Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2013 -00021
Date Issued: 02/21/2013
T t G A•RD 13125 SW Hall Blvd , Tigard OR 97223 503 718.2439 Parcel: 2S 101 C600500
Jurisdiction: Tigard
Site address: 12670 SW HALL BLVD, BLDG# 3
Project: Canteen Vending Loading Dock Subdivision: 2007 -064 PARTITION PLAT Lot: B
Project Description: Provide covered loading dock
Contractor: CEDARLAKE CO INC Owner: TCTPI LLC
9120 NE VANCOUVER MALL LP 4260 GALEWOOD ST, STE A
STE 220 LAKE OSWEGO, OR 97035
VANCOUVER, WA 98662
PHONE: 360 - 694 -8000 PHONE.
FAX: 360 - 694 -0174
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee - COM - New Construction 02/21/2013 $459 82
Occupancy Grp: S-1 Occupancy Load: 12% State Surcharge - Building 02/21/2013 $55.18
Plan Review 02/21/2013 $298.88
Dwelling Units: 0 Plan Review - Fire Life Safety 02/21/2013 $183.93
Stories: 0 Height: 0 ft Info Process /Archiving - Lg $2 00 (over 02/21/2013 $6.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $40,000 Info Process /Archiving - Sm $0 50 (up to 02/21/2013 $10 00
11x17)
Floor Areas:
Total Area 0
Accessory Struct: 0
Basement 0
Carport: 0
Covered Porch 0
Deck 0
Garage. 0
Mezzanine 0
Total $1,013 81
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
1 Special Inspection (see plans)
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 - -nce, +r wor is suspended for more the 180
day • Oregon law requires you to follow the rules adopted by the Oregon Utility Notifi•: • enter h• ,, rules ar• set f• in OAR
• - 001 -0010 through • • - 952 -0' ''90 You may obtain a copy of the rules or direct questions to OUNC by calling 1 • 1 9: • :PI •
.sued By: // / / Permittee Signature:
►
Call 503.839.4175 by 7:00 a.m, for the next available inspection d , I �J 1 I
This permit card shall be kept in a conspicuous place on the job site until compl tion of the • oje , t.
Approved plans are required on the job site at the time of each insp ction.
Building Permit Applicatig D MD 013 " 0 l, 0
Commercial FOR OFFICE USE ONLY
City of Tigard 2 4 ?013 DateByd i:( �"f 3 Permit No � �(�(3 oo
" 13125 SW Hall Blvd , Tigard,OR 97223 Plan Revi w r V
Phone: 503 718 2439 Fax 503.ZopF Date/By 0 "1 L Other Permit
Inspection Line 503 639 4175 Date Ready Tuns r RI See Page 2 for
TIGARD Internet www ttgard - goy BUILDING DIVISION Notified/Method � Supplemental Information
,�_
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 (rotnded to the nearest dollar) of all
N \ddition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application
Valuation. S
❑ I- and 2- family dwelling Commercial /industrial
❑ Accessory building El Multi-family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORiti ATIION AND LOCATION Total number of Floors:
Job site address: ' 2� J �{ Vh New dwelling area: square feet
City /State /ZIP: '�"'i,7 E.�4 �`r J / Garage /carport area: square feet
/bld
Suit g apt. no.: 3 Project name. (� a V>* �G Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: 1 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
-- 1x11- _ 1f ►',C..)
Valuation: S,.... -
Y_ Existing building area square feet
building area: square feet
❑ PROPERTY OWNER TENANT .r of stories'
Name: J viA 1,,t Type of construction:
Address: 50e,i 1 , 4 i A Occupancy groups:
City /Sta /ZZIPP U Cp 4 j Existing
Phone: Y5 Z — W �-'T Fax ) New:
g APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: 0 0 c4 „ . / r S l �/ j L - t" Structural plan review fee (or deposit)
Contact name: Q /f4, '/arid
FLS plan review fee (if applicable):
Address: 47 D - p., , �/
Tii�7� Total fees due upon application:
City /State /ZIP: rt J j � -
/T^' � _ Amount received.
