Permit (63) CITY OF TIGARD BUILDING PERMIT
'> COMMUNITY DEVELOPMENT Permit#: BUP2017-00089
T C C.aAiS D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/10/2017
Parcel: 2S 112AA00900
Jurisdiction: Tigard
Site address: 14140 SW 72ND AVE 130
Project: Dawn Foods Subdivision: 1992-007 PARTITION PLAT Lot: 1
Project Description: Racking.
Contractor: B&B INSTALLATIONS INC Owner: ICON OWNER POOL 1 WEST LLC
14401 S GLEN OAK ROAD BY RYAN
OREGON CITY, OR 97045 PO BOX 460169
HOUSTON, TX 77056
PHONE: 503-722-8155 PHONE:
FAX: 503-722-8154
Specifics: FEES
Description Date Amount
Type of Use: COM
Permit Fee-Additions,Alterations, 05/10/2017 $347.48
Class of Work: ALT Type of Const:
Occupancy Grp: U Occupancy Load: Demolition
Dwelling Units: 0 12%State Surcharge-Building 05/10/2017 $41.70
Stories: 0 Plan Review 04/10/2017 $225.86
Height: 0 ft Info Process/Archiving-Lg$2.00(over 05/10/2017
Bedrooms: 0 Bathrooms: 0 11x17) $4.00
Value: $17,104 Info Process/Archiving-Sm$0.50(up to 05/10/2017
11x17) $5.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $624.04
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 'odes =nd all other applicable law. All work will
be done i acr.rdance with approved plans. This permit will expire if work is not started within 180 days of is,.uance or if work is suspended for more the 180
days TTENTION: r egon law requires you to follow the rules adopted by the Oregon Utility Notificat.n C ter. T bse rules are set forth in OAR
9 -001-0010 through 0A' 95 -401-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5r 3.23 .1987 or :40.332.2344.
f.-4Issued By: , Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspect',n d 'e.
This permit card shall be kept in a conspicuous place on the job site until c,m• etion of the project.
Approved plans are required on the job site at the time of eac ' spection.
Building Permit Application
Commercial FOR OFFICE USE ONLY
Received
C1 Of Tigard and Permit No.: ,.
II `J g i, CEl)
Date/By: /Ll 1 i � ?—j
� 13125 SW Hall Blvd.,Tigard,OR 972 t ' till Plan Revie
C Phone: 503.718.2439 Fax: 503 598 7c. Date/By. �` Other Permit:
TI GARD Inspection Line: 503.639.4175 Date Ready/By: c� �� d Juris: ® See Page 2 for
Internet: www.tigard-or.gov l P R I 0 20
17 Notified/Method:•.,-� Supplemental Information
TYPE OF r OF TIGA� REQUIRED DATA:I-AND 2-FAMILY DWELLING
❑New construction r DIVISION Permit fees*are based on the value of the work performed.
Y � _ Indicate the value(rounded to the nearest dollar)of all
Igj Addition/alteration/replacement • 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: $
EIAccessory building ❑Multi-family Number of bedrooms:
•
❑Master builder ❑Other: Number of bathrooms:
3OB SITE INFORMATION AND LOCATION - Total number of floors:
Job site address: IN 110 se. -7 P1 4 ' S v i fl Q New dwelling area: square feet
City/State/ZIP: "''fj`I S-6,,_(1\ Q (Z _I-7 ZZ'1 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: N)w...J„1 jr0>a4)L-s Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED ED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
l_ DESCRIPTION OF WORK work indicated on this application.
T,n S)z�1 s&tile.._ Valuation: $ /`, /OV
Existing building area:S square feet
New building area: f� rue, square feet
0 PROPERTY OWNER „TENANT Number of stories: ,41%
Name: A I✓1 f"0Ot)1 S Type of construction: 54014
Address: 1 i'4 O C 6. 12 A Occupancy groups: 44 ..
City/State/ZIP: JQ 41 1.2... Existing: 5104 o'iNt.
Phone:( )
Fax:( ) New:
,'jt
APPLICANT CONTACT PERSON BUILDING PERMIT FEES*
Business name:
V\A5 inaserefertofeeschedule)
'4^ �� L
Structural plan review fee(or deposit):
Contact name: •
Address: /�l/`11r� // f 14%.4-100,-,-4-v.)&) FLS plan review fee(if applicable):
City/State/ZIP: pc,,—)--/A, 0 p• 4-11,,5 Total fees due upon application:
LAmount received:
Phone:(5a)) q i q ' Fax::( )
E-mail: v i PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
rlif.'� k/N t ! 40 ov-i Commercial and residential prescriptive installation of
OO1V'I'ACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: iff Submit two(2)sets of roof plan with connection details
CA '� *1 and fire department access,along with the 2010 Oregon
Address: /‘1‘101 5 (0 (i,I 04 L A Solar Installation Specialty Code checklist.
City/State/ZIP: C) /; 11 �� Permit fee(includes plan reviej $180.00
iJ°7 5-*�v ! and administrative fees
Phone:(5'05) 71. Z_ el S-- Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 0 to 'I Q Total fee due upon application: $201.60
Authorized signat e: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: (� Date: * Fee methodology set by Tri-County Building Industry
-/ 7 Service Board.
I:1Building\Permits UP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) /