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Permit
CITY OF TIGARD BUILDING PERMIT 111 q a • COMMUNITY DEVELOPMENT Permit#: BUP2013-00218 T f GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/28/2013 Parcel: 25101 BB01300 Jurisdiction: Tigard Site address: 11950 SW GARDEN PL 100 Project: Vesta Subdivision: CROW PARK 217 Lot: 1 Project Description: TI Contractor: PAYNE CONSTRUCTION INC Owner: WALTON CWOR PARK BC 8 LLC 5404 NE 112TH AVE BY CTMT-WALTON RE TAX PORTLAND,OR 97220 4678 WORLD PARKWAY CIR ST LOUIS,MO 63134 PHONE: 503-257-8221 PHONE: FAX: 503-253-3247 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 08/28/2013 $278.00 Occupancy Grp: B Occupancy Load: DC Provision Review,COM TI-LRP 08/28/2013 $41.00 Dwelling Units: 0 Permit Fee-Additions,Alterations, 08/28/2013 $2,011.95 Demolition Stories: 0 Height: 0 ft Plan Review 08/28/2013 $1,307.77 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 08/28/2013 $804.78 Value: $250,000 Info Process/Archiving-Lg$2.00(over 08/28/2013 $4.00 11x17) Metro Const.Excise Tax-Commercial 08/28/2013 $300.00 Floor Areas: Use 12%State Surcharge-Building 08/28/2013 $241.43 Total Area: 0 Accessory Struct: 0 • Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $4,988.93 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 Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the ct questions to OUNC by calling 503.2 .1987 or 1.800.332.2344. Issued By: Permittee Signature: . _ C:,ice;• 175 by 7:00 a.m,for the next available I pection date. This permit card shall be kept in a conspicuous place on the Job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • Building Permit Application Commercial RECEIVED 'O12 O1 1''CI.Permit o.. Received Q� /� City of Tigard DateB : V/ i' PermitNo.: gi,.,P „),3- 13125 SW Hall Blvd.,Tigard,OR 972 2 8 2 0�3 Plan Review /Yl lig C / 8�1/-2 Other Permit: g. ' )p �.0 7 Phone: 503-718-2439 Fax: 503-598-1 Date/By: / v v�,r7 D Ti c.n It D Inspection Line: 503-639-4175 Date Ready/By. �Jur' ! See page 2 for e Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: /- ¢ Supplemental Information BUILDING DIVISION TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees'are based on the value of the work performed. Indicate the value(rotnded to the nearest dollar)of all Xl.Additior alteratio eplacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I-and 2-family dwelling commercial/industrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: //93-0-,..seRi COe.r-4 P/,tr New dwelling area: square feet City/State/ZIP: ��� ©A_ e 77-1.3 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: L) — Y'6..c-4,7-70-"-- Covered porch area square feet Cross street/directions to job site: Q� Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees'are based on the value of the work performed. Indicate the value(rotnded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ / --0 O Co o� t Existing building area square feet New building area: square feet ❑ PROPERTY OWNER la TENANT Number of stories: Name: Type of construction: Address: . Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application: Phone:( ) Fax::( ) Amount received: E-mail: • PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Co ercial and residential prescriptive installation of CONTRACTOR roof-top ounted Photo Voltaic Solar Panel Syste Business name: P,9 v�/L e CVI S 0-7701% � Submit two sets of roof plan with conne�c n details and fire departm access,along with_.e'2010 Oregon Address: 'y D if NE //,z l �/t. Solar Installation Spe • / Code c.- list. City/State/ZIP: y(.,e-��al 0/ . 77.1', Permit fee(includes eview $180.00 / and admin..•ativ- --s : Phone:CSo3) aS7-$�,- i Fax:(�3) 2 5 3- 3 V7 State surcharge A of permit fee): $21.60 CCB lic.: ,3 g Z ts ✓/ T..: fee due upon application: .60 Authorized signature: This rmit application expires if a permit is not obtained ���„✓//-moo.` u _ within 180 days after it has been accepted as complete. Print name:4)14, ��► )A Date: •A/.x-7 /r 3 * Fee methodology set by Tri-County Building Industry rTl y T' Service Board. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/11/2012 440-4613T(11/02/COM/WEB) 7 a Building Division a Accessibility: Barrier Removal Improvement Plan TIGARD REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation,alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). VALUATION: Total of all renovation,alteration or modification being done, excluding painting and wallpapering: [1] $ MULTIPLIER(25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ (b) An accessible entrance: $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for each sex or a single unisex restroom: $ (e) Accessible telephones: $ (f) Accessible drinking fountains:and, $ (g) When possible,additional accessible elements such as storage and alarms: $ TOTAL(shall equal line [2] of Valuation Computation): $ 1:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/11/2012 Building Division a Development Code Provision Review TI G A rz D Commercial Projects - No Associated Land Use Case Building Permit No: 8 C V pedited Review 07-C___ Project Name: IkS Site Address: 1/9 (ga ve.tenJ ,�G Suite/Bldg #: Plans Routed: Original Plan Submittal Date: 06/3 Routed By: 1st Revision Submittal Date: Routed By: 2nd Revision Submittal Date: Routed By: To the Applicant: D. 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 at (503) 718-2LtZ1or @tigard-or.gov) Proposal: Vn1ic4lbr ram ( office., U5e, -ern r±. Zoning C Permitted Use Yes [e No ❑ Land Use Required: Yes ❑ No 12/ Notes: NO CAnotviT ■V■ Approved ❑ Not Approved ❑ DCPR Not Required—No DCPR Fees Due Datc Routed to Building: I:\CURPLN\Masters\Development Code Provision RevievADCPR_COM_NoLandUse.doc Rev.01/16/13 IN e ° Building Division Over-The-Counter (OTC) Building Permit T l c n lz Check List Project Description: t APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION Class of Work*: n-- Occupancy Group: ? Type of Construction: Type of Use**: COW Occupancy Load: Oregon Specialty Code: 2.O le) SPECIFICS Number of Stories: I 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=21-2}Gz FEES DUE $ la cz) 11 Prov Rvw,COM TI—Ping $ A ,to ► Prov Rvw,COM TI—LRP DC Provision Review Fee for COM TI(effective 7/1/2013) $ 2 '1.,'1., ' '-rmit Fee—Add,Alt,Demo Project Valuation Planning LRP $ Rio J2%State Surcharge Up to$4,999 $0.00 $0.00 $ AMP,/�P n Review,Structural $5,000-$74,999 $70.00 $10.00 $ p�W2 "3;lan Review,Fire Life Safety $75,000-$149,999 $174.00 $26.00 $ • , ,����////Info Proc/Arch,Lg(over 11x17$2.00) $150,000 and over $278.00 $41.00 $ yrffo Proc/Arch,Sm(up to 11x17$0.50) $ 30!".CO Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee $ Other: $ Other: Building Staff: $ Other: Date/Time: $ �4frOTAL FEES DUE *TYPE OF USE: COM=commercial;CMS=commercial manufactured su rf. G3 **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 •