Permit q CITY OF TIGARD ((�� �y�yyy •/ BUILDING PERMIT
II • COMMUNITY DEVELOPMENT Permit #: BUP2013 -00094
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718.2439 Date Issued: 05/01 /2013
Parcel: 2S110DCO2400
Jurisdiction: Tigard
Site address: 11565 SW DURHAM RD 100
Project: Dr Auzins Subdivision: 1998 -128 PARTITION PLAT Lot: 2
Project Description: TI Provide new exit door from breakroom and de- commission existing second exit door 5/6/13 REPRINT to
correct address and owner information
Contractor: PHAIR CONSTRUCTION COMPANY Owner: DRT PROPERTIES LLC
PO BOX 4722 9805 SW CHOCTAW ST
SALEM, OR 97302 TUALATIN, OR 97062
PHONE' 503 - 572 -8606 PHONE
FAX
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review, COM TI - Ping 05/01/2013 $67.00
Occupancy Grp: B Occupancy Load: DC Provision Review, COM TI - LRP 05/01/2013 $10.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 05/01/2013 $164 96
Demolition
Stories: 1 Height: 0 ft 12% State Surcharge - Building 05/01/2013 $19 80
Bedrooms: 0 Bathrooms: 0 Plan Review 05/01/2013 $107 22
Value: $5,400 Plan Review - Fire Life Safety 05/01/2013 $65.98
Info Process /Archiving - Lg $2 00 (over 05/01/2013 $2 00
11x17)
Floor Areas: Info Process /Archiving - Sm $0 50 (up to 05/01/2013 $7 00
11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck' 0
Garage: 0
Mezzanine' 0
Total $443 96
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No 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 At 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 the 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 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800.332 2344
�� /lllXdl (
Issued By: A / /�� Permittee Signature: � /' L�C� �(,�
Call 503.639.4175 by 7:00 a.m. for the next available Inspectio date.
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.
•
Building Permit Application
Commercial RECEIVE I FOR OFFICE USE ONLY
City of Tigard Date /By Received , s , Permit No : iSttP ( ^(,�(Jq
° 13125 SW Hall Blvd., Tigard, OR 97223 MAY 0 1 2013 Plan Review
Phone. 503.718.2439 Fax: 503.598.1960 Date /By ► ether Permit
TIGARD Inspection Line 503.639.4175 CITYOFTIG ` Date Ready y." inns 0 See Page 2 for
Internet: www.tigard- or.gov BUILDING DNISI tified/Metho d. f ( ie. , 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
® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ dwelling Valuation:
1- and 2 -famil $
y g ®Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11565 SW DURHAM RD, BLDG F New dwelling area: square feet
City/State /ZIP: TIGARD, OR 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: 100 Project name: DR. AUZINS' NEW DOOR 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: Lot no.: Permit fees* are based on the value of the work performed.
„ D pG �, I �, V l Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel / arcel no.: `t V equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
TENANT IMPROVEMENT: PROVIDE A NEW EXIT DOOR FROM STAFF BREAK Valuation: $$5,400.00
ROOM AND DE- COMM1SSION EXISTING SECOND EXIT DOOR Existing building area: 2,640 square feet
New building area: 2,640 square feet
❑ PROPERTY OWNER ® TENANT Number of stones: 1
Name: Dr. Norm Auzins Type of construction: V -B
Address: 11565 SW DURHAM RD, BLDG F Occupancy groups:
City/State/ZIP: TIGARD, OR 97224 Existing:
g�
Phone: (503) / '? 62-( Fax: ( ) New: B
Z APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: Toni King & Associates (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name: Peter Kim
FLS plan review fee (if applicable):
Address: 330 SE MLK Blvd. Suite 350
City/State /ZIP: Portland, Oregon 97214 Total fees due upon application:
Amount received:
Phone: (503) 235 -0243 Fax: : (503) 546 -5698
E -mail: pk @tonikingassociates.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescnptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: Phair Construction Company Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: PO Box 4722 Solar Installation Specialty Code checklist.
City/State /ZIP: Salem, OR 97302 Permit fee (includes p lan review $180.00
and administrative fees):
Phone: (503) 572 -8606 Fax: (503) 399 -0009 State surcharge (12% of permit fee): $21.60
CCB lie.: 57427
Total fee due upon application: $201.60
1
Authorized sgria_ture: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Peter Ki Date: 05/01/2013 * Fee methodology set by Tn -County Building Industry
Service Board.
