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Permit (109)
CITY OF TIGARD BUILDING PERMIT IN aCOMMUNITY DEVELOPMENT Permit#: BUP2016-00285 and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 01/30/2017 Tlc;; i<.C� 9 Parcel: 2S 101 AA00100 Jurisdiction: Tigard Site address: 12300 SW 68TH AVE Project: Landmark Ford Subdivision: WEST PORTLAND HEIGHTS Lot: 9 Project Description: TI for existing tenant. Includes new elevator. Contractor: R&H CONSTRUCTION CO Owner: CORLISS,JAMES L&CORA K 1530 SW TAYLOR ST PO BOX 23970 PORTLAND, OR 97205-1819 TIGARD, OR 97281 PHONE: 503-228-7177 PHONE: FAX: 503-224-3638 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations, 12/28/2016 $3,219.95 Demolition Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 12/28/2016 $386.39 Dwelling Units: 0 Plan Review 10/05/2016 $2,092.97 Stories: 2 Height: 0 ft DC Provision Review,COM TI-Ping 12/28/2016 $357.00 Bedrooms: 0 Bathrooms: 0 Additional Plan Review 12/28/2016 $200.00 Value: $450,000 Plan Review-Fire Life Safety 12/28/2016 $1,287.98 l Info Process/Archiving-Lg$2.00(over 12/28/2016 $68.00 11x17) Floor Areas: Info Process/Archiving-Sm$0.50(up to 12/28/2016 $7.50 11x17) Total Area: 7873 Metro Const.Excise Tax 12/28/2016 $540.00 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $8,159.79 Required: Required Items and Reports(Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Protected Corridors: No 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. ATT TIO,• •regon law requires you to follow the rules adopted by the Oregon Utility Notification Ce.er. Those rules are set forth in OAR 952-0, -0010 through 0 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232 • 7 or 1.800.332.2344. I sued By: , ' 411110, Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available ins ction da . This permit card shall be kept in a conspicuous place on the job site until c tion of the project. Approved plans are required on the job site at the time of each inspection. City of Tigard IIa COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Commercial - No Land Use Building Permit #: ez O/ -dL2 5 Site Address: ok, -,j//0 Cab . 'ze_ Suite/Bldg#: Project Name: Z-&-Pal").-k_ Tort_ (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: 77 eOrd ,telt) eel/ >- Existing Business Activity: /1J)7 AciorVekde - 5 .g Pro osed Business Activity: // // // Verify1011 site address suite#exists and active inpermit s st / iNm. NI j°'ver Terrace Neighborhood: CI Yes �No I►. oning: C—C rm ttted Use: Ile Yes CI No ❑ Spec Space firm no land use required. IJ Business License: Exists: Yes ❑ No,applicant notified to obtain business license Notes: 4tApproved by Planning: c-----� � Date: /Dtch 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: %a/C-6 Site Plans: # "0 Building Plans: # 3 Building Permit#: mer building permit#above. Workflow Routing: E 1'lanningermit Coordinator EHTSETling Workflow Sign-off: ©'Sign-off for Planning(include notes from planning review) Route Application Documents: 3iding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: /e)/j ll6 I:\Building\Forms\BldgPermitRvw_COM NolandUse_070915.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 N- N/A Tigard Trans SDC: ❑ Yes gi N/A Parks SDC: ❑ Yes N/A . OK to Issue Permit Approved by Permit Coordinator: C„ t..u4L Cc crv-, Date: 10 - 7- 11° I:\Building\Forms\BldgPermitRvw_COM NoLandUse_070915.docx Site Address: 1 2Zerg - 11 Building Division Deferred Submittal Transmittal Letter TO: v!7 .- I ' DATE RECEIVED: DEPT: BUILDING DIVISION FROM: COMPANY: PHONE: MI RE: r woe _mMWICOr ,:;sa'vision -h :;1,7, .,i - - Valuation of Deferred S ittal: 5 ATTACHED IS TILE FOLLOWING DEFERRED S IHI Rema ks: dr0.. MP V o "; is A Al ... ' �.t t d iso, lb. - - lis., Nom:Documents for deferred submittal items shall be submitted to the charge who shall review andofficial registeredt p ssienal in themthe deferred "eating submittal document eve been reviewed and berm found to be in,gen l c+ d ee to the buil ."The def d submittal i shall not be installed until the desist °' approvcttby the building official:Oregon, tura Specialty �.submitted docutne y> have bin a Code Section 143 2 Routed to Permit Technician: Date: , ,, , ^_ -� Fees Due �� I�' IVoInitials: irFee Descri'tion: Amount Due: 1--,,,-t- Ft -r -4.-„,„,,E 3 r j„ DeferredSubmittal Fee: , ,- ,.. ,, ' # r .Additional fee based an valuation. ,t.'' , t_,-, *,'• _____.__.______.___.________ ______ i____Lj,!__i_.i..ili_.lii.S4s''Special � Total Fees-Due, Instructions: R- 'rint Permit 'Cr PE : ,-. A 4 Date:Notified: Na [, Done Initials: on Thethe feevaluation for proceofssintheg and reviewing deferred plan submittal shall be an amount equal to 65%of the building based pportion or portions of the project with a minimum$200.00 fee.This fee is in addition to the project plan review fee based on the total project value. I:Building\Forms\TransmittalLetter-DefrdSubmd.doe 04/04/07 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12300 SW 68TH AVE, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Building BUP2016-00285 Inspection Type: Inspector: 299 Final inspection Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor