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Permit
CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2014-00084 Date Issued: 04/10/2014 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 25103DD00800 Jurisdiction: Tigard Site address: 13815 SW PACIFIC HWY 40 Project: Spec Space Subdivision: MELROSE Lot: 7-8 Project Description: Create(2)rooms within portion of tenant space.Add demising wall to form tenant space from balance of vacant space. Contractor: DW SIVERS CONSTRUCTION Owner: D W SIVERS CO 4730 SW MACADAM AVE#101 4730 SW MACADAM AVE#101 PORTLAND,OR 97239 PORTLAND, OR 97239 PHONE: 503-223-2680 PHONE: FAX: 503-223-2750 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 04/10/2014 $149.75 Demolition Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 04/10/2014 $17.97 Dwelling Units: 0 Plan Review 04/10/2014 $97.34 Stories: 1 Height: 0 ft Plan Review-Fire Life Safety 04/10/2014 $59.90 Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 04/10/2014 $2.00 Value: $4,500 11x17) Floor Areas: Total Area 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $326.96 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 o suance, or if work is suspended for more the 180 days. ATT •'. •regon law requires you to follow the rules adopted by the Oregon Utility Notifi ent> . Those rules are set forth in OAR 952-001-%1110 through OA' 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 2. 9:r or .800. "r 2.234• � ! 9 Issue. By: j , r Permittee Signature: Ii Call 503.639.4175 by 7:00 a.m.for the next available ins• coon da IF 11F1 This permit card shall be kept in a conspicuous place on the Job site until completio' • e prof• Approved plans are required on the job site at the time of each inspection. Building Permit Applicatij CEIVEI� Commercial FOR OFFI(.I: I sI1 O\Ll Received ffiz � 0,,,,,,„ Xk 4 City of Tigard DateB : / f', Permit No.: � u W�,6 13125 SW Hall Blvd.,Tigard,OR 97R 10 2014 Plan Rc s� s Phone: 503.718.2439 Fax: 503.598.1960 Date/B �' ' • i Other Permit: mac:-_ JAM J TI G A R D Inspection Line: 503.639.4175 CITY OF .Date RIT. : furls: ® See Page 2 for Internet: www.tigard-or.gov F TiGARU Notified/Method Supplemental Information BUILDING DIVISION _ TYPE OF WORK REQUIRED DATA: I-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees*are based 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 CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I-and 2-family dwelling Commercial/industrial Valuation: $ CI Accessory building El Multi-family Number of bedrooms: ❑ Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 12 P 1 C.. `C New dwelling area: square feet City/State/ZIP: P--y r c.•ti 1 n� _ Garage/carport area: square feet C� Idg./apt.no.: c) Project name: D�f";`©r�i - w _,+,C. Covered porch area: square feet Cross street/directions to job site: Deck area: square feet .. i Other structure area: square feet ^ REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all "hi map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. _ 2 Valuation: $ ^* Existing building area: square feet 10 �r ,a n l __r�'1Ja — -�- New building area: square feet PROPERTY OWNER [��"❑ TENANT y j ' Number of stories: Name: b i.I � J - Type of construction: Address: 447.5:34(1 i 'JI (o( Occupancy groups: - City/State/ZIP:4r7•rf l_V> c .si _ Existing: Phone: /zez, -. Fax:eCS ZZ 2.1 New: 14441PPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name: - -- - FI.S plan review fee(if applicable): Address: P-4D _ ___ --- ---• Total fees due upon application: City/State/ZIP: ` �� ,,7Z( — Phone: -a4'• �� i _ Fax:: c� •ib•76i' Amount received: E-mail: ^ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* 4 2 > f'�b �J ' - -- -Commercial and residential prescriptive installation of CONTRACTOR roof •. mounted PhotoVoltaic Solar Panel System. Business name: J Subm two - ets of roof plan with connecti s. .- ails > --- - and fire departm• • cess,along with •- 110 Oregon Address: Solar Installation S.•cia Cod. . `cklist. City/State/ZIP:?�/ Permit fee(include . $180.00 II ----- ----. and:• mistrative fe _ Phone: �_ 61 Fax: !_ �- ,zi co _ State s. arge(12%of permit fee): ` $21.60 CCB lie.: 1 e:„.9 g 4e` AO 7 / �F -_ Total fee due upon application: $201.60 Authorized signature: t This permit application expires if a permit is not obtained fr..,/� i �� within 180 days after it has been accepted as complete. Print name: A . 1 Date:Jo � { 1 * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 12/24/2011 440-461 3T(1 I/02/COM/WEB) Building Permit Number: k.ea,,Li-OCY3?� lill ' Building Permit Review Commercial Project - No Associated Land Use Case TIGARD Site Address: /?j5/� Lti Pabt /1/41 5e IP go 'erify site address is valid. Project Name ree/ Se C12-- Plannin Review Proposal: 1 (4,Or/' v' W)/We--- / ' Zoning. Permitted Use ❑ Yes No Spec Space 7Land Use Required ❑ Yes ,No Notes: L/ ' L:L.,1 et 1/A ei1 It C ' Avivzhe or ®w/U- .I . 4 ,,11 :. '- % refdr 735 - _.-, - 4-7 • Approved by: / /- ' Date: //D/ Aeli� 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: ��p q By:631., Site Plans: # .--- Building Plans: # 3 Create Case Record#: enter case#above for Building Permit Number. Workflow Routing: i `Planning ❑ Engineering ❑ Permit Coordinator 42*-fuilding Workflow Sign-off: ign-off for Planning staff,including notes from planning review(page 1) Route Application Documents: ❑ Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Reviewed Date: /d Notes: I:\Buil ding\Forms\BldgPermitRvw_COM_NoLandUse_123013.doc x 711 _ ' Building Division Over-The-Counter (OTC) Building Permit TIGARL) T Check List Project Description: ` l S APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION Class of Work*: Aga.' Occupancy Group: Type of Construction:Type of Use**: Occupancy Load: Oregon Specialty Code: �� ) 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 Fire Sprinklers: 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: $ 4 FEES DUE $ DC Prov Rvw,COM TI—Ping $ DC Prov Rvw,COM TI—LRP DC Provision Review Fee for COM TI(effective 7/1/2013) $ Permit Fee—Add,Alt,Demo 1 ,7<3- Project Valuation Planning LRP $ i l 12%State Surcharge t—(.`ii`j Up to$4,999 $0.00 $0.00 $ Plan Review,Structural $5,000-$74,999 $70.00 $10.00 $ lan Review,Fire Life Safety �c�C) $75,000-$149,999 $174.00 $26.00 $ '2-A CC) 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: $ 32_G, , TOTAL 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 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13815 SW PACIFIC HWY 40, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - No C of O July 11, 2014 at 8:35:16 AM BUP2014-00084 Chip Barnett Violation Summary: Inspector Contractor