Permit (237) CITY OF TIGARD BUILDING PERMIT
• r 1 COMMUNITY DEVELOPMENT Permit #: BUP2012 -00236
TI GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/28/2012
Parcel: 2S115AB01900
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY G2
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Project: Foot Solutions Subdivision: 1994 -028 PARTITION PLAT Lot: 2
Project Description: TI •
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Contractor: PACIFIC CREST STRUCTURES INC Owner: SN PROPERTIES PARTNERSHIP
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17750 SW UPPER BOONES FERRY RD SUITE 1121 SW SALMON ST
190 PORTLAND, OR 97205
DURHAM, OR 97224
PHONE: 503 - 968 -8949 PHONE:
FAX: 503 - 598 -6658
Specifics: • FEES •
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee - Additions, Alterations, 11/27/2012 $149.75
Demolition
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Building 11/27/2012 $17.97
Dwelling Units: 0 Plan Review 11/27/2012 $97.34
Stories: 1 Height: 0 ft Plan Review - Fire Life Safety 11/27/2012 $59.90
Bedrooms: 0 Bathrooms: 0 Info Process /Archiving - Lg $2.00 (over 11/27/2012 $4.00
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Value: $4,693 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $328.96
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes 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 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 copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. , /
Issued By: ` Permittee Signature: Dk 4 PPl�earjo LL . /2/11AALI
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
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Approved plans are required on the Job site at the time of each inspection.
Building Permit Application RE Commercial FOR OFFICE USE ONLY
City of Tigard NOV 27 2012 Date /B d P 347a- 00?-4, MOW! Permit No.:
n 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ► r,
• Phone: 503.718.2439 Fax: 503.598.196fCIT j OF T�� Date /B : / 1 ME Other Permit:
TIGARD Inspection Line: 503.639.4175 BUILDING DIMS Date Ready : terms_ ow Supplemental See Page for
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Internet: www.tigard- or.gov Notified Me thod: W Supplemental l Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
El Addition/alteration/replacement ® Other: TI equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
r] I- and 2-family dwelling Valuation: $-
y g ®Commercial /industrial
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Accessory building 1=1 Multi-family Number of bedrooms:
111 Master builder ['Other:
Number of bathrooms: -
JOB SITE INFORMATION AND LOCATION Total number of floors: -
Job site address: 16200 SW Pacific Hwy. New dwelling area: - square feet
City /State /ZIP: Tigard Oregon Garage /carport area: - square feet
Suite /bldg. /apt. no.: G Project name: Foot Solutions Covered porch area: - square feet
Cross street/directions to job site: 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.
Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Tenant Improvement Valuation: $54,693.00
Existing building area: 1,200 square feet
New building area: 1,200 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: SN INvestment Properties LLC Type of construction: 5B
Address: 1121 SW Salmon St. Occupancy groups:
City /State /ZIP: Portland, OR 97208 Existing: B
Phone: (503)450 -0790 Fax: ( ) New: M
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name: LEEKA Architecture and Planning
Structural plan review fee (or deposit):
Contact name: Neil Lee
FLS plan review fee (if applicable):
Address: 1402 SE Cora St.
City /State /ZIP: Portland, Oregon 97202 Total fees due upon application:
Phone: (503 ) 644 -4222 I Fax: : (503) 208 -2246 Amount received:
E -mail: succeed@leekainc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: Pacific Crest Structures Inc. Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 17750 SW Upper Boones Ferry Rd. Suite 190 Solar Installation Specially Code checklist.
City/State /ZIP: Durham, Oregon 97224 Permit fee (includes plan review $180.00
and administrative fees):
Phone: (503) 968 -8949 Fax: (503 -) 598 -6658 State surcharge (12% of pennit fee): $21.60
CCB lie.: 66915 /
Total fee due upon application: $201.60
Authorized signature: �iiii�n This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Neil Lee Date: 11/23/12 * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11/02/COM /WEB)
Building Division
Over- The - Counter (OTC) Building Permit
TIGARD
Check List
Project Description: t at f -^ b0 ?
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: Occupancy Group: Type of Construction:
*Type of Use: (/Lt, Occupancy Load: Oregon Specialty Code: WO
SPECIFICS
Number of Stories: Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT - SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport: Mezzanine:
SETBACKS
Sideyard Setback — Left Sideyard Setback — Front
Sideyard Setback — Right Sideyard Setback — Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access. Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: 1 «-J Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ f, . FEES DUE
$ DC Prov Rvw, COM TI — Ping
$ DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ ( 4 9 ,7Fj Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ i7 , c -7 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ 9 7, Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ 1 j v l .q0 Plan Review, Fire Life Safety
$75,000 - $149,999 $167.00 $25.00 $ L (D Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $268.00 $39.00 $ Info Proc /Arch, Sm (up to 11x17 $0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
Planning Staff: $ Hourly Rate State Surcharge
$ Misc. Admin Fee
Permit Coordinator: $ Other:
$ Other:
Building Staff: $ Other:
Date /Time: $ 32B,%, TOTAL FEES DUE
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies);
REP = repair.
I: \Building \Forms \OTC - BUP.docx 07/01/2012
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Building Division
Development Code Provision Review
T i c A R ° Commercial Projects - No Associated Land Use Case
Building Permit No: d U P20 R — 0 0 a 30 ❑ Expedited Review
Plan Submittal Date: I t — L 7 - I 2_
To the Applicant:
➢ If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
➢ If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approved.
Planning Review (contact r ' at 503 -718- Z Y 3 e (or i @tigard - or.gov)
Proposal: / Y
Zoning
Permitted Use Yes .0' No ❑
• Land Use Required: Yes ❑ NQ—
Notes:
.B ❑ Not Approved Date: i/ 2 7 Z
REVISED 10/4/12