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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT w .' COMMUNITY DEVELOPMENT Permit#: ELR2019-00076 Date Issued: 10/14/2019 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102BA05000 Jurisdiction: Tigard Site address: 12353 SW GRANT AVE Project: Elite Care Subdivision: 2013-021 PARTITION PLAT Lot: 1 Project Description: Limited energy fire alarm installation. Contractor: FIRE SYSTEMS WEST INC Owner: ELITE CARE GRANT LLC 600 SE MARITIME AVE#300 PO BOX 12564 VANCOUVER, WA 98661 PORTLAND, OR 97212 PHONE: 360-693-9906 PHONE: 503-653-5656 FAX: FEES Description Date Amount Specifics: Restricted Energy Permit 10/14/2019 $75.00 12%State Surcharge-Electrical 10/14/2019 $9.00 Type of Use: COM Class of Work: ALT Total Number of Systems: 0 Audio&Stereo: 0 Boiler Controls: 0 CCTV: 0 Clock Systems: 0 Data&Telecommunications: 0 Fire Alarm: 1 HVAC: 0 Instrumentation: 0 Intercom/Paging: 0 Landscape/Irrigation: 0 Landscape Lighting: 0 Medical: 0 Nurse Calls: 0 Protective Signal: 0 Security Alarm: 0 Other: 0 Total $84.00 Other Desc: Required Items and Reports(Conditions) 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 •- ules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: e).---��_ l'''..-- -' �- Permittee Signature: X OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale,lease or rent. OWNER'S SIGNATURE: Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR.ELEC' Date: LICENSE NO. 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. Approved plans are required on the job site at the time of each inspection. Building Permit Application C ,. „,� Commercial FOR OFFICE USE ONLY City of Tigard APR 2 5 2099 RDeceived it d¶ /l /Ii _/\ �` / —0c�5-` lig - Pan ev ( 1$1wu (/1`(//) 7 a 13125 SW Hall Blvd.,Tigard,OR 97223 , ., Plan Review q Phone: 503-718-2439 Fax: 503-598-1960 ) �— ,. 1 / Related Permit: Date/By: TIGARD Inspection Line: 503-639-4175 L.. .A t.:N Date Ready/By: /1 Jam I See Page 2 for Internet: www.tigard-or.gov tified/Met < Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 1 ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all EtAddition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 0 1-and 2-family dwelling ElCommercial/industrial Valuation: $ ❑Accessory building Multi-family Number of bedrooms: EIMaster builder 0 Other: Number of bathrooms: JOB SITE INFORMATION:AND LOCATION Total number of floors: Job site address: i z35' SC,£7 R-a ry -7i4v�, New dwelling area: square feet City/State/ZIP: Tie,Q. 2/ /Z, 9 7 ZZ.s Garage/carport area: square feet Suite/bldg./apt.#: Project name:4 oQ 6 6ziArGc 0,,,tGc__2 Covered porch area: square feet Cross street/directions to job site: Deck area: square feet 19l U 4 e . 1.11..f.1re, .5 i7 J'.)1,17,15,..2-, Sa-7/�t?f,0--- Other structure area: square feet On Se,u 6,2-10-,,r,— S5--' REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot#: Permit fees*are based on the value of the work performed. Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the ' ' DESCRIPTION OF WORKAi work indicated on this application. ')0 t t�%L,.—a-la p /0. 41_7 6-K_.-22) , iJ Valuation: $ ©�i�U y e�-7�G �<2t— OLd�.tn 5 1-.2,„,--7---,sr.. Existing building area: square feet New building area: square feet 14-PROPERTY OWNER l; .; El TENANT Number of stories: Name: C.L i/ (-_;‘,4_,,--7.,:- C-(L J Lc-c_ Type of construction: Address: p0 60ic. (-a z of Occupancy groups: City/State/ZIP:/ w e�/-,-?- ,j e 9 7 21 Z. Existing: Phone:(4).•. ) 6 s---2. 5-6, ---(-. Fax:( ) New: y4'APPLICANT " "t " -'a El CONTACT PERSON : °. BUILDING PERMIT FEES* Business name: 16. _ ' ..'. (Please refer to fee schedule) ots tit Contact name: 'c Structural plan review fee(or deposit): r �� �,<,V� ��� FLS plan review fee(if applicable): L� Address: ( e e' i1L�a T N,,E 4 a E , 5u---. . 33,..e,City/State/ZIP: ��� / Total fees due upon application: co" 1,4k Phone:(3 j a) 6,e 3 —?5,,0 I Fax::( ) Amount received: E-mail: . PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* 6� ! � „ 5.-L ...),/' Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: 4 ,� �3 4,‘ Submit two(2)sets of roof plan with connection details LJand fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lie.: (497 3 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained ed6� � within 180 days after it has been accepted as complete. Print name: W a .��V Ci.�9 2 Date: �� -1/ * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Accessibility: Barrier Removal Improvement Plan Commercial & Multi-Family - Additions or Alterations TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation,alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five percent(25%). VALUATION: Total of all renovation,alteration or modification being done, excluding painting and wallpapering: [1] $ MULTIPLIER(25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ (b) An accessible entrance: $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for each sex or a single unisex restroom: $ (e) Accessible telephones: $ (f) Accessible drinking fountains:and, $ (g) When possible,additional accessible elements such as storage and alarms: $ TOTAL(shall equal line [2] of Valuation Computation): $ I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019