Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2013 00153
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/25/2013
Parcel: 2S113AA01000
Jurisdiction: Tigard
Site address: 16570 SW 72ND AVE B9
Project: Stay'N Power Subdivision: ROSEWOOD ACRE TRACTS Lot: PTS C,C
Project Description: Interior TI: demo, framing, sheetrock, doors & finishes.
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 06/25/2013 $67.00
Occupancy Grp: B Occupancy Load: 42 DC Provision Review, COM TI - LRP 06/25/2013 $10 00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 06/25/2013 $827.34
Demolition
Stories: 0 Height: 0 ft 12% State Surcharge - Building 06/25/2013 $99.28
Bedrooms: 0 Bathrooms: 0 Plan Review 06/25/2013 $537.77
Value: $62,700 Plan Review - Fire Life Safety 06/25/2013 $330.94
Info Process /Archiving - Lg $2.00 (over 06/25/2013 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct 0
Basement: 0
Carport 0
Covered Porch 0
Deck: 0
Garage: 0
Mezzanine. 0
Total $1,878.33
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes 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 • • -s an. other applicable law All work will
be done in . - - • - ice with approved plans This permit will expire if work is not started within 180 days • issu. • ._, or rf wo is suspended for more the 180
days. • ENTION Or-:•n law requires you to follow the rules adopted by the Oregon Utility N• ifi •n Cnter Th• e rules are set forth in OAR
952 .01-0010 through OAR • -00 '690 You may obtain a copy of the rules or direct questions to OUNC by ;i g 503 23 1987 or 1 8 %0 332 2344
sued By: /40/ Permittee Signature: ,V illnilft
Call 503.639.4175 by 7:00 a.m. for the next available Ins . ction dat .
This permit card shall be kept in a conspicuous place on the job site until . • mple on of the project
Approved plans are required on the Job site at the time of each in • ection.
Buildin Permit A licati ,
Commercial FOR OFFICE USE O: \I.1'
City of Tigard JUN 2 5 2013 Received � PermitNo.: / -a /S"3
q 13125 SW Hall Blvd., Tigard, OR 3 Plan Review 11 ok II! ( 2 Other permit
. Phone: 503.718.2439 Fax: 503. ill: ; tOl+ TTG� B Date : r ' • 65 See Page 2 for
i. i G It u Inspection Line: 503.639.4175 BUILDIN Date Ready/By: e
Internet: www.tigard -or.gov GUNISION Notified/Method: Supplemental Information
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❑ New construction El Demolition
Permit fees* are based on the value o the work performed.
Indicate the value (rounded to the nearest dollar) of all
►mil Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
-gyp r s— = z r T� ^�� } . work indicated on this application.
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Valuation: $
12 1- and 2- family dwelling 'Commerciallmdustrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
i� -h . E .,,. i � i! � U i I �r Fi , ?•' X , , i 'mr - Y F �+ t �� Total number of floors:
c. ix�, 1 0 C n Lull . o "3v�' a �l �,le lan.: t! o �, , , . �._
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Job site address: t uz -i ., t.� 3-Z " A -Nl-e..., New dwelling area: square feet
City/State/ZIP: 7i �/� ( 0-e..) O h 2 - 4 Garage/carport area: square feet
Suite/bldg. /apt. no.: I Project name: s-i- N V D 0 e Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
' Other structure area square feet
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
((''�� � r s r� F- �, f equipment, materials, labor, overhead, and the profit for the
FA l TZ F� 5 „ ,7 , , -1,7`1,':.4= ; „,---11,3 ' A ll 11 1(0:w,s_ . ,�4 > :;(n X ,A . ' s , I� c� ; work indicated on this application. ■ ea . ,..F.ft.:'- 3c�,1,1,e ilr3 '=-� .s.i ' .,i s.._..e_. r.,_ .. _.i : -z ,- ,A.�i -- . -,..., n. Kl__ �"h._.a_ I
1 n 4-eAitt�-' -1-em an- - PMrr0V &IMAM - war • , ( 4I Valuation $ Lei, O —
Existing building area 'ism square feet
• a - e e / ” I ,.
