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Permit CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit #: BUP2013 -00304 T tGARE) 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/10/2013 Parcel: 2S103DD01201 Jurisdiction: Tigard Site address: 13920 SW PACIFIC HWY Project: Goodwill Subdivision: MELROSE Lot: 7 -8 Project Description: TI - Remodel front entry Contractor: LCG PENCE CONSTRUCTION LLC Owner: GOODWILL INDUSTRIES OF THE 2720 SW CORBETT AVENUE COLUMBIA WILLAMETTE PORTLAND, OR 97201 1943 SE 6TH AVE PORTLAND, OR 97214 PHONE: 503 - 252 -3802 PHONE: 503 - 238 -6165 FAX• 503 - 256 -3684 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIIB DC Provision Review, COM TI - Ping 12/10/2013 $70 00 Occupancy Grp: M Occupancy Load: DC Provision Review, COM TI - LRP 12/10/2013 $10 00 Permit Fee - Additions, Alterations, 12/10/2013 $438.74 Dwelling Units: 0 Demolition Stories: 1 Height: 0 ft 12% State Surcharge - Building 12/10/2013 $52 65 Bedrooms: 0 Bathrooms: 0 Plan Review 12/10/2013 $285 18 Value: $23,500 Plan Review - Fire Life Safety 12/10/2013 $175 50 Info Process /Archiving - Sm $0.50 (up to 12/10/2013 $8 00 11x17) Floor Areas: Total Area: 0 Accessory Struct 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck. 0 Garage: 0 Mezzanine 0 Total $1,040 07 Required: Required Items and Reports (Conditions) Fire Sprinkler: Yes Parapet. Fire Alarm' Yes 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 i nce 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 TENTION r(3gon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95 01 -0010 through OAR 952- -0 0. You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 332 Is ued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available inspectio 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 RECEIVED FOR OFFICE USE ONLY City of Tigard Recteived /A / / ©1 Permit No . /6 _p0 4 3/ III ° 13125 SW Hall Blvd , Tigard, OR 97223 DaeB' r g o Date /B w MI N Phone. 503.718.2439 Fax: 503 598.1960D EC C 1 0 2 013 vie DateB �1 r Other Permit TIGARD Inspection Line 503.639.4175 Date Rea " Juns El See Page 2 for Internet' www.tigard -or g CITY OF TIGARD Notified/Method Supplemental Information TYPE OFB ]E) 1NG DIVISION 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 4Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I- and 2- family dwelling ,ommercial /industrial Valuation: $ ❑ 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: / 3 ?Z0 A) Pa•cA /1744 New dwelling area: square feet City /State /ZIP: 7;7 ! i oR 17 22 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: 6, 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. 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. / Valuation: �� Valuation: $ 23 Sam Rewm< G /'A sL 6.1 i Existing building area. square feet New building area: square feet )PROPERTY OWNER ❑ TENANT Number of stories: Name: Gt .,.4; /( ,4-s ) 4 6 / ( v 4 : (4 Type of construction: Address: f9Cf'� S` 6 rH.- • '���""`��� `" V Occupancy groups: City/State/ZIP: S P�, ` 4 „k I a 7 72 le/ Existing: Phone: (56,3) 2371 6 /Cs Fax: ( ) + New: 4 APPLICANT O.-CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: 4 G PPS G P C.40,..,<- • Structural plan review fee (or deposit): Contact name: s� SC k .w e S S / ,t FLS plan review fee (if applicable): Address: 272 . S c („,,,. �/Y� Total fees due upon application: City /State /ZIP: p _. J1 2 ?72 e)' i ?72 Amount received: Phone: (6 Z.5 g02 Fax:: ( ) / PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E -mail: e Sc L,,:- s S 1L Pc' GC •Gam.,... Commercial and residential prescriptive installation of CONTRACTOR roof -to.. : ted Photovoltaic Solar P:i el System. Business name: Z p s, Submit two (2) ; s of roof plan wi connection details and fire department .. ess, along , ith the 2010 Oregon its Address: Solar Installation Speci. , Cod checklist. City /State /ZIP: 5,...--c--- ��� � � Perm fee (includes p review $180.00 and administr.tiv- ees): Phone: ( ) Fax: ( ) State surcharge (12% . permit fe• • $21.60 CCB tic.: ,s3' 6 7 Total fee due u .on application: $201.60 Authorized signature: This permit applic: ion expires if a permit is not obtained �v � — within 180 day . fter it has been accepted as complete. Print name: �— ° Date: ? { Fee methodology set by Tri- County Building Industry l G ti,QuS,� �2 - / cy. �tJ Service Board l: \Building \Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(I I/02 /COM/WEB) 111114 4 Building Division Development Code Provision Review TIGARD Commercial Projects - No Associated Land Use Case Building Permit No: 3 t P do 1 -Da 3 o q lid Expedited Review Project Name: �oo b l , LL Site Address: / % ?O `d to 4 - 6 - r r = 1 Y , Suite /Bldg #: Plans Routed: Original Plan Submittal Date: Pa - ID -! 3 Routed By: 1" Revision Submittal Date: Routed By: 2 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 eller'4 (ia nes at (503) 718 -x or G11 ery I L @tigard - or.gov) Proposal: Pero JP-I o -F 'i r-i -Ee. A w -e n W ak . '�iG�4: ' % 04 2�d i n47 e h'�-YW do O r-t -cu.— se c....-p-;-11 p bu r p o S e S .. Iv v -ey,leri 0.- W o Ac... isto p cL. Zoning G - G Permitted Use Yes g No ❑ Land Use Required: Yes ❑ No ii , Notes: Approved ❑ Not Approved ❑ DCPR Not Required - No DCPR Fees Due ate Routed to Building: la - I o -(3 I: \CURPLN\Masters\Development Code Provision Review\DCPR_COM_NoLandUse.doc Rev. 01/16/13 1 Building Division Over- The - Counter (OTC) Building Permit T [GAR D Check List Project Description: l APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION Class of Work *: - Occupancy Group: M Type of Construction: '?C- Type of Use * *: e_erikil Occupancy Load: Oregon Specialty Code: 22(' SPECIFICS Number of Stories: 1 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 Extenor Walls: Openings Protected: Firewall Separation: N: S: N: S: Occupancy Separation: E: W: E: W: Access. Parking Spaces: REQUIRED ITEMS Fire Sprinklers: ) Fire Alarms: ( Smoke Detectors: Parapet: Manual Pull Stations: Protected Corridors: Total Project Valuation: $ 2 ;6 FEES DUE $ 70, Op DC Prov Rvw, COM TI'— Ping $ Q OS) DC Prov Rvw, COM TI — LRP DC Provision Review Fee for COM TI (effective 7/1/2013) $ r i1 „ Permit Fee — Add, Alt, Demo Project Valuation Planning LRP $ AD , . 12% State Surcharge Up to $4,999 $0.00 $0.00 $ (8 Plan Review, Structural $5,000 - $74,999 $70.00 $10.00 $ p7 ,- 7 ---- c , Plan Review, Fire Life Safety $75,000 - $149,999 $174.00 $26.00 $ Info Proc /Arch, Lg (over 11x17 $2.00) $150,000 and over $278.00 $41.00 $ e), CO 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: $ l 040.67 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: \Budding \ Forms \OTC BUP.docx 07/01/2013 , Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13920 SW PACIFIC HWY, TIGARD, OR, 97223 Commercial - Building 299 Final inspection 2014-01-29 00:00:00 BUP2013-00304 PASS - No C of O Violation Summary: Inspector Contractor