Permit r� 1
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, � < ,✓ j a CITY ® TIGARD BUILDING PERMIT
7` a COMMUNITY DEVELOPMENT Permit #: BUP2010 00068
T f GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 04/06/2010
' ,c, J Parcel: 2S112AD01000
Jurisdiction: Tigard
Site address: 7007 SW CARDINAL LN 105
Subdivision: Lot: 0
Project: Fax Back
Project Description: TI
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 Permit Fee - Additions, Alterations, 04/06/2010 $619.25
PORTLAND, OR 97224 Demolition
PHONE: 503- 624 -6300 12% State Surcharge - Building 04/06/2010 $74.31
Plan Review 04/06/2010 $402.51
Plan Review - Fire Life Safety 04/06/2010 $247.70
Contractor:
DURUS CONTRUCTION LLC
15806 UPPER BOONES FERRY RD
LAKE OSWEGO, OR 97035
PHONE: 503 - 320 -8601
FAX: 503- 244 -4318
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $40,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,343.77
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: No
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 accor ce ved 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. ATTE ION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 -0 10 through OAR 952 - 001 -0100. o ma •btain a copy of the rules or direct questions to OUNC by callin• 503.246.6699 or 1.800.332. 44. 1 •
Issued y: (J `` �`� 1I��! Permittee Sign re: ,; 4', ,./74111- . / �_
CaII 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 • • mpletion of the project.
Approved plans are required on the job site at the time'. each inspection.
, i `�; CITY OF TIGARD BUILDING PERMIT
S z . ,:a?; COMMUNITY DEVELOPMENT Permit #: BUP2010 -00068
,� , r Date Issued: 04/06/2010
:TI GARD, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
■ , . ,,, Parcel: 2S112AD01000
Jurisdiction: Tigard
Site address: 7007 SW CARDINAL LN 105
Subdivision: Lot: 0
Project: Fox Bank
Project Description: TI
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 Permit Fee - Additions, Alterations, 04/06/2010 $619.25
PORTLAND, OR 97224 Demolition
PHONE: 503- 624 -6300 12% State Surcharge - Building 04/06/2010 $74.31
Plan Review 04/06/2010 $402.51
Plan Review - Fire Life Safety 04/06/2010 $247.70
Contractor:
PACIFIC REALTY ASSOCIATES LP
15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 624 -6300
FAX: 503 - 624 -7755
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $40,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,343.77
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: No
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 ' accordance wit. 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. TENTION: Oregon - req : you to follow the rules adopted by the Oregon Utility Notification Center. . •serules are set forth in OAR
952- 01 -0010 through OAR 95 -P '1-01 r You may obtain a copy of the rules or direct questions to OU " .y calling 503.246.6699 or 1.800.332.2344.
Issu d By: I 1 / i 1 Permitt = Signature: _A/ AI de,
Call 503.639.4175 by 7:00 a.m. for an inspection at busi • ess day.
This permit card shall be kept in a conspicuous place on the job site ter d completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application ECE VED FOR OFFICE USE ONLY
City of Tigard p D • l , u „9,,,,o_.
r / t0 Permit No.: ` /� // ■
M ill
13125 SW Hall Blvd., Tigard, OR 97223 R Plan Review ► " rte
Phone: 503.639.4171 Fax: 503.598.1960 Date/B : ems I � Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF 7 iGARD Date Ready : y: lu ®See pplemental Attached In formationChecklist for
I nternet: www.tigard- or.gov t�► t 7r�� �, t y ,
n , Notified/Method: Su
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILYDWELLING
0 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
CATEGORY OF CONSTRUCTION , ' work indicated on this application.
❑ 1- and 2- family dwelling ® Commercial /industrial
Valuation: $
Accessory building Number of bedrooms:
❑ ry g ❑ Multi- family
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND: LOCATION: Total number of floors:
Job site address: .71 •7 S / : J 4 jv � — New dwelling area: square feet
City/State /ZIP: �-,' � � / 47; 2- z- v Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: , _ , ^, — Covered porch area: square feet
Cross street/directions to job site: O � Deck area: square feet
. r ,. _ _ _ _ Other structure area: square feet
.� f --1--GB. env. — •D , 4-�S � /e7 � , REQUIRED DATA COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
. DESCRIPTION OF WORK work indicated on this application.
Valuation: $ AlF92, et �,/, f
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
/
Name: PacTrust Type of construction:
Address: 15350 S.W. Sequoia Pkwy., Suite 300 Occupancy groups: / / ,.......„1
City/State /ZIP: Portland, OR 97224 Existing:
Phone: (503)624 -6300 Fax: (503)624 -7755 New:
® APPLICANT ® CONTACT PERSON
NOTICE
Business name: PacTrust All contractors and subcontractors are required to be
Contact name: Dennis Pagni licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 15350 S.W. Sequoia Pkwy., Suite 300 jurisdiction in which work is being performed. If the
City /State /ZIP: Portland, OR 97224 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 624 -6300 Fax: : (503) 624-7755
E -mail: dennisp @pactrust.com
CONTRACTOR
Business name: �Q ` �i2, V c NG _ .BUILDING PERMIT FEES*
Address: J (Pl ref to fee schedul -
City/State/ZIP: Structural plan review fee (or deposit):
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: / -9,.. 13 Total fees due upon application:
L 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: /) /C/ /
, (J � Date: / d
�/ )
r ill it,./1 _ * Fee methodology set by Tri -County Building Industry
Service Board.
1:\ Building \ Permits \BUP- PermitApp.doc 03/21/06 440- 4613T(II /02/COM/WEB)
q Building Division
.7 .
..
Over -The- Counter (OTC) Building Permit
TIGARD Check List
Description of Project: T(
GENERAL INFORMATION
Class of Work:* X LT Floor Areas (sq. ft.): Exterior Wall Construction:
Type of Use:* t'L%riliA First floor: N: S:
Type of Construction: 7� Second floor: E: W:
Occupancy Group: 13 '5 Third floor: Openings Protected Y /N ?:
Occupancy Load: Total sq ft.: N: S:
Stories: ( 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: Yr<, Handicap access:
Smoke detector: Protected corridors: Wj
Fire alarm: rrse7 Parking spaces ( #):
Notes:
Total Valuation: $ i
INSPECTIONS FEES DUE
Footing /foundation Firewall $ (9 2_1 Permit Fee
Post /beam structural Smoke detector $ '74 State Surcharge
Shear wall Misc. inspection $ 4(37_,,..5 ( Plan Review Fee
Masonry Approach /sidewalk $ Z4 7 , - 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:
$ 1 .77 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.
I: \Building \Forms \OTC- BUP.doc 08/19/08