Permit CITY OF TIGARD BUILDING PERMIT
111111 s COMMUNITY DEVELOPMENT Permit#: BUP2015 00027
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/04/2015
Parcel: 2S 112AD00500
Jurisdiction: Tigard
Site address: 14650 SW 72ND AVE
Project: Rogers Machinery Subdivision: BONITA GARDENS Lot: 4
Project Description: Add(1)new overhead door opening in endwall of existing building,an unheated metal storage building.
Contractor: SM ANDERSEN COMPANY INC. Owner: UNION CENTRAL LIFE
P 0 BOX 5003 TREASURY SERVICES
PORTLAND, OR 97208 ATTN: DIANE THOMAS
PO BOX 888
CINCINNATI, OH 45240
PHONE: 503-285-7118 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg Permit Fee-Additions,Alterations, 03/04/2015 $453.95
Demolition
Occupancy Grp: S-1 Occupancy Load: 12%State Surcharge-Building 03/04/2015 $54.47
Dwelling Units: 0 Plan Review 02/17/2015 $295.07
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 02/17/2015 $181.58
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 03/04/2015 $2.00
Value: $25,000 11x17)
Info Process/Archiving-Sm$0.50(up to 03/04/2015 $12.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $999.57
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
1 Structural Welding
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. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a • e rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: •ermittee 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
Commercial FOR OFFICE USE ONLY Qr�^
City of Tigard RECEIVE / Permit No.:
• l312 SW Hall Blvd.,Tigard,OR 97223 Plan Re
I Phone: 503.718.2439 Fax: 503.598.1960 Date : + Other Permit:
.d�t
l i t_ -i i D Inspection Line: 503.639.4175 FEB 1 7 2015 Date •' ' y: ]uric See Page 2 for
Internet: www.tigard-or.gov Notified/Method: I hi Supplemental Information
'V O' 1'1(iAti) ,a ■
TYPE O .%i t, I 1 REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction t ` I molition Permit fees*are based on the value of the work performed.
-- Indicate the value(rounded to the nearest dollar)of all
PI 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 0 Multi-family Number of bedrooms:
❑Master builder i_❑Other: Number of bathrooms:
--
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:14650 SW 72nd Avenue New dwelling area: square feet
City/State/ZIP: Portland, Oregon 97224 Garage/carport area square feet
Suite/bldg./apt.no.: Project name: Rogers Machinery Covered porch area: square feet
Cross street/directions to job site: 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. _- _
Add (1) new overhead door opening in endwall of existing building Valuation: $ 25,000
Unheated storage metal building manufactured by Butler Mfg Co Existing building area: 11,000 square feet
New building area: 0 square feet
® PROPERTY OWNER I ❑ TENANT Number of stories: 1
Name: Rogers Machinery Type of construction: metal building
Address: 14650 SW 72nd Avenue
Occupancy groups: no change
City/State/ZIP: Portland, Oregon 97224
Existing: no change
Phone:(503 639.0808 I Fay, 503 )639.0111 New: no change
] APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name SM Andersen Company, Inc.
(Please refer to fee schedule)
Contact name: Don Mortensen Structural plan review fee(or deposit):
FLS plan review fee(if applicable):
Address: 6712 N Cutter Circle
City/State/IP: Portland, Oregon 97217 Tota ees ue upon application:
Phone:(503 285.7118 Fax 503 ) 285.1551 Amount received: gel 76,, 1,5
E-mail: don@andersen-const.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: SM Andersen Company, Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 6712 N Cutter Circle Solar Installation Specialty Code checklist.
City/State/ZIP: Portland,Oregon 97217 Permit fee(includes plan review
$180.00
and administrative fees):
Phone:(503 )285.7118 Fax:(503 )285.1551 State surcharge(12%of permit fee): $21.60
CCB lic.: 63034 /4/7 Total fee due upon application: $201.60
Authorized signature: kick g,odcwity This permit application expires if a permit is not obtained
—
within 180 days after it has been accepted as complete.
Print name: Rick Brockway,PM , Date. 01/28/15 1 ' Fe methodol gy set by Tn-County Building Industry
--- S. e B ard.
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City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R D Building Permit Review — Commercial - With Land Use
Building Permit #: - f P o90 is-- ocr -7
Site Address: k i 6550 SW 1 2nd AVe,, Suite/Bldg#:
Project Name: R b ex S Mack 1 nex\J
(Name commercial business occupying the pace. If vacant,enter Spec Space.)
Planning Review ] 1
Proposal: add new ove, gad doo< opening In exis-i-in(� 6v,1 cl1n
�J
Verify site address/suite #exists and active in permit system.
>Land Use Case#: MAD 20 ► 5— OW05
Ibli P1ans atch Approved Land Use:
:2 Site Plan n I 01/4_„--E—Landscape Plan ❑ Other:
f1! Urban Forestry Plan -9—Elevation Plan
LM Building Height: n6 eAc.n oJe, Maximum Height Actual Height
� Conditions Met:Conti rhAl•1 ❑ Prior to Submittal ❑ Prior to Permit Issuance
[Z( Business Lic se:
Exists: 4 Yes Cl No,applicant notified to obtain business license
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified �No Applied For: ❑ Yes ❑ No,stop intake
Notes: ce,mov l of 1 p. (6 r, spac,F.� a rOV� no cs p� cAlcxncJP,s
to St+e, prof>• s - f P
Approved by Planning: ii _-_I a.,Ai Date: ^ 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 Submittql
Original Submittal Date: .)- 7/5
Site Plans: # 3
Building Plans: # �`?j
Building Permit#: Enter building permit#above.
Z
Workflow Routing: Planning a—Engineering Kermit Coordinator abuilding
Workflow Sign-off: Si -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:
By Permit Technician: IC Date: , M 5
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s t
Engineering Review
❑ Actual Slope:
❑ PFI Permit#:
❑ Conditions Met
❑ NOT Approved by Engineering: Date
Notes:
Afo 6-../G 4. JSS4da'
Approved by Engineering:
„...X---p.._..... .- Date: 2 . /7. /y
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
❑ Approved, NOT Released: Date:
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:
to Issue Permit
Approved by Permit Coordinator: 0 Date: -?/:15-
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