Permit n CITY ® TIGAR COMMERCIAL MANUFACTURED
COMMUNITY DEVELOPMENT STRUCTURE PERMIT
Ilh
T I G A.R D : 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Permit #: CMS2
Date Issued: 02/13/201201 00001
02/13/2013
Parcel: 2S101 BC00101
Site address: 8195 SW HUNZIKER RD B Jurisdiction: Tigard
•
Project: Steelers Inc Subdivision: CROW PARK 217 Lot: 4
_` Project Description: Temporary placement of cargo container office .
Contractor: KNEZ INSULATION Owner: KNEZ REALTY GROUP LLC
12301 SE HIGHWAY 212 12301 SE HWY 212
CLACKAMAS, OR 97015 CLACKAMAS, OR 97015
PHONE: 503 - 655 -5690 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Building Permit - COM 02/12/2013 $102.20
Class of Work: ACS Type of Const: Other 12% State Surcharge - Building 02/12/2013 $12.26
Occupancy Group: B Plan Review - Building 02/12/2013 $66.43
Stories: 1 Height: 0 ft Info Process /Archiving - Sm $0.50 (up to 02/12/2013 $1.50
Project Valuation: $2,200.00 11x17)
Floor Areas:
First Floor Area: 160
Second Floor Area: 0
Third Floor Area: 0
Total Area: 0
Required Setbacks:
Left: 0 Right: 0
Front: 0 Rear: 0
Required:
= Parking Spaces: 0 Fire Sprinklers: No Total $182.39
Smoke Detectors: No Party Wall: No Required Items and Reports (Conditions)
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 50 232. • :7 or 1.800.332.2344.
f 4 I 4 ).L( illimisk ,
Issued By: / 6i4101—
Permittee Signature: 1
■
Call 503.639.4175 by 7:00 a.m. for the next available inspectio .
This permit card shall be kept in a conspicuous place on the job site until completion o e project
Approved plans are required on the job site at the time of each inspection.
`B.tling Permit Application
Commercial R ECEIVED FOR OFFICE USE ONLY
City of Tigard Date/By: i / . t, Permit No.e n 401 .5-- 1 .
I liq a 13125 SW Hall Blvd., Tigard, OR 97223\' N 0 - 013 Plan Review' 1.� ,�
C . Phone: 503 -718 -2439 Fax: 503 - 598 -1960 Date/By: dr' . / Gt rz r Other Permit: U P a
TIGARD
Inspection Line: 503 -639 -4175 CITY OF TIGARD Date Ready/By: ? luris: See Page 2 for
Internet: www.tigard- or.gov
BUILDING DIVISION 07 �1d-�J S er ® Supplemental Information
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 (rotded 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: $
El Accessory building ❑ Multi - family Number of bedrooms:
13 Master builder ® Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: '
Job site address: 1195 SW I z.kc.st _ 61rt Lt New dwelling area: square feet
City /State /ZIP: 1 Op_ e ll in Garage /carport area: square feet
Suite/bldg. /apt. no.: — Project name: S4 S'11/ SIC /•43I Covered porch area square feet
Cross street/directions to job site: E,, n @ gigs SW j y SJ. Deck area: square feet
(lit)e. -6 NwAA e.4 of Jb -- {v 1) {enCt�. S4.yna�, Other structure area: square feet
1171' / REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed. O
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all 1
equipment, materials, labor, overhead, and the profit for the W
�+
DESCRIPTION OF WORK work indicated on this application.
1,4•1 g canirttwet 11) INWSe c o. e . 41- Valuation: $1,014f
R Atn i s i W _ m mA V Existing building area square feet AllAn kyle
v New building area: square feet t,
❑ PROPERTY OWNER 4 TENANT Number of stories:
Name: Sktz�Gtt_ al„,.... Type of construction: ,
t
Address: 1023 YY1L{C Wpr 5 Occupancy groups:
City /State /ZIP: &
■Alik 967$' Existing:
r
Phone: (749 ) - f _70 Fax: ( id. ) /Z5 - 17 New:
❑ Af CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name:' 0f_
FLS plan review fee (if applicable):
Address:
City /State /ZIP: Total fees due upon application:
Phone: fi�� 579_ ao0 0 Fax:: ( "tf 7 .).-5 / 7 Amount received: —�
E - mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: ��Z TnC�lo.l`�^ Submit two (2) sets of roof plan with connection details
c1 and fire department access, along with the 2010 Oregon
Address: %%/5 s W ,,, �T /oZ30( 56 }- t oii f , ,;1- I Solar Installation Specialty Code checklist.
Permit fee (includes plan review
City /State /ZIP: 74 (= LrlCKalu 97z25 7 s and administrative fees): $180.00
Phone: ( ir ) R..0 4 of • S( ( ) State surcharge (12% of permit fee): $21.60
A CCB lie.: `5po 5 (1` 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 name: Date: ti p 147,013 * Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building \Permits \BUP_COM_PermitApp.doc Rev. 12/ 11/2012 440- 4613T(I 1/02 /COM/WEB)
° 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): $
I:\ Building \Permits \ BUP_COM_PermitApp.doc Rev. 12 /11/2012
C
° Building Division
Development Code Provision Review
T I G A R D Commercial Projects with Approved Land Use
Building Permit No.: C H a.0113- 6000 I
Land Use Casefile No.: ^ Le i3 94c• 1, - DUdd 2
Routed Plans:
Submittal Date: ( !6 (3
Submittal Date:
Submittal Date:
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies
to the Building Division. Only checked (1) items are approved. Items not approved and those listed in the
notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed
above each section.
STAFF: please only mark those items on the left side that are approved.
Planning Review (contact )d 4 IA F/ay/i / at 503-718-0 or @tigard- or.gov)
4 Land Use Approval 70 ,2.013 ,111'A {
❑ Building Plans Match Approved Plan: Yes 13 No ❑
❑ Maximum Building Height
❑ Conditions Met
❑ Street Trees
❑ Protected Trees
Notes: L /6a.% "( !es (/ air e?l / ".5 .)+ U4 0 l
Ce /' piJt46.,k ee Occ ip4 tk44 6
Original Plan: Approved ) Not Approved ❑ Date: F -V a
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
Engineering Review (contact Mike White at 503- 718 -2464 or MikeW @tigard - or.gov)
❑ Actual Slope:
❑ PFI Permit #
❑ Conditions Met
Notes:
Original Plan: Approved ❑ Not Approved ❑ Date:
Revision 1: Approved ❑ Not Approved ❑ .-" Date: '
Revision 2: Approved ❑ Not Approved ❑ Date:
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ti
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard- or.gov)
❑ Planning Okay to Issue Permit ❑ Arborist Okay to Issue Permit
❑ Engineering Okay to Issue Permit
Notes:
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Applicant
Okay to Issue Permit: Yes ❑ No ❑ - .
Date Routed to Building:
Page 2 of 2