Permit CITY OF TIGARD BUILDING PERMIT
14 1
" .-- COMMUNITY DEVELOPMENT Permit#: BUP2013-00231
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/18/201.3
Parcel: 2S102AC00800
Jurisdiction: Tigard
Site address: 12559 SW MAIN ST
Project: SL Green Construction Subdivision: BURNHAM TRACT Lot: 1
Project Description: TI.Framing(3)partition walls in office.
Contractor: SL GREEN CONSTRUCTION CO LLC Owner: HEUVELHORST, MICHAEL J
PO BOX 23803 %KADEY,GEORGE S JR
PORTLAND, OR 97224 12551 SW MAIN ST
TIGARD,OR 97223
PHONE: 503-333-6838 PHONE:
FAX: 503-961-1532
Specifics: FEES
::
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 09/18/2013 $104.12
Demolition
Occupancy Grp: Occupancy Load: 18 12%State Surcharge-Building 09/18/2013 $12.49
Dwelling Units: 0 Plan Review 09/18/2013 $67.68
Stories: 1 Height: 0 ft Plan Review-Fire Life Safety 09/18/2013 $41.65
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 09/18/2013 $1.50
Value: $2,000 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $227.44
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 wit
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 rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332,2344.
Issued By: - Permittee Signature: „. 104/ //
. :::g..‘..._... ____„ Call 50_. 5 by 7:00 a.m.for the next available inspection 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.
Biilding Permit Application
Commercial RECEIVED FOR OFFICE USE ONLY
City of Tigard Received q f
DateB : / �0 /� PermitNo.: L� - •/ • '
Ill 13125 SW Hall Blvd.,Tigard,OR 9722 / ��
^,J.3 Plan Review.' /"
11111 111 Phone: 503.718.2439 Fax: 503.5 5'56 V �' Date/B : `�� � i !�� Other Permit:
�. A�`�� Inspection Line: 503.639.4175 i'� I ' Date Read' ® See Page 2 for
Internet: www.tigard-or.gov CITY OFTlunA Notified/Method: f, Supplemental Information
i3U1LD1NGnN1sbON
TYPEaOF,WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 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
CATEGORY:OF::CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling 1.1 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: 12559 Main Street New dwelling area: square feet
City/State/ZIP:Tigard/OR/97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 61,. ( f AID Covered porch area: square feet
Cross street/directions to job site:SW Maplewood Drive 00STi2uCT0e1/4_\, Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST -
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTIONS OF WORK ' work indicated on this application.
Framing 3 Partition Style Walls to divide work area Valuation: $$2,000.00
Length 30ft x 7ft-7in tall Existing building area: 1800 square feet
New building area: 0 square feet
❑ PROPERTY OWNER ® TENANT Number of stories: 1
Name:Shaun Stuhldryer Type of construction: Wood Frmg/Drywa
Address: 14473 SW 134th Drive Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing:
Phone:(503)333-6838 Fax:( ) New: No Change
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee scheduled
Structural plan review fee(or deposit):
Contact name:Shaun Stuhldryer
FLS plan review fee(if applicable):
Address: 12559 SW Main Street
City/State/ZIP:Tigard,OR 97223 Total fees due upon application: IA2-7 Cy
Phone:(503)333-6838 Fax: :( ) Amount received: �� k
E-mail:shaunstuhldryer @comcast.net
:PHOTOVOLTAIC SOLAR'PANEL SYSTEM FEES* ,x,.
- Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:SL Green Construction Co,LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 14473 SW 134th Drive Solar Installation Specialty Code checklist.
_ City/State/ZIP:Tigard/OR/97224 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)333-6838 Fax:(503)961-1532 State surcharge(12%of permit fee): $21.60
CCB lic.: 199421
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:Shaun Stuhldryer Date:9/12/2013 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I l/02/COM/WEB)
Building Division
Over-The-Counter (OTC) Building Permit
T 1 c n u D Check List
Project Description: T(
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Occupancy Group: _Type of Construction: _
Type of Use**: Occupancy Load: 7j Oregon Specialty Code: -2Utd
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: - 0 B Fire arms: 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: $ ,X0, OU FEES DUE
1
$ DC Prov Rvw,COM TI-Ping
$ DC Prov Rvw,COM TI-LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ r A , Permit Fee-Add,Alt,Demo
Project Valuation Planning LRP $ NEW 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ am; Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ .MI.'5 Plan 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 $ 1 1"-j(5 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: $ 227A-4-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;sigtis,'•awfungs or canopies).
I:\Building\Forms\OTC-BUP.docx 07/01/2013
•
a Building Division •
• 'k Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
0
Building Permit No: igkPa,o i 3—cxll3( E xpedited Review p 7Z
Project Name: Sk Ccv�J r�•c.-h�dr�l
Site Address: 0-53'9 J&l t 1 of , Suite/Bldg #:
Plans Routed:
Original Plan Submittal Date: f i 3/t 3 Routed By: �•
1st Revision Submittal Date: Routed By:
2nd 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 J u,c i�, at 503 718-2 531 or 4LA.d ' ' @tigard-or.gov)
Proposal: Ear; / e ai t H c�-10ffi
Zoning 01 d l CB 'l)
Permitted Use Yes 18---No ❑
Land Use Required: Yes ❑ No •
•
• Notes:
/Approved ❑ Not Approved ❑ D CPR Not Re q uir ed—No DCPR.F ees Due
Date.Routed to Building:
•
•
I:\CURPLN\Masters,\DevelopmentsCode Provision RevievADCPR COM_NoLandUse:doe Rev.01/16/13