Permit ,- CITY OF TIGARD BUILDING PERMIT
1 . Permit#: BUP2013 -00177
• : ' COMMUNITY DEVELOPMENT
t 7. D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/17/2013
TI GAR ' Parcel: 2S101AD03200
Jurisdiction: Tigard
Site address: 12909 SW 68TH PKWY 320
Project: Thenell Law Group Subdivision: WEST PORTLAND HEIGHTS Lot: 9 -25, PT
Project Description: Interior TI - framing, sheetrock, doors and finishes
Contractor: MATTHEW OLSON CONSTRUCTION Owner: PACIFIC REALTY ASSOCIATES
5320 SW DOVER LN ATTN: N PIVEN
PORTLAND, OR 97225 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 892 -0066
PHONE: 503 - 624 -6300
FAX: 503 - 892 -0067
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review, COM TI - Ping 07/17/2013 $70.00
Occupancy Grp: B Occupancy Load: 59 DC Provision Review, COM TI - LRP 07/17/2013 $10.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 07/17/2013 $408.32
Demolition
Stories: 3 Height: 0 ft 12% State Surcharge - Building 07/17/2013 $49.00
Bedrooms: 0 Bathrooms: 0 Plan Review 07/17/2013 $265.41
Value: $21,200 Plan Review - Fire Life Safety 07/17/2013 $163.33
Info Process /Archiving - Lg $2.00 (over 07/17/2013 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck. 0
Garage: 0
Mezzanine: 0
Total $970.06
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 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 • . - - nce, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Not cation - enter. 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 OUNC by ca g 5 '.1987 or 1.100.332.2344.
Issued By: Permittee Signature: '/_
• Call 503.639.4175 by 7:00 a.m. for the next available inspe. io date.
This permit card shall be kept in a conspicuous place on the job site until co • • letio • f the project
Approved plans are required on the job site at the time of each Inspection.
Building Permit Application C D���
Commercial RECEIVED r•oR 01:11( I: tisE ()Ni.,
City of Tigard JUL 17 2013 Date v ? ° 7 / 7 /3 ' PernritNo.. aPo /3 17 7
11 • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review . - pe,,! 717 ( '� OtherPermrt.
Date R ��+s See Page 2 for
C Phone: 503.718.2439 Fax: 503.598.196CJTy !1C TIG A D n Dare/By.
T I G A R D Inspection Line: 503.639.4175 Vl JA UW
Internet: www.tigard -or.gov BUILDING DIVISION Notified/Method: Supplemental Information
UV') "4 1 0.-)`'' WOW < 1 ulltaIil 111/.9 w, i': 4\0IY)-_11 It[ .. /pA IJI ILj1�cc", 1
❑ 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the
(0 tj o.3 r o1 <iCo_1 is1 0:(c 1jfU,,' work indicated on this application.
?....µ._ _i- _- _ ___. -_• __ -___- -_.._. _.�
❑ 1- and 2-family dwelling 'Comerciallmdustrial
Valuation: $
m
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
` t ti� tjl .a Y_\i n (0)', \.)� 1 �(®Xc.\i b U i I Total number of floors:
Job site address: I —`�D 5� (t2t IC.v� New dwelling area: square feet
Cit State/ZIP: -- , 1 . 2 a0 4 /"O t t 0 �-7 ZZ Garage /carport area: square feet
Suite/bldg. /apt. no.: % I Project name: 1 ) �it0 I Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
114 n(9 DJT j4)a1y \I r \j ic(oA09� lJ c IVV ,.IJl (du f j.3 - k
• Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map/parcel Indicate the value (rounded to the nearest dollar) of all
no.: equipment, materials, labor, overhead, and the profit for the
' r , , o :• ii(ol� too, .,(0l- -,e , :i work indicated on this :�..lication.
I, . .: r te., - .. ..,..t_ .
