Permit CITY OF TIGARD BUILDING PERMIT
�! ' COMMUNITY DEVELOPMENT Permit ft: BUP2014-00013
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/06/2014
Parcel: 2S113AD01900
Jurisdiction: Tigard
Site address: 16630 SW 72ND AVE B10
Project: Bridgeport Distributing Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: Racking for TI.
Contractor: B&B INSTALLATIONS INC Owner: PACIFIC REALTY ASSOCIATES
14401 S GLEN OAK ROAD ATTN N PIVEN
OREGON CITY, OR 97045 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-722-8155 PHONE:
FAX: 503-722-8154
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations, 02/06/2014 $759.57
Demolition
Occupancy Grp: S-1 Occupancy Load: 12%State Surcharge-Building 02/06/2014 $91.15
Dwelling Units: 0 Plan Review 01/22/2014 $493.72
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 01/22/2014 $303.83
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 02/06/2014 $2.00
Value: $54,000 11x17)
Info Process/Archiving-Sm$0.50(up to 02/06/2014 $5.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,655.27
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 rules or direct questions to OUNC by calling 503.232.1987 or 1.800 332-2344
Issued By: Permittee Signature:
��-
C 639.4175 by 7:00 a.m.for the next available inspe ion 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.
CITY OF TIGARD BUILDING PERMIT
Ill ■ COMMUNITY DEVELOPMENT BUILDING
BUP2014-00013
Tigard OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 02/06/2014
TIGARD 9
Parcel: 2S113AD01900
Jurisdiction: Tigard
Site address: 16630 SW 72ND AVE B10
Project: Bridgeport Distributing Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: Racking for TI.
Contractor: B&B INSTALLATIONS INC Owner: PACIFIC REALTY ASSOCIATES
14401 S GLEN OAK ROAD ATTN: N PIVEN
OREGON CITY,OR 97045 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-722-8155 PHONE:
FAX: 503-722-8154
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations, 02/06/2014 $759.57
Demolition
Occupancy Grp: S-1 Occupancy Load: 12%State Surcharge-Building 02/06/2014 $91.15
Dwelling Units: 0 Plan Review 01/22/2014 $493.72
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 01/22/2014 $303.83
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 02/06/2014 $2.00
Value: $54,000 11x17)
Info Process/Archiving-Sm$0.50(up to 02/06/2014 $5.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,655 27
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 rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344
Issued By: `' / y Permittee Signature:
L. _ y'Y`"
C /.,".639.4175 by 7:00 a.m.for the next available inspe ion 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 Applica Kim//ttjion
t,%,'7RECEjJOI Received I O R Ill I( I I •I 4)\I ■
City of Tigard >, Permit No.: e _, a/
• 13125 SW Hall Blvd.,Tigard,OR 97223 Date/B
g Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 JAN 2 2 2014 C F ' 2 •Date/By: Other Permit:
1 it,ARD Inspection Line: 503.639.4175 Date Ready/By: Luria: la See Page 2 for
Internet: www.tigard-or.gov CITY OFTIGARD ,e.od: , `` !_ Supplemental Information
..�i .L AT/ a 01-.'\s
TYPE OF ■ Pi' I 1 *V� / 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
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 ommercial/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: / Gi 6 3.9 7 Pi / New dwelling area: square feet
—
✓
City/State/ZIP: 7- ( t-_I 0 i< 411 x .r Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: iirt dy 1/9n WTC�- 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(roulded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ c Y G 2D ,
/ Existing building area square feet
New building area: square feet
WPROPERTY OWNER A TENANT Number of stories:
Name: 104‘.... ire/9 7 Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
APPLICANT itCONTACT PERSON NOTICE
Business name: diy•/t ,T All contractors and subcontractors are required to be
/�� G �r�* licensed with the Oregon Construction Contractors Board
Contact name:
f� -- ' il f //_ under ORS 701 and may be required to be licensed in the
Address: 7) 73 S 4-7 /",/ku/K. C L7, jurisdiction in which work is being performed.If the
City/State/ZIP: applicant is exempt from licensing,the following reasons
apply: _
Phone:(Ls)3 5/e? aJ d yJ I Fax::( )
E-mail:
CONTRACTOR BUILDING PERMIT FEES*
i , — j� r 3 l4//4/70,75 (Please refer tolee sche4 ir/e)
Business name: T a
Permit fee:
Address:
State surcharge(12%of permit fee):
City/State/ZIP:
}- -.FES plan review(40%ofpermit fee): 7
Phone:(J J 74,A. 8/s X Fax:( ) (Due upon application.) ! 1 q 7.5
CCB lic.: S7 ti I q Total permit fees:/,----,,, �— Amount received:
Authorized signature: � /� /� This permit application expires if a permit is not obtained
Print name: �� L 4 Date: / �/ 1 within 180 days after it has been accepted as complete.
��/ h * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-pennitApp.doe Rev 01/05/2012 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1-10 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: _
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler (Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
Project valuation subtotal(see A,B&C above): $
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (12%of permit fee): $
FLS Plan Review(40%of permit fee): $
TOTAL: $
Plan review requires a completed application and three (3) sets of plans at submittal.
Plan review fees are required at submittal.
I:\Building\Permits\FPS-PermitApp.doc Rev 01/05/2012 2