Permit CITY OF TIGARD SITE WORK PERMIT
NI COMMUNITY DEVELOPMENT Permit#: SIT2014-00008
T t G A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/10/2014
Parcel: 2S 113AA00400
Jurisdiction: Tigard
Site address: 16200 SW 72ND AVE B2
Project: Spec Space Subdivision: ROSEWOOD ACRE TRACTS Lot: C
Project Description: New front entry access,new stair access,re-striping parking,and landscaping addition.
Contractor: DURUS CONSTRUCTION LLC Owner: PACIFIC REALTY ASSOCIATES
15806 UPPER BOONES FERRY RD ATTN: N PIVEN
LAKE OSWEGO, OR 97035 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-320-8601 PHONE:
FAX: 503-244-4318
FEES
Description Date Amount
Specifics: Permit Fee-Site Work 04/10/2014 $209.80
Plan Review 04/10/2014 $136.37
Type of Use: COM 12%State Surcharge-Building 04/10/2014 $25.18
Class of Work: ALT Info Process/Archiving-Lg$2.00(over 04/10/2014 $2.00
11x17)
Project Valuation: $12,400.00 DC Provision Review,COM TI-Ping 04/10/2014 $70.00
DC Provision Review,COM TI-LRP 04/10/2014 $10.00
Site Specifics:
Excavation Volume: cu.yd.
Fill Volume: cu.yd.
Impervious Surface: sq.ft.
Engineered Fill: Soil Report Required:
Paving: Grading:
Landscaping: Site Prep:
Storn Drains: Retaining Wall:
Fire Underground: Accessible Parking:
Fence:
Total $453.35
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, S - - • •-. •-cialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit wil -x• e if work is no .tarted within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law req : you follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR s 2-001-00%0. You may ob :in a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or .t•i•KK .
Issued By: _ / _ ermittee Signatur /
Call 503.639.4175 •y 7:00 a.m.for the next available in-section d =.
This permit card shall be kept in a conspicuous place on the job site unti ompl. on of the proj- .
Approved plans are required on the job site at the time of each inspects
T F• -k
Application .
Commercial o FOR OFFICE USE ONLY
Received '
City of Tigard `' Date Permit No.: +' r _ '
• 13125 SW Hall Blvd.,Ti ard,OR 97223 0 _ Plan Revi
C Phone: 503.718.2439 Fax: 503.59 Date/13 : J Tit! E' Other Permit:
Inspection Line: 503.639.4175 ) Date R .. r y. l-u-ri-�s: � ® See Page 2 for
TIGARD Internet: www.tigard-or.gov 1%\ Notified/Method: / u Supplemental Information
. •• ` t .• .
ai:f9- Ii03^li'1l. 1 :i/'_1.-.ni-ii l ,)\.,„ , i i`;(�
❑New construction ❑ • ,_.,' . v J' • Permit fees*are based on the value of the work performed.
Indicate the value(rouided to the nearest dollar)of all
► 1 Addition/alteration/replacement ■_I, equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling 'Commercial/industrial
Number of bedrooms:
❑Accessory building ❑Multi-family
❑Master builder ❑Other: Number of bathrooms:
r i;,'t:I I�il ,i.4isl +� �;���;� Total number of floors:
Job site address: ((1,L(. t S ti...) -7 in New dwelling area: square feet
City/State/ZIP: Tip axri 7 2.2'4 Garage/carport area: square feet
Suite/bldg./apt.no.: U l Project name: Io f X0(3 NL Arl c.t6c Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
Other structure area . square feet -
10 iii ld .t 11%til ,l'_i,.
