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Permit q CITY OF TIGARD BUILDING PERMIT IN : ' COMMUNITY DEVELOPMENT Permit #: BUP2013 00085 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/23/2013 TIGARD . g Parcel: 2S 113AA00800 Jurisdiction: Tigard Site address: 16490 SW 72ND AVE B6 Project: Spec Space Subdivision: ROSEWOOD ACRE TRACTS Lot: PTS C,C Project Description: TI Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES 15350 SW SEQUOIA PKWY #300 ATTN: N PIVEN PORTLAND, OR 97224 15350 SE SEQUOIA PKWY #300 PORTLAND, OR 97224 PHONE: 503 - 624 -6300 PHONE: 503 - 624 -6300 FAX: 503 - 624 -7755 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIIB DC Provision Review, COM TI - Ping 04/23/2013 $67.00 Occupancy Grp: Occupancy Load: DC Provision Review, COM TI - LRP 04/23/2013 $10.00 Dwelling Units: 0 Permit Fee - Additions, Alterations, 04/23/2013 $872.52 Demolition Stories: 1 Height: 0 ft 12% State Surcharge - Building 04/23/2013 $104.70 Bedrooms: 0 Bathrooms: 0 Plan Review 04/23/2013 $567.14 Value: $68,200 Plan Review - Fire Life Safety 04/23/2013 $349.01 Info Process /Archiving - Lg $2.00 (over 04/23/2013 $8.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,978.37 Required: Required Items and Reports (Conditions) Fire Sprinkler: Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 0 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speci- . - • • : - and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 ='r' o uance, • if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon U ' Notificatio Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OU •y calling 503.'32.1987 or 1. :00.332.2344. Issued By: j/Lta P ermittee Signal e: �� ��_ Call 503.639.4175 by 7:00 a.m. for the next available in- • ection d - This permit card shall be kept In a conspicuous place on the job site unti . • mpleti • • • - • - - Approved plans are required on the Job site at the time of each Inspection. Building Permit Application Commercial RECEIVED ��olz ol� I� Ic1�:1sI: o��l.l 11 q Received £. Per mit No.: City of Tigard Date/By. a 3 / 1 3 ,8�(/� 3U 1 3 000g �(Jg 13125 SW Hall Blvd., Tigard, OR 97223 an ev = Phone: 503.718.2439 Fax: 503.598.1 R 2 3 2013 0 � 3 Da R e y v iew {� a,7 A'2. , Other Permit: Inspection Line: 503.639.4175 Date RReady/*: 5i ru$' t!i H See Page 2 for Internet: www.tigard or.gov T 1 G i L) p ection CITY OF TIGARD Notified/Method. --r 3 I (3 Vii' Supplemental Information ij t.1.11:1 )) >, I, >I1 I 'ii31 >,1 ,)\ `ii1',C, ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Q1 Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the l C),), < �� �. �_ °�' work indicated on this application. Valuation: $ ❑ I- and 2- family dwelling 51fCommercial/industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: 1fli;?'.41 1. 1\3111t`+i'. i 7t':•' ,it I 't '.`11()1, Total number of floors: Job site address: ` L tic\ b g w Z r4 r /'ri 4o New dwelling area: square feet City/State /ZIP: T■ tx (L, `"1 ZZ Garage /carport area: square feet Suite/bldg. /apt. no.: 314. v I Project name: 14.02:0? k \3 ., U A \O Se-e e. Covered porch area square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet 1,:: c)1 11 ;1 )3111 i•.;: { 1 ,11..);4. I .i i„ 1.,. (:1,1 It i Subdivision: I Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rotnded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the ■ , , , i I ( , ,, r a 1 s., , ' I , I , work indicated on this ..lication. 