Permit n CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT COMMUNITY BUP2013 00042
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/20/2013
Parcel: 2S112DC00701
Jurisdiction: Tigard
Site address: 15957 SW 72ND AVE
Project: Bikram Yoga Subdivision: FANNO CREEK ACRE TRACTS Lot: 39
Project Description: Interior TI for yoga studio, dressing rooms, shower rooms
Contractor: BNK CONSTRUCTION INC Owner: PACIFIC REALTY ASSOCIATES
45 82ND DR, SUITE 53B ATTN: N PIVEN
GLADSTONE, OR 97027 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 557 -0866 PHONE:
FAX: 503 - 557 -1085
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee - Additions, Alterations, 02/20/2013 $1,619.35
Demolition
Occupancy Grp: Occupancy Load: 12% State Surcharge - Building 02/20/2013 $194.32
Dwelling Units: 0 Plan Review 02/20/2013 $1,052.58
Stories: 0 Height: 0 ft Plan Review - Fire Life Safety 02/20/2013 $647.74
Bedrooms: 0 Bathrooms: 0 Info Process /Archiving - Lg $2.00 (over 02/20/2013 $10.00
Value: $184,900 11x17)
.. Metro Const. Excise Tax - Commercial 02/20/2013 $221.88
Use
Floor Areas:
Total Area: 0
Accessory Struct: 0 -
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,745.87
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty . . - id all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 d-
r • '_ • - or if •rk is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utili = ification Cen .. Th• -e rules are set forth in OAR
952- 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC b (ling 503.232.198 or 1.800.' 32.2344.
•
n
Issued By: Permittee Signature: �� =` Call 503.839.4175 by 7:00 a.m. for the next available in • ection da
This permit card shall be kept in a conspicuous place on the job site un 'I completi • • he prole
Approved plans are required on the job site at the time of ea • inspectio
Building Permit Application RECEIVED
Commercial FOR OFFICE USE ONLY
(6 City of Tigard
(6 0 2013 Date/13 : - 0 • Permit No.:a/1 .3 -- v v /2 51- a-
n 13125 SW Hall Blvd., Tigard,OR 97223 CM( OFTIGARD Plan Review '$W _ 1 . . Other Permit
Phone: 503.718.2439 Fax: 503.598.196 e�
TI G A K D Inspection Line: 503.639.4175 l � UILDIIdG DIVISIO Date Date/By: Ready/By Juris: ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: ..,21,:y0 '/ 7I 4/ 11 6 Supplemental Information
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 (rounded to the nearest dollar) of all
z gli 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: $
❑ 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: `S cis-3. `,t 72 no( A-v'Z. New dwelling area: square feet
City /State /ZIP: 1 Oty',0( otoe.., 9'7224- Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: g kraum �� q �, 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 ( rotnded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
kk tioi- TI 4- taw Yotio� shad o I ,i.s rh5 Valuation: $ I n. CJ I I j p '7
- t U
roOMA MAO X V U S Existing building area (fib square feet
New building area: 36170 square feet
( PROPERTY OWNER ❑ TENANT Number of stories: '
Name: / PaLe_Tr0 }_ y,-' Type of construction: ,t t _
Address: IS SLJ Spey J epic... epokAl V 3eJ`C) Occupancy groups:
City/State/ZIP: AV #101 +'t of D11e 97224 I Existing:
Phone: ($3) to ._ Q3Cr0 Fax: (St) te_e f "77 New: A-3 r
VrAPPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: aS c.lpo.r<,_ Structural plan review fee (or deposit):
Contact name: yfryt MCA l.) t Y,e,
u FLS plan review fee (if applicable):
Address:
Total fees due upon application:
City /State /ZIP:
Phone: (3 707_ ia�y Fax: : ( )
Amount received:
E -mail: Yiav, Vvl DQCA YV S+ , tLp� PHOTOVOLTAIC SOLAR PANEL SYSTEM•
r Con'merc : and residential prescriptive ins . .tion of
CONTRACTOR roof -top moun >s PhotoVoltaic Solar P., el System.
Business name: k71 ^V_ CI Submit two (2) se • . f roof plan ' • connection details
Address: 1 .1 - S - ca2~ Vy- . 5�.� S36 S fire Installation tmenp , al. with the Oregon
Solar nstatallllation S e ci cla '' • ode a checklist.
City /State /ZIP: (2 k a S _ 01(2_ liaz-i_ Permit fee (inc ..es pla -view $180.00
and • .ministrative fe- •
Phone: ( 5') 55-7 ocibi (. Fax: (575"5 TO IO2S State surch• :e (12% of permit fee): $21.60
CCB lic.: D `O -1 (s
otal fee due upon application: $21 . . .
Authorized gnature. This permit application expires if a permit is not obtained
r within 180 days after it has been accepted as complete.
Print nam: •�� / a,y) Date: 2 I'� / 13 * Fee methodology set by Tri -County Building Industry
• Serv ice Board.
