Permit (198) CITY OF TIGARD BUILDING PERMIT
,1111
1/," ` COMMUNITY DEVELOPMENT Permit#: BUP2016-00312
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/01/2016
Tt[GA RD 9 Parcel: 2S104DC05800
Jurisdiction: Tigard
Site address: 13950 SW ALPINE CREST WAY
Project: Bull Mountain Park Subdivision: None Lot: None
Project Description: Picnic shelter installation.
Contractor: OWNER Owner: CITY OF TIGARD
CITY OF TIGARD 13125 SW HALL BLVD
13125 SW HALL BLVD TIGARD, OR 97223
TIGARD, OR 97223
PHONE: 503-718-2817 PHONE: 503-639-4171
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 12/01/2016 $917.70
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 12/01/2016 $110.12
Dwelling Units: Plan Review 11/01/2016 $596.51
Stories: Height: ft DC Provision Review,COM New-Bldg 12/01/2016 $178.50
Bedrooms: Bathrooms: DC Provision Review,COM New-Ping 12/01/2016 $178.50
Value: $74,630 Info Process/Archiving-Sm$0.50(up to 12/01/2016 $50.00
11x17)
Floor Areas:
Total Area:
Accessory Struct: 400
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $2,031.33
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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
b- ••ne in —•dance 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: •regon 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 O.- 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: AP` Permittee Signature: .
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 , FOR OFFICE [sr ONI,v
City of Tigard y Received
°
Date/By: r /0 Permit No.: �,
Iiii � 13125 SW Hall Blvd.,Tigard,OR 9722300. >r' y f � �����1����t�ft�
Plan Review
Phone: 503-718-2439 Fax: 503-598-1 \� Date/By: ►��ve (.( i Related Permit:S �a(��IGj--/yy.9/�
Inspection Line: 503-6394175 3t �> to Re Juris: Com'
c� R t) El See Page 2 for
Internet: www tigard or gov Cl,y t ' oMethod/� . (,/' �'7 ' Supplemental Information
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®New construction 0 Demoli k, 1;, �' - 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
a
t tr 1 t work indicated on this application.c •
0 1-and 2-family dwelling ®Commercial/industrial Valuation: $
1:1Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
q '"m$' Total number of floors:
Job site address:13950 SW Alpine Crest Way New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#:N/A I Project name:Bull Mountain Park Covered porch area: square feet
Cross street/directions to job site:Hwy 99W—West on Bull Mountain Rd. (L$)on SW 133`° Deck area: square feet
Ave.Turn(Rt)on SW Alpine View Drive. (Lt)on SW Alpine Crest Way. Ends at park. Other structure area: square feet
REI -DI';',..-1: ® IE 1"A .
Subdivision:N/A I Lot#:N/A Permit fees*are based on the value of the work performed.
Tax map/parcel#:2S104DC05800 Indicate the value(rounded to the nearest dollar)of all
. ,; equipment,materials,labor,_overhead,and the profit for the
1,41''',',14,:,,';i. DE R 10. y R work indicated on this application.
Installation of a prefabricated Picnic shelter(400 Square feet) Valuation: $74,630
Existing building area: square feet
New building area: square feet
® PRERTV 0 ,4 Ist 7d4-1:7;,
f � �°,°a "` " " ,i Number of stories:
Name:City of Tigard Type of construction: Prefabricated Shelter
Address:13125 SW Ball Blvd Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:(503)718 2466 Fax ( )
New
►Q '
. �»,-� T _ _ <,r, a r n 'v _ ' IL,D 1'ER I .*:
Business name:City of Tigard fPl�', cie .
Structural plan review fee(or deposit):
Contact name:Greg Stout
Address:13125 SW Hall Blvd FLS plan review fee(if applicable):
City/State/ZIP:Tigard,OR 97223 Total fees due upon application: '5/6.
Phone:(503)718-2817 I Fax::( ) Amount received:
l'i ,i i h ` h y q
e _,E-mail:gregs@tigard-or. v . Commercial and residential prescriptive installation of` { z ". tf :
roof-top mounted PhotoVo
Business name: i.our i- Submit two(2)sets of roof plan with Solar Panel connectionSystem.details
Com' and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.:
....� (� Total fee due upon application: $201.60
Authorized signaturev l V? • This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: ?t-P fL�� Date: I 0. 21. 1(p * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PennitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
4
City of Tigard
p COMMUNITY DEVELOPMENT DEPARTMENT
III
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: /V0/4— j4,k
Site Address: 13 9 s o S w P )pi n e. Ci s+ w) Suite/Bldg#:
Project Name: B u l l Mo Lin-i s e Po.r'Vt„
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: TnSt ftI l YVAN ricniC. She1Fcr goo 51, F+
I to x1 (.
Existing Business Activity: POl r k
Proposed Business Activity: PO r k
Verify site address/suite# exists and active in permit system.
0 River Terrace Neighborhood: CI Yes / No
Zoning: r it
Permitted Use: JZ Yes ❑ No ❑ Spec Space
XConfirm no land use required.
D lopnwrl+- app^oye4 a vl-ii c ,1-
❑ Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: ( 0A."--� 6:A/-0 -€Gt..— Date: 102? / J {o
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: MA AP
Site Plans: # 3
Building Plans: # 3
Building Permit#: rater building,�p,..,e�rmit above.
Workflow Routing: 0. 1'lanning L*I'ermit Coordinator ding
Workflow Sign-off: E�, �Si '-off for Planning(include notes from planning review)
Route Application Documents: [ Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: tec_._ Date: l// /
I:\Building\Forms\B1dgPermitRvw COM NoLandUse 060116.docx
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 92rr/A
Tigard Trans SDC: ❑ YesN/A
Parks SDC: ❑ Yes N/A
i'OK to Issue Permit
ApprovedO/D-ate:by Permit Coordinator: ///' /4"
•
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_070915.docx