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Permit (93) , BUILDING PERMIT ° CITY OF TI PERMIT #: BUP2008 -00341 ' ' ;; COMMUNITY DEVELOPMENT DATE ISSUED: 10/9/2008 TIG 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135BD-00100 SITE ADDRESS: 09600 SW OAK ST 400 ZONING: C -P SUBDIVISION: PLAZA WEST LOT: 005 JURISDICTION: TIG PROJECT: EVEREST INSTITUTE Project Description: TI REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 2N : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 276 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING: VALUE: $ 17,200.00 Owner: Contractor: PLAZA WEST, LLC CG CONSTRUCTION 121 SW MORRISON ST. STE. 200 1801 NW UPSHUR ST SUITE 490 PORATLAND, OR 97204 PORTLAND, OR 97209 Contact #: PRI 503 - 226 -1078 Phone: FAX 503 - 226 -1088 Reg #: LIC 1156 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 10/9/2008 $176.90 [TAX] 12% State Surch 10/9/2008 $21.23 [BUPPLN] Pln Rv 10/9/2008 $114.99 [FLS] FLS Pln Rv 10/9/2008 $70.76 Total $383.88 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 than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon ' cation Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of th e rules or direc • u - : ' • s to OUNC by calling 503.246.6699 or 1.800.332.2344. i II Issu d By: Iii ms s r 4�/ Permittee • Signature: i '� ' / I1„, I ' 'e Call 503.639.4175 by 7:00 a.m. for an inspection that busin . day. This permit card shall be kept in a conspicuous place on the job site until c• I pletio of the project. Approved plans are required on the job site at the time of each i specti • n. Building Permit Application Commercial RECEIVED FOR OFFICE USE ONLY City of Tigard Received /D 9 $' Permit No r . A Il u DateB �u r/GCJS �/Q.. . 13125 SW Hall Blvd., Tigard, OR 97223 P C T 0 9 2 ' Plan Revi Phone: 503.639.4171 Fax: 503.598.196 Date /B i ` Other Permit: TIGARD Inspection Line: 503.639 Date Rte': - Juris: ® See Page 2 for Internet: www.tigard- or.gov GITY OF TIQARD Notified/Method: Supplemental Information BU1i11ING DIVISION TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rotnded 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. ❑ 1- and 2- family dwelling Commercial /industrial Valuation: S ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder Er Other Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: G� /, yS 4 %/ cA� - -,��� � 5 � New dwelling area: square feet City /State /ZIP: � � � a 3 Garage /carport area: square feet r,��- /a' ldg. /apt. no.: 4to Project name: 1 Covered porch area: square feet Cross street/directions to job site: 11•M IttY'M.. Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL - USE CIIECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rowded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. ,`&'` ca€40P- Valuation: S 1111-1)0 ail 1 41 t444 R. i. ' t 1cI rG. Existing building area square fee . 3 J - 0 % , Pooh to HtfAak- {l l S Perim) New building area: square feet ❑ PROPERTY OWNER g TENANT Number of stories: Name: — E - - L ] - r i 4 t i- pJ'rE_ Type of construction: Address: Ike} 5t C cf . ` '-" Occupancy groups: City /State /ZIP:116WD ex 11223 Existing: Phone: SA I 106 Fax: ( ) New: APPLICANT 0 CONTACT PERSON NOTICE Business name: �,� ,�I 1 �1 1 1 r f /� e- 6' -1v cl & P!- All contractors and subcontractors are required to be Contact name: 1/I`�"ti I/ . ��� � `� 2 licensed with the Oregon Construction Contractors Board 1/"r under ORS 701 and may be required to be lensed in the Address: 4'0v 2c>4 ce 01 jurisdiction in which work is being performed. lithe City /State /ZIP: d� 9 1 z�So applicant is exempt from licensing, the following reasons Phone: `f47 , Fax :: 503) Z2 -7 apply: E -mail: aK & 74464. CONTRACTOR Business name: n � l,"RtA 6� BUILDING PERMIT FEES * Address: t4' k Neil ( 1 , , ! (Please refer [o fee de) Structural plan review fee (or depososit)it): : �� Q � City /State /ZIP: l f ©�'� FLS plan review fee (if applicable): Phone: (:),,3 276.. )0N, Fax: ( ) 2217, octS CCB lie.: 0 I Total fees due upon application: Amount received: Authorized signature: Witiii This permit application expires if a permit is not obtained I within 180 days after it has been accepted as complete. Print name�'f1 I.H yip fi r/'„ Date: 10 11) �1 M1 * Fee methodology set by Tri- County Building Industry YY ^ ^� "` (�L�wv Service Board. 1: \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02/COM /WEB)