Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2013 00196
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/01/2013
Parcel: 2S 113AA00800
Jurisdiction: Tigard
Site address: 16480 SW 72ND AVE
Project: ServPro Subdivision: ROSEWOOD ACRE TRACTS Lot: PTS C,C
Project Description: TI - concrete loading dock ramp
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: IIB DC Provision Review, COM TI - Ping 08/01/2013 $70.00
Occupancy Grp: B Occupancy Load: DC Provision Review, COM TI - LRP 08/01/2013 $10.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 08/01/2013 $301.85
Demolition
Stories: 1 Height: 0 ft 12% State Surcharge - Building 08/01/2013 $36.22
Bedrooms: 0 Bathrooms: 0 Plan Review 08/01/2013 $196.20
Value: $14,500 Plan Review - Fire Life Safety 08/01/2013 $120.74
Info Process /Archiving - Lg $2.00 (over 08/01/2013 $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 $737.01
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 o • -. 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 w' in 180 days of issu- • .=, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Ore••n Utility Notification Cen - 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 • . C by ca ' • 503.2 '.1987 or 800.332.2344.
Issued By: C�(4 00 Permittee Signature y ��!
Call 503.639.4175 by 7:00 a.m. for the next available • nspecIM
This permit card shall be kept in a conspicuous place on the Job site ntil comp = roject.
Approved plans are required on the job site at the time of e. • on.
Building Permit Application
Commercial RECEDED FOR OFFICE list ON1.1
IN City of Tigard 13 D r ,' Permit ` uP .._e0/9 • 13125 SW Hall Blvd., Tigard, OR 97223 , 1 1 ') n plan Revs , (
.� (
Phone: 503.718.2439 Fax: 503.598.1 Date/ By: J ( Other Permit:
Inspection Line: 503.639.4175 ❑ G' A D n Date Ready :y lutes fa See Page 2 for
T I G A IZ L) p Or D� �W
Internet: www.tigard or.gov Notified/Method: Supplemental pP lemental Information
z
1114 .(oin \yCl a < - l L I 1 0. 11 IS uy...g41i = /vli>221-C*Wilt11"( i 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
►'1I Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
r <:!, A 145 0 r (o) ; cctn]R( u 4l( g t oJs;l ' 1 work indicated on this application.
❑ 1- and 2-family dwelling p/Commercial/ ndustrial
Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
.: 00-1.1 ti ! iai Ca 3;1 y\I J Col\i lv\I)) 1 kaJ \i u Vi Total number of floors:
Job site address: kkilliehn iSY .t.4 New dwelling area: square feet
T City/State /ZIP: e k &Q- �1Z - Garage /carport area: square feet
Suite/bldg. /apt. no.: I Project name: Wl lyf, j Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
)T45(01OlI 3 011_4\It/\ ;-;(C(0)ii aI�)tfcj Y, 4.01::ta', (co ikf uk1 jIS
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map/parcel no.: Indicate the value (romded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
i t work indicated on this ,lication.
r' f �_,'1fl�airlflC01� (0)21'r�l�fr -
Valuation $
r J Yrili \ \V� Existing building area square feet
New building area: square feet
• I11S(U7.�� / ,,, of, Ii '1.11 I 1[1 1 Number of stories:
Name: / ACTT v Cbd- Type of construction:
Address: I S3.S'a St„ J 4 , U 0 ta 9k, AJ r Occupancy groups:
City/State/ZIP: v� a ,,a e9 a, 9,7� 1 Existing:
Phone: .. o s, - ta 3CD Fax: a ) i -77S New:
� r I 1 liiixC(�t�rlt tC)I I 1 I {Ott __Li In 1 1 ! :dt ,- IJIa' ,-"
._. 1 .
' _ ( G1. rrtY�1 . I:IC.irr�C��, , :1.C: =i!/d1 '
Business name: C •
, Structural plan review fee (or deposit):
Contact name: 1C. - f ' 4 6 1 f__,
FLS plan review fee (if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
Phone: () � 101-1-4- I Fax:: ( ) Amount received
I II TV
0. - 4 I Commerc ' res `\ in s ta llatton l1 I
E -mail: 'r ef ,1 1I • a of
. tc <I0\ v‘..(g II .13 I roof -top mounted Photo Voltaic Solar Panel System.
Business name: Q Qz �` r1/4) Si,_. 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: ( ) 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
. \M"e� I Date: S I Service Board
I:\Building\Permits\BUP -COM PermitApp.doc 0224/2011 440- 4613T(11 /02/COM/WEB)
III I ° B uilding Division
T I G A R D Over - The - Counter (OTC) Building Permit .
Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work *: a Occupancy Group: b Type of Construction: 2
Type of Use * *: rCj0■4 Occupancy Load: Oregon Specialty Code: -73 in
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 . C6 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: $ i4 C FEES DUE
$ 70.co DC Prov Rvw, COM TI — Ping
$ b,ar) DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI (effective 7/1/2013) $ .9yS Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ r� 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ 20 Plan Review, Structural
$5,000 - $74,999 $70.00 $10.00 $ Plan Review, Fire Life Safety
$75,000 - $149,999 $174.00 $26.00 $ 'Z., 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: $ 7 37, 01 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
Building Division
Development Code Provision Review
T l G A RD
J Residential Projects
Building Permit No.: t /- do/ 5- /9
Pro ject /Subdivisi n Name I VIVO fi 7o1 A� nv� , Lot #:
Site Address: c i 121 P
CWS Service Provider Letter:
Required: Yes ❑ No ?C]
Received: Yes ❑ No p
Plans Routed:
Original Plan Submittal Date: 9) ( / 3 Routed By: (- OS
1St Revision Submittal Date: ❑ Site Plan Only Routed By:
2n Revision Submittal Date: ❑ Site Plan Only Routed By:
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the
Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be
revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section.
Staff: please check items along left only if approved.
Planning Review (contact ) (503) 718- 2`131 or 9c' /; p @ti
or.
Land Use Case No. NA
Zoning I .. 1-
❑ Setbacks:
F ront Rear Side Street Side Garage
❑ Maximum Building Height: Actual Building Height
,/v ❑ Visual Clearance
Y ❑ Easements
❑ Sensitive Lands Type:
❑ Street Trees
❑ Protected Trees
Notes: & c■ (',,c6 s 1 ►. O W t ,/ — _/, _ . •
Original Plan: Approved -®' Not Approved ❑ Date: e--/-/ 3
Revision 1: Approved ❑ Not Approved ❑ Datc:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
I: \CURPLN \Masters \Development Code Provision Review \DCPR_RES.doc Rev. 01/16/13
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
❑ Actual Slope:
Notes:
Original Plan: Approved ❑ Not Approved ❑ Date:
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review (contact Albert Shields at (503) 718 -2426 or albert @tigard- or.gov)
❑ Conditions of Approval Prior to Issuance of Building Permit
Notes :
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Applicant
Okay to Issue Permit: Yes ❑ No ❑
Date Routed to Building:
Page 2 of 2
l: \CURPLN \Masters \Development Code Provision Review \ DCPR_RES.doc Rev. 01/16/13