Permit CITY OF TIGARD BUILDING PERMIT
. COMMUNITY DEVELOPMENT Permit#: BUP2014-00072
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/30/2014
Parcel: 2S113AD01900
Jurisdiction: Tigard
Site address: 16640 SW 72ND AVE B10
Project: Copytronix Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: Racking
Contractor: WIZE SOLUTIONS INC Owner: PACIFIC REALTY ASSOCIATES
2724 S 3600 W STE N ATTN: N PIVEN
WEST VALLEY CITY, UT 84119 15350 SW SEQUOIA PKWY#300
PORTLAND,OR 97224
PHONE: 801-966-0210 PHONE: 503-624-6300
FAX:
Specifics; FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations. 04/30/2014 $575.17
Demolition
Occupancy Grp: S-1 Occupancy Load: 12%State Surcharge-Building 04/30/2014 $69.02
Dwelling Units: 0 Plan Review 04/01/2014 $373.86
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 04/01/2014 $230.07
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 04/30/2014 $2.00
Value: $36,000 11x17)
Info Process/Archiving-Sm$0.50(up to 04/30/2014 $15.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,265.12
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 . -- •- - ith approved plans. This permit will expire if work is not started within 180 days of issua 4, or if work is suspended for more the 180
days. • ENTION: Orego law requires you to follow the rules adopted by the Oregon Utility Notification nter. Those rules are set forth in OAR
95 '01-0010 through OAR 952-'0 SO! You may obtain a copy of the rules or direct questions to OUNC by calling 503. 987 or 1.8 0.332.2344.
Issued By: eAob Permittee Signature:
call 503.639.4175 by 7:00 a.m.for the next available inspection 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 Application
Fire Protection System RECEIVED FOR OFFICE USE ONLY
PrCity of Tigard Received t A� Permit No..X w,� -o 7Z
• Phone:SW Hall Blvd.,Tigard,OR 9 1 2014 Plan Revi �=�� � Q���� fy
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : � ♦ ril Other Permit: 4l 3
TIGARD
Inspection Line: 503.639.4175 Date Read 1-: Juris: 65 See Page 2 for
Int
ern www.tigard-or.gov CITY OF TIGARD Notified/Method: "f �/iy Txd Supplemental Information
BUILDING DIVISION �, ,i, , .,,
TYPE OF WORK REQUIRED DATA:1-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 CONSTRU ION 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: ( 46 V 0 514/ 7.?,rai New dwelling area: square feet
City/State/ZIP: / I f Prot 011- 9 7 y Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: (blot`' ••ro y) ( L S Covered porch area square feet
Cross street/directions to job site: J Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
/C 7 nr Valuation: $ y�`�D a)
/�� Existing building area square feet
New building area: square feet
?PROPERTY OWNER ❑ TENANT Number of stories:
Name: "et L itt/s Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
APPLICANT %: CONTACT PERSON NOTICE
Business name: or/,'7c f- L All contractors and subcontractors are required to be
Contact name: (� n 6.- G� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be)tensed in the
Address: 73 7 3 ) 6r J , / s/,,,, ,,e . ,y jurisdiction in which work is being performed.If the
ti / // applicant is exempt from licensing,the following reasons
City/State/ZIP:
/pvetI itfri apply:
Phone:(f03) /j--79 7 UL/7 Fax::( )
E-mail:
CONTRACTOR BUILDING PERMIT FEES*
Business name: W t S 0(V 7-J n n S
(Please refer wlee schedule)
Permit fee:
Address: 7 l( 36 0 0 (In/ S Ti 4 Le 5
City/State/ZIP: v(�( fie( V1741,) (� 4 1 1 q State surcharge(12%of permit fee):
/ FLS plan review(40%of permit fee):
Phone:( 9n)) 42 7 6 3 b ( Fax:( ) (Due upon application.)
CCB lie.: 19 q q t J ps.__ Total permit fees:
Amount received:
Authorized signature: � — 4(,03, 43
�'I�yr' 1__1t/. This permit application expires if a permit is not obtained
Print name: & u!'7 /ll L� Date:
6 within 180 days after it has been accepted as complete.
t �-e
Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permiu\FPS-PermitApp.doc 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 I ❑ 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-PetmitApp.doc Rev 01/05/2012 2
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
16640 SW 72ND AVE B10, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - No C of O
May 15, 2014 at 1:53:55 PM
BUP2014-00072
Chip Barnett
Violation Summary:
Inspector Contractor