//�� Valuation: $ 2 00
c • ` _ A Existing building area ZQ ,'Z square feet
"j1 N `� Wt - S New building area: a , square feet
' '' ': -. ° 1<jaaltl�'r O \" , 1
_
[j ii In ,`v\t \i l - , �:i Number of stories: 3
Name: # aL"jYv S.1-- Type of construction: ` _ -
Address: I S > SD S‘00 V 0 IC. 9V-141 Occupancy groups:
City /State/ZIP: �C .��
. C 9,7� Existing: g
Phone: .4,4 1,,, — � 30.0 Fax: a ) , 7 7 S New: rj
- ,r/ - 0 1-�( /' Ir it �iii(eco),Ii z\cc)1 11::);;;(5),;41 . .I 1 (r 11-1:1 ;46 III I;tD) _ -C-- 1
Business name: Y _ : (G tf?1�C +!':,c , r 41 . _ ._ i
Structural plan review fee (or deposit):
Contact name: e�'{t�✓, � 1 i.,.... v FLS plan review fee (if applicable):
Address:
Total fees due upon application:
City/ State/ZIP: h / ' t '
(. ) 70 1- 10TT I Amount received ( )
Phone: Fax:: _ _ _._ -
Y '# ° .. • .I AA Q ! (n/� —
- -. -- - _ Commercial and l re esidentialprescriptive installation of l 5
, •
E-mail:
1 '
q(o)■ i u? `�i , 3 roof -top mo ted PhotoVoltaic Solar Panel System.
Business name: Submit two ( ets of roof plan with connection detail
�' II • • ' • '� - JITRII and fire depattme l - .cress, along with the 2010 i • gon
Address: Solar Installation S. ec I, ._ Code chec. '
City/ State/ZIP: Permit fee (includes 7::'�
� $180.00
:..:., mistrative e
Phone: ( ) I Fax: ( ) State surcharge (12% of permit fee): ` $21.60
CCB lie.: / 9 ( 7 9 .� Total fee due upon application: $ ' .0
Authorized signature: '�� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
/ ' �� Date: 1 Print name: ft 1Ptj . • Fee methodology set by Tri -County Building Industry
Service Board.
I
I:\Building\Permits\BUP -COM PermitApp.doc 0224/2011 440 -4613T(11 /02/COM/WEB)
1 ,11
Building Division
Development Code Provision Review
T I G A a D Commercial Projects - No Associated Land Use Case
Building Permit No: 1.)- 0 AU 13 - 00 1 7) 1 Expedited Review
Project Name: �Q G Jde
Site Address: I ago 9 cdLAD Le k,� ,� , Suite /Bldg #:
Plans Routed: // /
Original Plan Submittal Date: 7 ! 1 7 (1 3 Routed By: QS
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.
Planning Review (contact ' / 'S 0. GI . at (503) 718-2 J i tL @tigard - or.gov)
Proposal: \hi(,LIo2J \inPfe)012,6 far (XVS 1 - (Narc -.
Zoning V\(/k
Permitted Use Yes % No ❑
Land Use Required: Yes) No ❑
Notes:
)3(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
114 a Building Division
Over- The - Counter (OTC) Building Permit
T l c n 1z D Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work *: - i r Occupancy Group: Type of Construction:
Type of Use * *: P CAA Occupancy Load: 5 Oregon Specialty Code: 2.e
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
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access. Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: t?�-) Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ 2 I ' 2- 0 0 _ FEES DUE
$ `C1CZr7 DC Prov Rvw, COM TI — Ping
$ (C CC) DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI (effective 7/1/2013) $ ACS, - �✓ 2_ Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ 49,1:x, 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ 2L:$5 Plan Review, Structural
$5,000 - $74,999 $70.00 $10.00 $ t ( Plan Review, Fire Life Safety
$75,000 - $149,999 $174.00 $26.00 $ L/ , 00 Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $278.00 $41.00 $ Info Proc /Arch, Sm (up to 11x17 $0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee .
$ Hourly Rate State Surcharge
$ Misc. Admin Fee
$ Other:
$ Other:
Building Staff: $ Other:
Date /Time: $ 0 TOTAL FEES DUE
"TYPE,OF USE:T = commercial; CMS commercial manufactured structure. -
"CLASS OF W ACS accessory; ADD 7- 'addition; ADU = accessory dwelling. unit; ALT = alteration DEM _ demo; NEW = new
OTR . ;, other, (use for fences; decks, retaining walls, signs awnings or canoptes) , ,
I: \Building \Forms \OTC - BUP.docx 07/01/2013