Permit �� CITY OF TIGARD BUILDING PERMIT
" . ' • COMMUNITY DEVELOPMENT Permit#: BUP2015-00253
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/28/2015
Parcel: 2S112DB00401
Jurisdiction: Tigard
Site address: 7319 SW KABLE LN 500
Project: Quality Custom Distribution Subdivision:.HERN PACIFIC TIGARD INDUSTRIAL Lot: 4
Project Description: Reconfigure pallet racking in the side freezer,new freezer and main freezer.
Contractor: RH BROWN CO Owner: PACIFIC REALTY ASSOCIATES
PO BOX 3565 ATTN: N PIVEN
SEATTLE,WA 98124 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-624-3100 PHONE.
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM Permit Fee-Additions,Alterations, 10/28/2015 $1,256.95
Class of Work: ALT Type of Const: VB
Demolition
Occupancy Grp: S-1 Occupancy Load: 12%State Surcharge-Building 10/28/2015 $150.83
Dwelling Units: 0 Plan Review 08/20/2015 $817.02
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 08/20/2015 $502.78
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 10/28/2015 $12.00
Value: $125,000 11x17)
Info Process/Archiving-Sm$0.50(up to 10/28/2015 $37.50
11x17)
Floor Areas: Metro Const. Excise Tax 10/28/2015 $150.00
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,927.08
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 cop • r• - rules questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: - tee Signature: �'
•!'639.4175 by 7:00 a.m.for the next available(l' pecti• 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.
B 'ng Permit Application
Commercial RECEIVEJ) FOR OFFICE USE ONL\
City of Tigard Received ,S Permit No.: � j(�i(�j�S3
13125 SW Hall Blvd.,Tigard9')�2® 2 5 Plan Review
Phone: 503-718-2439 Fax: 503-598-1960 r Related Permit:
• Date/By: �� ��
Inspection Line: 503-639-M1/ Date Read B June_ ® See Page 2 for
Tl • RD Internet: www.tigard-ong i I Ur 1�VARI) Notified/Method: 14)7 (S Supplemental Information
— - BULDINEDIUSIalk 11gd ( c -41,,1 g'..f-r
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
IZAddition/alteration/replacement ❑Other: Indicate the value(romded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
_
CATEGORY OF CONSTRUCTION work indicated on this application.
12 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: /3( t 5 L,..) 44 j, L6.N2_ New dwelling area: square feet
City/State/ZIP: '•rilkt%Q 0(L qi 2-7- Garage/carport area: square feet
Suite/bldg./apt.#: Project name: (2i,,,44.;4.t ST a, iS+r,`hwA,s, Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
( Other structure area: square feet
/�J REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Indicate the value(roulded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
j Valuation: $ I as1 l70(.-)
tl`t,)1.--v•-44-4-4-0- (Roy S t, ).t c,14-) c M4, ■ (✓Ct t ,411 (‘144(-01 I J-t- P-44.) Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER A TENANT Number of stories:
Name: l! i 1,' (AA ;i v, J>C• 4- :iv, ,(A,v l C_c. -Ty„L Type of construction: -4u,Ul-Q,y4.41c.-
Address: ') let S w / 6,(,- L.4,, Occupancy groups:
City/State/ZIP: i a OR— (7"7 2-2;5 Existing:
Phone:(O3 ) 23S-02)1,3 Fax:(S7P1 ) ;'`tc,c-- LI"74-I9 New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
�J�� Q Structural plan review fee(or deposit):
Contact name: ckti,K ';A L\ )'S�(4, 1)1a4--Obj K-.41.(A.l1.—
Address: S /j f. )••,qy■r�e.-(L S-/-.- FLS plan review fee(if applicable):
City/State/ZIP: �Jr t�G,,..
3(L - I Z Total fees due upon application:
CO
Phone:(5U.? ) ;5'1-'7p-Lb Fax:;(303 ) a',5-). V(o 1 Amount received: 45-to ,
E-mail: 4.,�A h h l�la N g�W v., (!`� I ��f',(l� C ti ge)tJ h , +�� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel Syste• .
Business name: Rµ (3vp t„N-N. Submit two(2)sets of roof plan with connec•. details
Address: r' p+� � T and fire dep. •• ent access,along with , 010 Oregon
1 L c-�t.-5 Solar Installation ,•cialty Code c - list.
City/State/ZIP: p o.-+ ':..,.-..C. 0(2- '�7Z,i't Permit fee(inc ,•-s pl.• eview $180.00
' and admini ' .•ve fees):
Phone:(n 3 ) a(a _ p Zq) Fax:(5 0"? ) a c f�-.1 _ (il State surcharge o of permit $21.60
CCB Lic.: g N 4 k N
To - -e due upon appication: $201.60
Authorized signature: ,V This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: . 'g 14'10,(1...c,,,) L IA.-1L Date: 3/'711`i * Fee methodology set by Tri-County Building Industry
Service Board
I:\Building\Pernits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ {�
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
RH BROWN
MATERIAL HANDLING SOLUTIONS
JEFF MAKOWICHUK
Branch Manager
jeffm@rhbrown.com
www.itbrown.com
5 NE Hancock St
Portland,OR 97212
T 503.287.7028
M 360.957.4847
I:\Buil ding\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014 F 503.287.8613
7409 SW Tech Center Dr,Ste. 145
Tigard,OR 97223
Ph:503-443-3799 Fax:503-620-2748
rtfi
ire F
SO1443.3799 Special Inspection
Final Report
Date: 10-30-15 Job# 15-5916
Permit#BUP2015-00253
Mail To: Project:
RH BROWN QCD FREEZER RACKING
12 S IDAHO ST 7319,5 j BLE LANE
SEATTLE,WA 98134 —' 1[CUARO, OR 97224
To Whom It May Concern:
ACS Testing, Inc.attests that their inspectors performed special inspection(s)on a continuous and/or
Periodic basis as required by the specific jurisdiction and/or IBC. Special inspection(s)were performed
For the following:
Anchors-Expansion
Based on personal observation, inspection and reports reviewed by me for the above project, I attest on behalf
of ACS that work was performed to the best of my knowledge, in accordance with approved plans,
specifications,and the applicable codes and standards for the jurisdiction.
_t-d-Ci\O(72/‘
Approved by:
Bob Brown/President
BB/sa
®/�
Rio''' Proud to be Nationally Accredited by International Accrediting Service
ACCREDITED