Permit CITY OF TIGARD BUILDING PERMIT
• COMMUNITY DEVELOPMENT Permit #: BUP2012 -00225
ti T WARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/19/2012
Parcel: 1 S 135DC00200
Jurisdiction: TIGARD
Site address: 11825 SW GREENBURG RD 215
Project: Spec Space Subdivision: TIGARDVILLE PARK Lot: 8
Project Description: TI
Contractor: GENERAL CONSTRUCTION SERVICES Owner: TWO G'S REAL ESTATE LLC
18395 WOOD THRUSH ST 18395 WOOD THRUSH ST
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035
PHONE: 503 - 684 -0550 PHONE: 503 - 684 -0550
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee.- Additions, Alterations, 11/19/2012 $87.17
Demolition
Occupancy Grp: B Occupancy Load: 3 12% State Surcharge - Building 11/19/2012 $10.46
Dwelling Units: 0 Plan Review 11/07/2012 $56.66
Stories: 2 Height: 0 ft Plan Review - Fire Life Safety 11/07/2012 $34.87
Bedrooms: 0 Bathrooms: 0 Info Process /Archiving - Lg $2.00 (over 11/19/2012 $2.00
Value: $1,500 11x17)
Floor Areas:
Total Area: .0 -
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
•
Total $191.16
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. 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 • is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Cell • •se 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 503.2 • .801.332.234.
Issued By: O + Permittee Signature: �
Call 503.639.4175 by 7:00 a.m. for the next available I
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.
•
iBifildrIng Permit Application
Commercial RECEIVED FOR OFFICE USE ONLY
IN q City of Tigard Date/By: III I, 3 - Permit No. P 0101.1.0o 0101.1.0o }a/ 13125 SW HaII Blvd., Tigard, OR 97223 07 Re/
2012 D an Review
0 • Phone: 503.718.2439 Fax: 503.598.1960 DateBy 1 (( i t No. -At Other Permit:
T I G A R D Inspection Line: 503.639.4175 CITY OFTIGARD Date Rea y/Bt� y. A. i luri ® See Page 2 for
Internet: www.tigard- or.gov
BUILDING DIVISION glOd. �� IJ �/^ '1 Supplemental Information
. - TYPE ' 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 (rotnded to the nearest dollar) of all
• Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
. CATEGORY :OF 'CONSTRUCTION - - . - . ' work indicated on this application.
Valuation: e ..
El 1- and 2- family dwelling ® Commercial /industrial —
❑ Accessory building El Multi-family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
• JOB SITTE INFORMATION AND LOCATION - Total number of floors:
Job site address: \ % S c Y.tja -v..\\ci 116 V O New dwelling area: square feet
City/State /ZIP: --- % 6 fl.Y d j p Y ' 223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 2 $ s Project name: Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
\\ba t:,, 9 - l • ewcc,e ��v -.4- 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 (rotnded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
• DESCRIPTION OF WORK . _ work indicated on this application.
7 Valuation: S (
�cvb Nr �. $ �� c ' % ce S d p+(- d I < �
Existing building area ! _7 square feet
New building area: square feet
- {Z] PROPERTY OWNER ❑ TENANT - : Number of stories:
Name: — 1 - ,. G C.,'..., �Sc �` C...._.. . Type of construction:
Address: \q?o ` NA S Occupancy groups:
City/State /ZIP: L# Q c.1MQ.L, j b °? '7 03 S Existing:
Phone: 603 ) L#6 4 - o S S 0 Far: ( ) New:
.• -E] APPLICANT ' ❑ CONTACT PERSON . BUILDING PERMIIT.FEES• .
(Please refer to fee schedule) .
Business name's,, b C ... • 9 T.:Y i;,,Kve„, L�e--. Structural plan review fee (or deposit):
Contact name: �.•,Y�C.,,„.sJ; ec-/
FLS plan review fee (if applicable):
Address: -2 , 0 1 S N woz , p -)N.,,,,,,,......3-,,>.. S�
ea. U 6Z °l Z 03S Total fees due upon application:
City /State /ZIP: L
t�� C��C.oO �
Phone: 6.0S )2,4 —GSSe> I Fax: : (9D3)4 D - 55cs3 Amount received:
E -mail: ���� L'.sQpY PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
t Lia.��� .C-,d T�
Commercial and residential prescriptive installation of
COYTRACTOR • . roof -top mounted PhotoVoltaic Solar Panel System.
Business name: e,LS Submit two (, ets of roof plan with connection det• • .
and fire departure •ccess, along with the 1 : /regon
Address: \Q6:ND oc. •O F1 a -, ic'1 S1 • Solar Installation Sect _Code c, , v rst.
City /State /ZIP:\ ' C�S. G,0 - a L' 7 0-.._5 Permit fee (include =. •r $180.00
and • • inistrative fee
Phone: v3 )( 0.614 - o s s Fax: 6.3 ) ( ... s.° D State su ge (12% of permit fee): ` $21.60
CCB lic.: ri61¢b 1\ Total fee due upon application: '. : .60
Authorized signature This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print
�] J � .: .A- -7 ^ 1 * Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(1 I/02 /COM/WEB)
a Building Division
Development Code Provision Review
r i c n D . Commercial Projects - No Associated Land Use Case
Building Permit No: AfitP 9-0/;- - Old ❑ Expedited Review
Plan Submittal Date: 1 i / ( ?—
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 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. War /'l
Planning Review (contact at 503 -718 -27. ar • @tigard - or.gov)
Proposal:
sENDI . i A / 'i ii
Zoning C
Permitted Use Yes Ur - ❑
Land Use Required: Yes [No ❑
Notes: n0 ilfAM r/VIL't
Ei Approved ❑ Not Approved Date: PitV /y
REVISED 10/4/12
FOR OFFICE USE ONLY - SITE ADDRESS: ` /cPaZ5 fk.9 69� G( - ,. ,e L .
This form is recognized by most building departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
F I G n R I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
TO: ce N DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: vkss, C i.
NOV 2 l 2012
COMPANY: C- — c wo C �l , , a1a1 �� B U I I L T D I NG D I3 0
PHONE: S - O5 S D By . _ ,
� � -tom
•
RE: \ \- z. , ��'e� , C �r� / 0�� -00aa5
(Site Address) (Permit Number)
N.Vy R
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS: a \ - _ - _..`._ k b o C-- . ' l Al l
FOR OFFICE USE ONLY •
Routed to Permit • • - t>cia�n Date: t_( °(o ('Z Initials:
Fees Due: ❑ Y; : j No /Fee Description: Amount Due:
$ ......._
Special
Instructions:
Reprint Permit (per PE): ❑ Yes (C
N ❑ Done
Applicant Notified: Date: Initials:
1:\ Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012