Permit CITY OF TIGARD BUILDING PERMIT
I 1 • COMMUNITY DEVELOPMENT Permit #: BUP2012 -00158
T 1 C; A R. C) 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/07/2012
Parcel: 2S112DD00701
Jurisdiction: Tigard
Site address: 15808 SW UPPER BOONES FERRY RD
Project: Lamar Company Subdivision: 1994 -006 PARTITION PLAT Lot: 2
Project Description: Office TI
Contractor: DURUS CONTRUCTION LLC Owner: PACIFIC REALTY TRUST
15806 UPPER BOONES FERRY RD ATTN: N PIVEN
LAKE OSWEGO, OR 97035 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 320 -8601 PHONE:
FAX: 503 - 244 -4318
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review, COM TI - PIng 08/07/2012 $67.00
Occupancy Grp: B Occupancy Load: 10 DC Provision Review, COM TI - LRP 08/07/2012 - $10.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 08/07/2012 $271.43
Demolition
Stories: 1 Height: 0 ft 12% State Surcharge - Building 08/07/2012 $32.57
Bedrooms: 0 Bathrooms: 0 Plan Review 08/07/2012 $176.43
Value: $12,500 Plan Review - Fire Life Safety 08/07/2012 $108.57
Info Process /Archiving - Lg $2.00 (over 08/07/2012 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $670.00
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 da • issuance, • ' work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility o6'� ion enter. •se rules are set forth in OAR
952- 001 -0010 through OAR 952 -001 -0090. You may may obtain a copy of the rules or direct questions to OUNC by i : 503.2 '.1987 or 1.800.; 32.2344.
Issued By: �� . 4 Permittee Signature: �___
Call 503.639.4175 by 7:00 a.m. for the next available Ins.: on dat -
This permit card shall be kept In a conspicuous place on the job site until c • , I, = of the project
Approved plans are required on the Job site at the time of each inspectio
•
9
Building Permit Application
r::: „ .. ,
Commercial ,,,k.) ,... ” 1ED
,. i � roll officE USE QNl_1'
City of Tigard AUG 0 7 2012 Received t'
Date/By: b ( Permit Nogttp 1 .
II ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.196 "`
�'� i �G�RD D ate / By: t ■ 7 r 2._... Other Permit:
TI C. ,� It I�
Internet: www.tigard Inspection Line: 503.639.4175 1� 1� Date Read y : l uris: to ® See Page 2 for
g 3U!Lfl r�1VIS ON ITS/ , � O 9 Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA: l- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
ddition/alteration/replaccment ❑ Other: Indicate the value (mulcted to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling Wommercial/industrial Valuation:
❑ Accessory building ❑ Multi - family Number of bedrooms:
CI Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: `0 $ Sto..- fJ VW' V`_,L `"� S c V ( pr\ New dwelling area: square feet
City /State /ZIP: ' \ q l 70 IS `G Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: ) , _ _ 0,A," CC Covered porch area square feet
Cross street/directions to job site: J 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
DESCRIPTION OF WORK work indicated on this application.
n T
6C ' Valuation: $ 12- S UCJ J
Existing building area square feet
New building area: square feet
PROPERTY OWNER I ❑ TENANT Number of stories:
Name: Y V SA' Type of construction:
Address: (S-aST> Sl03 u i &wy 4.3130 Occupancy
0A4 { x Y groups:
City /State /ZIP:
�` /_ �1�, � Z / Z ,,� .c Existing:
Phone: ( SDI (f1 ' v Fax: (503) (t2� - 776 New:
yQ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: R
(Please rejerro fee scheduf�
Contact name: aA� M C/ V i �1 Structural plan review fee (or deposit):
Address: V1 FLS plan review fee (if applicable):
City/State /ZIP: Total fees due upon application:
Phone: ( StS '01 - I Cl Fax: : ( ) Amount received:
E -mail: r y ah wl @_ 9ct jam„„ v � S i- . Qum 1 „� ^ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
v CONTRACTOR r V Commercial and residential prescriptive installation of
�1 C ' roof -top mounted PhotoVoltaic Solar Panel System.
Business name: o u. p 'u '(� Submit two (2) sets of roof plan with connection details
Address: IS 3/ C „ 0 � �� r e / o act ac l C e checklist. the 2010
. Oregon
� I - K,Q\ S Soll ar r Ins on S Specic ty C
City/State /ZIP: 7117..v. [1 io - Permit fee (includes plan review $180.00
Phone: ( '3 ^ _ &to
. -- I Fax: (95 6 3 and administrative fees):
CCB lic.: � allOk
lD � �fG 534 —. State surcharge (12% of permit fee): $21.60
S --.
Total fee due upon application: $201.60
Authorized signature: . T his permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: • Date: ' Fee methodology set by Tri -County Building Industry
Service Board
IABuildingTerrnits\B a ' -COM PermitApp.doc 02/24/2011 440 -4613T(1l /02 /COM/WEB)
° Building Division
Over- The - Counter (OTC) Building Permit
T l c n K D Check List
Project Description: —II tkP 00 f ✓moo
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: a-L'r' Occupancy Group: 13 Type of Construction: Z'
*Type of Use: COM Occupancy Load: (3 Oregon Specialty Code: '2 2
SPECIFICS
Number of Stories: 1 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: I Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ (2--) ) nD FEES DUE
$ 61, CC) DCProvRvw,COMTI — Ping
$ C), DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ 7 7 • Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ rNE, Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ �'' e'D Plan Review, Fire Life Safety
$75,000 - $149,999 $167.00 $25.00 $ ' ,CC) Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $268.00 $39.00 $ 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: $ 6 CO 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 07/01/2012
e ° Building Division
Development Code Provision Review
T I G A R D Commercial Projects - No Associated Land Use Case
Building Permit No: && Pd4)I a - DOI S17 ❑ Expedited Review
Plan Submittal Date:
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 approve .
Planning Review (contact A at 503 -718 .9S'( or @tigard- or.gov)
IZoning /- I Permitted Use Yes ❑ - No
is Land Use Required: Yes ❑ No 8-'" (explain below)
Notes: o l.e4. e L Gt. V Se U't�• ;(1 t /1 au'
,a ❑ Not Approved Date: if 7 -i �-
Permit Coordinator Review (contact Albert Shields at 503 - 718 - 2426 or albert @tigard - or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN