Permit CITY OF TIGARD14
BUILDING PERMIT
111:m COMMUNITY DEVELOPMENT Permit#: BUP2018-00307
Date Issued: 11/19/2018
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 23101 DD00401
Jurisdiction: Tigard
Site address: 6955 SW SANDBURG ST
Project: Pape Material Subdivision: SALEM FREEWAY SUBDIVISION Lot: 1
Project Description: Interior demo,ramp for forklift access,and new overhead loading bay door.
Contractor: PERLO CONSTRUCTION LLC Owner: PAPE PROPERTIES INC
16101 SW 72ND AVE SUITE 200 ATTN LANCE JORGENSEN
TIGARD, OR 97224 355 GOODPASTURE ISLAND RD STE 30
EUGENE, OR 97401
PHONE: 503-624-2090
PHONE: 541-334-3437
FAX: 503-639-4134
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VA Permit Fee-Additions,Alterations, 11/19/2018 $2,241.47
Demolition
Occupancy Grp: S-2 Occupancy Load: 235 12%State Surcharge-Building 11/19/2018 $268.98
Dwelling Units: 0 Plan Review 11/06/2018
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 11/19/2018 $388.00
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 11/19/2018 $6.00
Value: $287,668 11x17)
Info Process/Archiving-Sm$0.50(up to 11/19/2018 $32.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,769.67
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet: 1 Special Inspection(see plans)
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 503.232.1987orr1.800.332.2344.
Issued By: roti Permittee Signature: PCUVN. r
50 9.4175 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 FOR OFFICE USE ONLY
City of Tigard '' . " t <h.' Date/By: // //Y d' Pigiitivdal -V6a?
- 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
NOV Y t
Inspection Line: 503.639.4175 Q Date Ready/By; Juris: ® See Page 2 for
TIGARD //, /if
Internet www tlgard or gov k Notified Method: L Supplemental Information
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'
❑New construction gl 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 ❑Other: equipment,materials,labor,overhead,and the profit for the
,, 44. ;; e;%/�,-(„00 '' f 1,i' G��///i , work indicated on this application.
r i aIk
❑ 1-and 2-family dwelling 0 Commercial/industrial
Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
' `, ”' ' ''`// ' " „;.. :,.,,,,.. ,,,,,. ,.„. *:,,,,;,;:.;,/ ,,,1 ;.:,;;;.,,. ;;„,,,,,' ' Total number of floors:
Job site address: (q 5 cJ LAJ 5 c tidb u r c ' New dwelling area: square feet
City/State/ZIP: ”, r.a U 2-- GZ'1�� Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: ? t,,,A.eT.r a.` Covered porch area: square feet
Cross street/directions to job site: cJ —1 2_Na A v Deck area: square feet
Other structure area: square feet
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:'-aS `4 \.0 6Indicate the value(rounded to the nearest dollar)of all
labor,, / equipment,materials, overhead
, ' '/ i 08 / work indicated on thisappl,
Valuation: $ D,g 6 S "it
l R k -'r‘..o ( c'�2.tv.ti D eAll t� ft,, /' --fZirtd I�'-1- 4C�e s_%j •
l/\ /Un—.) 0.cc_-ti ke-e 1 , J `/ Ciaj+� Existing building area: Z3(al5 s re feet
V� New building area: Le_ uare feet
5 �4�� 'p,:r,//'�;;A / Number of stories: 2.
Name: ?ape P c a pea �-i es 1 C ((�� Type of construction:
Address: SS 600dpeA1re �S`„.,6 9_8,, - . 0 0 Occupancy groups:
City/State/ZIP: E t e R 2 c.) Q 1 qU , Existing:
Phone:(54t) -?..,3,4 s l.k'?a"'1 Fax ( )
New:
' ' � „
113$ Fi ,rIET �/ � m
iitir �
E ,Business name: ('c..e C U
%es,\% Structural plan review fee(or deposit):
Contact name: � . sy�Q (1- - —
_ ( 1 FLS plan review fee(if applicable):
Address:/- c.i ci skit Ct" r O CA p�
City/State/ZIP:_ Total fees due upon application:
City/Sta
�,€cLue c�vc- a 2- Ct—LOQ
Amount received:
Phone:( b c' ( 7 Fax::( )
Email p me 0e. e.c. `0�� CO (� Commercial n
residential prescriptive ii stallatio of
,. 0 , *,F ..,,,.. � , ... „�„r roof-top mounted Photovoltaic Solar Panel System.
Business name: CS� �� Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: (6.10 I C w ?—'_6` , t e -- . 2./i Solar Installation Specialty Code checklist.
City/State/ZIP: -k
1”to r. ( a.N VclZ,2, V Permit fee(includes plan review
and administrative fees): $180.00_
Phone:( ) Gi•14„ 2.0 C,/1 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 18°t tCM v Total fee due upon application: $201.60
Authorized signature: ( )( V n r This permit application expires if a permit is not obtained
l�J within 180 days after it has been accepted as complete.
Fee methodology set by Tri-County Building Industry
Print name: < �f\� �0 ,Ni.,,, Date:C� l ' * Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
III " COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 c A R o Building Permit Review — Commercial - With Land U s e
Building Permit #: / w,70(3---0-0 7
Site Address: G 9 5 S Sw S ct not by r5 SA-. Suite/Bldg#:
Project Name: Pa p N
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: t rl }C,ril)r D€AY)O , roi r'n( P-or cv rk.I i C--i- Cl ues
li€MI O`r e— h e-01 at 10 cl rM\-15 c'l)0 (—'
pfVerify site address/suite# exists and active in permit system.
4 River Terrace Neighborhood: ❑ Yes Z No
Land Use Case#: M M I) 2018 — o o o o'
Plans Match Approved Land Use:
XSite Plan Cl Landscape Plan ❑ Other:
❑ Urban Forestry Plan El Elevation Plan
Vr Building Height: Maximum Height Actual Height
V Conditions Met: El Prior to Submittal ❑ Prior to Permit Issuance
0 Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified Vf No Applied For: ❑ Yes ❑ No, stop intake
Notes:
Approved by Planning: ('1 N-- 1., Date: } / 6 ) I2,
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: El Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: (f� .4 i
Site Plans: # 3
Building Plans: #
Building Permit#: 'nter building permit#above.
Workflow Routing: Manning Engineering -Permit Coordinator B
Workflow Sign-off: Sign-off for Planning(include notes from planning review) 3uilding
Route Application Documents: ?fr.Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Jj/ �
4 , 4 /,,e. j,'" Date: /
I:\Building\Forms\BldgPennitRvwCOM WithLandUse 060116.docx
En�neering Review '`
m ope at building pad: /V /
L� I Permit#: (/J
4.
tions "Met"prior//to issuance of building permit 44/4-
/1
ments (encroachments)per engineering conditions of approval and plat (not typical on SDR/CUP)
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
❑ NOT Approved by Engineering: Date
Notes:
Ill
Approved by Engineering: Date: // L
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
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:
Revision Notice 3: Date Sent to Applicant:
rDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: 0 Yes )21"N/A
Parks SDC: ❑ Yes 2371\1/A
j?OK to Issue Permit r/
Approved by Permit Coordinator: k Date: 7 I irl
I:\Building\Forms\BldgPermitRvw_COM_WithLandUse_070915.docx
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
6955 SW SANDBURG ST, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2018-00307
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor