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Permit
CITY OF TIGARD BUILDING PERMIT - COMMUNITY DEVELOPMENT Permit #: BUP2013 -00072 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/15/2013 Parcel: 1 S 135DC00200 Jurisdiction: TIGARD Site address: 11845 SW GREENBURG RD 200 Project: Spec Space Subdivision: TIGARDVILLE PARK Lot: 8 Project Description: TI for ADA bathroom 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: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: Vg Permit Fee - Additions, Alterations, 04/15/2013 $104.12 Demolition Occupancy Grp: B Occupancy Load: 12% State Surcharge - Building 04/15/2013 $12.49 Dwelling Units: 0 Plan Review 04/03/2013 $67.68 Stories: 0 Height: 0 ft Info Process /Archiving - Lg $2.00 (over 04/15/2013 $2.00 Bedrooms: 0 Bathrooms: 0 11x17) Value: $2,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $186.29 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 • k is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Cent ose 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 503.23 • : • .800.332.2344. Issued By: Permittee Signature: / �� ///heiA Juai Call 503.839.4175 by 7:00 a.m. for the next available ins This permit card shall be kept in a conspicuous place on the job site until c • • _ • on of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Commercial R I. OROEFI('F.1'SF:ONI.I City of Ti and Received ,,/ g APR �il� PermitNo.4 3 �// / 2J • 13125 SW Hall Blvd., Tigard,OR 97223 3 2013 DateB / � ilhi Plan Revi 1 Phone: 503- 718 -2439 Fax: 503 - 598 -1960 DateB : ' I • � Other Permit: Inspection CITY OF TIGARD ��`� T I G A R u ection Lin 503 -639 4175 Date y: runs: Supplemental See Page 2 for Internet: www.tigard- or.gov BUILDING DIVISION Not . Ready c., eth od : 'f 13 n s.- 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 (rounded to the nearest dollar) of all tat Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application ❑ 1- and 2- family dwelling ® Commercial/industrial Valuation: 4;1-----• ❑ 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: 1 \, ra C.2 cG r & Z'pp New dwelling area: square feet City/State /ZIP: \ \, j b 9-7 Z `Z`3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Covered porch area square feet Cross street/directions to job site: (2 Vs-4..K Co Deck area: square feet 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 DESCRIPTION OF WORK work indicated on this application. E (1� � ��. Valuation: $ 2::::74:c.,, �, X `C � Existing building area square feet New building area: square feet a OWNER ❑ TENANT Number of stories: Name: )' 1.•� c (....\ C�o.L SN 1� Type of construction: Address: 77-C CN f c, © 9 1'\ \A c.,! \ Occupancy groups: City/State /ZIP: L.D. tZ c { 4,30 . 0 k Existing: Phone: 7 .. DJ-- 1. 1 Fax: ( ) New: Et APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:G Structural plan review fee (or deposit): Contact name: S . FLS plan review fee (if applicable): Address: °?S -NiN1 oca i 3 — 1\--, s t v,r'\1/41..` CD 1 Total fees due upon application: City /State /ZIP: \..N _Q- F--.w .< , U Amount received: Phone: 64,3)7t._C)) LI 31-0 Fax:: ( ) E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof -top mounted PhotoVoltaic Solar Panel System. Business name: G�Cj Submit two (2) sets of roof plan with connection details �� and fire department access, along with the 2010 Oregon Address: \C6 � a`, 0 �r%nC,Vt._ e k • Solar Installation Specialty Code checklist. City/State /ZIP: C� Permit fee (includes plan review ��p r_,4\„Ae�el 6 �� ' 3 and administrative fees): $180.00 Phone: 3 )70j 9 -\-:\- U Cr)? Fax: ( ) State surcharge (12% of permit fee): $21.60 CCB lic.: NSS.\_, to Crl \ Total fee due upon appication: $201.60 Authorized si a This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print e:,„„ 7 Date: i j * Fee methodology set by Tri -County Building Industry ws 5 �'� " / 3 / J Service Board. I: \Building\Permits\BUP _COM_PermitApp.doc Rev. 12/11 /2012 440- 4613T(11/02 /COM/WEB) Building Division 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] $ `v 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 121 of Valuation Computation): $ I: Building \Permits \BUP_COM_PermitApp.doc Rev. 12/11/2012