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(romded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
It3.SY°1:01i ,c'w (II wiol;i;• x ' d - work indicated on this application.
ra.' ,+,t._#
Valuation: $ t2 LI.( •
New KC, �4-uceSS f-ir 0( }- OA k-t* i ►12,w
Existing building area square feet
C i-u•l� a_c ot&S , re--6 tr i fYC. #cw kih�I
J_ _1 J 1 r `a,AdSG# '( h J / New building area: square feet
�CJI�. Tl ,,�
--/:1 )-JJI'S'`�t�:;'ha`i I i.: Number of stories:
Name: Vim-1 r V Q— Type of construction:
Address: 1 S-/ST) SO U PIG. 9.i Occupancy groups:
City/State/ZIP: /,for ` A r CI-12.V+/ CI-12.V+ Existing: •
Phone: t/4) &a, - 62 3Qa Fax:( 3) / ~ 7 New:
0 0 ry7
Business name: C
Structural plan review fee(or deposit):
Contact name: _r,,,,„ me.6,V I r-e_ •
FLS plan review fee(if applicable): •
Address:
Total fees due upon application:
City/State/ZIP:
h Amount received:
O
Phone: 7"LJ_i9 I Fax: ( )
E-mail: Y r. r y I a0. ! 14.”
. --,--....,.- -,-1-:-,..,-; ...t:.;z- r f�[ f l ,� a' y t
t y Commercial and residential prescriptive installation of
..eA ,e . Y _. ._.- .e =X.- lf !. i R •
roof-top mounted Photo Voltaic Solar Panel System.
Business name: D v.r V S (S v cT 1(N1 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 I
$180.00
ty and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: ,?.-)S-r` Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
410....,. within 180 days after it has been accepted as complete.
Print name: Date: /ioj * Fee ethodology set by Tri-County Building Industry
+k�� Service Board
1:1Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
L
4
Building Permit Number: 52'7-aa/y-awg
li •
g Building Permit Review
Commercial Project — No Associated Land Use Case
II(.ARI)
Site Address: 1 6200 SW 7ZnA Ave.
❑Verify site address is valid.
Project Name : Pa c,Tru s\-
Planning Review
Proposal: 5pe.c. Coryce,
4oning
g/Permitted Use ❑ Yes 0/No Spec Space
liva Land Use Required ❑ Yes LY No
•l\otes: 9 - 0• . tip, 0. 4 I • 4 • 4 no, "Ana • i la otC • S.
{��o t�s • 1 i sue► increose IA ■/It r
Approved by: � L h rbac�
Date: `+ �10 j 11
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: 1/A0 if By: 8•/ .
Site Plans: # 3
Building Plans: # 3
Create Case Record#: case#above for Building Permit Number. ,,
Workflow Routing: E.Planning ❑ Engineering ❑ Permit Coordinator 1u iding
Workflow Sign-off: E..-§-.7-10. -off for Planning staff,including notes from planning review(page 1)
Route Application Documents: ilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: Jen/ Date: y//d/j it
Notes: U 1 L,-
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_123013.docx
liPill ' Building Division
Over-The-Counter (OTC) Building Permit
TIGARD
Check List
Project Description: l
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: MT— Occupancy Group: Type of Construction: "_
Type of Use**: - •Ceak Occupancy Load: Oregon Specialty Code: `'"2ld
SPECIFICS
Number of Stories: l 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
Fire Sprinklers: (--2 Fire Alarms: Smoke Detectors:
Sprinkler Type: ` `� Alarm Type: Protected Corridors:
Standpipe Required: _ Pull Stations Required: Parapet:
-
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ (-27 600.
FEES DUE
$ A alb DC Prov Rvw,COM TI—Ping
$ re,, sap DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013)alcq•,.,$ , ' rmit Fee—Add,Alt,Demo
Project Valuation Planning LRPI• $ ViQi� 12%State Surcharge
Up to$4,999 $0.00 $0.00134. $ .� `�,j Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 A‘rji ' I Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ -'yr OP 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
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ Other:
Building Staff: $ Other:
Date/Time: PIS ..35 $ 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;
0TH.=other(use for fences,decks,retaining walls,signs,awnings or canopies).
I:\Building\Forms\OTC-BUP.docx 07/01/2013
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
16200 SW 72ND AVE B2, TIGARD, OR, 97224
Commercial - Site Work
499 Final inspection
PASS - No C of O
SIT2014-00008
George Heimos
Chris@durusllc.com
NOTE Provide accessable parking as per plan.
Violation Summary:
Inspector Contractor