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Permit CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2016-00028 . * 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/27/2016 Parcel: 2S 101 AC01600 Jurisdiction: Tigard Site address: 7150 HAMPTON ST 201 Project: EBS Associates Subdivision: None Lot: None Project Description: Existing tenant expanding into adjoining space. Contractor: HOWERY CONSTRUCTION LLC Owner: NEIMEYER, JOHN 7735 SW BAYBERRY DR 15 82ND DR STE 210 ALOHA, OR 97007 GLADSTONE, OR 97027 PHONE: 503-312-2730 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 01/27/2016 $586.19 Demolition Occupancy Grp: B Occupancy Load: 83 12%State Surcharge-Building 01/27/2016 $70.34 Dwelling Units: 0 DC Provision Review,COM TI-Ping 01/27/2016 $88.00 Stories: 2 Height: 0 It Plan Review 01/27/2016 $381.02 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 01/27/2016 $234.48 Value: $37,000 Info Process/Archiving-Lg$2.00(over 01/27/2016 $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 $1,364.03 Required: Required Items and Reports(Conditions) Fire Sprinkler: No 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 Notificatio 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 50 1987 or 1.800.332.2344. Issued By: ermittee Signature: ' Call503. by 7:00 a.m.for the next available inspection dat 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 FOR OFFICE USE ONLY d �j City of Tigard M) ReceiveDate/13v: / A9 BEOEN 111.. Permit No.: �!(0-090 13125 SW Hall Blvd.,Tigard,OR 97223 ��� Plan Review a Phone: 503.718.2439 Fax: 503.598.196 Date/By' Other Permit: B a Inspection Line: 503.639.4175 AN 2 7 NAA Date Read )uris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: /p1767 7 Supplemental Information TYPE OF ?*1114 1 ,'4 REQUIRED DATA:I-AND 2-FAMILY DWELLING Permit fees*are based on the value of the work performed. ❑New construction ❑ Demolition 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. $ ElI-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: New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED;DATA:COMMERCIAL-USE CREC;KLIST 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 DEJCIIPTION OF yypgl{ work indicated on this application. "T11,10 -r G Valuation: $ 7,rc,�r� t: Existing building area: ( square`feet New building area: square feet PROPERTY OWNER [] TENANT Number of stories: Name: 042_ (#4%)f-4 �W_pSj'%!5Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:60;) Z3L..L.�` Fax:(5;6-3 "1 (Z New: A>� 'LIC ANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: 1 Please refer to fee schedule Z Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application: Phone:9-5) Fax: :(50 Amount received: E-mail: A e� t �? 4k PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: '� � Submit two(2)sets of roof plan with connection details —1 -- and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: � �' a Permit fee(includes plan review $180.00 and administrative fees): Phone: j 2 `2 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: Cj� Total fee due upon application: $201.60 Authorized signatureThis permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: t"tip Date:2 * Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Division Over-The-Counter (OTC) Building Permit � Check List Project Description: I 1 APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION Class of Work*: Occu anc Group: Type of Construction: Type of Use**: Occupancy Load: Oregon Specialty Code: SPECIFICS Number of Stories: Building Height: Mixed Use: Number of Dw Units: I 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 Side and Setback-Left Side and Setback-Front Side and Setback-Right Side and 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: Fire Alarms: Smoke Detectors: Sp rinkler 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: $ 6 ., 1 $ Gam^) DC Prov Rvw,COM TI-Ping $ ,( Permit Fee-Add,Alt,Demo DC Provision Review Fee for COM TI(effective 7/1/2015) $ , 12%State Surcharge Project Valuation $ © Plan Review,Structural Up to$4,999 $0.00 $ Plan Review,Fire Life Safety $5,000-$74,999 $88.00 $ Info Proc/Arch,Lg(over 11x17$2.00) $75,000-$149,999 $220.00 $ Info Proc/Arch,Sm(up to 11x17$0.50) $150,000 and over $351.00 $ Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee $ Other: $ Other: $ Other: Building Staff $ Other: Date/Time: $ �3 ©�' 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\Foffns\OTC-BUP-070115.docx City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT s Building Permit Review — Commercial - No Land Use Building Permit #: &&/( a Site Address: ]JSO Sl I "amn a. _ Suite/Bldg#: 201 Project Name: abs A550G1 a+e.5 (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: -rY+ w 04i(p- n+e ."1I n c� d ne -�fa.l n fl CS S C on Existing Business Activity Proposed Business Activity: i C"( , SZ Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: ❑ Yes �o Zoning. M V P /Permitted Use: 1:1 Yes E] No ❑ Spec Space Q Confirm no land use required. Business License: Exists: ❑ Yes 5No,applicant notified to obtain business license Notes: Approved by Planning: � Date: Z-? 16 1 Tf\ -1Revisions (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: J �0 Site Plans: Building Plats: Building Permit#: er building permit#above. �,�� Workflow Routing. anning El Permit Coordinator LTliutldtng Workflow Sign-off: ❑ Si - f for Planning(include notes from planning review) Route Application Documents: Building. original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_070915.docx Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved, NOT Released: Date: 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: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: 1:\Building\Forms\B1dgPecmitRvw_COM_NoLandUse_070915.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 7150 SW HAMPTON ST 201, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - C of O BUP2016-00028 Chip Barnett Violation Summary: Inspector Contractor