Permit CITY OF TIGARD BUILDING PERMIT
I'9 r - COMMUNITY DEVELOPMENT Permit#: BUP2015-00295
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/27/2015
Parcel: 2S112AD00500
Jurisdiction: Tigard
Site address: 14650 SW 72ND AVE
Project: Rogers Machinery Company,Inc. Subdivision: BONITA GARDENS Lot: 4
Project Description: Construction of a new ADA restroom on ground level,and adding 484 square feet on second level.
Contractor: SM ANDERSEN COMPANY INC. Owner: ROGERS MACHINERY COMPANY
P O BOX 5003 INC
PORTLAND, OR 97208 PO BOX 230429
PORTLAND, OR 97281
PHONE: 503-285-7118 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 10/27/2015 $1,528.75
Demolition
Occupancy Grp: F-1 Occupancy Load: 12%State Surcharge-Building 10/27/2015 $183.45
Dwelling Units: 0 Plan Review 10/19/2015 $993.69
Stories: 2 Height: 0 ft Plan Review-Fire Life Safety 10/19/2015 $611.50
Bedrooms: 0 Bathrooms: 2 Wash Co Trans Dev Tax 10/27/2015 $2,786.00
Value: $169,500 DC Provision Review,COM TI-Ping 10/27/2015 $351.00
Info Process/Archiving-Sm$0.50(up to 10/27/2015 $35.00
11x17)
Floor Areas: Metro Const. Excise Tax 10/27/2015 $203.40
Total Area: 484
Tig-Tual School CET-Non Residential 10/27/2015 $290.40
Accessory Struct: 0
Basement: 0
Carport 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $6,983.19
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 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 copy of the rules or direct questions to OUNC by calli . 03.232.1987 or 1.800.332.2344.
Issued By: • rmittee Signature:
t:raf5411.639.4175 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
Commerciale FOR OFFICE USE ONLI
��� Received I^ r
City of Tigard Dale B : W 15 07T- , Permit No.. I I " • ,,el 5
III
13125 SW Hall Blvd.,Tigard,OR 97223 9 'Z 15
S Ptan Review,
-i Phone: 503.718.2439 Fax. 503 598.1960 00 pate B ��</� �� OthcrPermic L , -.0 I 5'7 - • „,
.116 A It I) Inspection Line: 503.639 4175 I,\I►1 1 Date Ready :y: 0 tuns ® See Page 2 for
Internet: www.tigard-or.gov `t°V� Vt� �,� itiieedpMethod: A. —Au Supplemental Information
TYPE OF WOR �CO°V 1GD ���' 1D iz-f^a,(.,LA
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.
Valuation: 3
❑ I-and 2-family dwelling ®Commercial industrial
❑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: 14650 Sw 72nd Ave. New dwelling area: square feet
City State ZIP: Portland,OR 97224 Garage carport area: square feet
Suite/bldg.apt.t.no.: Project name:RestRoom Alteration Covered porch area: square feet
Cross street/directions to job site:Bonita&72nd Deck area: square feet
Other structure area: square feet i
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Bonita Gardens Lot no.:500&l Permit fees*are based on the value of the work performed. i
Indicate the value(rounded to the nearest dollar)of all
Tax map parcel no 2S112AD equipment,materials,labor,overhead,and the profit for the
II DESCRIPTION OF WORK work indicated on this application.
22'x 22' Restroom alteration to existing building. Plumbing water&waste Valuation: $169,500.00
water,ground level load bearing framing,water closets,urnials,sinks lockers Existing building area: 11000 square feet
Second level framing break room and assembly area New building area: 484 square feet
® PROPERTY OWNER ❑ TENANT � Number of stories: 2
Name Rogers Machinery Co.,Inc. �C Type of construction: Wood-MetalFrame
Address: 14650 SW 72nd Ave. ( � p
Occupancy groups:
City State ZIP: Portland,OR 97224 �vv Existing: F-1
Phone:(503)639-0808 Fax:(503)639-0111 New: F-1
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Rogers Machinery Co.,Inc. Structural plan review fee(or deposit):
Contact name: Frank Wiering FLS plan review fee(if applicable):
Address sam e as above Total fees due upon application: I607. I /
City State ZIP: Amount received:
Phone:(503)720-7268 mobile [ Fax:.( )
i PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES'
E-mail: Frank.Wiering@rogers-machinery.com rogers-machinery.com Commercial and residential prescriptive installation of
' .._
c\c-3
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name:SM Andersen Company and fire department access,along with the 2010 Oregon
I. Address:6712 N.Cutter Circle Solar Installation Specialty Code checklist.
Permit fee(includes plan review
$18000
City State ZIP:Portland,OR 97208 and administrative fees).
Phone:(503)285 7118 Fax.(503)285-1551 State surcharge(l2°°of permit fee): $21.60
Total fee due upon application: 5201.60
CCB lic.:63034
This permit application expires if a permit is not obtained
Authonzed signature 1- 2U1S within 180 days after it has been accepted as complete.
i�-- 10 / • Fee methodology set by Tri-County Building Industry
Print name: Don Asseersesi May-4e-vIler\ Date:Oct 19,2015 Service Board.
I:Building Permits BUP-COM PermitApp.doc 02 24 201 I 440-46131(11 02 COM WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 G A lz[� Building Permit Review — Commercial - With Land Use
Building Permit #: eLtfp.20(5"-�X9
Site Address: 14(05 o St.,) -7d r‘cL Suite/Bldg#:
Project Name: Rpltes l.{c.chi n.2
(Name of commercial business occupyinAjhe space. If vacant,enter Spec Space.)
Planning Review
Proposal: (r,ns4r1A c_4;cry a e rt C.3 S Qtom-, a.d add Saz St. 4 L+.
`1II i s 1 s l e.ss ah 5�o y . f o spirvt-d. -I1n rang h A-t M 134201� 5-O( 0 -
Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ Yes ,k-No
Or Land Use Case#: M 1J1Dd,01 G -0000u:),
Ar Plans Match Approved Land Use:
'Site Plan —s-(,t nokU bt(ot❑ Landscape Plan ❑ Other:
❑ Urban Forestry Plan ❑ Elevation Plan
pip‘ I1 :uilding Height: Maximum Height Actual Height
Net A Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
l Business License:
Exists: f 'Yes ❑ No,applicant notified to obtain business license
VPublic Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified IX(No Applied For: ❑ Yes ❑ No,stop intake
Notes: IvllilD .?0 f S 000 aa. nok d -{'U toss cif I acid 1i yr I. Space. be Q ppru
51 k play, <t o ed loss c 3 seacks - ( 3). -640A Spt c.QS
Approved by Planning: C (,'1 . Date: to - (g - lS
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: /0/14h
Site Plans: #
Building Plans: # 3
Building Permit#: 2.--En'ter building permit#above.
Workflow Routing. g S neering Pe mtt Coordinator ES—Building
Workflow Sign off: -off for Planning(include notes from planning review)
Route Application Documents: KW Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: f
By Permit Technician: Date: dAer!
I�
I:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_070915.docx
Engineering Review
Imo'giope at building pad: ��
�PFI Permit#: /14
ErZonditions "Met"prior to issuance of building permit
12 Easements (encroachments)per engineering conditions of approval and plat (not typical on SDR/CUP)
ltrTater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 2 No
Assess Water Quantity Fee in-lieu: 1i1 Yes Or-No
LIDA Facility on lot: ❑ Yes 2".'No
❑ NOT Approved by Engineering: Date
Notes: dil oAd g,-/t
Approved by Engineering: Date: /o- ZA—/C---
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:
SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: ❑ Yes \2' N/A
Parks SDC: ❑ Yes ,,,,, I,N/A
`oK to Issue Permit J
(Approved by Permit Coordinator: /� / Date: /c-VjU/G 5-
I:\Building\Forms\B1dgPermitRvw_COM_W ithLandUse_0709I 5.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
14650 SW 72ND AVE, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - No C of O
January 20, 2016 at 10:16:14
AM
BUP2015-00295
Chip Barnett
Violation Summary:
Inspector Contractor