Permit CITY OF TIGARD BUILDING PERMIT
I COMMUNITY DEVELOPMENT Permit #: BUP2012 -00100
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/17/2012
Parcel: 25101 BC00201
Jurisdiction: TIGARD
Site address: 8255 SW HUNZIKER RD 201
Project: Prolink Solutions Subdivision: CROW PARK 217 Lot: 4
Project Description: TI
Contractor: ROBERT TODD CONSTRUCTION INC Owner: JOHANSON TRANSPORTATION SERVICE
4080 SE INTERNATIONAL WAY 8113 8255 SW HUNZIKER RD #200
MILWAUKIE, OR 97222 TIGARD, IR 97223
PHONE: 503 - 653 -5704 PHONE: 503 - 624 -1112
FAX: 503 - 653 -5729 •
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 05/17/2012 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 05/17/2012 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 05/17/2012 $347.48
Stories: 2 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 05/17/2012 $41.70
Value: $17,800 Plan Review 05/17/2012 $225.86
Plan Review - Fire Life Safety 05/17/2012 $138.99
Info Process /Archiving - Sm $0.50 (up to 05/17/2012 $1.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $828.03
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: No 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 Notificatio Center. Those rul =s are set forth in OAR
952 - 001 -0010 • -• • . • • R 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 ;2.1987 or .800 32.2 ;44.
Issue. By: 1 � , / Permittee Signature: (ib
Call 503.639.4175 by 7:00 a.m. for the next available ins • =ction 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.
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Building Permit Application
Commercial RECEIVED FOIL OFFICL USE ONLY
Received Fg0/02_015
r City of Tigard Date/By: 9 17 f�' Permit No.:
° 13125 SW Hall Blvd., Tigard, OR 97223 MAY 1 7 ? 012 Plan Review
0 . Phone: 503.718.2439 Fax: 503.598.1960 Date/By: t M i 7q)7/), Other Permit:
f I C; A li D Inspection Line: 503.639.4175 ci I Y OF TIGARD Date Ready/By: Juris: 13 See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION 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 ( rouided to the nearest dollar) of all
X .Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONS UCTION 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: 5 / , / / 1 Le New dwelling area: square feet
City/State /ZIP: / // 0 Garage /carport area: square feet
Suite/bldg. /apt. no.: Prdject name: i 4 . S� t e L 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: 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
DE RIPTION OF WORK work indicated on this application. �r�p'
j, ! - / �ti. �/ �� Va luation: $ /
tU !!// L1ir �.
�� / , ` EExisting building area square feet
�( New building area: square feet
PROPERTY OWNER I ❑ 1ENANT Number of stories:
Name: f - S cif" //�.n j 0 6/V. Type of construction:
j lJ ,'.�y�
Address: v > � 2 E Occupancy groups:
City /State /ZIP: > ' dr.1 ' Existing:
Phone:E�-S) 2 C� ///Z,..- Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Structural plan review fee (or deposit):
Contact name: /2O b ,€/-- �g
P FLS plan review fee (if applicable):
Address:
City/State /ZIP: Total fees due upon application: g�} 03
Phone: ( ) I Fax: : ( ) Amount received: �O�b �
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONT OR Commercial and residential prescriptive installation of
O t f G n
!` roof -top mounted Photovoltaic Solar Panel System.
Business name: 7 L / d Submit two (2) sets of roof plan with connection details
n f and fire department access, along with the 2010 Oregon
Address: (O �� -1�3 Solar Installation Specialty Code checklist.
City/State /ZIP: l �� �� �_ Permit fee (includes plan review
and administrative fees): $180.00
r ( �t � r✓ � /� `
Phone:5o3) 6s - 570 / �/ Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lie.: ggr /'7
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:4 /�7� i.L______
Date: s ; / 7- /� ' Fee methodology set by Tri -County Building Industry
f ` s,/ Service Board
I: \Building'Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11 /02/COM/WEB)
a
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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 %).
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VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): • x .25
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• 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: $
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(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) 'Whe'n possible, additional accessible elements such as storage and
alarms: _ $
TOTAL (shall equal line [2] of Valuation Comput $
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1: \ Building \ Permits \BUP -COM PermitApp.doc 03/03/2011 '
71 o ° Building Division
- Over - The - Counter (OTC) Building Permit
TIGARD Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: A2 Occupancy Group: .1 Type of Construction:
*Type of Use: e't, N1 Occupancy Load: - 16 Oregon Specialty Code:
SPECIFICS
Number of Stories: k 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: (`it Fire Alarms: 4 Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ I FEES DUE
$ DC Prov Rvw, COM TI — Ping
$ DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ Plan Review, Structural
$5,000 - $74,999 $64.00 $9.00 $ 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: $ 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
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e ° Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: ,„..p a-Odf Ex edited Review
Plan Submittal Date: ( /T7 // 2--- p
To the Applicant:
If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
> If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff please check items along left only • approved.
Planning Review (contact at 503- 718 -° ■WO or (/l @tigard- or.gov)
E Zoning f- — e Permitted Use Yes Lf or No ❑
NJ Land Use Re iced: Ye ❑ No LET (explain below)
41, / c ..
Notes: ,C
G )
ICJ Approved ❑ Not Approved Date: S 7 //2--
7/ .Al
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes: Vddll
Routed back to Building Division Date:
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I: \CURPLN