///
M u �rG
I: \Building\Perm .. ' -CO 'ermitApp.doc 02/24/2011 440- 4613T(11/02 /COM/WEB)
Building Division
Over- The - Counter (OTC) Building Permit
TIGARD - Check List
1
Project Description: 1 H ?.(- P ' -Of 3 - 1,00
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: Occupancy Group: Type of Construction:
*Type of Use: Occupancy Load: Oregon Specialty Code:
SPECIFICS
Number of Stories: Building Height: Mixed Use: _
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT - SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport: Mezzanine:
SETBACKS
Sideyard Setback — Left Sideyard Setback — Front
Sideyard Setback — Right Sideyard Setback — Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access. Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ (64,-,qcr FEES DUE
$ , •C DC Prov Rvw, COM TI — Ping
$ . DC Prov Rvw, COM TI —LRP
DC Provision Review Fee for COM TI $ Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ ����'�� 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ Q`52,, v Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ di arAK Plan Review, Fire Life Safety
$75,000 - $149,999 $167.00 $25.00 $ 1 /•Q& Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $268.00 $39.00 $ Info Proc /Arch, Sm (up to 11x17 $0.50)
$ 77.( �i' Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
Planning Staff: $ Hourly Rate State Surcharge
$ Misc. Admin Fee
Permit Coordinator: $ Other:
$ Other:
Building Staff: $ Other:
Date /Time: $ A'=}ci ' TOTAL FEES DUE
3, ./(- / 1.
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; END = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies);
REP = repair.
I: \Building \ Forms \OTC- BUP.docx 07/01/2012
City of Tigard
1114 ° TDT — COUNTYWIDE TRANSPORTATION DEVELOPMENT TAX
,GAR Rate Calculation Worksheet
T D
APPLICANT ---27,41e,"7-, L 1.-f A` ; 1 DATE _2 1
MAILING ADDRESS / 5 350 . ea !!O ,A PrC,ay 1 /
jo0 PREPARED BY f ys
CITY / ZIP / PHONE � y 1,7,4 PLANS CHECK
/520/3 -DOD / I
Z� G ea- v PROJECT TITLE
TAX MAP #
2S / i
SITUS # ADDRESS �. rQ 73 i K /Z.401 `-/e96-4- 1 9S-q . '9 Z — / l y e
o Et
FOI LTS(S) •
USE ITE # TDT DESCRIPTION /NOTES
# CODE UNITS X RATE = ,MOST
/ nO 343 X . %496 1 . 13 3, oz9. 346'3 -SA LES ReTA ,i.
� l
X = s-2D �h oftp �e ,,.
x =
X =
TOTAL TDT, FORMER USE(S)
PROPOSED USE(S)
USE ITE # TDT DESCRIPTION /NOTES
# CODE UNITS X RATE _ ,�MOUN'T
X = = tl - t t( - #09
x =
x =
TOTAL TDT, PROPOSED USE(S) °,Z 77, v-/ I'
LESS TOTAL TDT, FORMER USE(S) — / 3 3 . en 2? , //
/V e C
TDT INCREASE /(DECREASE) � / 8 (I - • I._ ".
PAYMENT METHOD /2ir5 c C
CASH /CHECK j ✓ • e i / : i4 A - .%DOX/ g
CREDIT 3611 ,YOO = 5". Et
BANCROFT AGREEMENT 724 e12, 4 e Pi ht-•'744 a env „..( 5e, vI Le./ G OO5 1 0E
36 r3 GOO
(PROMISSORY NOTE) = �; Al evs
DEFER TO OCCUPANCY �O• /y -1.2 G - a s--r- e&
Vv.- u1( x34.34 - Zit..? 94. ZZ�rt,,rs •
I /0FS /CD /FORMSITDT Rate Calculation Worksheet.indd (Rev. 4/22/09) I
Building Division
Development Code Provision Review
T l G A R D Commercial Projects - No Associated Land Use Case
Building Permit No: 61.E P 2-D i 3 - Si- ❑ Expedited Review
Project Name: Al i A U46
Site Address: i <9 S7 79 Suite /Bldg #:
Plan Submittal Date: a16 // 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 Wt& at 503 - 718 - 0 or are& @tigard- or.gov)
Proposal: C Ctrs ID a l®lr-iv accoy nxil - 4cnGt - tvelto
Zoning V P /
Permitted Use Yes [ No ❑ r
Land Use Required: Yes ❑ No L7
Notes: 2 I3 — Ot t Obi 42-Orn r't t I -to I 1-1610:5
e 1 r1ti-t-
Approved ❑ Not Approved Date: 2-12 I
L \CURPLN\Masters\Development Code Provision Review\No Land Use Comm.doc 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
15957 SW 72ND AVE, TIGARD, OR, 97224
Commercial - Building
275 Framing
03/22/2013 00:00
BUP2013-00042
PASS
Pass with plumbing approval
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
15957 SW 72ND AVE, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
05/01/2013 00:00
BUP2013-00042
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
15957 SW 72ND AVE, TIGARD, OR, 97224
Commercial - Building
275 Framing
04/05/2013 00:00
BUP2013-00042
PART
RTU framing on rooftop
Violation Summary:
Inspector Contractor