Permit r q CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2015-00005
T EGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/13/2015
Parcel: 2S 113AB00101
Jurisdiction: Tigard
Site address: 16101 SW 72ND AVE 140
Project: Perlo Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: TI- demolition,new walls,doors,relites&cabinetry.
Contractor: PERLO CONSTRUCTION LLC Owner: PACIFIC REALTY ASSOCIATES LP
16101 SW 72ND AVE SUITE 200 ATTN: N PIVEN
TIGARD, OR 97224 15350 SE SEQUOIA PKWY#300
PORTLAND,OR 97224
PHONE: 503-624-2090 PHONE:
FAX: 503-639-4134
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 01/13/2015 $75.00
Occupancy Grp: B Occupancy Load: 41 DC Provision Review,COM TI-LRP 01/13/2015 $11.00
Permit Fee-Additions,Alterations, 01/13/2015 $674.35
Dwelling Units: 0 Demolition
Stories: 2 Height: 0 ft 12%State Surcharge-Building 01/13/2015 $80.92
Bedrooms: 0 Bathrooms: 0 Plan Review 01/13/2015 $438.33
Value: $45,000 Plan Review-Fire Life Safety 01/13/2015 $269.74
Info Process/Archiving-Lg$2.00(over 01/13/2015 $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 $1,557.34
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. 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.
•
Issued By: Per -. '.nature: —. •/
L"'- 5 by 7:00 a.m.for the next availab spection 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 RECEIVED I.Olt OFFICE USE ONLY
City of Tigard Received n
y Tigard A Permit No.:
i • 13125 SW Hall Blvd.,Tigard,OR 97223 q Plan Review
� �
� r
Phone: 503.718.2439 Fax: 503.598.1960JAN 13 2015 Date/B : l' ) `I% Other Permit:
l I c lit 1 Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
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.
❑ 1-and 2-family dwelling ®Commercial/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:16101 SW 72sd Ave New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:140 Project name:Perlo Construction Covered porch area: square feet
Cross street/directions to job site:Cross street:SW Upper Boones Ferry Road Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lit ne.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Work to include demolition,new walls,doors,relites and cabinetry. Valuation: $45,000.00
Existing building area: 1050 square feet
New building area: 1050 square feet
❑ PROPERTY OWNER ® TENANT Number of stories: 2
Name:Elissa Looney Type of construction: II
Address:16101 SW 72od Ave,Suite 200 Occupancy groups:
City/State/ZIP:Tigard,OR 97224
Existing: B
Phone:(503)264-2090 Fax:( ) New: B
0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Mackenzie (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Lauren Rohde
FLS plan review fee(if applicable):
Address:1515 SE Water Ave Suite 100
City/State/ZIP:Portland,OR 97214
Total fees due upon application:
Phone:(503)224-9560 Fax::(503)228-1285
Amount received:
E-mail:Irohde @mcknze.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Perlo Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:16101 SW 72vd Ave,Suite 200 Solar Installation Specialty Code checklist.
City/State/ZIP:Tigard,OR 97224 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)624-2090 Fax:(503)639-4134
State surcharge(12%of permit fee): $21.60
CCB lic.:189245
Total fee due upon application: $201.60
Authorized signature �/V✓V`� # This permit application expires if a permit is not obtained
Vl� within 180 days after it has been accepted as complete.
Print name:Lau ohde f Date:01/13/2015 I * Fee methodology set by Tri-County Building Industry
Service Board.
l:1BuildingWermits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
I • Building Division
Over-The-Counter (OTC) Building Permit
!AGAR') Check List
Project Description: 1 t
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: 2[ Occupancy Group: Type of Construction: 2
Type of Use**: r r7(, Occupancy Load: Oregon Specialty Code:
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: le, 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: $ 5/ FEES DUE
$ , ° • DC Prov Rvw,COM TI—Ping
$ at DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI (effective 7/1/2014) $ ap A al Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ I%rii 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ IV,I. ,�j "lan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ MI& Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ r Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $299.00 $44.00 $ _ 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:
$ Other:
Building Staff: $ Other:
Date/Time: $ TAL 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;
0.111.=other(use for fences,decks,retaining walls,signs,awnings or canopies).
I:\Building\Forms\OTC_BUP_070114.docx
City of Tigard
11114 •
0
COMMUNITY DEVELOPMENT DEPARTMENT
TI G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: l Pc9_0 j 5 — V5
Site Address: /(?101 7Z Suite/Bldg#: /4/0
Project Name: Pevfo rj'?J 74i
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review m/_ +
Proposal: ex��nsvii /� ,s-t r7 1K) tell')SX T 7 L7�7/Ge S/2/1 C_e -•
Existing Business Activity: 6.-e--Proposed Business Activity: a �e-
Verify site address/suite #exists and active in permit system.
Zoning: 79
tted Use: �---Yes ❑ No ❑ Spec Space
Confirm no land use required.
Notes:
Approved by Planning: /��/ Date: ///*204—
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: /43/'r
Site Plans: # 5
Building Plans: # 3
Building Permit#: OPEnter building permit#above.
Workflow Routing: (Planning rilding
Workflow Sign-off: ��' tgn-off for Planning(include notes from planning review)
Route Application Documents: IEF Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technicia Date: //4/46P--
L\Building\Forms\BldgPermitRvw_COM_NoLandUse_071514.docx
Permit Coordinator Review
❑ Conditions Mct-Prior to Issuance of Building Permit
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
El OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\B1 dgPermitRvw_COM_NoLandUse_071514.docx
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
16101 SW 72ND AVE 140, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - C of O
February 25, 2015 at 8:50:55
AM
BUP2015-00005
Chip Barnett
Violation Summary:
Inspector Contractor