Permit •q CITY OF TIGARD BUILDING PERMIT .
71
a COMMUNITY DEVELOPMENT Permit #: BUP2012 -00208
T [GA D' 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/31/2012
Parcel: 1 S 135DC00200
Jurisdiction: Tigard
Site address: 11825 SW GREENBURG RD 111
Project: Spec Space Subdivision: TIGARDVILLE PARK Lot: 8 ,
Project Description: TI
Contractor: GENERAL CONSTRUCTION SERVICES Owner: TWO G'S REAL ESTATE LLC
18395 WOOD THRUSH ST 18395 WOOD THRUSH ST
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035
PHONE: 503 - 684 -0550 PHONE: 503 - 684 -0550
FAX:
Specifics: FEES
Description Date ' Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee - Additions, Alterations 10/31/2012 $119.33
Demolition
• Occupancy Grp: B Occupancy Load: 8 12% State Surcharge Building, 10/31/2012 $14.32
Dwelling Units: 0 Plan Review 10/25/2012 $77.56
Stories: 0 Height: 0 ft Plan Review - Fire Life Safety 10/25/2012 $47.73
Bedrooms: 0 Bathrooms: 0 Info Process /Archiving - Lg $2.00 (over 10/31/2012 $2.00
Value: $3,000 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
•
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0 .
Total $260.94
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No 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 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 Cente T ■se rule :re 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 503.23 '87 or .:00 . .
yy �-.
Issued By: /, Permittee Signature:
K /` //
Call 503.639.4175 by 7:00 a.m. for the next available insp= . • • • • . .
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 FOIL OFFICE USE ONLY
City of Tigard Date/By: /0 g S — 1 ,2-- Permit No.: 4/ 64 - ex' 8
13125 SW Hall Blvd., Tigard,OR 97223 OCT •2 5 2012 Plan Revie
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: �r 10 ( 2, Other Permit:
T I G A R D Inspection Line: 503.639 ^'� TIGARD Date Rea ) � A ] luri ' co ® S ee Pa 2 for
Internet: www.tigard- or.gov CITY Notified/Method: �/ .a y (!�- S upplemental Information .
BUILDING DIVISION L-M ( 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 (rornded 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 El Commercial/industrial Valuation: $
El 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: (r 8 a5 bw ig,P )10-u/ New dwelling area: square feet
City/State /ZIP: Garage /carport area: square feet
d Bldg. /apt. no.: !// I Project name: S J 1 7 lr l// 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.
/�
Valuation: $ t00
rrJ TEL, . We Lt._ PA A. tT1o SUS 001✓0e0 /
CC:Li.J 4 S ✓ s 7cr� Existing building area square feet
1 New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: --6 4:5 214 L 1 r Ltd Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: AA., 1 30V lie A (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name:
(�
FLS plan review fee (if applicable):
Address: 2. Z s (00 S to Pi 1 4 GM OA.; T C 7
Total fees due upon application:
City /State /ZIP:
S f1 -ou.) a o v 0 t 91140
Phone: f5n) li 6 go . �4 Fax:: ( ) Amount received: 4,75 9�
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: L S Submit two (2) sets of roof plan with connection details
-s-,44,4c and fire department access, along with the 2010 Oregon
Address: t ex 3 cl 5 w ye.) 0 5 j • Solar Installation Specialty Code checklist.
City/State /ZIP: LA iCC &SwaC O O. .. 1/0 '3 Permit fee (includes plan rev $180.00
$180.00
and administrative fees):
Phone: ( ) C, v4 - o s S C Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: t $ 4 O O\ t 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.
Print nam- ` /��' / Date: ) p — Z0,..--J * Fee methodology set by Tri -County Building Industry
Service Board.
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I: \Building\Permits\BUP -COM PermitApp.doc 02/2. 1 440- 4613T(11/02 /COM/WEB)
•
1 1114 _ ° Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
1: \ Building \ Permits \BUP -COM PermitApp.doc 03/03/2011
.
1114 q
Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: e 9-019. - 00 020 g ❑ Expedited Review
Plan Submittal Date: /O /A S// r
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. 9 �/�/
Planning Review (contact 7.-/Ai, -0/ 7 l at 503 -718 o @tigard - or.gov)
Proposal: �, t lit , , 4C4/' ria-/
Zoning C -r
Permitted Use Yes L� No ❑
Land Use Required: Yes ❑ No
Notes: yj, -(e4 f � eollad
A p p roved ❑ N ot Approved Date: r -- p ��
REVISED 10/4/12