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Permit (2) CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Date Issued: 01/10/2012 Permit#: BUP2012-00003 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: Jurisdiction: Tigard Site address: 16195 SW 72ND AVE Project: Option Care Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30 Project Description: TI. 1/13/12,reprint to correct address. Contractor: MATTHEW OLSON CONSTRUCTION Owner: PACIFIC REALTY ASSOCIATES LP 5320 SW DOVER LN ATTN: N PIVEN PORTLAND, OR 97225 15350 SE SEQUOIA PKWY#300 PORTLAND,OR 97224 PHONE: 503-892-0066 PHONE: FAX: 503-892-0067 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee-Additions,Alterations, 01/10/2012 $1,075.83 Class of Work: ALT Demolition Dwelling Units: 0 12%State Surcharge-Building 01/10/2012 $129.10 Stories: 1 Height: 0 ft Plan Review 01/10/2012 $699.29 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 01/10/2012 $430.33 Value: $96,000 Info Process/Archiving-Lg$2.00(over 01/10/2012 $12.00 11x17) DC Provision Review,COM TI-Ping 01/10/2012 $160.00 Floor Areas: DC Provision Review,COM TI-LRP 01/10/2012 $24.00 Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $2,530.55 Required: Required Items and Reports(Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Yes 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 a • •. 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. AT TION: Oregon law,requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00 0010 through OAR 952-001- 0 You may obtain a copy of the rules or direct questions to OUNC b calli.. • .'32.1987 or 1.800.332.2344. Issue, By: Permittee-ignature: „„) i iI�1 Call 503.639.4175 by 7:00 a.m.for the next available i s• .on 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. a' . ,� CITY OF TIGARD BUILDING PERMIT °'- COMMUNITY DEVELOPMENT Permit #: BUP2012 -00003 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/10/2012 Parcel: 2S113AB00600 g 95 Jurisdiction: Tigard Site address: -46 SW 72ND AVE Project: Option Care Subdivision: COUNCIL VIEW ACRES (LOTS 21 -44) Lot: 30 Project Description: TI • Contractor: MATTHEW OLSON CONSTRUCTION Owner: PACIFIC REALTY ASSOCIATES LP 5320 SW DOVER LN ATTN: N PIVEN PORTLAND, OR 97225 15350 SE SEQUOIA PKWY #300 PORTLAND, OR 97224 PHONE: 503 - 892 -0066 PHONE: FAX: 503 - 892 -0067 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee - Additions, Alterations, 01/10/2012 $1,075.83 Class of Work: ALT Demolition Dwelling Units: 0 12% State Surcharge - Building 01/10/2012 $129.10 Stories: 1 Height: 0 ft Plan Review 01/10/2012 $699.29 Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 01/10/2012 $430.33 Value: $96,000 Info Process /Archiving - Lg $2.00 (over 01/10/2012 $12.00 11x17) DC Provision Review, COM TI - Ping 01/10/2012 $160.00 Floor Areas: DC Provision Review, COM TI - LRP 01/10/2012 $24.00 Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $2,530.55 Required: Required Items and Reports (Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Yes 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 -r. Those s are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a cop or direct questions to OUNC by calling 503.2 :87 or 1.8 . 32.2344. Issued By: /� Permittee Signature: , 03.639.4175 by 7:00 a.m. for the next availabl • spe date. i el IV This permit card shall be kept in a conspicuous place on the job site unti j •letion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application r �; RECEIVED � ` , OFFIC U SE 9 NL Y h : ,,f, } , ` ` ` '' Commercial - �. . City . of Tigard a PermitNo 44 4 - .a R Y g Deceiv r /d / Iv ' ' 13125 SW Hall Blvd , Tigard, OR 97223 IAN O �U�L Plan Review ' [ Other Permit: Phone: 503.639.4171 Fax: 503.598.19610 Date/13 . al �� Inspection Line: 503.639 4175 Date Ready/By furs El See Page 2 for •TIGARD g g CITYOFTIGARD Notified/Method:/ T y Supple Information Internet: www.ti and -or. ov BUILDING DIVISION `, . _, ,-:-,:„-:,,,,,,,-,4,-,-: TYPE OF'WORK RE` DATA Ali ' AND 2 FAMILY D '§ - �,. ,. . .� ., . _ a. P, a.:om , r .? ... .i � 4t mom, - r ❑ 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 CATEG CONSTRUCT N . l r work indicated on this application. Valuation $ ❑ 1- and 2-family dwelling mmercial /mdustral ❑ Accessory building 11] Multi-family Number of bedrooms: 111 Master builder El Other: Number of bathrooms: * , vJOB SITEOANFORMATION AND2LOCA'i'ION - ., Total number of floors: Job site address: , . , .