Permit CITY OF TIGARD BUILDING PERMIT
11 '' COMMUNITY DEVELOPMENT Permit#: BUP2016-00154
T[GA R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/10/2016
Parcel: 25101 DA00105
Jurisdiction: Tigard
Site address: 13009 SW 68TH PKWY C
Project: Extended Stay America Subdivision: VARNS ACRES Lot: 9
Project Description: Building C -Dry rot repair for(4)staircases.
Contractor: FIKE INDUSTRIAL CONSTRUCTION LLC Owner: BRE/HV PROPERTIES LLC
P.O. BOX 873607 TAX DEPTARTMENT
WASILLA,AK 99687 EXTENDED STAY HOTELS
OP BOX 49550
CHARLOTTE, NC 28277
PHONE: 503-357-6003 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: MF
Class of Work: ALT Type of Const: VA Permit Fee-Additions,Alterations, 05/10/2016 $1,709.95
Demolition
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Building 05/10/2016 $205.19
Dwelling Units: 0 Plan Review 05/10/2016 $1,111.47
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 05/10/2016 $683.98
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 05/10/2016 $4.00
Value: $200,000 11x17)
Info Process/Archiving-Sm$0.50(up to 05/10/2016 $5.00
11x17)
Floor Areas: Metro Const.Excise Tax 05/10/2016 $240.00
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,959.59
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 calling 503.232.1987 or 1.800.332.2344.
Issued By: '��% y�.. _ ' Permittee Signature: C%
o!"t.s�- Call .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 REcENE FOR Of I'ICI: I SI:0\1,1
City of Tigard Received 7 ti � /C /� ,
n Date/By: Permit No�,r Y
. 13125 S W Hall Blvd.,Tigard,OR 9722,',i/ v Plan Revie Com"
Phone: 503-718-2439 Fax: 503-598-1960 `� 2��U Date/By: p ..j 4,,,,, Related Pennit:
I-I t,A R I) Inspection Line: 503-639-4175 } is v Date Ready/: kris: ® See Page 2 for
Internet: www.tigard-or.gov t j -11' IIG���}/�, Notified/Method:L. `(i/f{r }� I Supplemental Information
? U1l,DING DIV'S.ION , uc.l,.9 OIN �/_9,19.47-
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-familY dwellin Valuation: $
g ❑Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /'500q SA.) /0602//�-k/„yf! New dwelling area: square feet
City/State/ZIP: yA, OR__ Garage/carport area: square feet
Suite d ./ pt.#: G Project name: 6/tiu C`J /c4 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#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK (4') work indicated on this application.
/A/ 57-157-72 c�<SE=3" Valuation: $c.2OD� O -z • al)
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction:
Address:
Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
New:
123 APPLICANT CONTACT PERSON BUILDING PERMIT FEES*
Business name: bnd uTie �1 (Please refer to fee schedule
CrnST,PuG-r/o1L �Ci Structural plan review fee(or deposit):
Contact name: � e t ly 30--a S
Address: .5 6r / fj60 FLS plan review fee(if applicable):
City/State/ZIP: Total fees due upon application:
Phone:(5-7D) a70 636, , Fax::( ) Amount received:
E-mail: e'rfribett l/J^ /otndus7- 1-1(36uT Loce •ct"t PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR `7 Commercial and residential prescriptive installation of
'/� roof-top mounted PhotoVoltaic Solar Panel System.
FtCF
Business name: md( Zo" (% i57 I rias L(� Submit two(2)sets of roof plan with connection details
Address: O. �/ .- .6l and fire department access,along with the 2010 Oregon
�•V. 60/` 4t1��',=r'l'I'e'./ 13�OD7 7 Solar Installation Specialty Code checklist.
City/State/ZIP: b01.5////4. --,/a i/ f�' 910-7 - 36,0 . Permit fee(includes plan review $180.00
and administrative fees):
Phone:(jb7 ) 357 (p I,1 3 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB Lic.: Cal 0 3 7 t
1 All
Total fee due upon application: $201.60
Authorized signa This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: C- 6�1lytkI S. Date G� (i&- * Fee methodology set by Tr-County Building Industry
J Service Board.
I:ABuilding\Pernits\BUP_COM_PennitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
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
13009 SW 68TH PKWY C, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2016-00154
Chip Barnett
Violation Summary:
Inspector Contractor