Permit 14 a CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2012 -00131
T [ G A RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/03/2012
Parcel: 2S112AB02300
Jurisdiction: Tigard
Site address: 14150 SW MILTON CT
• Project: Cousins Stretch Wrap Machine Subdivision: BONITA INDUSTRIAL PARK Lot: 5
Project Description: Stretch Wrap Machine install free standing
Contractor: OWNER Owner: MEDICAL TEAMS INTERNATIONAL
PO BOX 10
PORTLAND, OR 97207
PHONE: PHONE: 503 - 624 -1098
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 07/03/2012 $149.75
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 07/03/2012 $17.97
Stories: 1 Height: 0 ft Plan Review 07/03/2012 $97.34
Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 07/03/2012 $59.90
Value: $4,500 Info Process /Archiving - Sm $0.50 (up to 07/03/2012 $3.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $327.96
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes 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 Cente 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 ca . • • I • or 1.811.33..2344.
_ / •/
Issued By: Permittee Signature: ///
Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 7.
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 ApplicationREC V 1
Commercial JUN 1 2 2 if FOR OFFICE USE ONLY
Ili City of Tigard T/ 0 G � pti"m`` �'� `'� i JO Li —pp 3
City g 1 1 P hJ �
� 4� ; ® r, ; .. >_- Permit No.:
° 13125 SW Hall Blvd., Tigard,OR 9722 9 , : r• 1 -�r; y
Phone: 503.718.2439 Fax: 503.598. y�IIgglp' v iii �� a . i 90 DAN?,, ;171 I0i . Date/B : `j�t �, Other Permit:
T i G n it D
Inspection Line: 503.639.4175 ri iii • •* Juris: Ei See Page 2 for
Internet: www.tigard-or.gov B I1 f , . 1 1 ;4! �e. t D Supplemental Information
�/ , , ION
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 X Other: E(vt P . I NSTLC 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: $ 4 , \ �-
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder 'Other: NOW P2DF) r Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: P-1/6-00 S . Li, M/LTA) Cr • New dwelling area: square feet
City/State /ZIP: 776 A40 022-1 A) 97c1)1/ Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covsi,,s ST/IETCNWIMP Mai Covered porch area square feet
Cross street/directions to job site: {� Deck area: square feet
J i L 7 CT . 4 BOA 1774 2b . 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 (rotnded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
STR Ern, VR/ / N /NI Valuation: $
/ NS / I L Mig. �� 6' i! - eN O 6 Existing building area square feet
New building area: square feet
%PROPERTY OWNER ❑ TENANT Number of stories:
Name: n 7E/9/) /A)702,0/9 nte L Type of construction:
Address: p 0, gt) /a Occupancy groups:
City/State /ZIP: ?o /2 Zi A0 O,2 «IJ Existing:
Phone: ($63) 4,Dii - /COO Fax: 693) (• — /00 i New:
❑ APPLICANT CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name: �Qjy/ Sib
FLS plan review fee (if applicable):
Address:
City/State /ZIP: Total fees due upon application:
Phone: (. 3) I - /0 98 Fax: : (93 ) 6 a Y - 1� Amount received:
E -mail: IT 7796 (1�� @ rn�D�C,9 L7, .ASS . 046
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: O W N eta Submit two (2) sets of roof plan with connection details
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.: / 1 1 Total fee due upon application: $201.60
Authorized signature�.atejr This permit application expires if a permit is not obtained
'' within 180 days after it has been accepted as complete.
Print name: ///0/7,41t5 • Smoot_ Date: b - /, ai a1 * Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11/02 /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
ry
° Building Division
Plan Submittal Requirements
T I G A R D Commercial & Multi- Family - New, Additions or Alterations
1. SITE PLAN (fully dimensional, drawn to scale) labeled with:
A. ❑ map & tax lot # ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking, including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape -ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations, plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit - based on valuation of project.
4. EXTRA SET OF THE FOLLOWING:
A. Two (2) copies of site plan to include vicinity map. •
B. One (1) copy of erosion control plan with details.
C. Fire Department Building Survey, and full set of architecture drawings.
I: \Building \Permits \BUP -COM PermitApp.doc 03/03/2011
Building Division
Plan Submittal Requirement Matrix
T I G A tab; Commercial & Multi- Family - New, Additions or Alterations
Type of Submittal • # of Plans
(Includes new, additions and' alterations.) Required at
Submittal
•
Demolition Permit 3
(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 e •
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. ofplans for distribution purposes (for contractor, City of Tigard, Washington
County, and Tualatin Valley Fire & Rescue), if applicable.
I: \Building \Permits \BUP -COM PermitApp.doc 03/03/2011 •
el Building Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List ItO -COC3l
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: Occupancy Group: Type of Construction: 5
*Type of Use: k Occupancy Load: Oregon Specialty Code: 2_0 io
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: � Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ .z FEES DUE
$ DC Prov Rvw, COM TI — Ping
$ DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ (AO , 7'= Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ , 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ ARM Plan Review, Structural
$5,000 - $74,999 $64.00 $9.00 $ -"Yr' ,''O 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: $ ^ jZ7, cri., 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.
1: \Building \Forms \OTC - BUP.docx 01 /13/2011
e ° Building Division
Development Code Provision Review
r i c A ° Commercial Projects - No Associated Land Use Case
Building Permit No: BU- 0 61 a 0 ( ❑ Expedited Review
Plan Submittal Date: - a -I a
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 if approved.
Planning Review (contact (� i CA:f r1 at 503 - 718 -a43'/ or ekiC vL f G @tigard - or.gov)
r i Zoning I ' L Permitted Use Yes Vi No ❑
❑ Land Use Required: Yes ❑ No 0 (explain below)
Notes: s n r i a of per. Pac/c0i ■
rnc, v- e 1• 1M e d e �1 �P —' ) Jo n Ji,r. � P o-P u.I o, "
1-k {moons,
y i Approved ❑ Not Approved Date: r i - I 3-
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN