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Permit y CITY OF TIGARD BUILDING PERMIT . F COMMUNITY DEVELOPMENT Permit #: BUP2013 -00039 `T-IGARD' 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/19/2013 Parcel: 2S110DCO2400 Jurisdiction: Tigard Site address: 11565 SW DURHAM RD 100 Project: Dr Auzins Subdivision: 1998 -128 PARTITION PLAT Lot: 2 Project Description: New interior partition walls and new doors for new tenant. Contractor: EMMETT PHAIR CONSTRUCTION Owner: DRT PROPERTIES LLC 16650 FIR LANE 9805 SW CHOCTAW ST LAKE OSWEGO, OR 97034 TUALATIN, OR 97062 r . PHONE: 503 - 572 -8606 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: Vg DC Provision Review, COM TI - Ping 02/14/2013 $67.00 Occupancy Grp: B Occupancy Load: 13 DC Provision Review, COM TI - LRP 02/14/2013 $10.00 Permit Fee - Additions, Alterations, 02/14/2013 $880.05 Dwelling Units: 0 Demolition Stories: 1 Height: 0 ft 12% State Surcharge - Building 02/14/2013 $105.61 Bedrooms: 0 Bathrooms: 0 Plan Review 02/14/2013 $572.03 Value: $70,000 Info Process /Archiving - Lg $2.00 (over 02/14/2013 $12.00 11x17) Plan Review - Fire Life Safety 02/14/2013 $352.02 • Floor Areas: • Total Area: 0 Accessory Struct: 0. Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,998.71 Required: Required Items and Reports (Conditions) Fire Sprinkler: No 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. A • a . •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - • • 1 -0010 through OA "52-01 0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. I - sued By: _ I / / , / / Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next avail. . - spate. 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. -. J Building Permit Application Commercial FOR OFFICE USE ONLY City R eceived Tigard of Ti and / Permit No.: ' 0 0 ! ` � , �� B L ��/ Date il . e 13125 SW Hall Blvd., Tigard, OR 98.I9 B 1 4 2013 Plan Revie �� � Phone: 503.718.2439 Fax: 503.698.19 Datev: f ri Other Permit: TIGARD Inspection Line: 503.639 Date Ready7" � Juns El See Page 2 for Internet: www.tigard or. CITY OF TIGARD No tified/Method �� � l Supplemental Information BUILDING DIVI SIC! 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 (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 III Commercial /industrial Valuation: S ID Accessory building El Multi-family Number of bedrooms: ❑ Master builder ® Other: T.I. Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 11565 Sw Durham rd. BLDG F New dwelling area: square feet City /State /ZIP: Tigard, OR 97224 Garage /carport area: square feet Suite/bldg. /apt. no.: Ste.100 Project name: Dr. Norm Auzins 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. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead. and the profit for the DESCRIPTION OF WORK work indicated on this application. New interior partition walls, New doors, Relocated lighting, Valuation: 5570,000.00 Existing building area: 2,640 square feet New building area: 2,640 square feet ❑ PROPERTY OWNER ® TENANT Number of stories: I Name: Dr. Norm Auzins Type of construction: VB non sprinkl Address: 2824 NE Wasco St. Suite 230 Occupancy groups: City /State /ZIP: Portland OR 97232 Existing: B Phone: (206)291 -5257 Fax: ( ) New B ❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* Business name: Toni King Associates (Please refer tu fee schedule) Structural plan review fee (or deposit): Contact name: Peter Kim FLS plan review fee (if applicable): Address: 330 SE 117LK Blvd. Suite 350 City /State /ZIP: Portland OR 97214 Total fees due upon application: Amount received: Phone: (503) 235 -0243 Fax::( ) E -mail: pka�tonikingassociates.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof -top mounted PhotoVoltaic Solar Panel System. Business name: Emmett Phair Construction Submit two (2) sets of roof plan with connection details and fire department access, along with the 2010 Oregon Address: 16650 Fir Ln Solar Installation Specialty Code checklist. City /State /ZIP: Lake Oswego, OR 97034 Permit fee (includes plan review $ 1 80.00 and administrative fees): Phone: (503) 572 -8606 Fax: ( ) State surcharge (12% of permit fee): $21.60 CCB lie.: 57427 tit 04141 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: Peter Kim Date: 02 - - * Fee methodology set by Tri- County Building Industry Service Board. 1: \Building \Permits \BUP -COM PemiitApp.doc 02/24/2011 440- 4613T( I I /02 /COM /WEB) II ® • Building Division Over- The - Counter (OTC) Building Permit • Tl-GAR.D Check List Project Description: T1 APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION _ • *Class of Work: Occupancy Group: Type of Construction: -' *Type of Use: (5W Occupancy Load: ' Oregon Specialty Code: SPECIFICS Number of Stories: I. 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 p q, � Fire Sprinklers: !� Fire Alarms: Smoke Detectors: Parapet: Manual Pull Stations: Protected Corridors: Total Project Valuation: $ %- r CCYD FEES DUE $ ` ,/© DC Prov Rvw, COM TI — Ping $ ,` , C) DC Prov Rvw, COM TI — LRP DC Provision Review Fee for COM TI $ Iai# 0 ' Permit Fee — Add, Alt, Demo Project Valuation Planning LRP $ aAPA, 12% State Surcharge Up to $4,999 $0.00 $0.00 $ i 8 Plan Review, Structural $5,000 - $74,999 $67.00 $10.00 $ Alo . 0 Plan Review, Fire Life Safety $75,000 - $149,999 $167.00 $25.00 $ r.....e0 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) $ 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: $ 1 918 7 ( TOTAL FEES DUE *OPTIONS: TYPE OF USE: COM = commercial; CMS = commercial manufactured structure. CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = 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. 1: \Building \ Forms \OTC- BUP.docx 07/01/2012 Building Division Development Code Provision Review TIGARD Commercial Projects - No Associated Land Use Case Building Permit No: ' P ,90 ( ) — DOD 5q ❑ Expedited Review Project Name: / 1 5 Dk e-1 Oy ,_ Site Address: `D2. A1�. t.> S U , Suite /Bldg #: Plan Submittal Date: cal/ t { / 1/ 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. I Planning Review (contact 364;4. 4''a at 503 -718- 25.5 I or .) k , d i @ tigard- or.gov) Proposal: 1 0415 . `t �c,(I4' 41=, prad� a eri vat 4 ; Jtt4 OpGr'I.TDr ?IS . Na Ad rAfcIS. Zoning C CI ,� Permitted Use Yes Yd No ❑ l i Land Use Required: Yes ❑ No Notes: 1IJ Approved ❑ Not Approved Date: Z /A,0 3 1: \CURPLN\Masters\Development Code Provision ReviekNo Land Use Comm.doc REVISED 10/4/12