The- Counter (OTC) Building Permit
T I G A RD
Check List
Project Description: e t ° d`--0D "`3
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: Occupancy Group: Type of Construction:
*Type of Use: Occupancy Load: Oregon Specialty Code: 'Z0( O
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: ce Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ �. FEES DUE
$ 67 , (`}O DC Prov Rvw, COM TI — Ping
$ Q, ^ DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ . Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ Q a` 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ �gag Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ ' ,e1 Plan Review, Fire Life Safety
$75,000 - $149,999 $167.00 $25.00 $ GYM 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: $ Q27,- TOTAL FEES DUE
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; IND = 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