Phone. (( �j • w
� / ' 9-71,,t7 rj 73 -7 Fax:: ( . -72/
E - mail: �1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System
Business name- GPs• 4 t�11 � 4111 r , -` `, 1' Submit two (2) sets of roof plan with connection details
and fire department access, alon with the 2010 Oregon
Address: M APB 14 � _ MA — Solar Installation Specialty Code checklist
City /State /ZIP- �� „V ez 4(02 f r� �ZZo Permit fee (includes plan fees): $180.00
y � �- -
, and administrative
Phone:Z� —'0 — „ • 441• AK:, �� State surcharge (12% of permit fee): $21.60
CCB tic.: P Total fee due upon application. $201.60
Authorized signature. // G(//�l� 7 This permit application expires if a permit is not obtained
((��GG GG within 180 days after it has been accepted as complete.
Print name. Date:2 A 2 � * Fee methodology set by Tri -County Building Industry
,, _ �� Service Board
1 \Budding \Permits \BUP -COM PermitApp doc 02/24/2011 440-4613T(1 I /02/COM/WEB)
Building Division
Development Code Provision Review
T I G A R. D Commercial Projects - No Associated Land Use Case
Building Permit No: UP A) l3. 000DD Expedited Review
Project Name: 0t14 4l EN l A1(0
Site Address: /, )-(i7 1-1ALA— f LD 3 , Suite /Bldg #: 3
Plan Submittal Date: 1 /.54113
To the Applicant:
D 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.
D. 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.
j I f
Planning Review (contact l r at 503-71819 or @tigard- or.gov)
Proposal: Xr•k. u✓ re,- od e I o 0 r icer a-rt xi d Wct -e_ 1 C uJ e .
_'ov.po- Ca ren u v maiCd 4.Ic ' b ull, eJf a� of
CuAs o 1, du k d 4-0 Po-fl U��.a I eai e et••,d v ;7 41
'1 5 a,- a 1 ',co-1i an. Nit) Clna - 9 a tti.t f •
Zoning L_
Permitted Use Yes a( No ❑
Land Use Required: Yes ❑ No 94
✓� / Y � / �7'lC "14 Notes: /� /7
Approved ❑ Not Approved Date:
I. \CURPLN Masters\Development Code Provision Review\No Land Use Comm.doc REVISED 10/4/12
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12670 SW HALL BLVD BLDG 3, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
04/17/2013 00:00
BUP2013-00021
PASS - C of O
Violation Summary:
Inspector Contractor
Building Division
D evelopment Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: 64,LP ,g-0/3 - v U 6 ❑ Expedited Review
Project Name: CA14:1a !. Ug74.0ikt & / o boef -
Site Address: I..)4,0 70 a-14-Ls , Suite /Bldg #: 3
Plan Submittal Date: ( ( ( 3
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 'f approved. //,
Planning Review (contact lc,/ at 503- 718470 or @ti:ard- or.gov)
� � r
Proposal: 3 (PUP i �i / /i. �/ . / �� J - G
Zoning ' (—
Permitted Use Yes o ❑
Land Use Required: Yes No ❑
Notes: " ' A v f144 i) Q kt4iocied 7 d'L1/
AWSWAFF.r
• Approved E Not Approved Date: 50// 3
664 ,t G(j D f U btgi l l q/ l re cv t `A- ✓ 6i'r (
I: \CURPLN\Masters\Development Code Provision RevielnkNo Land Use Comm.doc REVISED 10/4/12
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12670 SW HALL BLVD BLDG 3, TIGARD, OR,
97223
Commercial - Building
205 Footing
03/04/2013 14:00
BUP2013-00021
PASS
Ok to pour footing
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12670 SW HALL BLVD BLDG 3, TIGARD, OR,
97223
Commercial - Building
275 Framing
04/08/2013 00:00
BUP2013-00021
PASS
As per approved plans
Violation Summary:
Inspector Contractor