Permit 1 1 1 Ill CITY OF TIGA BUILDING PERMIT
e COMMUNITY DEVELOPMENT Permit #: BUP2013 -00086
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/06/2013
Parcel: 2S102AD02400
Jurisdiction: Tigard
Site address: 8950 SW BURNHAM ST 100
Project: NW Preferred Credit Union Subdivision: TIGARD HIGHWAY TRACTS Lot: 21
Project Description: Install Spacesaver storage system. (building sq ft = 5,812)
Contractor: SPACESAVER SPECIALISTS INC Owner: NW PREFERRED FEDERAL CREDIT UNIO
9730 SW HERMAN ROAD 8450 SW BURNHAM
TUALATIN, OR 97062 PO BOX 231269
TIGARD, OR 97281
PHONE: 503 - 924 -4100 PHONE
FAX: 503 - 924 -4114
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee - Additions, Alterations, 05/06/2013 $423.53
Demolition
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Building 05/06/2013 $50 82
Dwelling Units: 0 Plan Review 04/24/2013 $275 29
Stories: 0 Height: 0 ft Info Process /Archiving - Sm $0.50 (up to 05/06/2013 $4 00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $22,878
Floor Areas:
Total Area 0
Accessory Struct: 0
Basement' 0
Carport' 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $753 64
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 Codes and all other applicable law All work will
be done in actor•., ce with approved plans. This permit will expire if work is not started within 180 days of issua •e, or if work is suspended for more the 180
days ATT • ION Ore! law requires you to follow the rules adopted by the Oregon Utility Notification r enter Those rules are se forth in OAR
952 -001 -! r 10 through OAR 9 *-1: -4 You may obtain a copy of the rules or direct questions to OUNC by calling 50 1987 or 1 800 332 2344
Issue • By: / �` 1. 41.k r
�� Permittee Signature: e 1
, , i ,
Call 503.639.4175 by 7:00 a.m. for the next available inspec • • • date.
This permit card shall be kept in a conspicuous place on the job site unti , mpletion of the project.
Approved plans are required on the job site at the time of ` inspection.
Building Permit Application
;Commercial ` rj, �� F OFFICE USE ONLY
�
City of Tigard . ��Q Date /By y a4 / 3 Permit No ' , l ab /3
° 13125 SW Hall Blvd., Tigard, OR 97223 nn Plan Review '1
' C Phone: 503 718.2439 Fax • 503.598 1960A P R 2 4 2013
Date /By 3 ` / 7 f .t ( .2 Other Permit.
Inspection Line 503.639.4175 Date Ready /By � 1 I� Si' PP
tun ® See Page 2 for
T I G A RD Internet www tigard-or.gov CITY OF TIGA Notified /Method
�` supp Information
BUILDING DIVJCV Ott- w . l/YA-/
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 RI Other: S-6 rat e S b h/ i' equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION
C work indicated on this application.
Valuation: $
❑ I- and 2- family dwelling 'Commercial /industnal
❑ 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: '950 5 W A V rh L 4 S÷ New dwelling area: square feet
City/State /ZIP: T a �pt Q� 9 7a a V Garage /carport area: square feet
Suite/bldg. /apt. no.: V Project name: S F (1 S i r4 ,S)7o/,. 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: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
2 $ 78
��++ ) / Valuation: $ 2
,...1,..s4 t I) Joe. eP$e v." f lfL ; l"/ 54 fd � /
Cj S ,4 ,. Existing (/ Existing building area: square feet
. Or-building area: 'j g('., square feet
PROPERTY OWNER I ❑ TENANT Number of stories:
Name: A/ (A) p f 4"' Y red F, .f € 0 re j ) 1 a „J O . Type of construction:
Address: 8 9 so S�w ,U k r % a S 4. • Occupancy groups:
City/State /ZI / 4 y O e g 7 y Existing:
/ ` g:
Phone: (56) '1D3 6 3� Fax: (,�D3 6,8y .W 9 V New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES'
S � / / � (Please refer tope schedule)
p
Business name: l a test! G1 � ,r, L
t�
co Structural plan review fee (or deposit):
Contact name: J I
Address: 9 7 30 S t..) }>'rw A ..-, FLS plan review fee (if applicable):
City/State /ZIP:1—.0 k I aa.. „• 6 ! 70 "2- Total fees due upon application:
Phone: ( )3) gay - y/ 0 Z Fax:: (,5Z) 9A — •5/// y Amount received: �p�7�j • ?
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* 1 wl_ IAA 6 C D ✓� C` n S r4 / 141 i s% , ea, and residential prescriptive installation of
CONTRACTOR U roof -top mounted PhotoVoltaic Solar Panel System.
Business name:
5 A Q Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: Solar Installation Specialty 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 lic.: / Total fee due upon application: $201.60
Authorized signature: / / /// This permit application expires if a permit is not obtained
r within 180 days after it has been accepted as complete.
Print name: 49 C 9, Date: -23 ' i * Fee methodology set by Tn County Building Industry
Service Board
I: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440- 46I3T(I I /02 /COM /WEB)