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Permit (84)
CITY OF TIGARD BUILDING PERMIT ' 4 1 ' ' COMMUNITY DEVELOPMENT Permit#: BUP2019-00138 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/04/2019 T i t'r1 Ii.I7 g Parcel: 2S112DC00201 Jurisdiction: Tigard Site address: 15865 SW 72ND AVE, BLDG#C Project: Chem West Subdivision:1HERN PACIFIC TIGARD INDUSTRIAL Lot: 3 Project Description: Demolition and remodeling new load bearing steel stud and grip board walls. Contractor: MATTHEW OLSON CONSTRUCTION Owner: PACIFIC REALTY ASSOCIATES LP 5320 SW DOVER LN ATTN: N PIVEN PORTLAND, OR 97225 15350 SW SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-892-0066 PHONE: FAX: 503-892-0067 Specifics: FEES Description Date Amount Type of Use: COM DC Provision Review,COM TI-Ping 06/04/2019 $98.00 Class of Work: ALT Type of Const: IIB Occupancy Grp: B Occupancy Load: 200 Permit Fee-Additions,Alterations, 06/04/2019 $453.95 Demolition Dwelling Units: 0 12%State Surcharge-Building 06/04/2019 $54.47 Stories: 0 Height: 0 ft Plan Review 06/04/2019 $295.07 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 06/04/2019 $181.58 Value: $25,000 Info Process/Archiving-Lg$2.00(over 06/04/2019 $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 $1,087.07 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 m-y obtain cop`% the rules or direct questions to OUNC by calli g 503 232.1987 or 1.800.332.2344. / Issued By: I� Permittee Signature: / Call 503.639.4176 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 FOR OFFICE USF O'Ll' City of TigardRECEIVED DateB a 13125 SW Hall Blvd.,Tigard,OR 97223Recded R1an Revie = Phone: 503-718-2439 Fax: 503-598-1960 JUN ® 4 2019 DateB Related Permit: TIGARD Inspection Line: 503-639-4175 Date Ready/By: Juns: II 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 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 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: 0 1-and 2-family dwelling Commercial/industrial $ 0 Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: i3 5 5 AA,' '72.1-4° New dwelling area: square feet City/State/ZIP: fo'L-, t-4 U{2._ 9 i 2114 Garage/carport area: square feet Suite/bldg./apt.#: Project name:Cl- N l Covered porch area: square feet Cross street/directions to job site: ieki 1 0 Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot#: Permit fees*are based on the value of the work performed. Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. r t Valuation: $ sLcj ek'42) , -y•+-fi=t `77 Z t Z- �7 4i(� /f�f� t`11� 04`�4`s1 (J 4i'd$_4`cam Existing building area: square feet New building area: square feet 0 PROPERTY OWNER TENANT Number of stories: Name: , 1 c -- Type of construction: Address: l `'tt...•� ‘,,c J Occupancy groups: City/State/ZIP: ey2L>`t/�eJ �rtL. �f (L e•-' Existing: Phone:( ) Fax:( ) New: APPLICANT CONTACT PERSON BUILDING PERMIT FEES* � {Please refer to fee schedule) Business name: ?�l '3 7 Y iAe p OLSZ:f} C00o5:442 i1C{! °ai l�<- i Structural plan review fee(or deposit): Contact name: At1,M� _ Address: �y� FLS plan review fee(if applicable): 7 JL j �T IFJ4dG �� Total fees dile upon application: City/State/ZIP: P /L -L 1i A(-' C i r Ci-11_2 p Amount received: Phone:(7 1) 3i 7 IL) Fax::( 5� b icf Z, t')(,-,1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: 144e,ttlt %� C��`� c`K --/O)v'teet :V.et Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: /�,f. 7rfrir T I - Submit two(2)sets of roof plan with connection details 1u � sc....)/1/43 �� hf C Its 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:( ) j / State surcharge(12%of permit fee): $21.60 CC$l fc.: 9- ' / l Lll ( Total fee due upon application: $201.60 Authorized signature: _ This permit application expires if a permit is not obtained C to` within 180 days after it has been accepted as complete. Print name: mierirDate: (��- * Fee methodology set by Tn.-County BOOT.Industry Service 1431 ard. I:\Building\Permits\BUP_COM PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) City of Tigard • BUILDING DIVISION Iii I • Over-The-Counter (OTC) Building & Fire Protection System Permit T i(,n RI) Appointment Checklist Permit Record#: k64(i aleL ?