Permit (26) CITY OF TIGARD BUILDING PERMIT
17111 s T' COMMUNITY DEVELOPMENT Permit#: BUP2017-00134
D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/07/2017
[ r�j2° g Parcel: 1S136AD06200
Jurisdiction: Tigard
Site address: 11420 SW PACIFIC HWY
Project: Get Space Subdivision: None Lot: None
Project Description: Demolition of existing structures. Building is 3,264 sf for main floor and basement,(3)sheds with overhangs,377
sf, 601 sf&1,713 O. Property is on septic.
Contractor: PERLO CONSTRUCTION LLC Owner: TIGARD&PACIFIC LLC
16101 SW 72ND AVE SUITE 200 1245 E BRICKYARD RD STE 70
TIGARD, OR 97224 SALT LAKE CITY, UT 84106
PHONE: 503-624-2090 PHONE:
FAX: 503-639-4134
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: DEM Type of Const: DC Provision Review,COM TI-Ping 06/07/2017 $90.00
Occupancy Grp: Occupancy Load: Permit Fee-Additions,Alterations, 06/07/2017 $553.13
Demolition
Dwelling Units: Info Process/Archiving-Sm$0.50(up to 06/07/2017 $0.50
Stories: Height: ft 11x17)
Bedrooms: Bathrooms: Erosion Control w/Development 06/07/2017 $107.60
Value: $34,000
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $751.23
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
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. . regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Th se rules are set forth in OAR
95 01-0010 through 0 F52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.80 332.2344.
sued By: � Permittee Signature:
Call 603.639.4176 by 7:00 a.m.for the next available inspecpt) date.
This permit card shall be kept In a conspicuous place on the job site untt. ompletion of the project.
Approved plans are required on the job site at the time of each inspection.
♦ IN
Building Permit Application
Commercial RECF,JIVEI) ce
City of Tigard ReDateBivyed 5 / I / Permit No.: ,90/7 ,01 3 ,
'
■ 13125 SW Hall Blvd.,Tigard,OR 97B3
3 �� Plan Review t 7
i Phone: 503.718.2439 Fax: 503.598 .G 5 7 n 1 i' Date/By: Other Permit:
Ti G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: ' ® See Page 2 for
Internet: www.tigard-or.gov CI 'V o ; �'�l�RDNotified/Method: Supplemental Information
1 v r,
::',: f-10,-..P..,. ill,...,..,!4,0 =i $ b a °_ - . , , ea s_ 4E- - , ,,:w' , • a Z- *k .
❑New construction ®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
LA: '''t..,..47';''
". "�'
a.s1 ' btodar ,--',i` _ s' work indicated on this application.
t
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
t*t ,q i>t a T Total number of floors:
Job site address:11420 SW Pacific Highway New dwelling area: square feet
City/State/ZIP:Tigard OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name:Tigard&Pacific Ger jp,tte_f_, Covered porch area: square feet
Cross street/directions to job site:SW Coronado and SW65th Ave Deck area: square feet
Other structure area: square feet
r.moi € i.. 0. i '4'...6-••'' '' ,.;tri s;
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
fax map/parcel no
equipment,materials,labor,overhead,and the profit for the
... k � se ,di ; � � work indicated on this application.
v
Demolition of existing structures;Site Asphalt will not be demolished until the Valuation: $$34,000.00
new building permit is received. Existing building area:3,Z(/ square feet
New building area: 0 square feet
„. _ t..t .> _. ', �,., ..„ =:" r-,f,' -= Number of stories: / 0/l3a5ent '
Name:Tigard&Pacific LLCS Type of construction: Commercial
Address: 1245 Brickyard Rd Ste 70 Occupancy groups:
City/State/ZIP:Salt Lake City,UT 84106
Existing: � x14,L__ 1
Phone:(801)503-4272 Fax:( )
New: N j
11t i, .:_ y":fi, �c% 7- �"Ate~ `� ?',, i t 3'� � Y �;s x
Business name:Get Space -,';-,,„<f.,„ ,, `'` ° -
Structural plan review fee(or deposit):
Contact name:Kyle Norton
FLS plan review fee(if applicable):
Address: 1700 Main St#208
Total fees due upon application:
City/State/ZIP:Washougal WA 98671
Amount received: --f? —*Phone:(801)503-4272 Fax::( ) '',..1-,;","".WA".;
��
r
E-mail:kn@getspace.com z tips a "a. _.
