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Permit CITY OF TIGARD BUILDING PERMIT I N COMMUNITY DEVELOPMENT Permit #: BUP2012 -00095 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/10/2012 Parcel: 2S115BA02600 Jurisdiction: Tigard Site address: 16230 SW PACIFIC HWY 140 Project: Shell Subdivision: 2004 -015 PARTITION PLAT Lot: 2 Project Description: TI Contractor: PACIFIC CREST STRUCTURES INC Owner: SN PROPERTIES PARTNERSHIP 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 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee - Additions, Alterations, 05/10/2012 $872.52 Class of Work: ALT Demolition Dwelling Units: 0 12% State Surcharge - Building 05/10/2012 $104.70 Stories: 1 Height: 0 ft Plan Review 05/09/2012 $567.14 Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 05/09/2012 $349.01 Value: $68,750 Info Process /Archiving - Lg $2.00 (over 05/10/2012 $8.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,901.37 Required: Required Items and Reports (Conditions) Fire Sprinkler: No 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 = • • : . ce 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: Or-!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 . -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. Issu _ • By: $ / I Permittee Signature: 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 R ECEF J Commercial F OR OFFICE USE ONLY - "R eceived hO���� ' City of Tigard Date /B : �/ Permit No.: '•2 © -' 13125 SW Hall Blvd., Tigard, OR 97223 MAY 9 2012 Plan Review ' WI, C Phone: 503.718.2439 Fax: 503.598.1960 CITY �� Other Permit: TI G A IZ D Inspection Line: 503.639.4175 I A; • , � Da /e : D ate Ready : r Ions: El See Page 2 for G Internet: www.tigard- or.gov Notified /Method: f Supplemental Information BUILDI S I;t TYPE OF WORK REQUIRED DATA: I- 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 ❑ Addition/alteration/replacement Other: TL 5861 I equipment, materials, labor, overhead, and th rofit for the CATEGORY OF CONSTRUCTION work indicated on this application. 12 I- and 2- family dwelling Commercial /industrial Valuation: $ Accessory building ❑ Multi- family Number of bedrooms: L Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of flo s: Job site address: 1 2.30 5 to P A,cal C oce i id/ii /-9,,,,,61 -ra.jk-� New dwelling ea: square feet City/State /ZIP: TgA,rel 0� J Q• Garage /ca ort area: square feet Suite/bldg. /apt. no.: 11�� Project name: t il t r -y, n j,, „� Cover porch area: square feet Cross street/directions to job site: �"� D area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: I 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. Valuation: $ ( g° r 2 (J 0 _ Prep A Lore_ � p.e.eQ ar 4 ►�.) - ce44,a -r►-r d 64-}-1 vs,/0 ce.-uizr A4 L � Existing building area: 21 square feet New building area: 'j. (IC square feet e p r y,V i PROPERTY OWNER ❑ TENANT Number of stones: V Name: it Si,v ix,ve5ri-„ Trve L „ L Type of construction: s-13 s-13 Address: l i Z 1 51, 51, SA L.ota4 ST Occupancy groups: City/State /ZIP: Pmer A O. er 7Z0 g Existing: 0j Phone: ( sG 3 46-0. 0710 Fax: (5,3) 27+„ ZO a 3 New: � A 3 vt, APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee e) Business name: LLF AP Pcu1rl cry s P (,,4- x-v1/�pti li Structural plan review fee (or deposit): Contact name: ` e i3 L I v FLS plan review fee (if applicable): Address: i 45,2__ sG r-Q nA sr City/State/ZIP: Total fees due upon application: Ci ty p�f-L. 2 . el 72c Z Phone: ( 503) 6444 q- Za Z Fax:: (So 3) 2,„, 2,4 (o Amount received: l 5 GGG eal C PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: ���� ��� 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: pAGtCG 4 re..S r $ ? rve-rbi«i and fire department access, along with the 2010 Oregon Address: 7 7 5 s w v p pe 12— 121.014ei Cr a Tom/ 2.0- Si, lte Ig Solar Installation Specialty Code checklist. City/State/ZIP: D V g_130,04 a Q.. 1-1 ZZ ¢ Permit fee (includes plan review $ 1 80.00 and administrative fees): Phone: (s03 tie . 