Permit o CITY OF TIGARD BUILDING PERMIT
III C COMMUNITY DEVELOPMENT Permit #: BUP2012 -00227
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/21/2012
Parcel: 2S102DA00100
Jurisdiction: Tigard
Site address: 12970 SW HALL BLVD 110
Project: Win Supply Subdivision: BARNUM PARK Lot: 9
Project Description: Installation of warehouse racking
Contractor: MATERIAL FLOW & CONVEYOR SYS INC Owner: MAGNO, LLC
PO BOX 550 8800 SW COMMERICAL ST
DONALD, OR 97020 TIGARD, OR 97223
•
PHONE: 503 - 678 -2401 PHONE:
FAX: 503 - 684 -3713
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review, COM TI - Ping 11/21/2012 $67.00
Occupancy Grp: M Occupancy Load: 300 DC Provision Review, COM TI - LRP 11/21/2012 $10.00
Permit Fee - Additions, Alterations, 11/21/2012 $225.80
Dwelling Units: 0 Demolition
Stories: 1 Height: 0 ft 12% State Surcharge - Building 11/21/2012 $27.10
Bedrooms: 0 Bathrooms: 0 Plan Review 11/13/2012 $146.77
Value: $9,675 Info Process /Archiving - Lg $2.00 (over 11/21/2012 $4.00
11x17)
• Info Process /Archiving - Sm $0.50 (up to 11/21/2012 $14.50
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0 •
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
•
Garage: 0 •
Mezzanine: 0
•
• Total $495.17
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 in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, •r if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification enter. 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. , 42 1987 • r 1.800.332.2344.
Issued.By:
Permittee Signature:
• Call 503.639.4175 by 7:00 a.m. for the next available Inspection
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
RECEIV. a.
,Commercial FOR OFFICE USE ONLY
Cl of Tigard Pe No
� City g NOV 1 3 2012 Received
DateB : �' � 3 ( �- 6 4. 0 ��� - 0, OZ , 7
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 C(TYOFTIG B • $ Date : 1 111 MIE Other Permit:� a0/ ], -003
r ic, hn Inspection Line: 503.639.4175 p� �{ //�� M ' ate Ready /ey: 0 See Page 2 for
Internet: www.tigard- or.gov BUILDING D11/101 • .... otified /Method: f t Supplemental Information
. , „ , :. :,TYPE' WORK ' REQUIRED"DATA: -4ND 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
X Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
:: {v CATEGURY OF •`CONSTRUCTION „ GO work indicated on this application.
.
❑ 1- 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: (24170 S(A) I444,--1._ New dwelling area: square feet
City /State /ZIP: - Ti b p4--t O ._ 6 11 22_3 Garage /carport area: square feet
. Suite/bldg. /apt. no.: 4 ( (v Project name: T (7 p4_p tA\IaSoNj,s. Covered porch area: square feet
Cross street/directions to job site: �
�}, -A.� r Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: ' 14 /A- Lot no.: IA Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Ntik 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. Pa
0
I 1 Valuation: $
•1�'i� -���r, 0,%,1 0C- 1�1AtZ,Er�o�E �GL�+�c 9 X075
Existing building area: 10 cOosquare feet
New building area: square feet
. ❑ PROPERTY OWNER ,' . ''`` , __ l . o ' -� TENANT Number of stories: I
Name: T d t v \ (l
Type of construction:
Address: ' 10 1111F S(P A aia 41 1%0 tU Occupancy groups:
City /State /ZIP: �/ Oa- 1122
Existing:
Phone: (9* 1-1.31 - lal2i1 Fax: ( )
New:
❑ APPLICANT ; '7- - ' X CONTACT PERSON BUILDING PERMIT FEES• - : ... - :' ,
Business name: T w ei (310.S.10c• (Please refer to feescluditIO' • '
Contact name: g '..---Coe � %p �, Structural plan review fee (or deposit):
Address: 12°1 0 - 1.4..- (3LJO Aik 1%0 FLS plan review fee (if applicable):
City /State /ZIP: Tea/(1 OV— q7 Z-2-3 Total fees due upon application:
-1 /
Phone: e i ass - (00 t _ Fax: : ( ) Amount received: /C.A9 •1 1
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES'
CONTRACTOR Commercial and residential prescriptive installation of
roof -top mounted Photo Voltaic Solar Panel System.
Business name: /1/9–,49 �� Submit two (2) sets of roof plan with connection details
Address: T o D a g-0 and fire department access, along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City /State /ZIP: t b1) Ai i 0(Z- 9 - io ND Permit fee (includes plan review
Phone: ($3) ( ,,a4.0( ( ) and administrative fees): $180.00
Fax:
CCB lic.: Ci q Q 47 ( J/ State surcharge (12% of permit fee): $21.60
l `T � Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
O within 180 days after it has been accepted as complete.
Print name: QebtfTttilt D
Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440 -4613T(11 /02 /COM/WEB)
Building IA
.� g Division
T c A It () Accessibility: Barrier Removal Improvement Plan
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] $ ` (0.7 ,
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 24 ( j . (
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 $ 2'! .
(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): $
I: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11/02/COM /WEB)