Permit CITY OF TIGARD114 BUILDING PERMIT
' '.. COMMUNITY DEVELOPMENT Permit#: BUP2016-00228
13125 SW Hall Blvd.,Ti Date Issued: 08/17/2016
T t C ?t R, and OR 97223 503.718.2439 9
Parcel: 2S113B000600
Jurisdiction: Tigard
Site address: 16580 SW 85TH AVE
Project: Clean Water Services Subdivision: None Lot: None
Project Description: Infill holes in second story concrete floor of Solids building.
(5
Contractor: P&C CONSTRUCTION CO Owner: BURLINGTON NORTHERN INC
2133 NW YORK ST PROPERTY TAX DEPT
PORTLAND, OR 97210 PO BOX 961089
FORT WORTH,TX 76161
PHONE: 503-665-0165 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 08/17/2016 $586.19
Demolition
Occupancy Grp: F-1 Occupancy Load: 12%State Surcharge-Building 08/17/2016 $70.34
Dwelling Units: 0 Plan Review 07/14/2016 $381.02
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 08/17/2016 $4.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $37,000 Info Process/Archiving-Sm$0.50(up to 08/17/2016 $7.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,049.05
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. •se rue 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 5• . •87•r .100.332.234,.
Issued By:X4.,
` e15' n .Signature: �_ S
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1503.639.4175 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 oft e proj,ct.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial FOR OFFICE LSE ONLI"
City of Tigard �'"1 E!ie
f ,// l(O PermitNo.13125 SW Hall Blvd,Tigard,OR 7 '"1111111
w � �C/j �iJ '�
_ Phone: 503.718.2439 Fax: 503.598.1960 1 016 Date/By: �� Other Permit:
T 1 G A R D Inspection Line: 503.639.4175 JUL 1 4 Date Read / Juris: ® See Page 2 for
Internet: www.tigard-or.gov i Notified/Method ��///@ ri/1 a. I Supplemental Information
Cif v OF fit + 1J !V r/ .�/
TYPE cls Nti DIVISIC)N
VIREO DATA:1-AND 2-FAMILY DWELLING
0 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.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:16580 SW 85th Ave New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Solids Building Infill Covered porch area: square feet
Cross street/directions to job site:SW Durham Rd 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.:W248475 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.
Infill two holes in second story concrete floor Valuation: $$37,000.00
Existing building area: 26910 square feet
New building area: n/a square feet
e/ PROPERTY OWNER 0 TENANT Number of stories: 4
Name:Tim Rondeau at Clean Water Services
Type of construction: IIB
Address:16060 SW 85th Ave
Occupancy groups:
City/State/ZIP:Tigard,OR 97224
Existing: Fl
Phone:( ) Fax:( )
!:4 APPLICANT New:
CONTACT PERSON
BUILDING PERMIT FEES*
Business name:MWA Architects (Please refer to Pe schedule)
Contact name:Nathan Streib Structural plan review fee(or deposit): $381.02
Address:70NW Couch St Ste 401 FLS plan review fee(if applicable):
City/State/ZIP:Portland,OR 97209 Total fees due upon application: $381.02
Phone:(503)9735151 Fax: :(503)9735060 Amount received:
E-mail:nstreib@mwaarchitects.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:P&C Construction Submit two(2)sets of roof plan with connection details
Address:2133 NW York St and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP:Portland,OR 97210-2108 Permit fee(includes plan review
and administrative fees): $180.00
,s Phone:(503)6650165 Fa :( ) )
ti
n" CCB lic.:38619 !�j( ki� State surcharge(12%of permit fee): $21.60
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
1.41.' within 180 days after it has been accepted as complete.
Print name: ik e�j� C ,igtip Date: 7//iii/4„ * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)