Permit CITY OF TIGARD BUILDING PERMIT
11 ' COMMUNITY DEVELOPMENT Permit #: BUP2013 -00020
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/31/2013
Parcel: 25101 CB00500
Jurisdiction: Tigard
Site address: 12670 SW HALL BLVD, BLDG# 3
Project: Canteen Vending Subdivision: 2007 -064 PARTITION PLAT Lot: B
Project Description: Add cash room and (3) offices. Re -build portions of both stairs previously altered to be non - conforming. Add
egress lighting and exit signs
Contractor: CEDARLAKE CO INC Owner: TCTPI LLC
9120 NE VANCOUVER MALL LP 4260 GALEWOOD ST, STE A
STE 220 LAKE OSWEGO, OR 97035
VANCOUVER, WA 98662
PHONE: 360 - 694 -8000 PHONE:
FAX: 360- 694 -0174
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB DC Provision Review, COM TI - Ping 01/31/2013 $67.00
•
DC Provision Review, COM TI - LRP 01/31/2013 $10.00
Occupancy Grp: S -1 Occupancy Load: 76
Permit Fee - COM - New Construction 01/31/2013 $604.98
Dwelling Units: 0 12% State Surcharge - Building 01/31/2013 $72.60
Stories: 0 Height: 0 ft Plan Review 01/31/2013 $393.24
Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 01/31/2013 $241.99
Value: $62,000 Info Process /Archiving - Lg $2.00 (over 01/31/2013 $24.00
11x17)
Info Process /Archiving - Sm $0.50 (up to 01/31/2013 $10.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,423.81
Required: Required Items and Reports (Conditions)
1 Special Inspection (see plans)
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.
Issued By: t 1 Permittee Signature: Alt J_(i1dt
a ����/// A ,/ /
Call 503.639.4175 by 7:00 a.m. for the next available inspection • e. ,
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 FOR OFFICE USE ONLY
Received
City of Tigard Date /By: /6?-1' 3 Sr Permit NoeuPou13- ox38
l i 1 3125 S W I -fall Blvd., Tigard,OR r97�233 4 2013 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Kier& ( - • Other Permit:
TIGARD Inspection Line: 503.639.417 l ate • .dy :y: I av � El See Page 2 for
Internet: www.tigard- or.gov L,--- FTIGARD , ) etho. f Supplemental Information
BUILDING DIVISION Aallf >• u,ilLS, , , • ,,, I I
TYPE OF WORK / REQUIRED DATA: - 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: S
❑ 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: 1 Z ( 94 �(1 _ 9-Vr) New dwelling area: square feet
City /St= %IP: a A . o - f � ., Garage /carport area: square feet
Suite /,Id;. /apt. no.: �j Project name: ( 4t 2 £r4pif4G 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 (roweled to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
ow
��'T6. L I�l,.,.M' t 4��� S
� . .-IC.) Valuation: S �'
- Ra r � , ` t i Existing building area square feet_ - -_
S? T�7 Ci
' building area: square feet
t"p � wt.'. �D �� i�d-1'rTAT6 4 � y -1► -
El PROPERTY PROPERTY OWNER NV TENANT ' -" u. eer of stories:
Name: GkaAe Type of construction: _ -
Address: ICI M w , • "jl •1 Occupancy groups:
City /State /ZIP: a�, J_ Existing:
Phone: gv/ l�.J•.� /_ Fax: ( ) New:
g APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: O
A`, ` (Please refer to fee schedule)
ri
A_� t Structural plan review fee (or deposit):
Contact name: j h�... Vat/ — -
�` FLS plan review fee (if applicable):
Address: � 3c;
City/State/7_11': � ` Total fees due upon application: -
Phonc: ( • 97�j Fax: : (503 Z? . �'.'z/ Amount receiv - -_
E / PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. .
('��
Business name: -s, ry Submit two (2) sets of roof plan with connection details
f�'h` �� �' �` r � � -� /� /�/� a n d lire department access, along with the 2010 Oregon
Address: it IP A g + 1 AA -�rJ Solar I nstallation Specialty Code checklist.
City /State /ZIP: McOdif z )) F S l ► /, z � Ita� — Permit Ice (includes plan review
and administrative fees): $180.00
Phone: 4 'i a60 "- ,�' ) _(7q.bnt State surcharge (l2% of permit fee): $21.60
CCB tic.: /"-R75 ff Total fee due upon application: $201.60
Authorized signature:�1 �j j� ,// Wig This permit application expires if a permit is not obtained
r D G ` [s'/ within 180 days after it has been accepted as complete.
Print name: p4 A / Date:2 0 J * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440 - 4613"1'(11 /02 /COM/WEB)
Building Division
"! ° . Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: 60-1 00/3, , 0o0a cD Expedited Review
Project Name: (! {/}- nI'rL t Get ( , Jd 4'
Site Address: / '-l400 SGr) 1-(ALL- f5LAfo 3 , Suite /Bldg #: 3
Plan Submittal Date: I c5-t1-'1 3
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 ( ) 1 1 at 503 - 718-0 L / 7 or @tigard- or.gov)
Proposal: r ri u✓ rev , .1od e ( o P 0 -P1 c.2 C rC. OLJ G -F Woe,.tko L.lu e .
C 4 eQ \/ e d ' 5 0 a v r•.116t ecJ - ; 3-1, r17 b uj; e.fs• a al
CoAial :do -d -a ?o4 lii IPale -e xP�ri�S a Ll mav:rt� -I
�i e, 4, el OCa-ki on. Ni 0 cka o 0-
Zoning _ t_
Permitted Use Yes al No ❑
Land Use Required: Yes ❑ No
Notes: / ` / Y 87/C' "14/
t){I Approved ❑ Not Approved Date:
Z
I: \CURPLN\Masters\Development Code Provision RevievANo Land Use Comm.doe REVISED 10/4/12
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12670 SW HALL BLVD BLDG 3, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
04/26/2013 00:00
BUP2013-00020
PASS - C of O
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12670 SW HALL BLVD BLDG 3, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
04/17/2013 00:00
BUP2013-00020
FAIL
1. Handrails/guard rails at exits
2. Outstanding permits, copy left with Keith
Violation Summary:
Inspector Contractor