Permit CITY OF TIGARD BUILDING PERMIT
''I ' COMMUNITY DEVELOPMENT Permit#: BUP2014-00144
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/25/2014
Parcel: 2S113AA00400
Jurisdiction: Tigard
Site address: 16200 SW 72ND AVE B2
Project: Christensen Oil Subdivision: ROSEWOOD ACRE TRACTS Lot: C
Project Description: No TI work. New tenant moving into space and storing class IIIR combustible liquids.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY#300 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-624-6300 PHONE.
FAX: 503-624-7755
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB 12%State Surcharge-Building 06/25/2014 $6.39
Occupancy Grp: S-1 Occupancy Load: Plan Review-Fire Life Safety 06/25/2014 $21.31
Permit Fee-Additions.Alterations, 06/25/2014 $53.27
Dwelling Units: 0 Demolition
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 06/25/2014 $2.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $500 Info Process/Archiving-Sm$0.50(up to 06/25/2014 $1 00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total 583 97
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 suance, • f work is suspended for more the 180
days. ATTENTION' Oregon law requires you to follow the rules adopted by the Oregon Utility Noti • -nter 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 by in!503.232.1•• or 1 81*.332 2344
Issued By: / p � Permittee Signature: +`�
'�----
. 9.4175 by 7:00 a.m.for the next available irispection• .
This permit card shall be kept in a conspicuous place on the job site until comple • of the proj:
Approved plans are required on the job site at the time of ea••insp tion.
Building Permit Application .
Commercial FOR OFFICE USE ONLY
qq �` Received Permit No.: (�
City of Tigard C�jl Date/13 : I i ■ �.;... A L. 1 i L,i
13125 SW Hall Blvd.,Tigard,OR 972ti Plan Review •• �
• J Other Permit:
Phone: 503.718.2439 Fax: 503.598.1 \� DateB : ! � �' r ti
Inspection Line: 503.639.4175 j I Date Ready/By: Juris - 0 See Page 2 for
T I G i�R O n\� 1 Notified/Method: Supplemental Information
Internet: www.tigard-or.gov , fl
.i 1 t � r� r
1.1'1'1:' t)1 i ' 1 1,41 It: I1 �'_�t �iq �(
❑New construction ❑ • ; . ‘ Permit fees*are based on the value of the work performed.
s'i t Indicate the value(rounded to the nearest dollar)of all
► i Addition/alteration/replacement ❑ • ,er equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
. Valuation: S
❑ 1-and 2-family dwelling j52rCommercial/industrial
Number of bedrooms:
CI Accessory building
❑Multi-family
❑Master builder ❑Other: Number of bathrooms:
r );• 3 l'-.`i t it ,_':"1,W:,. i(?!•; Total number of floors:
Job site address: U12_7-0t) ,(,1/4.) 704 4 New dwelling area: square feet
City/State/ZIP: q p(,Y`� O�. 17 ZZ 4 Garage/carport area: square feet
Suite/bldg./apt.no.: l// Project name: `� e��� Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Ira 4t i Ill)l,* t 4.1 i s I e.I t (Sy . i , c.l.:t .;_--
Subdivision: l 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 '
a work indicated on this :4•lication.
1 Q C, -r ( d`r K-
S A� l 6Wl(- i't' Valuation: $ AMIE
Pa( . firNl. 1 i
O i t
C-(c.; . s it( P. Existing building area Z square feet
C AkV S b i v 1., New building area: square feet
�- '�• Number of stones:
Name: 4CV—. V C=1— Type of construction:
Address: i SI") �4 C�U GAG- p 1 Occupancy groups:
City/State/ZIP: far fLa4,4 9, 72 1 Existing:
Phone: flf.) ( -&130a Fax.`J 3) . ,, . .."77 New:
1 S
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- ®-`' , 11'I E�sSt, F h'( °}_; ' +,Ittl-J' I & I ;�(9,-,._ l�ldR6 )9i i'( t kgv S I
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Business name: -
Structural plan review fee(or deposit): . .
Contact name: el�, i% �V 1 r� FLS plan review fee(if applicable):
•
Address:
Total fees due upon application:
City/State/ZIP: •.-
`��, r'�' I Amount received:
Phone:(S 3) TV�1e,LK 1 Fax: :( ) •
E-mail: 0. . ►n/\
Y • .1 i L _ _ Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: /�� ` Submit two(2)sets of roof plan with connection details
/t,�1/!�, yR �r� �+ , 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
Y and administrative fees :
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: . Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
42152A111.— , within 180 days after it has been accepted as complete.
Print name: itionws .„,__ Date: "NSW * Fee methodology set by Tri-County Building Industry
Service Board
l:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
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1,1 City of Tigard
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COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R n Building Permit Review — Commercial - No Land Use
Building Permit #: did Ao i t'( -t t I 1
Site Address: I 1p21,O SV\J l 2hd Ave Suite/Bldg#:
Project Name: Chisken DL L
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
' &OrV ICGS
Proposal: ,
(f
❑ Verify site address/suite#exists and active in permit system.
Zoning: ` 1— 2"
-Yes Permitted Use: L Yes ❑ No ❑ Spec Space
❑ Land Use Required: ❑ Yes ,2(No Type Required
Notes: no C civv p iV\ ace_ .
Approved by Planning: Date: 1% N
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 Submittal Date:Site Plans: Wilf//11
Building Plans: #
Building Permit#: Ey.er building permit#above. ,� __/
Workflow Routing: 47/Planning ❑ Engineering ❑ Permit Coordinator L�iSuilding
Workflow Sign-off: ❑ Sign-off for Planning(include notes from planning review)
Route Application Documents: ❑ Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: dm siakeA,ill/ -W feD .,1.
By Permit Technician: 4'7'' Date: 6/407
I:\Building\Forms\BldgPermitRvw COM_NoLandUse_042914.docx
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
16200 SW 72ND AVE B2, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2014-00144
Chip Barnett
Violation Summary:
Inspector Contractor