t er 7 Commercial and residential prescriptive installation o
�%w „•• � e u
. � �' Vi` �s��fi. .�° ,�..w� � .A�`.�x;°;�,� .. .�' ; � ,�� �, nip. roof-top mou -d Photovoltaic Solar Panel Syste
Business name:Perlo Construction Submit two(2)s., of roof plan with connect. details
oa and fire department. cess,along with t 10 Oregon
Address: 16101 SW 72 Ave#200
Solar Installation Speer. . Code c •. ist.
City/State/ZIP:Portland OR 97224 Permit fee(includes p eview• $180.00
and admini .tiv- •es):
Phone:(503)624-2090' Fax:(503)5639-4134 State surcharge( /o of permit fee . $21.60
CCB lic.;OR 189211 b ll/tilI.T Total •- due upon application: $201.60
Authorized signature://1 . This permit application expires if a permit is not obtained
//5A///'
within 180 days after it has been accepted as complete.
Print name:Kyle Norto Date: ✓ r+� * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613 (11/02/COM/WEB)
4 1.
City of Tigard
:II
S
COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Commercial - With Land Use
Building Permit #: --FaLLPO9O f 7-601 3 `7
Site Address: \ 1 y 20 5;A/ Poi c (,-cc iticp vct.✓) Suite/Bldg#:
Project Name: Ti 9 4 ca. PC/1 C4 C-t
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: C). Irl')0 0 h t 9 pirmi i--- - e u is h v',1 S try C tv r f L h)i
pf'Verify site address/suite#exists and active in permit system.
71 River Terrace Neighborhood: ❑ Yes No
Al Land Use Case#: �12A3I6 _ 00003
Plans Match Approved Land Use:
XSite Plan A Landscape Plan ❑ Other:
LI_.T rb gorestry-Plan tion Plan
'El—Building-Height: Maximum Height Actual Height
t: 0 Prior to Submittal 0 Prior to Permit Issuance/fi
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Public Facilities Improvement(PFI) Permit: P .I 200 -000 ci b
Required: ❑ Yes,applicant was notified ❑ No Applied For: /Iff Yes ❑ No,stop intake
Notes:
Approved by Planning: ! -. Date: S / 2 C / 1 7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: —6Z5-- /
Site Plans: #
Building Plans: # ._7
Building Permit#: : Enter building permit#above. --
Workflow Routing: Q Planning e2
ngineering .- ern it Coordinator 12-13
,uilding
Workflow Sign-off: [ Si -off for Planning(include notes from planning review)
Route Application Documents: Q g ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: .,A,m, 44 • , I . \i I i , 0._.i. .
By Permit Technician: /—...t` -A•! Date: 6-A-5 i
I:\Building\Forms\BldgPermitRvw_COM_WithlandUse_070915.docx
i 4
Engineering Review
Slope at building pad:
PFI Permit#:
Conditions "Met"prior to issuance of building permit
Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP)
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: El Yes No
Assess Water Quantity Fee in-lieu: El Yes No
LIDA Facility on lot: El Yes No
El NOT Approved by Engineering: Date
Notes:
Approved by Engineering: „2 Date: . ,/""
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
El 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:$DC Fees Entered: Wash Co Trans Dev Tax: El Yes /A
/ Tigard Trans SDC: El Yes r'N/A
Parks SDC: ❑ Yes ii N/A
rOK to Issue Permit
i
Approved by Permit Coordinator: Date: "6 Ji
I:\Building\Forms\BldgPermitRvw_COM_WithLandUse_070915.docx