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Permit (220) RECEIVED . _. .. City of Tigard . COMMUNITY DEVELOPMENT DEPARTMENT , JAN 1 0 2018 Request for Permit Action .fiGA.R p 1312.._ SW Hall B]vd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.04JUIlll\iG DR/iSK)N ..-.-. .. ,, TO: CITY OF TIGARD ‘ 0 1 L ....4% Building Division .. 13125 SW 1-jail Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPerrnits@tigard-or.gov FROM: Fr- Owner P Applicant 24•Contractor ___ City Staff Check(V)one REFUND OR Name: INVOICE TO: (Business or Individual) — - Car c_-ran. I rtz (-) c,(.._ Mailing Address: 5 .''' LI -Pad ry-t-e„,r 0 Ccruct City/State/Zip: 13,30-f-v(d &A 306 i Phone No.: 1-7 D-c145 - /116 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (V): U CANCEL,ATOID PERMIT APPLICATION. Al REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). i 1 INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). REMOVE/REPLACE CONTRACTOR ON PERMIT(do not cancel permit). Permit#: ELI P ia 01 to - 6)03 D o Site Address or Parcel#: —7 35Sj 5 vi IDUr)(Nam 12,d -Portland_ 012 9 1 aDA-1 Project Name: e-VS Co f a-rn Subdivision Name: Lot#: EXPLANATION: ppoje-tr tLrs , --) ,------- i 7) Signature: ----TA* -","41k. Date: iiitc>/tE5 Print Name: Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: * Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will he returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. -' , ''.:".' ' ' FOR OFFICE USE ONLY It It Route to Sys Admin: Date .'.._?`" By,_ 7, Route to Records: Date.... .7.....z. / By •,—r Refund Processed: Date, ' 7/ef- ' ,C--ii Invoice Processed: Date __ By Permit Canceled: Date 42 //k- By Parcel Tag Added: Date By I:\Buildmg\Fonns\ReciPenniLAction-692314doc N1 • II1 • TIGARD City of Tigard March 1, 2018 Asa Carlton, Inc. Attn: Todd Swords 5224 Palinero Court Buford, GA 30518 Re: Permit No. BUP2016-00320 Dear Applicant: The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the following: Site Address: 7358 SW Durham Rd. Project Name: CVS Coram Job No.: N/A Refund Method: ® Check#227679 in the amount of$1,897.41. ❑ Credit card"return"receipt in the amount of$ Note: Please allow 2-5 days for this refund transaction to be credited to your account by the company that issued your card. ❑ Trust account"deposit"receipt in the amount of$ Comment(s): Per applicant's request as job was cancelled. Refund 80% of permit fees. If you have any questions please contact me at 503.718.2430. Sincerely, 'Cl2;c212,--,e—,---,---e____ Dianna Howse Building Division Services Supervisor Enc. 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov e CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2016-00320 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/13/2016 Cin .J g Parcel: 2S113AB01400 Jurisdiction: Tigard Site address: 7358 SW DURHAM RD Project: Coram Subdivision: None Lot: None Project Description: TI for existing tenant:Clean room remodel. Contractor: ASA CARLTON INC Owner: PACIFIC REALTY ASSOCIATES LP 5224 PALMERO COURT ATTN: N PIVEN BUFORD, GA 30518 15350 SW SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 770-945-2195 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 12/09/2016 $1,824.71 Demolition Occupancy Grp: B Occupancy Load: 10 12%State Surcharge-Building 12/09/2016 $218.97 Dwelling Units: 0 Plan Review 11/08/2016 $1,186.06 Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 12/09/2016 $357.00 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 12/09/2016 $729.88 Value: $218,716 Info Process/Archiving-Lg$2.00(over 12/09/2016 $38.00 11x17) Metro Const.Excise Tax 12/09/2016 $262.46 Floor Areas: Total Area: 996 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $4,617.08 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: Permittee Signature: r Call 503.639.4175 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. t Building Permit Application Commercial FOR OFFICE USE ONLY A7.' City of Tigard Received f �0 permit No. �J / , 111 _ ° 13125 SW Hall Blvd.,Tigard,OR 97223 DateBy: J W �,J /(Q ���} �( Plan Re thew lip ix Phone: 503.718.2439 Fax: 503.598.1960 �1� ♦ l^ Other Permit: Cl '� Date/By: I TI GARD inspection Line: 503.639.4175 At�V [t pate Ready"•. Juns E See Page 2 for Internet: www.tigard-or.gov `v •.iq ` ified/Method:/o ! %(', -"Z. Supplemental Information 1 ‘ gk k4 lJ 00. ..