Permit CITY OF TIGARD BUILDING PERMIT
11.-- COMMUNITY DEVELOPMENT Permit#: BUP2014-00003
T IGAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/08/2014
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 365
Project: Motus Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: TI: Interior demo,walls,doors,and finishes.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY#300 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-624-6300 PHONE:
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 01/08/2014 $70.00
Occupancy Grp: B Occupancy Load: 42 DC Provision Review,COM TI-LRP 01/08/2014 $10.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 01/08/2014 $509.05
Demolition
Stories: 0 Height: 0 ft 12%State Surcharge-Building 01/08/2014 $61.09
Bedrooms: 0 Bathrooms: 0 Plan Review 01/08/2014 $330.88
Value: $29,100 Plan Review-Fire Life Safety 01/08/2014 $203.62
Info Process/Archiving-Lg$2.00(over 01/08/2014 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,188.64
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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. Speci, -••- • 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 da = of issuance, or i work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility ■•ificatio Center. hose 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 A ing 503. 32.1987 or 1 ':00.332.2344.
Issued By: Perms'feeS1gnature: --44111111111‘-gamy
derA
4175 by 7:00 a.m.for the next available Insp- lion ••te.
This permit card shall be kept in a conspicuous place on the job site until •mp =tion= the projec
Approved plans are required on the job site at the time of each inspection.
Building Permit Annlicat.> CEIIVED
Commercial FOR OFFICE USE ONE)'
City of Tigard ® 7 2014 D � :rmeirtpNermio.: s-4 1.i 13125 SW Hall Blvd.,Ti ard,OR Plan Review _ �' r t:
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : �W����
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/BF- rurir. ® See Page 2 for
p� DIVISION Internet: www.tigard-or.gov BUILD D
ING IVISION Notified/Method Supplemental Information
Vs, :'..�rw ;ri-, ti F',i'.,.�.S�y e:_.>...:_} U'i)i)4i i I 1N^�J,;; -0 , `Z `!._., n` ''r ...�,>. 1 ';7'. f;.4 kOlt.J 10=Myi!ri, :1 ax i/;kei UItE�� 1.,+',
ili V (c;
❑New construction ❑Demolition Permit fees'are bawd 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
a r. Yr ''''' " to:'.1`[15 :1�, (el (ctol�h�lri 1CkrIP1,(W� �I wgrk indicated on this application.
❑ 1• and 2-family dwelling JOCommerciaUtndustrial Valuation: $
❑Accessory building ❑Multi-family . Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
. .. ... :.ti ' , �' ( '
' .'` .', i .•} 140 , t l 'IS'i + tl t3 C l) . b,,i i u c,,mA(j,3,: ,J 1 Total number of floors:
Job site address: / • --146 Migi Co`g71 V New dwelling area square feet
City/State/ZIP: e a. - , a Garage/carport area: square feet
Suite/bldg./apt.no.: 1(a2S— Project name: 'v\C)-(-u S ( Covered porch area square feet
Cross street/diredions to job site: Deck area: square feet
' / Other structure area: square feet
'I )RN H ii I8 III ji16J.1 (COi i4+1)iOVi4'3∎1?+ciil#1'+it)fiIk:
Subdivision: 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
f , �a ), i!1� 0_ IFi(���fg a\ (o! e ) r a. work indicated on this application.
. = ■ Valuation: $ Z9 (( -C
, .: .',,:area 9(9 S square feet
,L
ngkeyll ei4th tg area: i-igiS square feet
{ , Q
f�} ,�4E�1 1 .0),t. ,`J F,I,P�Q c`.,;_;,-,7';',-,::',,��k r i v I. II n._ ill 91.t., , :, Number of stories:
Name: 1j c j— Type of construction: It --&•
Address: 1 SS'a 5‘") ',,; vote. 9 1 . Occupancy groups:
.�,r� No 616-41f..0C-
City/State/ZIP:
*e�f La.� ea 9,7224 Existing: % u
Phone: 4L) ,,, 6230-D. � Fax 0 ) - \ {--'7753 New. B
,a ., � J f, ,j�yi.10- , §h;t � ; r' {{ t � -(‘'',:.','_112,q!4C9, }iilt.f I I h 1rg)... `, c 1 .4 A )ld )(]! ¢A
;� I l � y1r1•ii F
i � � ,
Business name:
e_1„,„„,
Structural plan review fee(or deposit):
Contact name: . V\AC eillV 1 Y'e.,
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
Phone:(S2) 40-4.11344- ' I Fax: ( ) Amount received:
fil l0_I01XKiNIV 110CY)ll 1 r, /Y. a) Q)611fa i la?7;y ri
E-mail: r
i-i} F c, Commercial and residential prescriptive installation of
i.”' ,,''I'''' g•' -;'--:'''' '''''11., Ct), `i13?,_t' I'Cv�)� fF , .'rk . - mountedPhotoVoltaic Solar Panel System.
. _ �, . ... ._+ . , , , , . . _. .. ._, __. � _.. rooftop
Business name: `'F:0 Tru s-1— Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty 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 lie.: (S ` • • Total fee due upon application: $201.60
Authorized signature: do This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: / _�`1 arilto. •ir-e_., Date: 1 e i • Fee methodology set by Tri-County Building Industry
Service Board
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 ' 440-4613T(11/02/COM/WEB)
•
Building Permit Number: 0+-tPd01_000 o 3
Building Permit Review
Commercial Project —No Associated Land Use Case
T.1�GA RD
Site Address: 61,057) a _{<?`1- 36,c
l erify site address is valid.
Project Name :
Planning Review
Proposal: iniCi tO2- peinvIA -OE cp,siwz,
[1oning: P
g/-Permitted Use .I Yes ❑ No El Spec Space
Land Use Required El Yes .R. No
Notes: nodole, dkfi
Approved by: tiA g0,Qil4-- Date: 1 I I
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Building Permit Submittal
Original Plan Submittal: Date: By:
Site Plans:
Building Plans: #
Create Case Record#: Cl Enter case# above for Building Permit Number.
Workflow Routing: ❑ Planning ❑ Engineering ❑ Permit Coordinator ❑ Building
Workflow Sign-off: ❑ Sign-off for Planning staff,including notes from planning review(page 1)
Route Application Documents: ❑ Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
❑ Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: Date:
Notes:
I:\Bu i lding\Forms\BldgPermitRvw_COM_NoLandUse_123013.docx
11 ..
Building Division
, _ Over-The-Counter (OTC) Building Permit
T I G A R D Check List
Project Description: (, C
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: .W.---- Occupancy Group: Type of Construction:
Type of Use**: rz- . Occupancy Load: Oregon Specialty Code: 7ni[j
SPECIFICS _
Number of Stories: �t 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 ' .
J
Fire Sprinklers: i � Fire Alarms: �f3 Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ 29 4 (Ca) FEES DUE
$ #,eC)DC Prov Rvw,COM TI—Ping
$ 1 1.DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ jf'Q --Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ 1lrr 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ _r_/,�jj Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ ._ ti 'Ian Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ A Nir 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
Planning Staff: $ Hourly Rate State Surcharge
$ • Misc.Admin Fee
Permit Coordinator: $ Other:
$ Other:
Building Staff: $ Other:
Date/Time: $ 1 1681 OTAL 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