Permit CITY OF TIGARD BUILDING PERMIT
11111 s- COMMUNITY DEVELOPMENT Permit#: BUP2015-00014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/02/2015
Parcel: 25101 CB00400
Jurisdiction: Tigard
Site address: 12700 SW HALL BLVD G
Project: Wood Trade International Subdivision: 2007-064 PARTITION PLAT Lot: B
Project Description: Cutting concrete at loading dock to install powered pit style dock leveler.
Contractor: NORTHWEST HANDLING SYSTEMS INC Owner: MCLELLAN ESTATE CO
18008 NE AIRPORT WAY BY CHRISTOPHER M CAVE ESQ
PORTLAND, OR 97230 1570 THE ALAMEDA, STE 100
SAN JOSE, CA 95126
PHONE: 503-969-9200 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: DC Provision Review,COM TI-Ping 01/29/2015 $75.00
Occupancy Grp: Occupancy Load: DC Provision Review,COM TI-LRP 01/29/2015 $11.00
Permit Fee-Additions,Alterations, 01/29/2015 $225.80
Dwelling Units: 0 Demolition
Stories: 0 Height: 0 ft 12%State Surcharge-Building 01/29/2015 $27.10
Bedrooms: 0 Bathrooms: 0 Plan Review 01/29/2015 $146.77
Value: $10,000 Info Process/Archiving-Sm$0.50(up to 01/29/2015 $1.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage 0
Mezzanine: 0
Total $487.17
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 of issuance, or if work is suspended for more the 180
days. ATTENT 41,: e -••n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001 r: 0 through OAR 95 401-00** You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1• :00.332.2344.
Issu=d By: / Permittee Signature: 411110111111111111111111117 --
Call 503.639.4175 by 7:00 a.m.for the next available ins,
This permit card shall be kept in a conspicuous place on the job r*til completion of the project.
Approved plans are required on the job site at the ' e of each inspection.
Building Permit Application
Commercial RECEIVED Received FOR OFFICE USE ONLY
City of Tigard Date/B / Al /S Permit No.: / a pZp/5=�xk�/y
17111
13125 SW Hall Blvd.,Tigard,OR 9722 p 2 Plan Revie�.�n --
Phone: 503.718.2439 Fax: 503.598.1�6DN (� 8 2015 Date/B : IS r Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Rea."Ir Jun, ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION —
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 CONSTRUCTION work indicated on this application. -
❑ 1-and 2-family dwelling ®Commercial/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:12700 SW Hall Blvd New dwelling area: square feet
4
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet .,
—1
Suite/bldg./apt.no.:G Project name:Wood Trade International Covered porch area: square feet
Cross street/directions to job site:SW hall&SW Burnham St 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Cutting Concrete at loading dock to accept powered pit style dock leveler 6'x8' Valuation: $$10,000.00
120V Single Phase Existing building area: square feet
New building area: Same square feet
❑ PROPERTY OWNER 5 TENANT Number of stories: 1
Name:Wood Trade Intenations Type of construction: Concrete
Address:12700 SW Hall Blvd Occupancy groups:
City/State/ZIP:Tigard,OR Existing:
Phone:( ) Fax:( ) New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:NorthWest Handling Systems (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Jacob Prater --
FLS plan review fee(if applicable):
Address: 18008 NE Airport Way
Total fees due upon application:
City/State/ZIP:Portland,OR 97230
Phone:(503)969-6586 Fax::(503)465-0677 Amount received:
E-mail:JacobP @nwhs.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel S s ,,••. '
Business name:NorthWest Handling Systems Submit two(2 s of roof plan with •-. -ction details
and fire departmen . ess,alo s l • rth the 2010 Oregon
Address: 18008 NE Airport Way Solar Installation S•eci `.r e checklist.
City/State/ZIP:Portland,OR 97230 Permit fee ' udes plan $180.00
- .nd administrative fees . ,
Phone:(503)465-9200 Fax:(503)465-0677
St. surcharge(12%of permit fee): $21.60
CCB lie.:65422 Total fee due upon application: $201.60
Authorized signature. This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
[print name: .z.G a b pr_. __ Date:01/27/2014 I * Fee methodology set by Tri-County Building Industry
+GS= Service Board.
I:\Building\Pennits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
114 City of Tigard
■
COMMUNITY DEVELOPMENT DEPARTMENT
TIC;AR D Building Permit Review — Commercial - No Land Use
Building Permit #: 6,_Pae)I 5j -060/(7/
Site Address: /99-00 Of) /41/ ,glv e, Suite/Bldg#: _
Project Name: t J 7 /4 jj ltl;.ei„C
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 0 l
P1'1 S, P . p ovQb
Existing Business Activity: f‘41' L(S j
Propo ed Business Activity:
Veri site address suite #exists and active in permit system.
fY � P Y
ning: /—L--
rmitted Use: littY4es ❑ No ❑ Spec EQ'Ceonfirm no land use required.
Notes:
Approved by Planning: Date: 102 0/,c
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submitt
Original Submittal Date: // q/5
Site Plans: # -
Building Plans:
Building Permit#: # Enter building permit#above.
Workflow Routing: EP—fanning r 2"Building
Workflow Sign-off: gn-off for Planning(include notes from planning review)
Route Application Documents: .0.-Iluilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: C ',. / i Date: f�4 jr
1:\Building\Formsl BIdgPermitRvw_COM_NoL and Use_071514.docx
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
1:\Buil ding\Forms\B IdgPermitRvw_COM_NoLandUse_071514.docx
P . ' Building Division
Over-The-Counter (OTC) Building Permit
T i c,n Fz D Check List
Project Description: 7 (
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Occu.anc Grou.: Type of Construction:
Tile of Use**: r _�1 Occu.an Load: Ore:on S.ecial Code: '2,61 A
SPECIFICS
Number of Stories: 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: $ nerpe, I FEES DUE
$ 15,CO DC Prov Rvw,COM TI—Ping
$ (( .C DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI (effective 7/1/2014) $ ' �,A0 Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ 27,kap 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ (Afe,727 Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $299.00 $44.00 $ 1 i` i 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: $ 4 ?.1 ( TOTAL FEES DUE
*TYPE OF USE: COM=commercial;CMS=commercial manufactured structure.
**CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling unit;AI:1'=alteration;DEM=demo;NEW=new;
OTR=other(use for fences,decks,retaining walls,signs,awnings or canopies).
I:\Building\Forms\OTC_BUP_070114.docx