Permit (120) CITY OF TIGARD• BUILDING PERMIT
iffia . COMMUNITY DEVELOPMENT Permit#: BUP2018-00259
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/26/2018
T i i;; iz C7 g Parcel: 1 S136DA00100
Jurisdiction: Tigard
Site address: 11308 SW 68TH PKWY
Project: Comcast Subdivision: None Lot: None
Project Description: Installing(1)new 5,000 gallon above-ground diesel tank.
Contractor: HPS CONSTRUCTION INC Owner: BENENSON 68TH PARKWAY KEY LLC,T
598 BASELINE 708 3RD AVE,28TH FLOOR
PO BOX 890 NEW YORK, NY 10017
CORNELIUS, OR 97113
PHONE: 503-357-4217 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VA Permit Fee-Additions,Alterations, 09/26/2018 $1,090.89
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 09/26/2018 $130.91
Dwelling Units: Plan Review 09/12/2018 $709.08
Stories: Height: ft DC Provision Review,COM TI-Ping 09/26/2018 $243.00
Bedrooms: Bathrooms: Plan Review-Fire Life Safety 09/26/2018 $436.36
Value: $98,000 Info Process/Archiving-Lg$2.00(over 09/26/2018 $6.00
11x17)
Info Process/Archiving-Sm$0.50(up to 09/26/2018 $8.50
Floor Areas: 11x17)
Erosion Control w/Development 09/26/2018 $161.40
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck: ,
Garage:
Mezzanine:
Total $2,786.14
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet: 1 Special Inspection(see plans)
Fire Alarm: Protected Corridors: 2 Ersn Cntrl 503-639-4175
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 copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
� � G
Issued By: y ._ (.,---------1---..:1- _ rmittee Signature: . --,.-.---3
Call 503.. •.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.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial �� FOIL OFI:ICE IJS1?0NL\'
City of Tigard Received s
`'r Date/Bv: el ' 'REC .- Permit No t`�
s ■ 13125 SW Hall Blvd.,Tigard,OR 97223 S E P 10 2018 Plan Revie�r s'1
` Phone: 503-718-2439 Fax: 503-598-1960 Date/By: )-f "1 ~� J
Related Permit:• r'' rioc�7
T I G A R D Inspection Line: 503-639-4175 �9 j Date Ready/By: Juris: Ed See Page 2 for
Internet: www.tigard-or.gov 'TY `' �F " �.ified/Method: A ,, Supplemental Information
BUILDING DM�OMS O 'i1,
TYPE OF WORK REQUIRE! DATA:I-AND 2-FAMILY DWELLING
1 Permit fees*are based on the value of the work performed.❑New construction 0 Demolition
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 CON TRUCTION work indicated on this application.
Valuation: $
01-and 2-family dwelling ,,Commercial/industrial y )16, 4906.2
Accesso Number of bedrooms:
❑ rY buildin g ❑Multi-family
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: //305, S,„) , s..*.., /J,k,v New dwelling area: square feet
City/State/Z1P: f 1/f;�,,,t ii ,� y 7,2,7 3 Garage/carport area: square feet
Suite/bldg./apt.#: Project name:4 olK,,cAsr b l•6-56-/ ),,..51-^,k Covered porch area: square feet
Cross street/directions to job site: re_o.,.. Si,, p,,,,. -, y,,. t. ,Str) kgetip Deck area: square feet
i c_7, Sc.& .rt 45-Yds lv hi' uv=,,sj oM 1EF r„ 7u /c r ft,t t' Other structure area: square feet
14F " / .'?ti/ l, bile./e ciI 1'/t.e k<.t r lei". REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax ma / arcel#: Indicate the value(rounded to the nearest dollar)of all
p p /5/ 4 001 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
`/ J// i cw �'
51 0cJ �* Valuation: $ 7 �- 0 c2
jrt5r
tcc` �/ r3� Y d Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER - lig TENANT Number of stories:
Name: Cv,,,,,c,4s r. Type of construction:
Address: j t 30S" S4 b re Pllw Nj Occupancy groups:
City/State/Z1P: T7(.9K4, fJr? F 7,7023 Existing:
Phone:( ) Fax:( ) New:
APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: 1-:ixs ,<, ,efA ,,1`j
Structural plan review fee(or deposit):
Contact name: ®A-) W L L - C4.4"
FLS plan review fee(if applicable):
Address: Z o v cJ 5,....j ii 1 ,A,„,2„.._ -,,$. - KA o
City/State/ZII pop,1 L 4Nj) Q / ?.1O Total fees due upon application:)
Phot Jd 5 /e) :775-'1 ( ) Amount received:
? �L� ��,C��` PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mai f
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
' Submit two(2)sets of roof plan with connection details
Business name: 11//0„.5 �
o v1Tcpte ri'ai✓ and fire department access,along with the 2010 Oregon
Address: _.--7 S9 6--,„,/,,„e- Solar Installation Specialty Code ch
checklist.
City/State/ZIP: l9c„„�„E-/s,?5 O”, 7,,y..3 Permit fee(includes plan review
and administrative fees): $180.00
Phone:(3-03 ) .3S 2 -t/.)/ 7 Fax:I,5-03 ) ?S 7 -7?03 State surcharge(12%of permit fee): $21.60
CCB Lie.: /z 0 ;) 3-3 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name. ki Date: 1 * Fee methodology set by Tri-County Building Industry
—f — Service Board.
I:ABuilding\Permits\BUP_COM_PennitApp.doc Rev.04/21/2014 440-4613T(I 1/02/COM/WEB)
City of Tigard
n COMMUNITY DEVELOPMENT DEPARTMENT
1111
r1cARo Building Permit Review — Commercial - No Land Use
Building Permit #: gb„,02-24-04-5/
Site Address: /1� S') 2,81ASuite/Bldg#:
Project Name: aI9lc',,s---
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review /f
Proposal: /1-2-40 v-e — l//tL� c',-se/ ---)4,1L
Existing Business Activity: oa,_
Proposed Business Activity: I,
Id Verify site address/suite# exists and active in .ermit s ste
p Y
V` er Terrace Neighborhood: El Yes Noomng: �'
IQ ermitted Use: Yes ❑ No ❑ Spec Space
firm no land use re uired.
q
Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: � Date:
X16//
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: 47/60
Site Plans: #
Building Plans: #
Building Permit#: a'iter building permit#above.
Workflow Routing: [Nanning ❑ Permit Coordinator ❑ Building
Workflow Sign-off: S' f for Planning(include notes from planning review)
Route Application Documents: g: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: =‘Ze,,,....,,,- Date: q/Ch'`
I:\Building\Forms\BldgPermitRvw COM_NoLandUse_060116.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:
Revi ion Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes .0.--N/A
Tigard Trans SDC: ❑ Yes ail"'N/A
Parks SDC: ❑ Yes N/A
K to Issue Permit
Approved by Permit Coordinator: Date: 9/1 Z!1
l
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11308 SW 68TH PKWY, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2018-00259
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor