Permit CITY OF TIGARD BUILDING PERMIT
E _ COMMUNITY DEVELOPMENT Permit #: BUP2013 00157
f G ARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/26/2013
TIGARD
Parcel: 25101 DA01200
Jurisdiction: Tigard
Site address: 7165 SW FIR LP 200
Project: Alternative Services Subdivision: 72ND BUSINESS CENTER Lot: 14 - 15
Project Description: TI - Create (3) new offices inside tenant space
Contractor: OWNER Owner: WESTON INVESTMENT CO LLC
WESTON INVESTMENT 2154 NE BROADWAY, STE 200
2154 NE BROADWAY PORTLAND, OR 97232
PORTLAND, OR 97232
PHONE 503 - 284 -2147 PHONE: 503 - 284 -2147
FAX.
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review, COM TI - Ping 06/26/2013 $67.00
Occupancy Grp: B Occupancy Load: DC Provision Review, COM TI - LRP 06/26/2013 $10.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 06/26/2013 $164 96
Demolition
Stories: 2 Height: 0 ft 12% State Surcharge - Building 06/26/2013 $19 80
Bedrooms: 0 Bathrooms: 0 Plan Review 06/26/2013 $107 22
Value: $5,500 Plan Review - Fire Life Safety 06/26/2013 $65.98
Info Process /Archiving - Sm $0 50 (up to 06/26/2013 $2.50
11x17)
Floor Areas:
Total Area' 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck. 0
Garage' 0
Mezzanine. 0
Total $437 46
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 ATTE ■ re oq law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -00 + 11 0 through OAR 952 -001 -0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232 1987 or 1 800.332 2344.
ssued By: V _ , /e¢ /, Permittee Signature: il /
1 �r � t• �t'� 1
Call 503.639.4175 by 7:00 a.m. for the next available Inspection iate.
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.
Building Permit Application
RECEtVED Commercial FOR OFFI('I•: 1 51": ONLY
cei�cd
City of Tigard Re Date,Be . `-''w�az_� , /5
. . q 13125 SW Hall Blvd., Tigard, OR 97223 JUN 26 2013 1►
Plan Re. iew !! ( her Permit
Phone: 503.718.2439 Fax: 503.598.1960 DateBy I ` ►'
I' I G A K D Inspection Line' 503.639 CITY OF TIGRRD Date ReadyMy Suns ® See Page 2 for
Internet: www.tigard or.gov Notified/Method. 7 : Supplemental Information
9UILDING DIVISION
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
RI Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
ztrett
❑ 1- and 2- family dwelling Ef Comerctal/industnal Valuation. S
m
❑ 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: 7/(6 5W (',r l p New dwelling area. square feet
City/State /ZIP: j i /,ei .6 / 7 ;,.9-3 Garage/carpon area: square feet
Suite/bldg. /apt. no.: pZ ') Project name: / N � y b t,e c cer,,a_s Co%ered porch area: square feet
Cross street/directions to job site: 7, .d iv r.,rlzwf Deck area: square feet
Other structure area: square feet i
REQUIRED DATA CHECKLIST
Subdivision: Lot no: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the %alue (rounded to the nearest dollar) of all
equipment, matenals, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application
CoAxi nr (3) oA 1 - 0 S - /rvS/.6- c Tfffs
Set I Tr- Valuation. S 5j5-0p
Existing building area: "1,, square feet
Nev, building area: ‘ ,I L ) j t; 42 square feet
5 PROPERTY OWNER I ❑ TENANT Number of stories: 2
Name: We.,c IoN II c S _ew� Type of construction -
Address: / ,v6 6rocadazi,j ,f Occupancy groups.
City/State /ZIP: R2(11,,,,..„1 Q / 7932_ Existing: B
Phone: (5o3) Z gq_ e PCi 7 Fax: ( )
New
WII APPLICANT 15 CONTACT PERSON BUILDING PERMIT FEES'
(Please ryes at fee sciehip
Business name: 1 I' /C...) 1 ' rly 74„„, ,e,,,t- Structural plan review fee (or deposit): I
�,
Contact name: Ar/� W6 ( 1
" FLS plan review fee (if applicable):
Address: . 9- i p /`�C� / ' ru (.(--,,,ok 4-1-
Pe,
/� Total fees due upon application: i '
City/State /ZIP: Pe,y f anti ` D 7.0
Phone: (5 _ ),-),-7 ? v Fax: • ( 5 ' — i� 7 Amount received:
c
E -mail: � y)+ ii & aj�n� fib I [AWL Commercial SOLAR PANEL SYSTEM PEES' ,
/' Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: �S�J era ��� Submit two (2) sets of roof plan with connection details
^n and fire department access, along with the 2010 Oregon
Address: ,,25) O /v r", ( ,t. Solar Installation Specialty Code checklist.
City/State /ZIP: /✓ r4/ Q �- ' 7 a3 2- Permit fee (includes plan review
UY and administrative fees). S180.00
Phone: ( 507) 964 -- a.7, -;
CCB Sic.: D (,J� � Fax. (sD) d2get rmit _ Nee 7 State surcharge (12% of pe fee )- 521 -64
Total fee due upon application. 5201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as compkte-
Print name: LA/ Date. Lp { ( - • Fee methodology set by Tn -County Building lodtsny
Sen ice Board
I: \Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(I 1 /02 /COM/WEB)
Building Division
Development Code Provision Review
T 1 G A R D Commercial Projects - No Associated Land Use Case
Building Permit No: - p ao 15 -00 1 5 7 APExpedited Review °
Project Name: 'LT 4-77 S 6220e &
Site Address: 2 /6ff s& / - GOO/e) Suite /Bldg #: v2c7
Plans Routed:
Original Plan Submittal Date: 6/2-6//13 Routed By: _
1St Revision Submittal Date: Routed By:
2n 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 CS at (503) 718 -2421 or ATE k— @tigard - or.gov)
Proposal: IrlirJ l ayr' npro4e.411,titiS far eAston01 - }el- v t
Zoning C. i
Permitted Use Yes Cr No ❑
Land Use Required: Yes ❑ No Er"
Notes: NO a lAVIr Iv) use..
Approved ❑ Not Approved ❑ DCPR Not Required — No DCPR Fees Due
Date Routed to Building:
1: \CURPLN\Masters\Development Code Provision Review\DCPR_COM NoLandUse.doc Rev. 01/16/13
" Building Division
Over- The - Counter (OTC) Building Permit
TIGARD
Check List
Project Description: T
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: I"Cl_.r Occupancy Group: Type of Construction: 5 j
*Type of Use: Occupancy Load: Oregon Specialty Code: 2_0(r)
SPECIFICS
Number of Stories: 'jj 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 y �
Fire Sprinklers: ,&.) 0 Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
^RA OD
Total Project Valuation: $ �J✓r FEES DUE
$ , 00 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 $ ( ga 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ (S L Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ ,,'�r Plan Review, Fire Life Safety
$75,000 - $149,999 $167.00 $25.00 $ Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $268.00 $39.00 $ 2,'S7' 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: $ 43-7 Al 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.
I: \Building \Forms \OTC - BUP.docx 07/01