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Permit CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit #: BUP2013 00175 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/16/2013 Parcel: 2S 101 AD03200 Jurisdiction: Tigard Site address: 12909 SW 68TH PKWY 350 Project: Williston Finacial Group Subdivision: WEST PORTLAND HEIGHTS Lot: 9 -25, PT Project Description: Interior TI - expanding into adjoining space. Contractor: MATTHEW OLSON CONSTRUCTION Owner: PACIFIC REALTY ASSOCIATES 5320 SW DOVER LN ATTN: N PIVEN PORTLAND, OR 97225 15350 SE SEQUOIA PKWY #300 PORTLAND, OR 97224 PHONE: 503 - 892 -0066 PHONE: FAX: 503 - 892 -0067 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIB DC Provision Review, COM TI - Ping 07/16/2013 $70.00 Occupancy Grp: B Occupancy Load: 144 DC Provision Review, COM TI - LRP 07/16/2013 $10.00 Dwelling Units: 0 Permit Fee - Additions, Alterations, 07/16/2013 $453.95 Demolition Stories: 3 Height: 0 ft 12% State Surcharge - Building 07/16/2013 $54.47 Bedrooms: 0 Bathrooms: 0 Plan Review 07/16/2013 $295.07 Value: $24,600 Plan Review - Fire Life Safety 07/16/2013 $181.58 Info Process /Archiving - Lg $2.00 (over 07/16/2013 $4.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,069.07 Required: Required Items and Reports (Conditions) Fire Sprinkler: Yes 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. ATTE = . _ -,on law requires you to follow the rules adopted by the Oregon Utility Notificatio, Center. Those rules are set forth in OAR 952 -001 -s 110 through OAR • -001 -0090. You may obtain a copy of the rules or direct questions to OU • . 232.1987 or 1.800.332.2344. 199 d By: / /44 4 � / Permittee ) / �- V �� Call 503.639.4175 by 7:00 a.m. for the next available inspec to • ate. This permit card shall be kept In a conspicuous place on the job site u • mpletlon of the project Approved plans are required on the job site at the time of each Inspection. Building Permit Application Commercial RECEIVED roi or ris►, U SE O ►_l City of Tigard Ijt�il'JI�L'jJ �I 7 f / y 5...z29/ 75' ;1 C • 13125 SW Hall Blvd., Tigard, OR 92 1 6 2 3 Plan Review ►'� Phone: 503.718.2439 Fax: 503.5 Date/B : A/ m Other Permit. - I G:\ R U Inspection Line: 503.639.4175 Date Rea. y: Juris ® See Page 2 for Internet: www.tigard - or.gov CITY OFTIGARD Notified/Method: Supplemental Information t 1 ■ 11 i T ❑ 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 11 work indicated on this application. "rf (tz,li xg0 OLD <c( o fl f it �� I _ Valuation: $ ❑ 1- and 2- family dwelling 'Commercial/mdustrial ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: l .. -. :',:,,a0:31 9 J .l.'j 11 dk ,:wisoe) , \0,11 LkoAC4.0-0-n -1 number of floors: Job site address: ‘Z9 cpi S LA3 (ag 44". ° g(4\_ t New dwelling area: square feet City/ State/ZIP: 0 -A ONg-, 4 1 2Z74., Garage /carport area: square feet Suite/bldg. /apt. no.: SS I Project name: L k" vt. `lh�.46(G ( Covered porch area square feet Cross street/directions to job site: 61 VU ,p ') S L (M Deck area: square feet f Other structure area: square feet r r 1lAat0,101 ?ii U'Y \a(C(Ol M IAJ )A)Nikt„Cf 1 CeJ i g J. , Subdivision: I Lot no.: Permit fees* are based on the value of the work performed. Tax map/parcel Indicate the value (rotnded to the nearest dollar) of all no.: equipment, materials, labor, overhead, and the profit for the F • ° t, n i 11 *1. ii i r1:1 Iii r tliP \∎ (nl r , I work indicated on this : hkAr \Q.r' 1A cl 1 kSketkroc,k t J � J Valuation: $ Z J r�o��S �N ,& Existing building area ZS€(e square feet 1 New building area: Zeige square feet I ,- 1 t .7 r A � � �)1 ���it�� "l�fo \�'i.���l>.