1^.1.V:tor T k : O 1Y"o, Wt &� � Valuation: $ (�� S c(1- 10.r.S 1 cj hiktNa Existing building area square feet J 1 New building area: square feet 1 , 1,1 ; 1 , s , Number of stories: Name: 04,ILTw cj Type of construction: \ \` Address: I s St) St^) e CtV . ©t 9V-1/-1 Occupancy groups: City/State /ZIP: ` .RQ' „4 ® . Q , S-7224 72.24 Existing: fl. a-- S -2- Phone: .4.) y - ( 0t) Fax: I ) , Lt- -77S New: C a- S —2 i , .1: I {J� Y J 11 W'0 ' _ (e' �1 ,} ° i : .,, 1.i Business name: , Structural plan review fee (or deposit): Contact name: [�.-�a✓t m e 6,V t FLS plan review fee (if applicable): Address: Total fees due upon application: City/State /ZIP: Phone: (S53) -7- 104.4. I Fax :: ( ) Amount received: )'1 t11 ttVtn i i'sit •:.t .1, 1 , ; i i .0 A , 1. E -mail: i ► Y CA ... J1 il\./.1 Commercial and residential prescriptive installation of L t 1 s i ,; 3 tj3: roof -top mounted Photo Voltaic Solar Panel System. Business name: 5-, „_A w Submit two (2) sets of roof plan with connection details - and fire department access, along with the 2010 Oregon Address: Solar Installation S,ecial Code checklist. City/State/ZIP: Permit fee (includes plan review $180.00 and administrative fees : Phone: ( ) , Fax: ( ) State surcharge (12% of permit fee): $21.60 CCB lie.: tS3 p I ,? j.� Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained • 40.7........446.....4 within 180 days after it has been accepted as complete. Print name: �jr ` 1 , Date: • Wiry * Service Board doollogy set by Tri -County Building Industry I: 1Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11 /02/COM/WEB) Building Division . . Development Code Provision Review TIGARD Commercial Projects - No Associated Land Use Case Building Permit No: J axp! -000 / Expedited Review Project Name: ta(NC dL3 72 4 40E-- Site Address: . i)Z .p C.ti-- Suite /Bldg #: Plans Routed: � � // (La, Original Plan Submittal Date: ( Routed By: 1st Revision Submittal Date: Routed By: 2 Revision Submittal Date: Routed By: 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. approved. Planning Review (contact �6 �I.K l e at (503) 718- 2 or ____ @tigard- or.gov) Proposal: `� Zoning .- 1 "' Permitted Use Yes lEC No ❑ Land Use Required: Yes � ( ❑ No // Notes: Sec, Sera,. — (1XAr'K htient Et, Approved ❑ Not Approved ❑ DCPR Not Required – No DCPR Fees Due Date Routed to Building: I: \CURPLN\Masters\Development Code Provision Review\DCPR_COM NoLandUse.doc Rev. 01/16/13 ; 1 , B uilding Division Over- The - Counter (OTC) Building Permit TIGARD Check List Project Description: --R &I p a 1 3 -000 APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION *Class of Work: /VT Occupancy Group: V Type of Construction: g *Type of Use: _ Occupancy Load: Oregon Specialty Code: 212) ( D SPECIFICS Number of Stories: -7/ 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: < .7 Fire Alarms: Smoke Detectors: Parapet: Manual Pull Stations: Protected Corridors: Total Project Valuation: $ FEES DUE $ ° CO DC Prov Rvw, COM TI — Ping $ IV ,r DCProvRvw,COMTI —LRP DC Provision Review Fee for COM TI $ r 2 :52 Permit Fee — Add, Alt, Demo Project Valuation Planning LRP $ K. 740 12% State Surcharge Up to $4,999 $0.00 $0.00 $ f Plan Review, Structural $5,000 - $74,999 $67.00 $10.00 $ re° , O Plan Review, Fire Life Safety $75,000 - $149,999 $167.00 $25.00 $ en 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: $ raCizeri TOTAL FEES DUE (q 1 g• 3 *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. I: \Building \Forms \OTC - BUP.docx 07/01/2012