Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2015-00311
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/05/2016
Parcel: 2S101 BD00200
Jurisdiction: Tigard
Site address: 8005 SW HUNZIKER RD
Project: Medline Subdivision: 1994-025 PARTITION PLAT Lot: 2
Project Description: Racking.
Contractor: B&B INSTALLATIONS INC Owner: TIGARD DISTRIBUTION CENTER LLC
14401 S GLEN OAK ROAD 4800 SW MACADAM, STE 120
OREGON CITY, OR 97045 PORTLAND, OR 97239
PHONE: 503-722-8155 PHONE:
FAX: 503-722-8154
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: OTR Type of Const: 1116 Permit Fee-Additions,Alterations, 12/17/2015 $1,250.91
Demolition
Occupancy Grp: S-1 Occupancy Load: 12%State Surcharge-Building 12/17/2015 $150.11
Dwelling Units: 0 Plan Review 11/04/2015 $813.09
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 11/04/2015 $500.36
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 12/17/2015 $14.00
Value: $124,000 11x17)
Info Process/Archiving-Sm$0.50(up to 12/17/2015 $7.50
11x17)
Floor Areas: Metro Const.Excise Tax 12/17/2015 $148.80
Additional Plan Review 01/04/2016 $90.00
Total Area: 82430
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,974.77
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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 calling 03.232.1987 or 1.800.332.2344.
Issued By: / Permittee Signature: tG
c 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
T'
Received
City of Tigard /// Permit No.: )15--a
Date/By:
13125 SW Hall Blvd.,Tigard,OR 97 Plan Review■ �� her Permit:
Phone: 503.718.2439 Fax: 503.598. Date/By:
Inspection Line: 503.639.4175 Date Read y: Juris: 0 See Page 2 for
Internet: www.tigard-or.gov y yNotified/Method: /)JILI/vi_ 7T Supplemental Information
L
TYPE OF WOR&N . N'V REQUIRED DATA:I-AND 2-FAMILY DWELLING 51
Permit fees*are based on the value of the work performed.
E]New construction El E,5�,n
Indicate the value(rounded to the nearest dollar)of all
El Addition/alteration/replacement is O&-r:INSTALL1105 6T09A&f Ock equipment,materials,labor,overhead,and the profit for the
CATEGORY 01F,CONSTRUCTION work indicated on this application.
Valuation: $
El 1-and 2-family dwelling Commercial/industrial
El Accessory building E]Multi-family Number of bedrooms:
E]Master builder El Other: Number of bathrooms:
JOB SITE INIR'OR1I�IATI 1_.AND: LOCATION Total number of floors:
Job site address: gOO 5 S-W. HUN Z1kFk 9b, New dwelling area: square feet
City/State/ZIP: TIGAPD, 09 97,k13 Garage/carport area: square feet
Suitelbidg./apt.no.: Project name: M FDL AI Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
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
IEQN OF WORK work indicated on this application.
Valuation: $ /';�q� 006
7-0 llvSrALL 9 7-0,eA 6,r kA A-IA,6. Existing building area:go,C)o 0 square feet
New building area: square feet
PROPERTY OWNER Number of stories:
Name: -FiCAP—D DiSTIZ(So -nov e-Ev7-C-R, LLC Type of construction: /p7,4SL,,,,g)e-
Address: 9900 SW. +7ACADAIM AVE., 5-17-F Q-0 Occupancy groups: LiGl ( IN)OS-rIZIAL
City/State/ZIP: POPUrLAIVD, Ok 97.,),3 Existing:
Phone: Fax: New:
ffA#PLICANT 10_ClEWACT PE1,t$ON BUILDING PERMIT FEES*
tVkaw refer eestGertufe
Business name: A PF x s 7-4g,41s-F Structural plan review fee(or deposit):
Contact name: j0'.' rVROCH FLS plan review fee(if applicable):
Address: .39/ 04ARPt,.5 67-1 Total fees due upon application:
City/State/ZIP: t-,VCS7— CYICAGO� 1Z 6010--., Amount received:
Phone:(6 3 9)9S7-q&S Fax::(63o) :)�q3
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: Jc>AV.T-CI90CH2,4PrK,,�i#c,coll-1 Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name: 11,167ALIAT76A'_-� and fire department access,along with the 2010 Oregon
Address: I q�nS 61&v 0,4H /31(/D. Solar Installation Specialty Code checklist.
C>g FG Permit fee(includes plan review $180.00
City/State/ZIP: >W C/T)', 09 POYS and administrative fees):
Phone:(9 03) 7�;L-8/SS Fax: State surcharge(12%of permit fee): $21.60
CCB lic.: 06 7 q 19 Total fee due upon application: $201.60
This permit application expires if a permit is not obtained
Authorized signature: within 180 days after it has been accepted as complete.
Date: a Ale V Fee methodology set by Tri-County Building hidustry
Print name: j O/V r0k C_;C Service Board.
1:\Building\Pennits\BUP-COM PermitApp.doc 02/24/2011 4404613T(I 1/02/CONVWEB)
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.ti are d-or.gov
TO: Debbie Adamski DAT " r,
DEPT: BUILDING DIVISION
FROM: Jon TurcichIf`
COMPANY: Apex Storage 4 €tN G
PHONE: (630) 957-4651 By
RE: 8005 SW Hunziker Rd. BUP2015-00311
(Site Address) (Permit Number)
Medline-Tigard, OR
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
rxc� tri ti
X Additional set(s) of plans. X Revisions: Updated concrete specs.
X Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. X Engineer's calculations.
Other(explain):
REMARKS: Included is (2) copies of engineer's calculations, (4) detail drawings, (4) layout drawing for
revison to existing permit BUP2015-00311 due to concrete issues.
FOR' F ICE FTSE ONLY = k`
Routed to Permit_Technician: Date: Initial
Fees Due: ETfes ❑ No Fee Description: Amount Due:
$ }
$
$
Special
Instructions:
Reprint Permit (per PE): I ❑ Yes No I ❑ Done
Applicant Notified: I Date: Initials:
]:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012