Permit •
CITY OF TIGARD BUILDING PERMIT
` • ° COMMUNITY DEVELOPMENT Permit #: BUP2012 -00242
TIGARD. 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/07/2013
Parcel: 2S 113AB00600
Jurisdiction: Tigard
Site address: 16125 SW 72ND AVE
Project: St Jude's Subdivision: COUNCIL VIEW ACRES (LOTS 21 -44) Lot: 30
Project Description: Rack storage for product less than 12'.
Contractor: OWNER Owner: PACIFIC REALTY ASSOCIATES LP
ATTN: N PIVEN
15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: OTR Type of Const: VB Permit Fee - Additions, Alterations, 12/04/2012 $149.75
Demolition
Occupancy Grp: S -2 Occupancy Load: 12% State Surcharge - Building 12/04/2012 $17.97
•
Dwelling Units: 0 • Plan Review 12/04/2012 $97.34
Stories: 0 Height: 0 ft Plan Review - Fire Life Safety 12/04/2012 $59.90
Bedrooms: 0 • Bathrooms: 0 Info Process /Archiving - Lg $2.00 (over 12/04/2012 $2.00
.Value: ,$4,500 11x17)
Info Process /Archiving - Sm $0.50 (up to 12/04/2012 $12.50
11x17)
Floor Areas:
Total Area: 0 .
Accessory Struct: 0
Basement: 0
Carport: 0
•
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $339.46
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 .
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
/ �
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Issued By: . IA �7 � Permittee Signature: � ���///
/ 111111FFF"' Call 603.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept In a conspicuous place on the job site until completion of the project.
Approved plans are required on the Job site at the time of each inspection.
Building Perm Application
-
Commercial RECEIVED FOR OFFICE USE ONLY
Received 67/90.66),„1, T�
City of Tigard Re e ive , y /�. Permit No.: P
q 13125 SW Hall Blvd., Tigard,OR 9 Z3 q
11 1 II
O 4 O , ` Plan Review r 1
Phone: 503.718.2439 Fax: 503.59$. Date/By: 1 r I/ ' , 1 .2._ 3 Other Permit:
I' I G n R D Inspection Line: 503.639.4175 •,+� Date Ready :: / l orris: ® See Page 2 for
Internet: www.tigard or.gov C OF I G� Notified/Method: / .7 ! / Supplemental Information
BUILDING DIVISION fin e_ (...4
TYPE OF WORK REQUIRED DATA: I- 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
n
�f i Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El m
1- and 2- family dwelling at omercialIindustrial Valuation: $
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /6 � ) 2), n ,/I New dwelling area: square feet
City /State /ZIP: /6 T i fit '.' - X 6 7 ," 2- 1 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: 5 �,, t., Covered porch area square feet
Cross street/directions to job site: v Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 1 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 C lv1 work indicated on this application. �,�
A t l ~ Q iL0 {0 '. ea4,dd/- / SJ Valuation: $ . v0
�' kaki ` 1 ?.- ! l i� 11 V Existing building area square feet
New building area: square feet
El PROPERTY a`'t!
OPERTY OWNER TENANT Number of stories:
)
Name: /�� . f � Type of construction:
Address: / Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
)APPLICANT CONTACT PERSON BUILDING PERMIT FEES*
� ,� / 4 , (Please refer to fee schedule)
Business name: / � Structural plan review fee (or deposit):
Contact name: ' r b it) rec'/ FLS plan review fee (if applicable):
Address: 7 3 7 S f%z �i'.— 4 ►\e_ �,7Cla
City /State /ZIP: pkr l A r P A Total fees due upon application:
Phone: ( 3 3 3 I g soil l (...c 6 5 e) Amount received: 3�y• 7�
Fax: v _ 5
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR • Commercial and -sidential prescriptive i .. talon of
• roof -top mounted P' 'toVoltaic Solar ' • el System.
Business name: , r r - 1%t C Submit two (2) sets of :of plan w . connection details
and fire department acce , • to i : with the 2010 Oregon
Address: I - €J\ -LT/ Solar Installation Specially ' . de checklist.
City /State /ZIP: Permit fee (includ= plan -view $180.00
and ad nistrative • -s):
Phone: ( ) I Fax: ( ) State surcharge 2% of permit fee . $21.60
CCBIic.: / 1 1 3
Total f- - due upon application: $201.60
Authorized signature: ✓/4(( � This permit application expires if a permit is not obtained
1 -s .- within 180 days after it has been accepted as complete.
Print name:or r ri ".eene.� `c.- Date: ! . (f / / • 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)
71 ° Building Division
o.
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): $
I: \Building \Permits \BUP -COM PermitApp.doc 03/03/2011