----- ���../ 29 1 ' ✓ -P .,e__, New dwelling area: square feet City /State /ZIP: �,. �/� / _ // Of? � X Garage /carport area: square feet Suite /bldg. /apt. no.: Project nJ e: �2 j 1 /,-� 4 �� - Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIREI).DATA COtMMER CIAL VSE CHECKLIST 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 ` DE 1- SCRIPTIOhOFPWORKr ' g ',� . work indicated on this application. .' 1 . „ . W. �..:... , ,: - :b �: - , ., „„,. ,.., .. . . l 1 Valuation: $ ' Existing building area: square feet New building area: square feet r� ❑_ PROPERTY, OWNER , ®. TENANT , 4 _ Number of stories: Name: PacTrust Type of construction j ./,.---. -■15 Address: 15315350 SW Sequoia Pkwy., Suite 300 Occupancy groups: City /State /ZIP: , Portland, OR 97224 Existing: / 7 9 Phone: (503) 624 -6300 Fax (503) 624 7755 , .' ®TAPPLIGANT G ®: CONTACT PERSON r a =ii New: x w. w w. . '.mot ,z -,,. .. ,.° , ,. . . .. NOTICE ,. z , . _ . I _ :Business name: PacTrust All contractors and subcontractors arc required to be Contact name: Dennis Pagni licensed with the Oregon Construction Contractors Board under ORS 701 and may he required to be licensed in the Address: 15350 SW Sequoia Pkwy jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City/State/ZIP: Portland, OR 97224 apply: Phone: (503) 624 -6300 Fax: : (503) 624 -6300 E -mail: dennisp @pactrust.com ' �' ., 'i - :...4g , it. s ^Z ,..a CONTRACT ,. f t:,:. r `:: '" ,40; Business name: - . _BUILD1IGfPER1VIIT FEES* ` Address: S 3� 5L) arll�� (A/ ' , ..F:(P,lease iefe r iofeeschedu7 �� u_ , ., ;'s City /State /ZIP: Structural plan review fee (or deposit): �d 7J, 4' U/e. - 9 ` - V-J- -� j FLS plan review fee (if applicable): Phone: (5 ) ). _ c L• ) Fax: ( ) CCB lie.: 3 �CC�U7� vVID / Total fees due upon application: Amount received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ,� J AI 1 Date: _ * Fee methodology set by Tri -County Building Industry . - Service Board. I:\Building\Permits \BUP -COM PermitApp.doc 10/01/09 440- 4613T(11/02/COM /WEB) Building Division Over- The - Counter (OTC) Building Permit TIGARD Check List Project Description: t APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION *Class of Work: � Occupancy Group: Type of Construction: *Type of Use: � � Occupancy Load: ' Oregon Specialty Code: 20 10 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: )� Fire Alarms: Smoke Detectors: Parapet: Manual Pull Stations: Protected Corridors: Total Project Valuation: $ Ildj £r FEES DUE $ 1 6 r CO DC Prov Rvw, COM TI — Ping $ a , • DC Prov Rvw, COM TI — LRP DC Provision Review Fee for COM TI $ y ' s Permit Fee — Add, Alt, Demo Project Valuation Planning LRP $ 0 12% State Surcharge Up to $4,999 $0.00 $0.00 $ - Plan Review, Structural $5,000 - $74,999 $64.00 $9.00 $ Q,` Plan Review, Fire Life Safety $75,000 - $149,999 $160.00 $24.00 $ !Z,dj Info Proc /Arch, Lg (over 11x17 $2.00) $150,000 and over $256.00 $38.00 $ Info Proc/Arch, Sm (up to 11x17 $0.50) $ Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee Planning Staff: $ Hourly Rate State Surcharge $ Misc. Admin Fee Permit Coordinator: $ Other: $ Other: Building Staff: $ Other: Date /Time: $ 2. jcD,rj5TOTAL FEES DUE *OPTIONS: TYPE OF USE: COM = commercial; CMS = commercial manufactured structure. CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; END = foundation; DEM = demo; END = foundation; EPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies); REP = repair. I: \Building \Forms \OTC - BUP.docx 01 /13/2011 _ 11 Building Division • Development Code Provision Review TIGARD Commercial Projects - No Associated Land Use Case Building Permit No: (-t-P d o l a -6 [[12'EXpedited Review Plan Submittal Date: f — ,12 " / 7 - - - - 5 u 1 - 7 7 , - - 4 , 46405 To the Applicant: )>. If the proposed use is not permitted within the zone, please contact the Building Division to cancel the permit application. Building Permit Technicians (503) 718 -2439. ➢ If a land use is required and for all other questions, please contact the staff person listed above the Planning Review section. Staff: please check items along left only if approved. > ,/ Planning Review (contact /. --(ae at 503 -7182 , Y 0or �i144@tigard- or.gov) Dar—Zoning s - I— Permitted Use Yes i No ❑ g Land Use Required: Yes ❑ No Li' (explain below) Notes: cis a , f-1 z 4,a/46/W- 3,C� j29 G ='Y It Approved ❑ Not Approved Date: / - 7--- i ir, Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov) Notes: f ( Routed back to Building Division Date: I: \CURPLN