Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP201500041
T f G AR P 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/09/2015
Parcel: 2S113AD01800
Jurisdiction: Tigard
Site address: 16770 SW 72ND AVE B14
Project: Jones Sports Company Subdivision: ROSEWOOD ACRE TRACTS Lot: PTS 5-1,
Project Description: 576 sq.ft.of racking with storage 12 ft.high.
Contractor: ABOVE ALL INSTALLATIONS LLC Owner: PACIFIC REALTY ASSOCIATES
15752 SW 82ND AVE ATTN: N PIVEN
TIGARD,OR 97224 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-969-2506 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 03/09/2015 $104.12
Occupancy Grp: S-1 Occupancy Load: 1 Demolition Stte
12/o State Surcharge-Building 03/09/2015 $12.49
Dwelling Units: 0 Plan Review 02/25/2015 $67.68
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 03/09/2015 $2.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $2,000 Info Process/Archiving-Sm$0.50(up to 03/09/2015 $5.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $191.29
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 work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow '1L es 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 o = or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / Permittee Signature: /
a i .639.4175 by 7:00 a.m.for the next available 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.
Building Permit Application
Commercial �``I�D I (11: (/I I It I I `,I 11\I 1
14 • City of Tigard 'eG V1'1 Permit No.:
13125 SW Hall Blvd.,Tigard,O 97223 1. 15 f �
Plan Re . ` �^ ` (• •
I Phone: 503.718.2439 Fax: 503.598. R° Date/B : �i r11W `�' • ` Permit:
1.l
G_ �,1� Inspection Line: 503.639.4175 F-�\(j,P `ON Date Ready: : ® See Pate 2 for
Internet: www.tigard-or.gov r`,n/ 0. O`\AS Notified/Method: / ;lira ) Supplemental Information
`gyp` \Nl? ®+w , .H A-444)1/4
TYPE a ORK 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: S
❑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: 16770 SW 72vd Ave New dwelling area: square feet
City/State/ZIP:tigard OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Jones-Q:1E1mo" :5-p6,a- 43rAF0/41-- 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.
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.
576 SQFT of racking with storage 12'high or less Valuation: $$2,000.00
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Pactrust Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:(503)624-6300 Fax:( ) New:
0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES'
Business name:Toyota lift
Meese"�°arla<x4•raalg►
Structural plan review fee(or deposit):
Contact name:Joseph krawiecki i
-3 }
N-t3 � FLS plan review fee(if applicable):
Address:12001 SE Jennifer ST eb( 37( t
Total fees due upon application:
City/State/ZIP:Clackamas OR 97015 A7,
Amount received:
Phone:(503)522-9900 Fax::( ) .
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:Aboveall installations Submit two(2)sets of roof plan with connection details
Address:16200 SW pacific Highway Suite H179 and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
Permit fee(includes plan review
City/State/ZIP:Tigard OR 97224 and administrative fees): $180.00
Phone:(503-) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:165874 ` Total fee due upon application: $201.60
This permit application expires if a permit Is not obtained
Authorized signs within 180 days after it has been accepted as complete.
• Fee methodology set by Tri-County Building Industry
Print name: s\os J r w(��/ Date: �/.3/i5 Service Board.
I:1Building\Permits\BUP-COM PermitApp.doc ,
tApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
fMatr
7409 SW Tech Center Dr,Ste. 145
Tigard,OR 97223
"r`g" Ph:503-443-3799 Fax:503-620-2748
US,Mi.lift'
503,443.3799 Special Inspection
Final Report
Date: 3-11-15 Job 15-5459-D05
Permit#BUP-2015-00041
Mail To: Project:
TOYOTA LIFT NORTHWEST JONES GOLF BAGS
12001 SE JENNIFER ST 16770 SW 72ND AVE
CLACKAMAS, OR 97015 TIGARD, OR 97224
To Whom It May Concern:
ACS Testing, Inc. attests that their inspectors performed special inspection(s)on a continuous and/or
Periodic basis as required by the specific jurisdiction and/or IBC. Special inspection(s)were performed
For the following:
Proprietary Anchors-Expansion
Based on personal observation, inspection and reports reviewed by me for the above project, I attest on behalf
of ACS that work was performed to the best of my knowledge, in accordance with approved plans,
specifications,and the applicable codes and standards for the jurisdiction.
Approved by:
Bob Brown/President
BB/SA
•
./AI srii;;/' Proud to be Nationally Accredited by International Accrediting Service
ACCREDITED