Permit CITY OF TIGARD BUILDING PERMIT
1 1 1 r � COMMUNITY DEVELOPMENT Permit #: BUP2013 -00179
13125 S Hall Blvd., Tigard OR 97223 5 03.718.2439 Date Issued: 07/17/2013
TIGARD Parcel: 2S 113AA00400
Jurisdiction: Tigard
Site address: 16250 SW 72ND AVE B2
Project: Stout Tanks Ramp Subdivision: ROSEWOOD ACRE TRACTS Lot: C
Project Description: Concrete retaining wall, ramp for drive -in loading dock access.
Contractor: AJ WEBER CONSTRUCTION LLC Owner: PACIFIC REALTY ASSOCIATES
PO BOX 80548 ATTN: N PIVEN
PORTLAND, OR 97280 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 244 -4318 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB DC Provision Review, COM TI - Ping 07/17/2013 $70.00
Occupancy Grp: S-2 Occupancy Load: DC Provision Review, COM TI - LRP 07/17/2013 $10.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 07/17/2013 $301.85
Demolition
Stories: 0 Height: 0 ft 12% State Surcharge - Building 07/17/2013 $36.22
Bedrooms: 0 Bathrooms: 0 Plan Review 07/17/2013 $196.20
Value: $14,500 Plan Review - Fire Life Safety 07/17/2013 $120.74
Info Process /Archiving - Lg $2.00 (over 07/17/2013 $2.00
11x17)
Floor Areas: Info Process /Archiving - Sm $0.50 (up to 07/17/2013 $3.50
11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $740.51
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 issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Noti - -nter. 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 - ng 50 _ or 1.800.332.2344.
Issued By: rm
Pelttee Signatu „ :
Call 603.639.4176 by 7:00 a.m. for the next avallab : Inspection d -
This permit card shall be kept in a conspicuous place on the Job sit . ntil compiet, of the proje
Approved plans are required on the job site at the time of - • - ; ' ectio .
Building Permit Application
Commercial RECEIVED FOR OFFICE USE ONE)
City of Tigard Received a ®��� Permit No.`Wo • --6f0/ 7
• 13125 SW Hall Blvd., Tigard, OR 97223 1 1 1 7 2 fl 13 Plan ReVieN
Phone: 503.718.2439 Fax: 503.598.1960•- Date/B : ,i►��� Other Permit:
C
Inspection Line: 503.639.4175 .�+ /� (; p� Date Rea. 'i Juns: 65 See Page 2 for
l I G IZ u
p g g CITY OF 77( www.ti ardor. ov Notified/Method: Supplemental Information
1 \ t IVISIO_ N
' 'BY .�!)'). '
.\ ‘1,10) . ` . IX, D �,.2--„,. i - -7 ,. a .\ --.. , . — ,.- 1�C6 i
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
►l.' Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
r ' T ,, tei 0 lr oft c''o ,c -I 4K6) (off; I 'i work indicated on this application.
El 1- and 2- family dwelling 'm
Comercialfmdustrial
Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
"i icril 1 C;i u ..SRI iftx. 0 . II l°', . 4■R1 i 1 rc "(n79_C0 i Total number of floors:
Job site address: CC Si,. X21^ A., ? J New dwelling area: square feet
City/State/ZIP:-I\ 01/0-. 9 72-2.4 Garage /carport area: square feet
Suite/bldg./apt. no.: Project name: 1--bIJ • - re/4/ l ‘12.04:44 Ir Covered porch area square feet
1
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
,igQ,L d IV \1i.,•'\3CC(6)01, 1t1 01 *J11."1:6(`15'Iel rogl
Subdivision: I Lot no.: Permit fees' are based on the value of the work performed.
fax map/parcel Indicate the value (rounded to the nearest dollar) of all
no.: equipment, materials, labor, overhead, and the profit for the
1 ,: 'i •fcl 71 r1 fsl i'y -f10 ?i ° 017 g t work indicated on this :,.. lication. cro
C_ovvirC.�. Y 1v\ % Y. ' t. c..11 I truh V� ? Valuation: $ % '
Existing building area square feet
New building area: square feet
1' F 4
' � �, i ' t 1x1 7 - 31 s ° t ' f J - 1 , l II 1 1- i l Till' � ` , 1 1 i ;_ , Number of stories: •
Name: ' AC. -- n e V C.1-- Type of construction:
Address: I SO S 3 % V O ta. 9V_60 Occupancy groups:
City/State /ZIP: Va .14,41.4A ®.Q„ c1:72.2-Or Existing:
Phone: art / i) q — &3Ov Fax: I )
7 New:
v F ,!lDIlf.icI74AI )> It `1 4' - i[il -e CO)V1'' i,r 1r) .1(0V1. -, : I f�lillit k ,I 1 R411 ! 7 15
e .,_a ti _y -_u lL LI...)C{:u lil / _.__ .1 __
Business name: g_
Structural plan review fee (or deposit):
Contact name: � h/1e4V 1 Y(',
FLS plan review fee (if applicable):
Address:
Total fees due upon application:
City/State /ZIP:
Phone: (3) 707- etiq I Fax: : ( ) Amount received:
E-mail: 'r I II Q 1 (1` 1. -�� I Yi) i..ir.V�l51I, �Syt,.Lta �,11_q) *,.7i
Commercial and residential prescriptive installation of
.. _.- _ - -..._ = " !- F . ..' ° -'2.` �- r_ • • - . _ , , -- _ _ _ . _ _ _1 roof -top mounted Photovoltaic Solar Panel System.
Business name: Td k,3 � ma y- , ✓t t..e t �✓�' Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: /9-f t f Z £7 G L C. p Solar Installation S,ecial Code checklist.
City/State/ZIP: P 0 64X (Qs rye / / ,a,pd Permit fee (includes plan review $180.00
and administrative fees :
Phone: 6Q j) p? Y/_- c./3/fr I Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: /P6 l 7 /(1171,5 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
a ppirr„, 111. within 180 days after it has been accepted as complete.
Print name: ; k-<-... I Date: - 4.-/ t J ( 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)
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Building Division
Development Code Provision Review
TICARD Commercial Projects - No Associated Land Use Case
Building Permit No: eu/J20 /3 -DO / '71 I Expedited Review
Project Name: o nttr '1 n] 1hS 1
&_0 7
Site Address: l (e 9,5 O &_0 '7,, Suite /Bldg #:
Plans Routed:
Original Plan Submittal Date: 7/17/0 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 -31tic1 i 41-1 - at 503 718 - 557 \ "�
g ( ( ) or S�(it i 4 @tigard-or.gov)
Proposal: R4. &•.c d ock - Ais c, /oarlli" cL-og-k w GI- r; 1,4-- i-t rot we •
r
No �JarKi /a.k.ais c 1
Zonin 1 L
P ermitted Use Yes Er—No ❑
Land Use Required: Yes ❑ No 442,,,,,,----
Notes:
Approved ❑ Not Approved ❑ DCPR Not Required — No DCPR Fees Due
Date Routed to Building:
•
1: \CURPLN\Masters\Development Code Provision RevievADCPR_COM_NoLandUse.doc Rev. 01/16/13
III Building Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List
Project Description: -1 l
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: 'MI Occupancy Group: '..-742.- Type of Construction: 'L� •
Type of Use * *: C..15 Occupancy Load: Oregon Specialty Code: 2,0 0
SPECIFICS .
• Number of Stories: 1 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: 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: $ - t) FEES DUE
$ 70,00 DC Prov Rvw, COM TI - Ping
$ • • CV DC Prov Rvw, COM TI - LRP -
DC Provision Review Fee for COM TI (effective 7/1/2013) $ 'Aa Permit Fee - Add, Alt, Demo
Project Valuation Planning LRP $ �, 2._ 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ ` 40 Plan Review, Structural
$5,000 - $74,999 $70.00 $10.00 $ y • Plan Review, Fire Life Safety
$75,000 - $149,999 $174.00 $26.00 $ 2, c2 Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $278.00 $41.00 $ 3, -50 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: $ 74o, Jam) TOTAL FEES DUE
*TYPE OF USE: COM = commercial; CMS = commercial manufactured structure. •
"CLASS OF WORK ACS = accessory; ADD = addition; ADU = accessory dwelling unit; ALT = alteration; DEM = demo; NEW = new;
OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies).
I: \Building \Forms \ OTC - BUP.docx 07/01/2013