-r_ -iN. 11 :rid" �k,. kg'.` n -zi , u k �- 0,-eir �s f_4,, �`f €t 1 D - ��Al '1C--z� ❑New construction ❑Dem �� ,£ 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 t r work indicated on this application. y _ iii �... t^, ." _Tr - _. P w ,� a " ❑ 1-and 2-famil Y dwellingValuation: $ ®Commercial/industrial EIAccessory building E Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: �t ,sl� it ll"teiT ilio Io 4 Total number of floors: Job site address:7358 Southwest Durham Road New dwelling area: square feet City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:CVS Coram Clean Room Covered porch area: square feet Cross street/directions to job site:SW Upper Boones Ferry Road Deck area: square feet Other structure area: square feet Subdivision: Lot no.: Permit fees*are based on the value Jof the work performed. Tax map/parcel no.:2S113AB01400 Indicate the value(rounded to the nearest dollar)of all t * a equipment,materials,labor,overhead,and the profit for the it _-_ a ,roa�,i,,.D ,) xO - r ;;ig ,. - work indicated on this application. Interior Remodel of Existing Clean Room Valuation: $218,716.00 Existing building area: 9964 square feet New building area: 996 square feet ' Iq i � . � i` ' ! � INumber of stories: 1rte.,. _ ._ Tw , v ,, . P _ , - Name:PacTrust Type of construction: Address:15350 SW Sequoia Parkway,Suite 300 Occupancy groups: City/State/ZIP:Portland,OR 97224 Existing: commercial Phone:(503)320-3285 Fax (503)624-7755New: commercial !_e'-,,;.,--'!' -'16.-741w. ,r .M�i9�,�,. awl.„.-� .`w? 1t —15 1& 1 ,,2 1-t�.`ai l✓ �rya4 X gBusiness name:Asa Carlton,Inc - O ;--aa 1'11_ a""y" f Structural plan review fee(or deposit): Contact name:Andy Carter _ FLS plan review fee(if applicable): Address:5224 Palmero Court City/State/ZIP:30518 Total fees due upon application: Phone:(770)945-2195 Fax::(770)945-5640 Amount received: nam` s a `1filglb kl f t. il*AC�ar-r .sru.SE�,�''.6i�i`°4 E-mail:acarter(a�asacarlton corn t H i ' Commercial and residential prescriptivetive installation of t� � mfr � r rn _ t t*„ ." : ._ )' - - roof-top mounted Photovoltaic Solar Panel System. Business name:Asa Carlton,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:5224 Palmero Court Solar Installation Specialty Code checklist. City/State/ZIP:Buford,GA 30518 Permit fee(includes plan review $180.00 and administrative fees): Phone:(770)945-2195 Fax:(770)945-5640 State surcharge(12%of permit fee): $21.60 CCB lic.:192749 1/13/ 7 1111 Total fee due upon application: $201.60 Authorized signature:(-------- This permit application expires if a permit is not obtained G — within 180 days after it has been accepted as complete. Print name:Nathan Artman Date:11/4/2016 * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) A Irl Building Division �'� Accessibility: Barrier Removal Improvement Plan TIGARD REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation,alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). VALUATION: Total of all renovation,alteration or modification being done, eo excluding painting and wallpapering: [1] $ ail(i i(D MULTIPLIER(25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 514 041 ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ (b) An accessible entrance: $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom .r -. . ex or . mgle unisex restroom: $ (e) Accessible telephon s: b \ ' $ Accessible d.i t* f.. tains: and, $ (f) g (g) When pos . e,additional accessible elements such as storage and alarm : $ TOTAL(shall equal line [2] of Valuation Computation): $ I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011 1 City of Tigard IIIa COMMUNITY DEVELOPMENT DEPARTMENT T l c R D Building Permit Review — Commercial - No Land Use Building Permit #: ti /(0, ,003)0 Site Address: 7 3 Sq, .&V/ /r)i 01 vh _ Suite/Bldg#: Project Name: C V S (.,,rim CI eOv1 (1,00 (In (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: n i-eira7 1 TT Existing Business Activity: V0 ni yYttrfi1 cJ. Proposed Business Activity: CO yr Verify site address/suite#exists and active in permit system. 