Permit :11 n CITY OF TIGARD BUILDING PERMIT
1 1 3 COMMUNITY DEVELOPMENT Permit #: BUP2012 -00185
Date Issued: 10/09/2012
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718.2439 Parcel: 1S135DD04400
Jurisdiction: Tigard
Site address: 11900 SW GREENBURG RD
Project: Southwest Physcian Subdivision: LOMITA TERRACE Lot: 9
Project Description: Add awning to building
Contractor: ROSE CITY AWNING CO Owner: BC ASSOCIATES LLC
1638 NW OVERTON ST 1128 SW ENGLEWOOD DR
PORTLAND, OR 97209 LAKE OSWEGO, OR 97034
PHONE 503 - 226 -2761 PHONE:
FAX: 503 - 222 -5060
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: OTR Type of Const: Vg Permit Fee - Additions, Alterations, 10/09/2012 $119 33
Demolition
Occupancy Grp: U Occupancy Load: 12% State Surcharge - Building 10/09/2012 $14 32
Dwelling Units: 0 Plan Review 10/01/2012 $77.56
Stories: 0 Height: 0 ft Info Process /Archiving - Sm $0 50 (up to 10/09/2012 $8.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $2,600
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $219.71
Required: Required Items and Reports (Conditions)
Fire Sprinkler 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 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 f. - ' e the 180
days. ATTENT • • • - gon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules ar• orth in OAR
952- 001 -001 • rough OA • 2- 001 -0090 You may obtain a copy of the rules or direct questions to OUNC by calling 50 2 987 • 1 800 332
Issued : , � I i Permittee Signatur• / - .11416../ A(P
Call 503.639.4175 by 7:00 a.m. for the next available inspection .
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.
;
pw
, i. • Buildi Per mit Application
Commercial FOR OFFICE USE OM.)`
. ' RECEIli E h '
14 q City of Tigard RDeact e O��O� Permit No i u ° pll 4 1 � / :
13125 SW Hall Blvd., Tigard, OR 9722C C T 01 2012 C Phone: 503.718.2439 Fax: 503.598.1960
Plan Review
DateB or s an Other Permit �� ! /rtir ,
�- i , It D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready'. �Q /F �� �� // s ® See Page 2 for
Supplemental Information
Internet www.tigard
Notified/Method. •'i
BUILDING DIVISION 6
TYPE OF WORK # REQUIRED DATA: 1- AND 2- FAMILY DWELLING
v ❑ New construction 0 Demolition Permit fees* are based on the value of the work performed
Indicate the value (rounded to the nearest dollar) of all 4Z
d ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ,()
1Y CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $
K ❑ Accessory building ❑ Multi - family Number of bedrooms: t
❑ Master builder ❑ Other: Number of bathrooms:
4 JOB SITE INFORMATION AND LOCATION Total number of floors:
CZ
A Job site address: / 1 9 0 0 ! �� �s ' New dwelling area: square feet
P _/ � v t
`l City /State /ZIP: 1 q 4 4....p 4....p I Me- q 722- 3 Garage /carport area: square feet
v , Suite/bldg. /apt. no.: Project name: sfA) PA/ c_ J { C / 4/5 Covered porch area: square feet
. Cross street/directions to job site: Deck area: square feet r'
cl
T–# , Other structure area: square feet
• REQUIRED DATA: COMMERCIAL -USE CHECKLIST
4 Subdivision: Lot no.: Permit fees* are based on the value of the work performed. .
Tax map /parcel no.: Indicate the value ( rotded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ 02 6 00a r o-o
4_400 A- wAii,C ? T? J u4 Lin Arq
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: '
Name: . B C ' p. 55 G -r' ' L L G Type of construction:
ddress: 1/ 2. F3 5 10 4V 61.496 V4-- •
Occupancy groups:
City /Statee/ /ZIP: ZAK et) c�a'to, / / IL-� 17U31 Existing:
Phone: (52)3) s 7 / 2-5D Fax: ( ) • New:
..APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
n
(Please refer to fee schedule)
Business name: go S � / ✓' / / Structural plan revview iew fee (or deposit): -
3 Contact name: ./,-� � i i�..
'� FLS plan review fee (if applicable):
Address: /(3 /t/ ®V�7D if
Total fees due upon application:
ity /State /ZIP: ' i TL/4'7✓ � � � � q 7401 .�/
Phone: ( 9 2 1 ) Z . 2 . . 4 , _ a -76, ) Fax:: ( �
) 2a _ 506 Amount received: Z7*
E -mail: L.ei7 g f-os G / - 7 - ymd�, A / 4' , e6241/ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Q , / Commercial and residential prescriptive installation of
CONTRACTOR roof -top mount -a 'hotoVoltaic Solar Panel ' tern.
T B usiness name: f r �, / L I �,�./� � ' Submit two (2) sets : roof plan with c r ection details
r" -` - -- and fire department ac : , along , 's the 2010 Oregon
Addess: S ola r I nstallation S
cl r � � - 3� c9 � O V G - -.�i �4/' Special ' o' checklist.
p
f Per mit fee (include .. eview
�_ City /State /ZIP: �� ;Q / �� / �� l� Z $180.00
l �' `— N aa and adm' • strative - s :
Phone: (St) Z,v2 — � a 7 4 / / Fax: (50, 2.,-z.,— 4 V o
Z 52, State surcharge /o of permit fee): $21.60
C1� CCB lic.: ply y 6 g 9 r/S / /?
Total fe • • ue 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: Date: * Fee methodology set by Tri -County Building Industry
Service Board
I:'Building\Permits\BUP -COM PerrnitApp.doc 02/24/2011 440- 4613T(11/02 /COM/WEB) '
Building Division
0
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 \Pemuts \BUP -COM PermitApp.doc 03/03/2011
114 m a Building Division
Development Code Provision Review
TIGARD Commercial Projects with Approved Land Use
Building Permit No.: 7 6L9(9, 0 I a. -6011.s
Land Use Casefile No.: � D Q_ 9,O( -coop 40
Routed Plans: //9 Submittal Date: /0 /1 n� `x`-15
Submittal Date:
Submittal Date:
. To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies
to the Building Division. Only checked (1) items are approved. Items not approved and those listed in the
notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed
above each section.
STAFF: please only mark those items on the 1 ft side that are approved.
Planning Review (contact at 503 -718- 21 3 Y or @tigard- or.gov)
gr Use Approval
.- ErBuilding Plans Match Approved Plan: Yes -1 l No ❑
Maximum Building Height N1
- Conditions Met
Notes: 1
Original Plan: Approv d Not Approved ❑ Date: /dt - B-1)
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
Er Actual Slope: - s
❑ PFI Permit #
❑ Conditions Met
Notes:
Original Plan: Approved -Er Not Approved ❑ Date: 70 3/ 2--
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov)
❑ eet Trees
❑ Pro ted Trees
Notes:
Original Plan: Approve Not Approved ❑ Date:
Revision 1: Approved Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @ tigard - or.gov)
❑ Planning Okay to Issue Permit ❑ Arborist Okay to Issue Permit
❑ Engineering Okay to Issue Permit
Notes:
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Applicant
Okay to Issue Permit: Yes' ❑
Date Routed to Building:
Page 2 of 2