Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2013-00132
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/30/2013
Parcel: 2S 113B000600
Jurisdiction: Tigard
Site address: 16580 SW 85TH AVE
Project: Clean Water Services Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: Bisulfite modifications
Contractor: STETTLER SUPPLY COMPANY Owner: CLEAN WATER SERVICES
1810 LANA AVE NE ATTN:ACCOUNTS PAYABLE
SALEM, OR 97303-3198 2550 SW HILLSBORO HWY
HILLSBORO,OR 97123
PHONE: 503-585-5550 PHONE:
FAX: 503-581-6799
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: NEW Type of Const: VB Permit Fee-Additions,Alterations. 09/30/2013 $1,438.15
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 09/30/2013 $172.58
Dwelling Units: 0 Plan Review 06/10/2013 $934.80
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 09/30/2013 $112.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $155,000 Metro Const.Excise Tax-Commercial 09/30/2013 $186.00
Use
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,843.53
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. 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 32.1987 or 1.800.332.2344.
Issued By -ermittee Signature: 4, w
Call.fk117-77. 5 by 7:00 a.m.for the next available Ins/on date.
This permit card shall be kept In a conspicuous place on the Job site u 111���completion of the project
Approved plans are required on the Job site at the time of each Inspection.
BNg-
uilding Permit Application
Commercial RECEVFfl
City of Tigard FOR(_)I(OFFICE tiSI•:()iil.\
Received / r. i ' -�d�
Date/B : h Permit No , 132,
111 ° 13125 SW Hall Blvd.,Tigard,OR 97223 MIAY 3 0 2013 Plan Review 9 c
Phone: 503.718.2439 Fax: 503.598.196 Date/B Other Permit:
l'I G i�I D Inspection Line: 503.639.4175 Date Read^' ^ el See Page 2 for
Internet: www.ligard-or.gov CITY OF TIGARD ot4, . eth..: 7' /7,/.. 11151M1. Supplemental Information
r 1ING DIUISI4` � a
MitoB i
TYPE OF WORK / ' QUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition it fees*are based on the value of the work performed.
Indicate the value(rotnded to the nearest dollar)of all
Addition/alteration/replacement 0 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:
Job site address: / 6 5 Q $ ii 95 tjr— New dwelling area: square feet
City/State/ZIP: ,, ',4 r4 01 974,911 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: D y r t".,..,,,,r g,5,., /*`t e_ Covered porch area square feet
Cross street/directions to job site: 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(routded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
// r Valuation: $ 15-5) O O d
aist`r-rrt 4 rev 4(46 r,--.1 t/cm
Existing building area square feet
ti rrlr' V
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: C,/Pq Wq /r r ,Ser✓,'e ?S Type of construction:
Address: / L O (p d 5 W 'St S 4✓Z Occupancy groups:
City/State/ZIP: 7--,s, 1 r,Q Q/e 9 73411 Existing:
J
Phone:( ) Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
C (Please refer to fee schedule)
Business name: I r y,.t 4/rt }r r S t^v+.t 1 S Structural plan review fee(or deposit):
Contact name: 1C e I Q o('( It r r–s
Address: /6060 S t,,/ S'J 5"45- FLS plan review fee(if applicable):
City/State/ZIP: °- 9 (� O/1 7 '7�cl L� Total fees due upon application:
J Amount received:
Phone:(con) ii 7- 5 / 9 7 Fax: :( )
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: b { Submit two(2)sets of roof plan with connection details
St C t �r $ p orlP�9� y
g/D q ,J/ � and fire department access,along with the 2010 Oregon
Address: (iV e, E, Solar Installation Specialty Code checklist.
City/State/ZIP: 6,11...g l () y'7 3-- 31 qg Permit fee(includes plan review $180.00
Phone:( 5550 l 7 9f and administrative fees):
rjp?j) Lj f'j - 55�j Fax:(�"3) 5 State surcharge(12%of permit fee): $21.60
CCB lic.: 32)ap.s.$' 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:�e c�CsR r� Date: * Fee methodology set by Tri-County Building Industry
Service Board.
l:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
■
"It "
Building Division
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\Pemvts\BUP-COM PermitApp.doc 03/03/2011
A
IPII Building Division
Development Code Provision Review
T I c A ft D Commercial Projects - No Associated Land Use Case
Building Permit No: 6-0.-P c2O/ ) -OO ( 9-3 L ❑ Expedited Review
Project Name: CLEjir w,4,,—E' - ef2J,cE, - Prs1-cc.F1rf,
Site Address: 1 (oSfso S-w g 5& A-UE_ Suite/Bldg #:
Plans Routed:
Original Plan Submittal Date: 6/io/i 3 Routed By: G)-,
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 304&t Hoy" /;at (503) 718- iyor @tigard-or.gov)
Proposal: I41pM vit- Jkndl .l+'w3 ! 1`f AdS C410/0406
Zoning AL d ga/t An 44i9Y/0
Permitted Use Yes No ❑ /
Land Use Required: Yes ❑ No L—�
Notes:
EK Approved ❑ Not Approved ❑ DCPR Not Required—No DCPR Fees Due
Date Routed to Building:
1:\CURPLN\Masters\Development Code Provision RevievADCPR_COM_NoLandUse.doc Rev.01/16/13
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
16580 SW 85TH AVE, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
2014-03-19 00:00:00
BUP2013-00132
PASS - No C of O
Violation Summary:
Inspector Contractor