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Permit n CITY OF TIGARD BUILDING PERMIT F'! g COMMUNITY DEVELOPMENT Permit #: BUP2013 00121 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/15/2013 Parcel: 2S 101 AA06400 Jurisdiction: Tigard Site address: 12323 SW 66TH AVE Project: Selectron Subdivision: WEST PORTLAND HEIGHTS Lot: 32 Project Description: TI - Rearrange offices, remodel bathrooms, create new meeting rooms & new breakrooms. Contractor: BEN BUTLER CONSTRUCTION INC Owner: STONER, DAVID S 11102 NW CRYSTAL CREEK LN 338 SE SPOKANE ST PORTLAND, OR 97229 PORTLAND, OR 97202 PHONE: 503 - 201 -5107 PHONE: 503 - 597 -3303 FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB Permit Fee - Additions, Alterations, 05/15/2013 $1,407.95 Demolition Occupancy Grp: B Occupancy Load: 69 12% State Surcharge - Building 05/15/2013 $168.95 Dwelling Units: 0 Plan Review 05/15/2013 $915.17 Stories: 1 Height: 0 ft Plan Review - Fire Life Safety 05/15/2013 $563.18 Bedrooms: 0 Bathrooms: 0 Info Process /Archiving - Lg $2.00 (over 05/15/2013 $6.00 Value: $150,000 11x17) Metro Const. Excise Tax - Commercial 05/15/2013 $180.00 Use Floor Areas: DC Provision Review, COM TI - Ping 05/15/2013 $268.00 DC Provision Review, COM TI - LRP 05/15/2013 $39.00 Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $3,548.25 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. N: regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9 - 01 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5! - .I32.1987 or 1.800.332.2344. Issued By: ./q11/ I# Permittee Signature: / Call 503.639.4175 by 7:00 a.m. for the next available inspectio date. This permit card shall be kept in a conspicuous place on the job site until completion of r oject. Approved plans are required on the job site at the time of each Inspection. ' Building Permit Application RECEIVED Commercial l�LCE_ N FOR OFFICE USE ONLY City of Tigard w 1 Receiv 5 i : ! 5 201 �r Permit No.: btu ,,I, 3_656 h- lig ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ' Phone: 503- 718 -2439 Fax: 503 -886�F T IGARD Date/By: Other Permit: TI G n ti D Inspection Line: 503 - 639 -4175 1S10N Date Ready/By: lone: El See Page 2 for Internet: www.tigard-or.gov BUILDINGDN Notified/Method: Supplemental Information TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING 4 New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Add ition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ 4 4 ' 1:1 1 -and 2- family dwelling CommerciaUindustrial '`''" El Accessory building El Multi-family Number of bedrooms: El Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1 230 e 6�/ f � New dwelling area: square feet City /State /ZIP: nr � Garage /carport area: square feet Suite/bldg. /apt. no.: roject name: ki 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. n� ,� � �i A�llt' • 4 ' AMMAN•..✓ . p p.&- Valuation: $ /� OM '13 j /Jf ✓`r i 4 v �►rf !(� --- L rlW „ , ,,,,}.pr N , P / Existing building area square feet Sr/ 1 2 New building area: square feet 1 PROPERTY OWNER I El TENANT Number of stories: Name: /// d't), J 1 / Type of construction: Address: % `7 05 5v1/4) r e 044ercAz Dr` 4-m Occupancy groups: City /State /ZIP: 7--)41,24) D� 2.� Existing: Phone: 5p' 3 67-7,._3...45 Fax: /56a [J Li ?) - Z©5 2 New: K. APPLICANT El CONTACT PERSON BUILDING PERMIT FEES* Business name: D Sri f5 ,4 pj4 f 'l`7` J (Please refer lo fee schedule) , *�, { ' r I Structural plan review fee (or deposit): Contact name: YJ i vv Nr, FLS plan review fee (if applicable): Address: 476 lek c�3 9 / /d�� Og_� Total fees due upon application: 7 City /State /ZIP: 2 '1 I Fax: I '( Z - 7Z / Amount received: Phone: rrIIrl E- mail: r� /14 /�jl7 G� 65/4,� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* `�/ ``—���� 't�f Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Business name: Submit two (2) sets of roof plan with connection details and fire department access, along with the 2010 Oregon Address: ` F3!) . - e s- t•p- A - T eA1 1.1c-, Solar Installation Specialty Code checklist. � �/�L Permit fee (includes plan review $180.00 City/State /ZIP: 2 N e� . lit 1 - ` 2 1 and administrative fees): Phone: (S 7) <b0 g - O) Fax: (t 3) Z�,- _ ZZ'�� State surcharge (12% of permit fee): $21.60 CCB lic.: Total fee due upon application: $201.60 Authorized signature: Fa, .. T his permit application expires if a permit is not obtained 4 within 180 days after it has been accepted as complete. Print name: I ts%L \ 1 i , ' Date: A.. * Fee methodology set by Tri -County Building Industry Service Board. I:\Building\Permits\BUP _COM_PermitApp.doc Rev. 12/11/2012 440 -4613T(11 /02 /COM/WEB) • Building Division Accessibility: Barrier Removal Improvement Plan T IGA R 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 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 III Building Division Development Code Provision Review TI G A R D Commercial Projects - No Associated Land Use Case Building Permit No: Pte/ 5 - G 0 / } Expedited Review Project Name: / 2.a3 5) CoLo Prpt Site Address: (.t c-,CT20 n) , Suite /Bldg #: Plans Routed: Original Plan Submittal Date: 5/4 5"// 9 , Routed By: ' 1" 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. Planning Review (contact /'» 9 / ° j �a- at (503) 718 - Z .? or @tigard- or.gov) Proposal: ± "t I' ∎I e - c C. Zoning pl// UE Permitted Use Yes No ❑ Land Use Required: Yes ❑ No,..21' Notes: ❑/Approved ❑ Not Approved ❑ DCPR Not Required - No DCPR Fees Due Date Routed to Building: c . l: \CURPLN\Masters\Development Code Provision RevievADCPR_COM NoLandUse.doc Rev. 01/16/13 !A q Building Division Over- The - Counter (OTC) Building Permit TIGARD Check List Project Description: t ( APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION *Class of Work: �' l Occupancy Group: Type of Construction: *Type of Use: Occupancy Load: Oregon Specialty Code: .7_,8 in . SPECIFICS Number of Stories: l 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: A w Fire Alarms: Smoke Detectors: Parapet: Manual Pull Stations: Protected Corridors: O Total Project Valuation: $ 15D ) C FEES DUE $ - 2-GS,00 DC Prov Rvw, COM TI — Ping $ ,CO DC Prov Rvw, COM TI — LRP DC Provision Review Fee for COM TI $ t' 7.95 Permit Fee — Add, Alt, Demo Project Valuation Planning LRP $ 1 k8 fi-s 12% State Surcharge Up to $4,999 $0.00 $0.00 $ QV-5c I7 Plan Review, Structural $5,000 - $74,999 $67.00 $10.00 $ 3. l a Plan Review, Fire Life Safety - $75,000 - $149,999 $167.00 $25.00 $ C.,, 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) $ i, i En 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: $ Aka ZOTOTAL FEES DUE *OPTIONS: TYPE OF USE: COM = commercial; CMS = commercial manufactured structure. CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; END = foundation; DEM = demo; END = 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