Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00289
AA DEVELOPMENT SERVICES DATE ISSUED: 7/27/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101 DC -01100
SITE ADDRESS: 07298 SW TECH CENTER DR
SUBDIVISION: ZONING: I -H
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2N : sf N: S: E: W:
OCCUPANCY GRP: Fl TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 36,000.00
Remarks: pallet racking.
•
Owner: Contractor:
CIRCLE A W PRODUCTS COMPANY •B & B INSTALLATIONS INC
ATTN: PHIL PINGSTERHAUS 14401 S GLEN OAK ROAD
BY B -LINE SYSTEMS, INC OREGON CITY, OR 97045
HIG HLAND, IL 62249
one:
Phone: 503 - 659 -5439
Reg #: MET 0 0Q 0 0p 0 0p 0 0g 4 47 871 1g
FEES LIC REQ8NED4INSPECTIONS
Description Date Amount Sprinkler Permit Required
[BUILD] Permit Fee 6/21/2004 $373.30 Final Inspection
[BUPPLN] Pin Rv 6/21/2004 $242.65
[TAX] 8% State Surchari 6/21/2004 $29.86
[FLS] FLS Pin Rv 6/21/2004 $149.32
Total $795.13
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 than 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 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issued B
Permittee J i
Signature:
Call 639 -4175 by 7 p.m. for an inspection the next business day
72 98 Sw Ttl�cy ciurea
Building Permit Avn L FOR OFFICE USE ONLY t i City of Tigard 2004 DateBy: (j ) O 4 Permit No) (RA elt9 -' 002Y9
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598. a40 Other Permit:
Inspection Line: 503.639.4175 ppp pppp G !dtlf 1I� ., p�p I �0� �a _i_114,.. . r II
�`�� Date Ready/By: Tura: ®See Attached Checklist for .......3 Internet: www.ci.tigard.or.us -�� Notified/Method: 7 ) G Supplemental Information
- , . , TYPE OF WORK REQUIRED DATA: l- AND 2- FAMILY DWELLING \O
❑ 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 pa Other: $ (, equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
f.
❑ 1- and 2- family dwelling 1 1. 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: ,, ,k1 1 3 Stir i e t i ( o l,rte O
e- New dwelling area: square feet
City/ State/ZIP: . o ,d ® , 6 F 4) 7 fi 3 Garage/carport area: square feet
Suite/bldg. /apt. no.: 9/ Project name: >� �)
rn � / t - C�Q.� P/7>5 Covered porch area: square feet
Cross street/directions to job site: 72 no ( . Deck area: square feet 1
v` 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
J DESCRIPTION OF `WORK work indicated on this application.
I /(� . ( ( ` tf - / / et G4 ! e, Valuation: $ dea O ff/
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER, ❑ TENANT - Number of stories:
Name: 1' / 1` (/,'
/, le Type of construction:
Address: r� S °� (e 4 /�'t' ,r► Occupancy groups:
City/State/ZIP: / .
Existing:
Phone: (`J;) , �' Fax: O3) 9 }o ff
New:
® APPLICANT-: ', " • x , ' ' ,' ' gt CONTACT; PERSON NOTICE
Business name: Aft, /. / r7 1 All contractors and subcontractors are required to be
Contact name: J� �" licensed with the Oregon Construction Contractors Board
"' a f e r/ L f _ under ORS 701 and may be required to be licensed in the
Address: 7 3 7 ? .5 : ,- / a t d K �P� jurisdiction in which work is being performed. If the
City/State/ZIP: pc, C' f -� t t_a 7 rz 9 ? 2 Z applicant is exempt from licensing, the following reasons
tJ / apply:
�/
QJ Phone: (S-U 3 J 1 4 7 a % Fax: ( 5o - 6, S 3 h� h,,‘
E -mail:
CONT�tACTOR�
Business name: g E _ !n s4 `/ / /9 n S
6 BUILDING PERMIT FEES*
Address: / y y O/ S 6 /e F pet. L
City/ State/ZIP: r e j On (r o !y 70 (215- P plication •
Please refer to fee schedule.
`� �j Fees due upon application
L.ro 7, 2 2 9J 375 -- F ax: (5 7 1D / `. /
CCB lie.: 6 ' y 1 Amount received
Date received:
Authorized signature:X This permit application expires if a permit is not obtained
rr — within 180 days after it has been accepted as complete.
Print name: f `i `i A, t. , 4 Date: 6/2 b- y • Fee methodology set by Tri- County Building Industry
Service Board. 13
is\ Building \Pemms\BUP- PermitApp.doc 12/03 440.4613T(11/02/COM/WEB) 14 6%
Building Division
Plan Submittal Requirement Matrix
c =--' Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
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 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 1*
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)
* For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
i:\ Building \Forms \COM- PlanSubReq.doc 12/24/03