Permit CITY OF TIGARD BUILDING PERMIT
g . COMMUNITY DEVELOPMENT ; Permit#: BUP2015 00176
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 /� ' Date Issued: 07/08/2015
r/ay Parcel: 2S113AA00400
Jurisdiction: Tigard
Site address: 16300 SW 72ND AVE B3
Project: Stout Tanks Subdivision: ROSEWOOD ACRE TRACTS Lot: C
Project Description: Racking. 9/21/15:Reprinted permit to show change of address from 16250 SW 72nd Ave to 16300 SW 72nd Ave.
Contractor: NORLIFT OF OREGON INC Owner: PACIFIC REALTY ASSOCIATES
PO BOX 68348 ATTN: N PIVEN
PORTLAND, OR 97268 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-519-3043 PHONE:
FAX: 503-632-7178
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations, 07/08/2015 $241.01
' Demolition
Occupancy Grp: S-1 Occupancy Load: 12%State Surcharge-Building 07/08/2015 $28.92
Dwelling Units: 0 Plan Review 06/22/2015 $156.66
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 06/22/2015 $96.40
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 07/08/2015 $4.00
Value: $10,948 11x17)
Info Process/Archiving-Sm$0.50(up to 07/08/2015 $5.00
11x17)
Floor Areas: Misc Administration Fee 09/21/2015 $45.00
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $576.99
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 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 co• .f the rules o •irect questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Perm ittee Signature: C1
Call . 75 by 7:00 a.m.for the next available inspection d
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.
CITY OF TIGARD BUILDING PERMIT
tit COMMUNITY DEVELOPMENT Permit#: BUP2015-00176
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/08/2015
Parcel: 2S113AA00400
Jurisdiction: Tigard
Site address: 16250 SW 72ND AVE B2
Project: Stout Tanks Subdivision: ROSEWOOD ACRE TRACTS Lot: C
Project Description: Racking.
Contractor: NORLIFT OF OREGON INC Owner: PACIFIC REALTY ASSOCIATES
PO BOX 68348 ATTN: N PIVEN
PORTLAND, OR 97268 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-519-3043 PHONE:
FAX: 503-632-7178
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations, 07/08/2015 $241.01
Demolition
Occupancy Grp: S-1 Occupancy Load: 12%State Surcharge-Building 07/08/2015 $28.92
Dwelling Units: 0 Plan Review 06/22/2015 $156.66
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 06/22/2015 $96.40
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 07/08/2015 $4.00
Value: $10,948 11x17)
Info Process/Archiving-Sm$0.50(up to 07/08/2015 $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 $531.99
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 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 copy of the r - • direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: - ••' ee Signature:
C -7'4175 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 compl on of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial FOR OFFICE USE ONLY
1111 • City of Tigard t k IVET' Received w . PermitNo.� 7•13125 SW I tall Blvd.,Tigard,OR 972 ` Plan Revie �1 •
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : �Ia�. Q Other Permit:
T I G R D 2 Inspection Line: 503.639.4175 Date Read'.y: turic: El See Page 2 for
Internet: www.tigard-or.gov 2 '2.M Notified/Method: / , /�/5 Supplemental Information
G WI ri(rPrb1 4 P
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 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 5d Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling El Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family
Number of bedrooms:
❑Master builder ®Other: Rt o ale,,\ 9,0k Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: \LO,Sb SA)., , la N-,A NIe New dwelling area: square feet
City/State/ZIP: TVANCAy4 r 6R. Ci'1aae4 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 0 'Tanks Covered porch area: square feet
Cross street/directions to job site: jw l a,ri t-o O'reikon 1ms\0eSI Deck area: square feet
'RANA_ 1 . Po F AV.(' W Cum{b 1 c. Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I 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.
r Valuation: S (4-7
A��n�4 kw, 61 kc� CGC__;n j I U 1 �D
.%nsk
Existing building area: ^y,IJ 000 square feet
New building area: d,I J Q ) square feet
❑ PROPERTY OWNER 21 TENANT Number of stories: 1
Name: 0,.k -10,rks % K 4k 14,1 Type of construction: C tlnC.reAe A; -v?
Address: I to p_50 S.k.AJ • -7n r& 1Vre Occupancy groups:
City/State/ZIP: p6,r.\via'Yl , . o i 1c_i Existing: J -2
Phone:( �}?J) 3 _ S go Fax:( ) New: S-.-
lig APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
, `A (Please refer to fee schedule)-
Business name: `W fr`�k. 6 c O "f�
� Structural plan review fee(or deposit):
Contact name: S(N'1 C
—
FLS plan review fee(if applicable):
Address: ,3-7 3 S.L , ill, `6L16.v,1i i f i_v?f-coo L..la
City/State/ZIP: '7�A�„ci t(^C Ck 1 as v Total fees due upon application:
Phone:(S 03) S 1 l' - 3 pt{3 Fax::( )
Amount received:
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
,�ason.e Work►.cl-o�r . c6r,
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Aka 7 - <r
, Submit two(2)sets of roof plan with connection details
� ' �S lL,J and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lie.: /� -707.'7 4f
1 Total fee due upon application: $201.60
Authorized signature: ls4,Ir— V��V This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: detS S-fee le Date: (.,._ac? -is. * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-461 3T(I 1/02/COM/WEB)
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
16300 SW 72ND AVE B3, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00176
Chip Barnett
Violation Summary:
Inspector Contractor