0-River Terrace Neighborhood: ❑ Yes A No Zoning: I •- rr Permitted Use: ❑ Yes 10 No ❑ Spec Space X. Confirm no land use required. /f Business License: Exists: ❑ Yes ❑ No,applicant notified to obtain business license Notes: Approved by Planning: MAO ✓iPi.. 6 i 10nt notified Date: 1 1 l g/ I Revisions (after Building Submittal only) Reviewer Date Revision 1: E Approved ❑ Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: ❑ Approved 0 Not Approved Building Permit Submittal Original Submittal Date: /� int/ Site Plans: # 4(4 Building Plans: # Building Permit#: tenter building permit#above. -- Workflow Routing: [4-Planning "t Coordinator © Building Workflow Sign-off: [ St -off for Planning(include notes from planning review) Route Application Documents: Wig: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: —Z3,„„.— By Permit Technician: —. e,�.-..�..,, `� - Date: >t/"7/ (,, I:\Building\FormsABldgPermitRvwCOM NoLandUse 060116.docx t v 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: DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A Tigard Trans SDC: 0 Yes r t\/A Parks SDC: 0 Yes /A �'OK to Issue Permit I%Approved by Permit Coordinator: Date: `� q y� I:\Building\Forms\BldgPermitRvw_COM NoIandUse_070915.docx ASA CARLTON INC 5224 PALMERO COURT BUFORD GA 30518 CCB LICENSE 192749 CONSTRUCTION CONTRACTORS BOARDa 4 POCKET CARD RESIDENTIAL BOND NONE.' LICENSE NUMBER:192749 COMMERCIAL BOND_$20,000 EXPIRATION DATE:01/13/2017 fold and detach INSURANCE:$1,000 000/$2,000,000 " ENTITY TYPE:Corporation along INDEP CONT.STATUS;NONEXEMPT ENDORSEMENT(S):Cornrnerc al General Contractor Level 2 perforation RMI.NATHAN ROY ARTMAN HOME"INSPECTOR CERTIFIED:NO ASA CARLTON INC 5224 PA1 MERG COURT �I C7 .V BUFORD GA 30518 LICENSr. E CARD I!.1IIII 1 II11 " III ' 11 STATE.OF OREGON NO COSTRUCTIN CONTRACTORS BOARD LICENSE C.iwRT1.FICATE . , LICENSE NUMBER: 192749 This document certifies that: ASIS-CARLTON INC 5224 PALMMERO COURT BUFORD GA 30518 is Iioensed in accordance with Oregon Law as a Commercial General Contractor Level 2. 11 License Details: EXPIRATION DATE: 01/13/2017 ENTITY TYPE: Corporation INDEP. CONT. STATUS: NONEXEMPT RESIDENTIAL BOND: NONE COMMERCIAL BOND: $20,000 ± ' INSURANCE: $1,000,000/$2,000,000 RMI-NATHAN ROY ARTMAN i f _ HOME INSPECTOR CERTIFIED: NO TYPE OF BUSINESS: LICENSE NO: 01526 GENERAL CONTRACTOR EXPIRES: 12/31/2016 BUSINESS NAME: ASA CARLTON INC BUSINESS PHONE: 7709452195 BUSINESS ADDRESS: 7358 SW DURHAM RD TIGARD, OR 97224 THIS RECEIPT MUST BE POSTED IN A CONSPICUOUS PLACE AT THE BUSINESS ADDRESS AND IS NOT TRANSFERABLE If you have any questions about your Business License Receipt or doing business in Tigard, please contact the Business License Specialist at (503) 718- 2487. NOTE: The Tigard Municipal Code 7.24.120(4) has imposed reasonable restrictions on "Door-To-Door" solicitation and canvassing, commercial and non-commercial within the city limits of Tigard. The Tigard Municipal Code 7.52.080(a) restricts the selling of goods or services in any city parks. A Business License Receipt does not imply city approval or endorsement to operate the business or the location of the business. ASA CARLTON INC 5224 PALMERO CT BUFORD, GA 30518 10/14/2016 CCB Contractor Search `"slate A iv 4onstruction Contractors' Board CCB License Summary: ASA CARLTON INC About this Business License #: 192749 (See also : N/A ) Status: Active First Licensed: 1/13/2011 Learn more about this business Unpaid Debt (Covers past 10 years) Unpaid Claims © $0.00 Unpaid Civil Penalties $0.00 Complaint History (Covers past 10 years) Any complaints (claims) filed against this contractor? No Disciplinary History (Covers past 10 years) Any civil penalties or other sanctions (license No suspensions)? Has the CCB ever suspended this contractor for lack of No bond/insurance? Find License Information from Other Agencies Plumbing and Electrical Licenses Building Codes Division Landscape Businesses Licenses Landscape Contractor Board Workers' Compensation Insurance Department of Consumer and Business Services BACK BACK TO CCB HOME I BACK TO SEARCH ©2016 Oregon Construction Contractors Board https://www.ccb.state.or.us/search/search result.aspx C vS Comm m P0' "t61 1/1