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Permit CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit #: BUP2012 -00028 1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/10/2012 TIGARD 13125 Parcel: 2S103DD00800 Jurisdiction: Tigard Site address: 13815 SW PACIFIC HWY 50 Project: Spec Space Subdivision: MELROSE Lot: 7 -8 Project Description: Interior demolition only. Tenant improvement to be done under separate permit. Contractor: SIVERS CONSTRUCTION Owner: D W SIVERS CO 4730 SW MACADAM AVE #101 4730 SW MACADAM AVE #101 PORTLAND, OR 97239 PORTLAND, OR 97239 PHONE: 503 - 223 -2680 PHONE: 503 - 223 -2680 FAX: 503 - 223 -2750 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee - Additions, Alterations, 02/10/2012 $119.33 Class of Work: ALT Demolition Dwelling Units: 0 12% State Surcharge - Building 02/10/2012 $14.32 Stories: 0 Height: 0 ft Plan Review 02/10/2012 $77.56 Bedrooms: 0 Bathrooms: 0 Value: $3,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $211.21 Required: Required Items and Reports (Conditions) Fire Sprinkler: 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. A NTION: • :.on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -00 -0010 through OAR •.2 -0• -:e90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issu d By: / Permittee Signature: Call 503.639:4175'by 7:00 - a.m. - for the i -- • ction d: •. - This permit card shall be kept in a conspicuous place on the job sit: ntil com.l: • project. Approved plans are required on the job site at the time of each inspection. W ilding Permit Application Commercial FOR OFFICE USE ONLY 1 City of Tigard Date/By: Received //0 1,9 A. , ' Permit No.: .�' Iii 2. v 13125 SW Hall Blvd., Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/13y: Other Permit: TI G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris ® See Page 2 for Internet: www.tigard- or.gov Notified/Method: Supplemental 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 (romded to the nearest dollar) of all ❑ Addition /alteration/replacement ,'Other: / 4/7 - 1 ,51e. f0f( [;,-.1,4 o equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling commercial /industrial Valuation: $ — ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1 3 R /5 5u) P4 C i r I L. 1-/ W y- New dwelling area: square feet City /State /ZIP: T/ 1. 44 a Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: &a /N TEA / 01t. Or, Nit O 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. 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. /P / 5 R /Oft D E' O Valuation: $ 3 . VC °� Existing building area square feet 2, x}6 7 New building area: square feet jEt-PROPERTY OWNER ❑ TENANT Number of stories: Name: 0 W S / V 0,5 e 0 • Type of construction: 4,000 Fle e Address: 4 73 0 5 w WI 4 C e4 1,404. 4. ,/ Q i Occupancy groups: C 6 NI In G V' C• et . City /State /ZIP: ADC lr TL a t^d © y. ( 713, Existing: 2 7 Phone: (5 oZ 2 3 -Z (e &O Fax: (50)) a s 3 — 2 7. 0 New: - APPLICANT ,S. CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: D W. 5/v Ve S C. Ci - Structural plan review fee (or deposit): Contact name: 6104 N 4 P 0 T H G, ( / ^(S 0 /v FLS plan review fee (if applicable): Address: 4 73 0 S W n 4 C 01 QQ w1 Ply r /0 Total fees due upon application: D City /State /ZIP: i 0 V" 7'L 0 . v .a . c 1 , - , q 7 c t,3 Phone: (503) 7. ? -41 Fax: 7 (S a a 3 - a? S O Amount received: ,� `• PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E -mail: RI CU c? S /vC- =itc . C0 Mil Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted Ph., oVoltaic Solar Panel System. Business name: 0 , W 5 NCR 5 C C - Submit two (2) sets o oof plan with connection details and fire department acc •along with the . S 0 Oregon Address: 47 3 0 5 w wl 4 c 4 4 41". 4-vi Jo I N Installation Speci y Code the ist. City /State /ZIP: f p lena...d O I — 7 7 2 3 5 Permit fee (include . plan ,tew $180.00 and adminis e fees): Phone: (563) .22 3 " 2 ( g v Fax: ( ) State surcharge (12°/.: p: it fee): $21.60 CCB lie.: i D a 44 C /0 /! Total fee • • e upon apps. ation: $201.60 Authorized signature: This permit application expires i : permit is not obtained within 180 days after it has been accepted as complete. gy p• / a Date: * Fee methodology set by Tri- County Building Industry Print name: r1 C� ' `^'l a _t0 ^ / °2 Service Board. I: \Building \Permits\BUP -COM PetmitApp.doc 02/24/2011 440- 4613T(1 I/02 /COM/WEB) Building Division Accessibility: Barrier Removal Improvement Plan TIGARD 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 per -cent (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 03 /03/2011 --- • .. ... ._......... _ _ . _.__ -- - • .. .... .• .._. _ ______ _ ______. _. . .. .. , • ' .. . r • ' . , • • • - .. . • ... — • / • ' . .... "•••Pf. . 6 • ictigilieNtO . • . 0 j •• . .., • .,, 4 : ra 0 • . \\... \ '1. .. .. . r . • ors / • ' • I., r.,,•• •L /14 • . . 4 • - .4. Ah • " . . .. WI / ire • • . : ,..„ • • • .: , ... • .,,,,,, ,,, ----...... _L. • 4 \\\‘'. . .. • . •-, . ../ • • i • ..;•..... /I , : . . 4 . , , I . - IA .. . . • • : - - : . .74 . 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