I• \Building\Petmits \BUP -COM PermitApp.doc 02/24/2011 440 -4613T(I 1/02 /COM/WEB)
.11 a Building Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List
Project Description:
Tr &.P O( 600 9 y
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: Occupancy Group: .Y Type of Construction:
*Type of Use: r 4. Occupancy Load: Oregon Specialty Code: y0 (O
SPECIFICS
Number of Stories: ( Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT - SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport: Mezzanine:
SETBACKS
Sideyard Setback — Left Sideyard Setback — Front
Sideyard Setback — Right Sideyard Setback — Back .
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: - N: S: Occupancy Separation:
E: W: E: W: Access. Parking Spaces:
REQUIRED ITEMS �
Fire Sprinklers: O XJ Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ 67401/4 C FEES DUE
$ af. 0 DC Prov Rvw, COM TI — Ping
$ l , d DC Prov Rvw, COM TI —LRP
DC Provision Review Fee for COM TI $ MAL Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ vim 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ / ,Z—Z— Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ •`J; a ll ' Plan Review, Fire Life Safety
$75,000 - $149,999 $167.00 $25.00 $ 'Z, a' ...) Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $268.00 $39.00 $ ' 7, (')Q Info Proc /Arch, Sm (up to 11x17 $0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
Planning Staff: $ Hourly Rate State Surcharge
$ Misc. Admin Fee
Permit Coordinator: $ Other:
$ Other:
Building Staff: $ Other:
Date /Time: $ 443,9 ( TOTAL FEES DUE
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
I = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies);
REP = repair.
I• \ Building \ Forms \OTC- BUP.docx 07/01/2012
Building Division
Development Code Provision Review
T I GA R D Commercial Projects - No Associated Land Use Case
Building Permit No: 3 r GUS ( Expedited Review
Project Name: 1\p_ ku z
Site Address: 1 / g(o ) & f(4- iL * , Suite /Bldg #:
Plans Routed:
Original Plan Submittal Date: 51/ /1 Routed By:
1St Revision Submittal Date: Routed By:
2n Revision Submittal Date: Routed By:
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 o y if approved.
Planning Review (contact at (503) 71$yq 7 e eor 41,_@tigard
Proposal: i
Ai I 1114/ IM2
Zoning �� ^ ( /
Permitted Use Yes Er No ❑
Land Use Required: Yes ❑ No
Notes:
LrJ Approved ❑ Not Approved ❑ DCPR Not Required - No DCPR Fees Due
Date Routed to Building: - / 1 3
I. \CURPLN\Masters\Development Code Provision RevieHADCPR_COM NoLandUse.doc Rev. 01/16/13
' n CITY OF TIGARD BUILDING PERMIT
a COMMUNITY DEVELOPMENT P ermit #: BUP2013 00094
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718.2439 Date Issued: 05/01 /2013
Parcel: 1 S136CC00100
Jurisdiction: TIGARD
Site address: 8200 SW PFAFFLE ST
Project: Westside Christian High School Subdivision: 2006 -016 PARTITION PLAT Lot: 3
Project Description: TI Provide new exit door from breakroom and de- commission existing second exit door
Contractor: PHAIR CONSTRUCTION COMPANY Owner: WESTSIDE CHRISTIAN HIGH SCHOOL
PO BOX 4722 4565 CARMEN DRIVE
SALEM, OR 97302 LAKE OSWEGO, OR 97035
PHONE' 503 - 572 -8606 PHONE: 503 - 697 -4711
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review, COM TI - Ping 05/01/2013 $67.00
Occupancy Grp: B Occupancy Load: DC Provision Review, COM TI - LRP 05/01/2013 $10.00
Permit Fee - Additions, Alterations, 05/01/2013 $164.96
Dwelling Units: 0 Demolition
Stories: 1 Height: 0 ft 12% State Surcharge - Building 05/01/2013 $19.80
Bedrooms: 0 Bathrooms: 0 Plan Review 05/01/2013 $107.22
Value: $5,400 Plan Review - Fire Life Safety 05/01/2013 $65 98
Info Process /Archiving - Lg $2.00 (over 05/01/2013 $2 00
11x17)
Floor Areas: Info Process /Archiving - Sm $0.50 (up to 05/01/2013 $7.00
11x17)
Total Area. 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage' 0
Mezzanine' 0
Total $443 96
Required: Required Items and Reports (Conditions)
Fire Sprinkler No 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 work is suspended for more the 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 -0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344
L r
Issued By: 1 f Permittee Signature:
lil e j�) ll /1 I Call 6 5003..639.4175 by 7:00 a.m. for the next av e inspection date. ,
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.