94 4 it� Fax: (5733) S.v , 64 State surcharge (12% of permit fee): $21.60 CCB lie.: 4&4i I 6” Total fee due upon application: $201.60 Authorized sig»ature:• 'rte This ermit application expires if a permit is not obtained � P pP P P within 180 days after it has been accepted as complete. Print name: .. �`' • D ate: `�j * Fee methodology set by Tri- County Building Industry `' — � / p f L Service Board. I: \Building \Permits \BUP -COM PennitApp.doc 02/24/2011 440- 4613T(I I /02 /COM /WEB) r• • • 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 arc disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to en altered area may he 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: [1J $ ��S 7 50 • MULTIPLIER (25% barrier removal requirement): . x .25 TOTAL BUDGET FOR BARRIER REMOVAL: . [ $' \ 7 g S 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) harking $ i • (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: ('z) $ ∎ � 3 1 _ (c) 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: \Routing \Permits \BUl' -Cut t'enniu \pp.duc 03/03/201 I • • • • • • 11 141 . . Building Division Plan Submittal Requirement Matrix TI G A R D Commercial & Multi- Family - New, Additions or Alterations Type of Submittal # of Plans (Includes new, additions and alterations.) Required at Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 3 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 3 Fire Protection System 3 Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue), if applicable. I: \Buildin \Permits \BUP -COM PcrmitApp.doc 03 /03/2011 IN e ° Building Division R C� ��� Development Code Provision Review i , , TIGARD Commercial Projects with Approved Land Use '9 ?. 8lil ()Pp, �� ? --� DAIS oN Building Permit No.: ' � -) 0 A',/ a 9J Land Use Casefile No.: X --P-€71A -- ©i O 6 Routed Plans: Submittal Date: SI 9 4 9" Submittal Date: Submittal Date: To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. STAFF: please only mark those ite s on the left side that are approved. l! Ata. Planni Review (contact at 503- 718 or ■ nd Use Approval �� L'" Building Plans Match Approved P : Yes E9 No ❑ ❑ Maximum Building Height rE' Conditions Met r , Notes: I4t �� — aL-a g % t4- 1/ i Original Plan: Approved LI Not Approved ❑ Date: �/' Revision 1: Approved ❑ Not Approved ❑ Date: A Revision 2: Approved ❑ •Not Approved ❑ Date: O Engineering Review (contact Mike White at 503- 718 -2464 or MikeW @tigard- or.gov) ❑ Actual Slope: ❑ PFI Permit # ❑ Conditions Met / 1 41 Notes: Original Plan: Approved ❑ Not Approved ❑ Date: Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard- or.gov) ❑ Street Trees ❑ Protected Trees Notes: p ( Original Plan: Approved ❑ Not Approved ❑ Date: Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard- or.gov) ❑ Planning Okay to Issue Permit ❑ Arborist Okay to Issue Permit • ❑ Engineering Okay to Issue Permit ( Notes: Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes •❑ No ❑ Date Routed to Building: • • Page 2 of 2 Building Division Over- The - Counter (OTC) Building Permit T i c n ii D — - Check List Project Description: l APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION *Class of Work: liffkill Occu.anc Grou.: - 0,0 I Type of Construction: i _ *Type of Use: - O'/ ' Occupancy Load: Oregon Specialty Code: �� SPECIFICS Number of Stories: I 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: Po Fire Alarms: Smoke Detectors: Parapet: Manual Pull Stations: Protected Corridors: Total Project Valuation: $ 14 :4 '.' ( I FEES DUE $ DC Prov Rvw, COM TI - Ping $ DC Prov Rvw, COM TI - LRP DC Provision Review Fee for COM TI $ rm ' Peit Fee - Add, Alt, Demo Project Valuation Planning LRP $ 46' , a 12% State Surcharge Up to $4,999 $0.00 $0.00 $ Min Plan Review, Structural $5,000 - $74,999 $64.00 $9.00 $ - .Q Plan Review, Fire Life Safety $75,000 - $149,999 $160.00 $24.00 $ ' • ` Info Proc /Arch, Lg (over 11x17 $2.00) $150,000 and over $256.00 $38.00 $ 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: $ (9043`7 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 01/13/2011