Permit (41) t CITY OF TIGARD BUILDING PERMIT
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COMMUNITY DEVELOPMENT Permit#: BUP2018 00137
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/17/2018
Parcel: 1S135DD05106
Jurisdiction: Tigard
Site address: 11999 SW PACIFIC HWY
Project: Bank of America Subdivision: None Lot: None
Project Description: (3)new light poles.
Contractor: CONSERVE ENERGY LLC Owner: CCC PROPERTY MANAGEMENT LLC
2233 1ST AVE SOUTH 105 BY CHERI LETHIN
SEATTLE,WA 98134 PO BOX 25083
PORTLAND, OR 97221
PHONE: 800-757-3469 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 05/17/2018 $164.96
Demolition
Occupancy Grp: U Occupancy Load: 0
12%State Surcharge Building 05/17/2018 $19.80
Dwelling Units: Plan Review 05/01/2018 $107.22
Stories: Height: ft Info Process/Archiving-Sm$0.50(up to 05/17/2018 $15.50
Bedrooms: Bathrooms: 11x17)
Value: $6,000
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $307.48
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. ATTENTION: Oregon 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 OAR 952-001-0090. You may obtain a • •r direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
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Issued By: f 40 _ Permittee Signature: Sc
Call 50�•.4175 by 7:00 a.m.for the next available inspectio dake.
This permit card shall be kept in a conspicuous place on the job site until co pletion of the project.
Approved plans are required on the job site at the time of each in tion.
Building Permit Application
Commercial I OR 01.1 R I:. I SF 011.1
City of Tigard CNE Received
,�-�r�'''� y�
.N Plan Re: 5 ` 7 err—
' Permit No.:�� ..Q 1.1/ �( 'f �
13125 SW Hall Blvd.,Tigard,O3. 97223 Plan Review // f ff✓✓mow
Phone: 503.718.2439 Fax: 503.598.1960 ^ 2018 )S'- Other Permit: :30 C
MAY Date/Ely: -tizt
T I c,A 1t D Inspection Line: 503.639.4175 i4IH° Date Ready/By: kris: See Page 2 for
Internet: www.tigard-or.gov iITY OF TIGARD Not' ed/Meth : s Supplemental Information
TYPE 0AWING DIVISION
REQUIRED 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.
❑ I-and 2-family dwelling Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:11999 SW Pacific Hwy New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project nam &ode (�,
', ,,,, ,Covered porch area: square feet
Cross street/directions to job site:Greenburg&Pacific Hwy !` 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.: 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.
Add three new light poles Valuation: $ v
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:Bank of America Type of construction: VB
Address:11999 SW Pacific Hwy Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing: 52Business
Phone:( ) Fax:( )
New: Business
0 APPLICANT
0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Conserve Energy,LLC (Please refer to fee schedule)
Structural plan review fee(or deposit): �3'? aid
Contact name:Michael Reunert
Address:2233 First Ave S#105 FLS plan review fee(if applicable):
City/State/ZIP:Seattle,WA 97134 Total fees due upon application:
Phone:(503)758-3059 Fax::(888)887-0939 Amount received:
E-mail:mreunert@ezmetro.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:Conserve Energy,LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:2233 First Ave S#105 Solar Installation Specialty Code checklist.
City/State/ZIP:Seattle,WA 98134 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)758-3059 Fax:(888)887-0939 State surcharge(12%of permit fee): $21.60
CCB lic.:203120
,.�Q, y _ Total fee due upon application: $201.60
Authorized signature: tI �'`r"` //-?�X�v•v This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Jolene Klein i Date: -` - I * Fee methodology set by Tri-County Building Industry
A Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
IIII
1 l c u o Building Permit Review — Commercial - No Land Use
Building Permit #: ,8ii'07 j j is'— / 3 2
Site Address: ilggq Sky Pcg, , 1-I-,,,r Suite/Bldg#:
Project Name: 6(41 at kintr- -'.
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: L .1-1,,-,e 66,r' 1 1,-ys/a
Existing Business Activity: pfl MA/ c (o)
ProposedpoBusiness Activity: Perfen,,1 S - (L
Ly'Ve!,:4 site address/suite#exists and active in permit syssttee
01 •er Terrace Neighborhood: El Yes i2 No
�� .oning: NKr iv
[U' ermitted Use: I112/Yes ❑ No El Spec Space
ltd' Confirm no land use required.
Ltd' Business License::
Exists: U/Yes ❑ No,applicant notified to obtain business license
Notes: 6C¢,,, -cli-n Dot.,.,kn Nipltviw ;t: i5 I `14(r t PL's 1s) cc,KLJ
roc 6C¢,-,p-i-
C,3.ek
Approved by Planning: iDate: S f-i
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: ST//Jr e
Site Plans: # 3
Building Plans: #
Building Permit#: "n r building,permit�#above.
Workflow Routing: a g Permit Coordinator 0-15"-a -g
Workflow Sign-off: gn-o f for Planning(include notes from planning review)
Route Application Documents: ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: '-----7 Date: -17��%
4.
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 0601I6.docx
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: ❑ Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes No
O NOT Approved by Engineering: Date
Notes:
Approved by Engineering: 1) Date: T9__ ___ _
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
O 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:
7DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes
Tigard Trans SDC: 0 Yes t oN/A
Parks SDC: 0 Yes ` .
E' N/A
OK to Issue Permit
Approved by Permit Coordinator: Date: /i // r
4
I:\Building\Fonns\BldgPermitRvw_COM_WithLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11999 SW PACIFIC HWY, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2018-00137
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor