Permit CITY OF TIGARD BUILDING PERMIT
1111 COMMUNITY DEVELOPMENT Permit#: BUP2013-00230
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/25/201TIGARD
Parcel: 25101 CB00400
Jurisdiction: Tigard
Site address: 12700 SW HALL BLVD H
Project: Northwest Shingle Recyclers Subdivision: 2007-064 PARTITION PLAT Lot: B
Project Description: Change of use
•
Contractor: NOT REQUIRED Owner: TCTPI LLC
4260 GALEWOOD ST, STE A
LAKE OSWEGO, OR 97035
PHONE: PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 09/25/2013 $53.27
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 09/25/2013 $6.39
Dwelling Units: 0 Plan Review 09/25/2013 $34.63
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 09/25/2013 $21.31
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 09/25/2013 $0.50
Value: $500 11x17)
COT Address Fee 09/25/2013 $50.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $166.10
Required: Required Items and Reports(Conditions)
Fire Sprinkler: 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. ATT + • Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-00 -0010 through O•- 952-00 -.0•0. You may obtain a copy of the rules or direct questions to OUNC by = 32.1987 or 1.800.332.2344.
Issued By: • / 01. Permittee Sigrt re: ' I 1 i
Call 503.639.4175 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.
- " .Building Permit Application
Commercial FOR OFFICE USE ONLY .
City of Tigard RECEIVED DatReceived eB : t Permit No.: 1 A6�5—Ge3 a 7)
IN
° 13125 SW Hall Blvd.,Tigard,OR 97223 SEp 9 2013 Plan Review
I2. ' Phone: 503-718-2439 Fax: 503-598-1960 Date/By:
Other Permit:
T I G'r�R D Inspection Line: 503-639-4175 Date ReadyBy: Juris. ® See Page 2 for
_ Internet: www.tigard-or.gov CITYOFTIGARD 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(rounded to the nearest dollar)of all
❑Addition/alteration/replacement Other: ) U;mac, equipment,materials,labor,overhead,and the profit for the
. CATEGORY OF CONSTRUCTION
/ work indicated on this application.
❑ 1-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:
y Job site address: l"L'1 O V 7W C\..t∎ (Nei. New dwelling area: square feet
4 City/State/ZIP: N- ,,,v e .K. .I i tZ 3 Garage/carport area: square feet /,
O Suite/bldg./apt.no.: Project name: J ailic1,(s t.S( SO t ivc LE_ (1_471.4(434 Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
Sri ((A 4-i L a L u P> Ce_-.- y ∎ -(1^�w d l-.4�'vs e ( Other structure area: square feet
P°''' `L REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
--46 ax map/parcel no.: 0,1_ C 'Z 5 1 Indicate the value(minded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
c+o
l Le LNIC It' ev 3 k\-5 . .."...44,-,-;.,1 i Py.,,,,&„,,,- I Valuation: $
v ALr ■�!' inld G� w,t 1 I�,— Existing building area square feet
�t ( S T�` New building area: square feet
uhf (w A ho J s'l��(Q
❑ PROPERTY OWNER / 7TTENANT Number of stories:
IName: C.,(1,e& (1)0(..„1" Type of construction:
Address: pa (Zt x `2. 7, 17, Occupancy groups:
City/State/ZIP: PI A.,-T n 3,1‘.- °1I 2 Al. Existing:
sIl Phone:(gip 17) 1 b 9 ' yL_ Fax:( ) New: •
IFCAPPLICANT /C�ON�TACT PERSON . BUILDING PERMIT FEES"
Business name: ►Jq i��K S I Si 1' l 11/�i l[ ►I.G L C L�IL-S review refer(or deposit):osit):schedule)
Structural plan review fee(or deposit):
, Contact name: ,c-!J —h/p/ST( LL
FLS plan review fee(if applicable):
Address: 1-_ _
v 6■ ° 'yam` Total fees due upon application:
City/State/ZIP: • -
pp Amount received:
.....pPhone:(sold no b pn 1st Fax: :( ) .
E-mail: b C!._ 1n vs/�jL'1∎A of c.N ASS.Co„,,, PHOTOVOLTAICSOLAR PANEL SYSTEM FEES”
1 Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photovoltaic Solar Panel System.
Business name: / Submit two(2)sets of roof plan with connection details
�, �I { and fire department access,along with the 2010 Oregon
Address: �J 66G /// Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
and administrative fees):
hone:( ) 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 namcC Date: 11 t 1(-.1 * Fee methodology set by Tri-County Building Industry
Service Board
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/11/2012 440-4613T(I I/02/COM/WEB)
•
71 a Building Division
0 .
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