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CITY OF TIGARD BUILDING PERMIT 11 4 t COMMUNITY DEVELOPMENT Permit #: BUP2009 -00158 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/20/2009 Parcel: 1S134BC00403 Jurisdiction: Tigard Site address: 12505 SW NORTH DAKOTA ST 1505 Subdivision: Lot: 0 Project: Meadow Creek Apartments Project Description: Repair wing wall. • Owner: FEES BEL -EQR III LIMITED PARTNERSHIP Description Date Amount BY EQR -REAL ESTATE DEPT, PO BOX 87407 Permit Fee - COM 08/2012009 $62.50 CHICAGO, IL 60680 12% State Surcharge - Building 08/20/2009 $7.50 PHONE: Plan Review 08/20/2009 $40.63 Plan Review - Fire Life Safety 08/20/2009 $25.00 Contractor: PARAGON SERVICES 2812 TRINITY SQ DR SUITE 110 CARROLTON, TX 75006 PHONE: 972 -478 -2255 FAX: 972 -478 -2277 Specifics: Type of Use: MF Class of Work: ALT • Dwelling Units: 0 Stories: 0 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $800 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 • Garage: 0 Mezzanine: 0 Total $135.63 Required: Required Items and Reports (Conditions) Fire Sprinkler: No Parapet: Fire Alarm: Protected Corridors: No Smoke Detectors: Manual Pull Stations: Accessible Parking: 0 This permit is • - - - t to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done i • ccordance with a • : oved 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. • ENTION: Oregon I- - • ires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-111-0010 through 0 952 -0 • • 100 ' • u may obtain a copy of the rules or direct questions to OUNC by cal • • e • 03.246.6699 or 1.800.332. 44. Iss ed By: Permittee Signa ` J Call 503.639.4175 by 7:00 a.m. for an Inspection that business • =y. 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. 08/20/2009 14:25 FAX 9724782277 Q002/002 Building Permit Application Residential e l )'% —97gr-�-7,9 � u�� 1,,m OI FIi I . 1 si.: u\l \ City of Tigard Received Dar = L !�% 4 e, -_�/ 13125 SW Hall Blvd, Tigard, OR 97223 Plan Revie . �, i'. �+ Phone: 501639.4171 Fax 503.598.1960 Date/B :. ti � ra !Mar Penn 1 1 , I Inspection Line: 503.639.4175 bare • ea Id Bea Pose 2 For Internet www.tigard•or.gov Norifica/Mat6�1: So' ploaxntal taformadoa 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 (rounded to the nearest dollar) of all ❑ Additi°m/alteratioaheplacement CI Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OP CONSTRUCTION • work indicated on this application. ❑ 1• and 2- family dwelling D Commerclalrmdusulal Valuation: $ 8t00 DO ❑ Accessory building ❑ Multi - family Number of bedrooms: Cl Master builder [] Other Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: l aS df ii) Q/,4.4-0 New dwelling area: square feet � City/State/GCP; / fL ©� 9 7a� Oaragdearport area: square feet Suite/bldg./apt. no.: 4 e -'( 1 Project name; ir2e T < c.c) ejTee.- A Covered porch area: square feet Cross street/directions to job site: Deck arcs square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE 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 DESCRIPTION OF WORK work indicated on this application. r 1� e.(..11 4.26,-(/ ,,-N Valuation: $ _ i &D /lo ' ,q —. l. g ' S 7 / Existing building area: square feet .G9P�C►rrG YX e PC-Nyi 000e New building area: square feet r PROPERTY OWNER ❑ TENANT Number of stories: / Name: I f)I f( 5 i rate Iv ,-i I Typo of construcdon: Address: / y . A .Z7 Occupancy P Y groups: City/State/ZIP: Existing: Phone: ( ) I Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City/Sts jp applicant is exempt from licensing, the following reasons Phone: ( ) l Fax:: ( ) MAY: E -mail: U CONTRACTOR Business name: / *-,a. , J scuff / le S BUILDING PESR ,IIF FEES' Address: ( 7:e i � 5 p < g // d (Pkate rear toteschedrrl0 City/State/ZIP: ,t0,t' ,,1 7.5--0Qegr' - Structural plan review fee (or deposit): Phone: ( 7 7 jz 4/ 71_,...2...2 5- Fax: (9 7p) ; 9 7g.� ,7� 77 FLS plan review fee (if applicable): CC Tic.: /-51 I �� / I Total fees due upon application: //� VJ Amount received: 135. 3 Authorized sl This permit application expires If a permit is not obtained Print narne:JeAk4 Kea. G I Date: Slap (0-7 . • Pee methodology set by Tri C Building Industry Service Board. 1:113uilding\Permits\BUP -RES PcrmitAno.doc 11/6/07 440 -4613T(1 l /02/COM/WEBI 1 'd ZOIY °N slualuliedy 1ee1Q MopeeW Wy6l:11 6002 'OZ'Sod •i _ " Building Division Over - The - Counter (OTC) Building Permit TIGARD Check List Description of Project: ( t GENERAL INFORMATION Class of Work:* kc:r Floor Areas (sq. ft.): Exterior Wall Construction: Type of Use:* First floor: N: S: Type of Construction: Second floor: E: W: Occupancy Group: Third floor: Openings Protected Y /N ?: Occupancy Load: Total sq ft.: N: S: Stories: _ - 7--- - * Note: Combine total floor area for E: E: Height: all floors above third floor and Roof Construction: Floor Load: add to the third floor s . ft. Fire Retardant: Basement: Basement: Area Separation Rated: Mezzanine: Garage: Occu. Separation Rated: REQUIRED ITEMS Fire sprinkler: MO Handicap access: Smoke detector: Protected corridors:' Fire alarm: Parking spaces ( #): Notes: t Total Valuation: $ C , INSPECTIONS FEES DUE Footing/ foundation Firewall $ (° , Permit Fee Post /beam structural Smoke detector $ `1 , State Surcharge Shear wall Misc. inspection $ 40 4 6, Plan Review Fee Masonry Approach /sidewalk $ Z5 d0 FLS Plan Review Fee Framing • $ Additional Permit Fee Insulation Sprinkler rough -in $ Additional Plan Review Fee Gyp board Fire alarm $ Metro Construction Excise Tax Suspended ceiling Sprinkler final $ School Construction Excise Tax Final inspection $ Misc. Fee $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Other: $ I -7, ( 3 Total Fees Due *OPTIONS: TYPE OF USE: COM = commercial; CMS = commercial manufactured structure. CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo; FND = foundation; FPS = fire protection system; NEW = new•, OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies); REP = repair. L \Building \ Forms \OTC - BUP.doc 08/19/08 % ( S r. V 1 tA ):;1) 1 0 t,c 6) . 5 °s ° P 4 ''-/ \CI in Ok ( ' LAY 1 I'l ) K, 0 , '' (;/ I 1 4 i f' &( P/1 7 q P ,°''''' 4' ifr ' G � - '' �� ,;���i � Off' T IGARD ,1 < �� / � , l `/ P � l� Li, II �Mo , Ate.., 1 See Letter boy Folk w I 1 ,7 . ( I 3t 1 PermitNa — . `"A p 0-T -C Ckeepencriell ff AP 1 lbeedeerddii - ' 31) 0 6 P En g weft* anessibling 22) il)e) d il D 4-16415 5-r l i-- OFFICE COPY r