Permit CITY OF TUGARD BUILDING PERMIT
� COMMUNITY DEVELOPMENT Permit #: BUP2010 -00092
Date Issued: 05/06/2010
T (GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S112AA00600
Jurisdiction: Tigard
Site address: 6777 SW BONITA RD 120
Subdivision: NELSON BUSINESS CENTER Lot: 0
Project: Stone + Wood Outlet
Project Description: TI
Owner: FEES
WALTON CWOR NELSON 13 LLC Description Date Amount
BY TTA/EPROPERTYTAX DEPT 735, PO BOX Permit Fee - Additions, Alterations, 05/06/2010 $195.38
4900 Demolition
PHONE: 12% State Surcharge - Building 05/06/2010 $23.45
Plan Review 05/06/2010 $127.00
Plan Review - Fire Life Safety 05/06/2010 $78.15
Contractor:
COMMERCIAL CONTRACTORS INC
1265 SOUTH 35TH PLACE
RIDGEFIELD, WA 98642
PHONE: 503 - 227 -4440
FAX: 503- 227 -6644
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $7,063
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0 •
Deck: 0
Garage: 0
Mezzanine: 0
Total $423.98
•
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permi - • - ub'ect to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be do • - in accordance with roved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
da -. ATTENTION: Oregon law - lu' -s yo • • /low the rules adopted by the Oregon Utility Notification Center. Those - et forth in OAR
9 - 001 -0010 through OAR 952 -0' -0100 ou may obtain a copy of the rules or direct questions to OUNC by calling 50 • •6 9 or 1.800.332.2344.
Is -ued By: '�-'` y Permittee Signature:
4
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
/D ei 7 71r tersi.
Building Permit Application
RECEIV kt -�
Comme rc ial , r mn-t orrlcl' usL�o�P�i ' i ` , *' +
.°�r+x1 4 6,u, r, . ,a 11,kil it rt +4n 1K �'�., 3
!I"�!" " i A �j�
' b , C ity of Tigard M AY _ 6 2010 Recei Dateive : d /O Permit No.: `rgo/O -000 f -
' `' ^ ° 13125 SW Hall Blvd., Tigard, OR 9722 Plan Review
9 Phone: 503.639.4171 Fax: 503.598.W O TI GARD Date/By: :♦
• '- l'" ) J ,, to Other Permit:
*�t"�' " D Inspection Line: 503.639.4175 CI 1 1 Date Ready/By: J� � Su ®See Page 2 for
t T:PG C R'
, _ Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: 7pplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2-FANIILY 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
[ 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 ❑ Multi - family Number of bedrooms:
1=I Master builder I=1 Other:
Number of bathrooms:
JOB SITE INFORMATION "AND "LOCATION Total number of floors:
Job site address: �''11 ! SW - B0n �oaef New dwelling area: square feet
City /State /ZIP: "r t cCkY i J d q 1 ZZ q_ Garage /carport area: square feet
Suite/bldg. /apt. no.: 12Q if) Project name: SADvie f vJ 00a OU1 et Covered porch area: square feet
Cross street/directions to job site: Deck area: 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
, 1t 71,I DESCRIPTION OF WORK work indicated on this application.
it1U� of non sAwc- rod ?a ti-v, 6ln Valuation: S , 0 j 3
7� '7
Existing building area: - square feet
New building area: L)1_{ cj square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 4
Name: (-21\J A ldde( at news Type of construction: V—
Address: O \AC— S V V COtUMbi Q St, G Suite G jb Occupancy groups:
City /State /ZIP: pnrt\O C) - q1 Z61� Existing: `. an ct SA_
5C 2
Phone: ( z 2[,
( "l 3 Fax: (93.3 2-Z1 ZZ71 New: ' B Glr1 d S2
❑ APPLICANT. ❑ CONTACT PERSON NOTICE
Business name: COVVOMetiC i j \ COW° ( - t NL , All contractors and subcontractors are required to be
�
! licensed with the Oregon Construction Contractors Board
Contact name: VI 1 (, 1MA under ORS 701 and may be required to be licensed in the
Address: kZ h 5 LsOl rf-tA ,2.,.)-t-v, p ace jurisdiction in which work is being performed. If the
City /State /ZIP: Gl f i et d t ( J A- R g 642
applicant is exempt from licensing, the following reasons
22:1 ", J� I apply:
Phone: ( q i..4 o Fax: (6 6) 22i 6U-
E-mail: ci �1L C (9C • CO
CONTRACTOR.
Business name: CCM-WO BUILDING PERMIT FEES*
Address: ( � „So u� ' l ace (Please refer to fee schedule) .
`� / Structural plan review fee (or deposit):
City /State /ZIP: t21 fi► ei A q Z64- -
Phone: (aS 7 7 Q L4 4 ('l Fa x: 603 �7 b b
FLS plan review fee (if applicable):
CCB lic.: t22 Total fees due upon application:
Amount received: # 4 ,92 . 5, y
Authorized signature: This permit application expires if a permit is not obtained
� within 180 days after it has been accepted as complete.
L
Print name:'i ti e✓le,3 Date: j131 20 (b * Fee methodology set by Tri- County Building Industry
Service Board.
1: \Building\Permits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(11/02 /COM/WEB)
, 1 111 ii Building Division
Over- The - Counter (OTC) Building Permit
ricniiD Check List •
Description of Project: h1-7/k J
GENERAL INFORMATION
Class of Work:* L T- �� Floor Areas (sq. ft.): Exterior Wall Construction:
o
Type of Use:* 7.�j\ First floor: N: S:
Type of Construction: 2. kj Second floor: E: W:
Occupancy Group: 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 sprinlder: Handicap access:
Smoke detector: Protected corridors:
Fire alarm: _ Parking spaces ( #):
Notes:
Total Valuation: $ 7
INSPECTIONS FEES DUE
Footing /foundation Firewall $ i 5 ; • Permit Fee
Post /beam structural Smoke detector $ 2 3, State Surcharge
Shear wall Misc. inspection $ 1 Z 7 .an Plan Review Fee •
Masonry Approach /sidewalk $ - 70. 1 rj 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:
•
$ 42 , 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