Permit y a CITY OF TIGARD BUILDING PERMIT
1114 I ' COMMUNITY DEVELOPMENT Permit#: BUP2014-00008
TI G A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/03/2014
Parcel: 2S113AD01900
Jurisdiction: Tigard
Site address: 16640 SW 72ND AVE B10
Project: Copytronix Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: TI-interior demo,new walls,doors,frames,hw,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: 503-624-6300
FAX: 503-624-7755
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 02/03/2014 $278.00
Occupancy Grp: B Occupancy Load: 270 DC Provision Review,COM TI-LRP 02/03/2014 $41.00
Permit Fee-Additions,Alterations, 02/03/2014 $2,899.83
Dwelling Units: 0 Demolition
Stories: 1 Height: 0 ft 12%State Surcharge-Building 02/03/2014 $347.98
Bedrooms: 0 Bathrooms: 0 Plan Review 02/03/2014 $1,884.89
Value: $396,350 Plan Review-Fire Life Safety 02/03/2014 $1,159.93
Metro Const.Excise Tax-Commercial 02/03/2014 $475.62
Use
Floor Areas: Info Process/Archiving-Lg$2.00(over 02/03/2014 $16.00
11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $7,103.25
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 Municipat Code, State of OR. Specialty - 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 da . • issuance, or work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utili • ' :lion Ce ter. ose 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 tcalling 503.23 987 or 1.8,0.332.2344.
Issued By: �� -arm ee Signatu = =-_�
C,iIrrrr.4175 by 7:00 a.m.for the next available i ••
This permit card shall be kept in a conspicuous place on the job site u . •u• ,.• I: •
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial FOR OFFICE USE ONLY
r�
City of Tigard i;rFI1 ED Received E r1�� 9 ,,,/
1� ��7111 Date/B � i� p+C' /f ,�
II . 13125 SW Hall Blvd.,Ti Fax: 503. 9722 Plan Review mo�
Phone: 503.718.2439 Fax: 503.598.1961 C 2014 Date/13 ; mil . oh er Permit:
1 J _ Juris: 6d See Page 2 for
Inspection Line: 503.639.4175 Date Ready : g
T I G rVL U Internet: www.tigard-or.gov Notified/Method: /�/`� / " Supplemental Information
F TIGAHD.
i?1,ii;1 I> Ili i .• I. ..',11.1. ■�-,., ;,i. ‘t,
❑New construction ❑Demolition Permit fees'are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0'2 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
El 1-and 2-family dwelling prCommercialmdustrial Valuation: $
El Accessory building ❑Multi-family Number of bedrooms:
❑Master builder El Other: Number of bathrooms:
Total number of floors:
Job site address: tj, l.E l}O c t` -4.2.4,1A ��, New dwelling area: square feet
City/State/ZIP: T` Q Q_ ,9-7 2.2_1 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name: CD �L't< T 1 Covered porch area: square feet
Cross street/directions to job site: U Deck area: square feet
Other structure area: square feet
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the•
work indicated on this •lication.
Valuation: $ 9(� 3 •
k A.k-e-v-'Ic�- %A AA t v\.w Weak S , 6,rS
S f k l Existing building area 9(Q 9 square feet
fi� S S
New building area: i square feet
Number of stories: ,
Name: aL`>—fir v cal— Type of construction: k k1 _ •
b.
Address: I SS0 S1.#3 V 0-1.t:�. 9v.....60 1 Occupancy groups: s a_ _2
City/State/ZIP: sear-+'�,af� C 1:4122-4
Phone: -.1J43oa Fax: ) 77S New: d' -2
• !;141, 1!1'11 1 1 ;,k'ii i ) 13wt r i
I
' Ulr-(mfiz-1! r,rfi3<t f rr r�l:a'-
Business name: Structural plan review fee(or deposit):
Contact name: K.-��'{t'AA C 611.3 1
V FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
h Amount received:
Phone:(3,53) 7_03_1 �( l�[ I Fax::( )
i+1;C?3 »>(4],1.'.I(. '(.J %i' .I '.' 11.'0 I i1''. I
E-mail: Y t:; E:)&1.. IAA
Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name: 1)0-C-I 'U Sl l and fire department access,along with the 2010 Oregon
Address: Solar Installation S,ecial 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 tic.: `S 3 Total fee due upon application: $201.60 iip
Authorized signature: This permit application expires if a permit is not obtained
r, _ within 180 days after it has been accepted as complete.
Print name: ` • Date: / • Fee methodolo set by Tri-County Building Industry
��� � gy Service Board
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Number: emu PA)/q—60002
III Building Permit Review
Commercial Project —No Associated Land Use Case
FIGARD
Site Address: IS. 50 CSW &U 01 a Pa 1l-W6 -/.
❑Verify site address is valid.
Project Name : eop Y- 26 / y
Planning Review
Proposal: twa Cul lD l ,m i
1
dzoning: I—P
R'Permitted Use 2'—/Yes ❑ No Cl Spec Space
27Land Use Required ❑ Yes Dv-No
Notes: no C1e flf of use, - office U
Approved by: PITLIA ( t(i — Date: 1 )15) 114
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved Cl Not Approved ❑
Building Permit Submittal
Original Plan Submittal: Date: J /5//41 By:�� r J
Site Plans: # 3
Building Plans: # 3
Create Case Record#: ( Enter case#above for Building Permit Number. —/
Workflow Routing: Er-Planning CI Engineering CI Permit Coordinator 2/Building
Workflow Sign-off: Sign-off for Planning staff,including notes from planning review(page 1)
Route Application Documents:NW Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
1 original plan review routing form.
d Building: original permit application,site plans,building plans, engineer and
/ beam calculations and trust details,if applicable,etc.
Reviewed By. Date: l/S24
Notes: 67-0_--
1:\Bui Iding\Forms\BldgPerm itRvw_COM_NoLandUse_123013.docx
IN _ ' Building Division
Over-The-Counter (OTC) Building Permit
TIGARD
Check List
-1
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: !L—. Occu.an Grou.: % Type of Construction: -" . ..:.3
T j.- of Use**: .'(( Occu.an Load: EMMA Ore on S.ecial Code: a all
SPECIFICS
Number of Stories: I Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOT AGES
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: tree, Fire Alarms: [ � 7 Smoke Detectors:
Parapet: L Manual Pull Stations: C Protected Corridors:
Total Project Valuation: $ %� &DO FEES DUE
$ 2-77 t, b II C Prov Rvw,COM TI—Ping
$ .4 , •• DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ '`_ ff•'Alp ermit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ Arlier' 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ M: Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ Wj&� Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ t .`y 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)
$ etro 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: $ 7 j(6717:3 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