Permit •
CITY OF TIGARD BUILDING PERMIT
gi
II COMMUNITY DEVELOPMENT Permit #: BUP2012 -00115
T [GA R. D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/06/2012
Parcel: 2S113AD01800
Jurisdiction: Tigard
Site address: 16770 SW 72ND AVE B14
Project: Stout Tanks & Kettles Subdivision: ROSEWOOD ACRE TRACTS Lot: PTS 5 -1
Project Description: New demising wall, demo
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY #300 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE`. 503 - 624 -6300 • PHONE: 503 - 624 -6300
FAX: 503 - 624 -7755
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 06/06/2012 $301.85
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 06/06/2012 $36.22
Stories: 1 Height: 0 ft Plan Review 06/06/2012 $196.20
Bedrooms: 0 Bathrooms: 0 • Plan Review - Fire Life Safety 06/06/2012 $120.74
Value: $14,388 Info Process /Archiving - Lg $2.00 (over 06/06/2012 $2.00
. 11x17)
DC Provision Review, COM TI - Ping 06/06/2012 $64.00
Floor Areas: DC Provision Review, COM TI - LRP 06/06/2012 $9.00
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $730.01
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 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 51 - 2.1987 or 1.800.332.2344.
O
Issued By: Permittee Signature: =.
_
Call 503.639.4175 by 7:00 a.m. for the next available Inspec a �
This permit card shall be kept In a conspicuous place on the Job site until compieti �ect.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application RECEI ED
Commercial JUN 06 2012 FOR OF1'ICEIJSI O.LV
City of Tigard Datee/Be:. e ( Ism PermitNo.: ,y A3042._
• ° 13125 SW Hall Blvd., Tigard,OR 97223 CITY OFTIGARD Plan Revie 7
,, T , Da teB y ��i ( p 12 Other Permit:
l - l _ li l) Inspection Line: 503.639 Dv DIVISION
Date Ready : y: Juris: ® See Page 2 for
Internet: www.tigard or.gov Notified/Method: 'n SO 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.
,,,��� " "" 0 Indicate the value ( rotded to the nearest dollar) of all
LAddition /alteration/replacement equipment, materials, labor, overhead, and the profit for the
` i_,,, � ' CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling WCommercialIindustrial Valuation: $ I 4 3� °
12 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: tom" t'70 t ,3 ' V.c. New dwelling area: square feet
City/State /ZIP: --- ; G-1 D R. cl. -7224 ✓,� n Garage /carport area: square feet
Suite/bldg. /apt. no.: ' Project name: 6 JvV; -Tah_s a_ F-tC�1i V�,S 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 I work indicated on this application.
NeAdO n_ • , _l&tin) �exl.l , A ;Dm Valuation: $
� �'� Existing building area square feet
9/ PROPERTY building area: square feet
b1. PROPERTY OWNER I ❑ TENANT Number of stories:
Name: et t;i C.r CA� ASsaGa C LP Type of construction:
Address: I s-ssn g' � ! _ - r c I b4 7 E� Occupancy groups:
City /State /ZIP: Tt �^ey/ 0 " 9 7 22.4 Existing:
Phone: ( ) 6_ - (Q3/ ? Fax: (co 1 Levi- -7 7(S New: •
p§ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer
Business name: gCLA L / 1 , i l�Gv e fee fee �
:
Structural plan review fee (or deposit):
Contact name: 1 � me 6,1 u 1 re.,
FLS plan review fee (if applicable):
Address:
City/State /ZIP: Total fees due upon application:
Phone: ( 3 707 1SLIII 1 Fax :: ( 1 ) Amount received:
E -mail: run e Vaakru 5-1-- , �Y� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES"
v \"w 1 1 CONTRACTOR Commercial and residential prescriptive installation of
roof -top mounted PhotoVoltaic Solar Panel System.
Business name: ,,,it � • /1 � � Ii tn Submit two (2) sets of roof plan with connection details
V � and 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 lic.: (S ` ` Total fee due upon application: $201.60
Authorized signature: This p ermit application expires if a permit is not obtained
0
— �1 ) within 180 days after it has been accepted as complete.
Print name:
F Date l..K. Ea I *Fee methodology set by Tri County Building Industry
-� .�I - -�� Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 0224/2011 440 -4613T(11 /02 /COM/WEB)
III o ° Building Division
Development Code Provision Review
T I G A R D Commercial Projects - No Associated Land Use Case
Building Permit No: / I Expedited Review
Plan Submittal Date: 6 /b�� 7i
To the Applicant: 11,77b � d
> 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 i f pproved.
Pla Review (contact . at 503-718-V or Ay @tigard - or.gov)
filg Zonin g 1-- 1--- Permitted Use Yes Er
No ❑
leLand Use Required: Yes ❑ No L9' (explain below)
Notes: / i ,
LEW!! I 7 , r■ da. M .Y ■ , i Ifni/MI Ia kW= r_. rh.M OR/ Ef Approved ❑ Not Approved Date: _ 0/./ 2 /
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes: iiii / 1(..„........ _
Routed back to Building Division Date:
I: \CURPLN
o " Building Division
Over - The - Counter (OTC) Building Permit
T i c n It Check List .
Project Description: T t 6e,4,4 .11A?-- col 1LC
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: ___A Occupancy Group: Z Type of Construction:
*Type of Use: Occupancy Load: 1 Oregon Specialty Code: 70 I D
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: KY--- Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ ( .(2) FEES DUE
$ 4 In DC'Prov Rvw, COM TI - Ping
$ 6 1 , DC Prov Rvw, COM TI - LRP
DC Provision Review Fee for COM TI $ ,j Permit Fee - Add, Alt, Demo
Project Valuation Planning LRP $ , 7-2_12% State Surcharge
Up to $4,999 $0.00 $0.00 $ -E...,-20 Plan'Review, Structural
$5,000 - $74,999 $64.00 $9.00 $ 26, .1 Plan Review, Fire Life Safety
$75,000 - $149,999 $160.00 $24.00 $ .2..... Co 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: $ '---/ -v ,C)( 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