New building area: 7 S?3e) square feet
, ''C
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J cs, Type of construction: %k, —
•
Address: % T1 SW geity O t ;. 9k1AJ � Occupancy groups:
City/ State/ZIP: v {..��, (��4e- 9,722 Existing: (3 er S -Z
Phone t � � � or 0 2 3 0 ' ) Fax ■ ) , T 7 7 S 3 New: 4 1 - 8 - 2 .
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Business name: ` (L r.r�iia, rt�L� T 1 L� c�.. T ___
,n Structural plan review fee (or deposit):
Contact name: [C. et Ail N� %
FLS plan review fee (if applicable):
Address:
Total fees due upon application:
City/ State/ZIP:
Phone: O 40 I Fax: : ( ) (} -, Amount received:
N ■ /� , 1 s 1v 0 I 0 i 0 r y 1 v i7c 0 V , � 1 ts' � 't � } I 1 11 1 . 1 .� :
E -marl v- • .A AA I i � 0. y_x _._ ....
..�. r �. �.,.� - 1� , I Commercial and residential prescriptive installation of
,eN� tc .n� S,� `� ` � .�.,� � � t �'at 'v �� .�F �t t4'+P � t : 3 i�'� w: � t "'' �
7,_ aA t_; . ,.�_ v y''- Yl1 ,•L,1� , -, -G; ,,;; `i,,^ „_ a ?• r. u ,; _ , roof -top mounted Photo Voltaic Solar Panel System.
Business name: �D��TrV S SOMA , Q.S 0300 v 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 Ilan review $180.00
and administrative fees):
Phone: ( ) I Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: `s5-41 3 Total fee due upon appfication: $201.60
Authorized signature: This permit application expires if a permit is not obtained
VI
I within 180 days after it has been accepted as complete.
Print name: ;��
1 Date: I t Z� 3 •Fee methodology set by Tri County Building Industry
Service Board
I: \Building\Permits\BUP -COM PermitApp.doc 02/ 24/2011 440- 4613T(11/02/COM/WEB)
a Building Division
° Development Code Provision Review
T I c A R D Commercial Projects - No Associated Land Use Case
Building Permit No: ` � P A0/5-00,5 ` Expedited Review
Project Name: 0 t paw 6e-
Site Address: . 1 14)!5i0 7 9 A i ) , Suite /Bldg #:
Plans Routed:
Original Plan Submittal Date: P.5 / 3 Routed By: Zi`fi.
1St Revision Submittal Date: Routed By:
2nd 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 /..;4 I •JA1/ at (503) 7182421 or ATIZS t @tigard - or.gov)
Proposal: Ona •VD ' 14 t II ' LA/ /
Zoning t — L-
Permitted Use Yes 0 No ❑
Land Use Required: Yes ❑ No Q .--
Notes: NO Ghoul.( (h U& -
% Approved ❑ Not Approved ❑ DCPR Not Required — No DCPR Fees Due
Date Routed to Building:
1: \CURPLN\Masters\Development Code Provision RevieHADCPR_COM NoLandUse.doc Rev. 01/16/13
IN Building Division
Over - The - Counter (OTC) Building Permit
TIGARD
Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: � Occupancy Group: Type of Construction:
*Type of Use: Occupancy Load: Z Oregon Specialty Code: 7( C)
SPECIFICS
Number of Stories: 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
- - - -- - - - -- -- - - -= - -
- - --- - - = = -N = =RUC - =ION- - -� - -- -- - - - - - -- - -- - - - -_ - -- -- -- - -- - -- —_
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access. Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: � � Fire Alanns: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ FEES DUE
$ 1 DC Prov Rvw, COM TI - Ping
$ 0, die DC Prov Rvw, COM TI - LRP
DC Provision Review Fee for COM TI $gl. Permit Fee - Add, Alt, Demo
Project Valuation Planning LRP $ liWti5 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ -- " r " , Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ .�r Et Plan Review, Fire Life Safety
$75,000 - $149,999 $167.00 $25.00 $ it 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: $ 187E3.• j 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 07/01/2012