—fig/3r— Contact Name: © Phone#: 442,3 3 i 7 #2lG Business Name: I, /l. . . a7 Appt. mate/I ire: Tit /O:UUcrrct Site Address: IS-Pe 64) 7' #‘c, Bldg/Suite #: C.° - Project Name: ell t ut u r s f New Tenant? 0 Yes No Project Description: --.0,(1(1,1 __4 L.,„( kri)/►� (5 , Existing Use: New Use: MMD Required: 0 Yes ' .1.2.No Related Record#: APPLIWION SPECIFIC INFORMATION- GENERAL INFORMATION `' Class of Work: er Occupancy Group: Type of Construction: V' 1 Type of Use: Occupancy Load: 1g 0 Oregon Specialty Code: i 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: Yeti Fire Alarms: Smoke Detectors: Sprinkler Type: Alarm Type: Protected Corridors: Standpipe Required: Pull Stations Required: Parapet: Hazard Group: Battery Caks Provided: Density: Cut Sheets Provided: Design Area: K Factor: Total Project Valuation: $ Or� D . 00 s , $ • 1, DC Prov Rvw,COM TI—Ping $ 7 9 Permit Fee—Add,Alt,Demo — — -Pct Valuation —_ _ -_.;..4" roje .• , Review,Structural Up to$4,999 $0.00 $ j$ ‘c--8 Plan Review,Fire Life Safety $5,000-$74,999 $98.00 $ C J Info Proc/Arch,Lg(over 11x17$2.00) $75,000-$149,999 $243.00 $ Info Proc/Arch,Sm(up to 11x17$0.50) $150,000 and over $388.00 $ Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee $ Other: Building Staff: $ Other: 1:WdingOTC_BUP FPS 07Ot18.docz re Julie Drinkwater From: Julie Drinkwater Sent: Tuesday, May 28, 2019 3:19 PM To: 'matthewdolson@comcast.net' Cc: #Building Permit Technicians Subject: Request for OTC - 15865 SW 72, Chemwest Attachments: BUP Com.pdf Hello Matt Thank you for requesting an OTC appointment for Chemwest. The appointment is scheduled for June 4, 2019, at 10:00am. Below is an estimate of your permit fees based on the project valuation of$25,000.00. Please add the following fees based on the number of pages for one plan set: • Info Process/Archiving-Small $0.50 (up to 11x17) • Info Process/Archiving- Large $2.00 (over 11x17) 'atue(Contractor)$25,000.00 v Fee Total $1,083.07 Fee Item Quantftv ung Ent DC Provitoon Review.CCW Tt-Pim 1 Each $98.00 Permit Fee-1 Aite�rations_Demol ' i Each $453.95 Plan Review-Fire Life Safety 1 Each $181.58 Plan Review 1 Each X5.07 12%State Surcharge-8uddinq 1 Each $54.47 Here is a list of submittal items needed for an OTC plan review appointment: • Building permit application completed (see attached) including address • (3) copies of construction plans/floor plans • Contractor identified on the permit application • Funds to pay for all permit fees at the appointment. Thank you and if you have any questions, please contact the building permit technicians at TigardBuildingPermits@tigard-or.gov for a response. Julie Drinkwater Permit Technician City of Tigard Building Department 13125 SW Hall Blvd Tigard, OR 97223 503-718-2804 1 City of Tigard 111 COMMUNITY DEVELOPMENT DEPARTMENT T I c A R o Building Permit Review — Commercial - No Land Use Building Permit #: 6(/& " (3i— Site Address: [ S t5 vv 2- n r''v-. Suite/Bldg#: Project Name: C Vl e vve\ eS �- (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: `J e(Y)V GI lr) j `? b u I c&, y)Q ki (0 cl (] S w`L4 (l. Existing Business Activity: CVn nre.(:4 GJ / o (f A L Proposed Business Activity: >"O C471 i71 K Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: ❑ Yes No Vf Zoning: I .) 7 Permitted Use: jeYes ❑ No ❑ Spec Space 101 Confirm no land use required. ABusiness License: Exists: IX Yes ❑ No,applicant notified to obtain business license Notes: Approved by Planning: ;/11 - �'� Date: ')/4 l 111 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: ,� G Site Plans: # _ Building Plans: Building Permit#: in' nter building permit#above. Workflow Routing: lanning ermit Coordinatorilding Workflow Sign-off: Sign-off for Planning(include notes from/planning review) Route Application Documents: PI Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ,X47.: j��` Date: !�1��' I:\Building\Forms\BldgPermitRvwCOM NoLandUse_060 1 16.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 P 'Tax: ❑ Yes ❑ N/A Tigard Tra r DC: ❑ Yes ❑ N/A Park;"b C: ❑ Yes ❑ N/A ❑ OK to Issue Permit Approved by Perm' oordinator: Date: I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx