Permit CITY OF TIGARD BUILDING PERMIT
F , -- C OMMUNITY DEVELOPMENT Permit #: BUP2013 -00186
Date Issued: 07/23/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S112DC00500
Jurisdiction: Tigard
•
Site address: 15895 SW 72ND AVE 100
Project: Spec Space Subdivision: FANNO CREEK ACRE TRACTS Lot: 40
Project Description: TI for interior demo to walls and upgrade finishes.
Contractor: DURUS CONSTRUCTION LLC Owner: PACIFIC REALTY ASSOCIATES
15806 UPPER BOONES FERRY RD ATTN: N PIVEN
LAKE OSWEGO, OR 97035 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 320 -8601 PHONE:
FAX: 503 - 244 -4318
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB DC Provision Review, COM TI - Ping 07/23/2013 $70.00
Occupancy Grp: B Occupancy Load: DC Provision Review, COM TI - LRP 07/23/2013 $10.00
Permit Fee - Additions, Alterations, 07/23/2013 $347.48
Dwelling Units: 0 Demolition
Stories: 2 Height: 0 ft 12% State Surcharge - Building 07/23/2013 $41.70
Bedrooms: 0 Bathrooms: 0 Plan Review 07/23/2013 $225.86
Value: • $17,600 Plan Review - Fire Life Safety 07/23/2013 $138.99
Info Process /Archiving - Lg $2.00 (over 07/23/2013 $2.00
11x17)
Floor Areas: •
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $836.03
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 Notifi - • - . 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 n• - • 987 or . • 332.2344.
Issued By: /e, Permittee Signatu -:
Call 503.639.4176 by 7:00 a.m. for the next avallab Inspection . at
This permit card shall be kept in a conspicuous place on the Job si until comp ; o of the project.
Approved plans are required on the job site at the time o : • spectio • .
Building Permit Application
Commercial RECEIVED FOR oIIICi-. tisr o \1,1
City of Tigard Date 7/ �� Permit No ,�ocli/3 710/6e6
13125 SW Hall Blvd., Tigard, OR 97223 J1 ) L_ 2 3 2013 Plan Renew ..
2 Phone: 503.718.2439 Fax: 503.598.1960 D ate /B y: � r 1111k 7 �3 Other Permit:
T I G r\ RD Inspection Line: 503.639 CITY 1 TIGARD Date Ready : : Juris: ® See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
BUILDING DIVISION
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L IS1�la4.(pi'� \. 02�� + I ,;(o16li;Tall� \fI /W f!L r �.�I II
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❑ New construction ❑ Demolition Permit fees' are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Q1 Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
work indicated on this is .
C,C !� � l � (�1 ^ � ���f i� a ` ' i f�11, -C�Z�' ' ' k p scion
Valuation: $ - r�
❑ 1- and 2- family dwelling 52iCommerciallmdustrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
i toy 0 l l! CJ ;k i i tow '`• ID + 14 \1 3 (lei I Total number of floors:
Job site address: \ 5 ` \-*
csw -42 - ,€.i New dwelling area: square feet
City/State/ZIP: �' �� �7ZZIA Garage /carport area: square feet
Suite/bldg. /apt. no.: , ( y_ >� I Project name: 2 ea \S' - \00 - Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
14atlot0_01,07'Vr \r(e(ol,141i :ti 1 V'lL 1 Yr(c1 Ih(C;ul.) tl
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
F. z S
;- i 1 work indicated on this .lication.
tit?<1�(0) t �
`V‘ r �(9v- c\ tiJGtlS , vt lb .S
Valuation: $ ` CO —
Existing building area square feet
New building area: square feet
4 1
F.' -c ' _ 4Y 1 0))_ E \ (0 \',j ail - II I � 1 )11 ` )1 ' r : � Number of stories:
Name: e v 4,1- Type of construction:
Address: % S.'-&S-7-.) St") 4 V O ta- 9V 1.41 Oc groups:
City/ State/ZIP: �� 4a c J 6i2- 9 �� Existing:
Phone: .441 i/ (12.3(30 Fax I ) 775 New:
_ I vey) lisc(.v \I � f 1,. ,re(01 ,,I >�(c 1 I; (Q) a . I Ili a 111ji) n(6 I .',,-I al 4 ■ I I,,1 i 1_C`�- j
Business name: ._ (G1rrn• izlC7fr { t�aJ�l
,n Structural plan review fee (or deposit):
Contact name: �C.-��� iws 6 ) l 4,e_,
FLS plan review fee (if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
Phone: ( ) 1 € I Fax:: ( ) r Amount received (3 Q
(-.�
Email 'r • . `I � a 0. -- 1 IT o4 C�', o � ' �cC�C .1;, IA ,,1 Ia1, cY�' �alrl� �Il;t��
Commercial and residential prescriptive installation of
( y Z `(, I i(o 1; 1 roof-top mounted PhotoVoltaic Solar Panel System.
Business name: DV,•V S CAA S G1.-‘W‘, Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: Solar Installation S. ecial Code checklist.
City/ State/ZIP: Permit fee (includes plan review $180.00
and administrative fees :
Phone: ( ) I Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: Total fee due upon application: $201.60
Authorized signature: This. permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: * Fee methodology set by Tri- County Building Industry
�� e giPlk
!�+. r� Dam Z �3 S erv i ce Board.
I:\Building\Permits\BUP -COM PermitApp.doc 02!24!2011 440- 4613T(11 /02/COM/WEB)
•
71 Building Division
: ' °
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit N : ,a U d /3 - e O /�6, LrExpedited Review
Project Name: e s 4
Site Address: /C 9$ 5W"T2iI 4-te- Suite /Bld g #: /
Plans Routed:
Original Plan Submittal Date: 7-,.1 Routed By: Olt
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 A at (503) 718€ V} or @tigard- or.gov)
Proposal:
� �i:✓ �/ ^ J. / 4/ _e S -
��
Zoning
Permitted Use Yes [No ❑
Land Use Required: Yes ❑ No L7
Notes:
LK roved ❑ Not A q roved ❑ DCPR Not Required — No DCPR Fees Due
proved
Date Routed to Building: 1 r 3^ /'?
I: \CURPLN\Masters\Development Code Provision Review\DCPR_COM_NoLandUse.doc Rev. 01/16/13
1 , Building Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List
• Project Description: 1 l
• APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION .
Class of Work *: P(_T Occupancy Group: 1/ Type of Construction: 3 (1
Type of Use * *: 7(,-1 Occupancy Load: 6 6:, Oregon Specialty Code: 2010
SPECIFICS
Number of Stories: 'Z 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: tt' es 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: $ k 7) �,X0 , FEES DUE
$ 7 O, no DC Prov Rvw, COM TI — Ping
$ , - i DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI (effective 7/1/2013) $ ,. j . 4 r Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ '' , 7O 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ Z..2....-5 `- Plan Review, Structural
- $5,000 - $74,999 $70.00 . $10.00 $ 138 , co Plan Review, Fire Life Safety
$75,000 - $149,999 $174.00 $26.00 $ '2—,C0 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: $ 63t TOTAL FEES DUE
*1 (PEOF USE;' COM = commercial; CMS = conimercial,maiiufactured structure:,- '' '
LA
**CSS; OWOF, RK ACS = accessory; ADD = additio ADU = ac cessory' dwelling unit; Al T = alteration; DEM = demo; NEW = new
.O TR�.= tit (use fo,fences, decks, retaining walls, siids;.awdtngs,iWanopies):' _. _ . '
1: \Building \Forms \OTC - BUP.docx 07/01/2013