� �� �� iiaal�l��lr' - ..._ �•�� Number of stories: 5 Emmy c. Type of construction: t1 — Address: 1 S3Sa Su0 gp V © l. ()�J 1 Occupancy groups: City/State/ZIP: fa 4 ® . ` Z„ S��- Existing: fg* Phone: q '4 ,, .. ta30'D Fax: a ) , —7 7S New: vr , 1 � , '-i---)-,-"-'1- 9, 0 1 C rII I fa �� ... - _ . ' '1 ii.' 1 • l , ,) _1 1 , Business name: g�_ � Structural plan review fee (or deposit): 1 Contact name: 1C.-�eu✓L VV1 (,'.J 1 it, FLS plan review fee (if applicable): Address: Total fees due upon application: City/ State/ZIP: Phone: (S53) RA- l egit I Fax: : ( ) Amount received: 1- OK03 li i 1 F' ( 4 � ' YJ7 /ti1 !;��i 1L,L�\i Email 'r' • . A AA ° ' Q ■ tl AA _ --a—residential 1 q -; �- = C , 7 ` -1 Co mmercial an prescnpttve installation of _ _ . ° CI)\ 7 ! �i t'*- f . _::1 roof -top mounted Photo Voltaic Solar Panel System. Business name: 0 ,l -(.,. k f `& c k cl lit,. Submit two (2) sets of roof plan with connection details and fire department access, along with the 2010 Oregon Address: Solar Installation S. ecial Code checklist. City/ State/ZIP: Permit fee (includes plan review $180.00 and administrative fees : Phone: ( ) I Fax: ( ) State surcharge (12% of permit fee): $21.60 CCB lie.: ! q 7 fee due upon app $201.60 Authorized signature: This permit Total application expires if a permit is not obtained 06 within 180 days after it has been accepted as complete. Print name: (rt... Date: (�' -z * Fee methodology set by Tri -County Building Industry Service Board I:\Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11 /02/COM/WEB) B uilding Division Development Code Provision Review T'tc' Commercial Projects - No Associated Land Use Case Building Permit No: ' a — 001 7S Expedited Review Project Name: l 1�g0 t g P ILJI Sitc Address: t t 1-1-1 5 ro •' r 1` r/JC-t 1. , Suite /Bldg #: 35- Plans Routed: l Original Plan Submittal Date: 7/ / / 5 Routed By: l(— ).- 1) -3 1" Revision Submittal Date: Routed By: 2nd 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 only if approved. Planning Review (contact N O' t4 /V( at (503) 718 -) u 5 or @tigard-or.gov) Proposal: d diA c / 4v O Zoning Permitted Use Yes 0 No ❑ V Land Use Required: Yes ❑ No Notes: 4 proved ❑ Not A roved ❑ DCPR Not Re pp Required — No DCPR Fees Due q Date Routed to Building: 1: \CURPLN\Masters\Development Code Provision RevievADCPR_COM_NoLandUse.doc Rev. 01/16/13 Building Division T I G A It D Over- The - Counter (OTC) Building Permit Check List Project Description: T APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION Class of Work *: t Occupancy Group: C12. Type of Construction: 2e Type of Use * *: , Occupancy Load: (44- Oregon Specialty Code: `76tO 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: qES Fire Alarms: Smoke Detectors: Sprinkler Type: Alarm Type: Protected Corridors: Standpipe Required: Pull Stations Required: Parapet: Hazard Group: Battery Calcs Provided: Density: Cut Sheets Provided: Design Area: K Factor: Total Project Valuation: $ 7 4) FEES DUE $ "70 DC Prov Rvw, COM TI — Ping $ a, 60 DC Prov Rvw, COM TI — LRP DC Provision Review Fee for COM TI (effective 7/1/2013) $ A Permit Fee — Add, Alt, Demo Project Valuation Planning LRP $ ' • ' 12% State Surcharge Up to $4,999 $0.00 $0.00 $ 0' Plan Review, Structural $5,000 - $74,999 $70.00 $10.00 $ a I , sir Plan Review, Fire Life Safety $75,000 - $149,999 $174.00 $26.00 $ A p Info Proc /Arch, Lg (over 11x17 $2.00) $150,000 and over $278.00 $41.00 $ Info Proc /Arch, Sm (up to 11x17 $0.50) $ Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee $ Hourly Rate State Surcharge $' Misc. Admin Fee $ Other: 1 $ Other: Building Staff: $ Other: Date /Time: $ 00,67 TOTAL FEES DUE *TYPE OF USE: COM = commercial; CMS = commercial manufactured structure. **CLASS OF WORK ACS = accessory; ADD = addition; ADU = accessory dwelling unit; ALT = alteration; DEM = demo; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies). . I: \ Building \Forms \OTC- BUP.docx 07/01/2013