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Permit 4y s CHTY OF TIGARD BUILDING PERMIT n l . C DEVELOPMENT Permit #: BUP2010 00160 Date Issued: 07/08/2010 '4,i-b 13125''SW Hall Blvd., T,igard'OR 97223 503.639.41 71 wTI Parcel: 2S101BB01 '500 Jurisdiction: TIGARD Site address: 12256 SW GARDEN PL, BLDG# 1 Subdivision: PARK 217 Lot: 0 Project: •CTA Lab Project Description: TI Owner: FEES WALTON CWOR PARK BC 8 LLC Description Date Amount BY TT.A/EPROPERTYTAX DEPT 325, PO BOX Permit Fee - Additions, Alterations, 07/08/2010 $487.01 4900 Demolition PHONE: 12% State Surcharge - Building 07/08/2010 $58.44 Plan Review 07/08/2010 $316.56 Plan Review - Fire Life Safety 07/08/2010 $194.80 Contractor: NORWEST CONTRACTORS INC PO BOX 25305 PORTLAND, OR 97298 -0305 PHONE: 503 -291 -6986 FAX: 503- 291 -7036 Specifics: Type of Use: COM Class of Work: ALT Dwelling Units: 0 Stories: 0 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $27,400 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 . Garage: 0 Mezzanine: 0 Total $1,056.81 Required: Required Items and Reports (Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: 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 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 Center. • •se rules are set • • • 'n 0 • 952- 001 -0010 through Oe:' 952- 001 -0100. You • - • - o• • direct questions to OUNC by 'ailing ' •3.246.6:•9 or 1.801 , •344. 4110 _ Issued By: j / —', Permittee Signature; �� ____ i, "! .•_ 4175 by 7:00 a.m. for an inspection that bu '• s. day. I This permit 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. • .. tuilding , Permit Applicatio It r,, ': ` • C r -- 0 . 0 v ,,,, 4 ,-,-,4, 4 ...' , .. , , : ommercial '- e "' . '''r ' , ''', ',-; , ,,' '‘ ' ' "'"'; 1 •Cii • • city of Tigard Int . rnet: www.tigard-or.gov Notified/Methd: Date/13" : • (V S 7_ Received --) a - . t No. q 13125 SW H . ,V) 7 b i..(/ t.) f j . Permit /3(Aeacto ro. 0 • 4 ' ' ' lt '''' ill Blvd Tigard, OR 97223 ' " ..„,.., r .miek I Plan Rev& - ,.4 ...' . r.: ,- Other Pennit: Phone 503 639 4171 Fax 503.598.1960 ,,„,., 0 ■ .., , ,„,e,,aie/B . ; „a a ,1,-,-,'-' ,, Inspection 503.639.41-75 ;Ul'I ' „ ; r .... n‘Nlib ■ , . . bate Rea . 1 . 11 7};: Juris• El See Page 2 for ".' ; ii DINk... ,-' - o NIL' 776 Supplemental Information - ' ''.= - 7 ' - : " .-- A 7 ;--. ' A ':::-. ' ' , iypE , oF. WORK ....- , .4 ..;; , '-'t-'- ' 4-7 , .Z.- Fe° REQUIRED .BAT:-.1=:ANDI-FAMILl'i' DiVettiNOgi-t 0 New construction ' 0 'Demolition ' Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all U'Addition/alteration/replacement „ III Other: equipment, materials, labor, overhead, and the profit for the -r° . :- -- - ' - ' - = ; - -• -°=°' - - - ---- -' - ;,;P • .. . ._ . 1 ;.-.; t ' work indicated on this application. -', "•-,"; - e - - ' - " ' ,..- - *- o CATEGORY OF CONSTRUCTION - - -.,-r- . .=' -.', ' ,' .,.,-, '' ='.- ..-.,1 . 'Valuation: $ 0 - 1 - 7 and 2-family dwelling E COmmercial/industrial Number of bedrooms: D Accc'ssofy building 0 Multi,family Number of bathrooms: 0 Masterbuilder 0 Other: , 7 ,....,. ,, „..._,_:_ ..10_13 SITE = LOCATION ' --, - _,._ L ! 7 Total number of floors: • Job site address: 1 2.2, 5 6, „S t..) G0.4.0 co Pg-.AC.E. New dwelling area: square feet City/State/ZIP: T t c A i) 0 et.. 4 1 1 - 2- 3 Garage/carport area: square feet Suite/bldg./apt. no.: Project name: c T A L 6 . Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet ° REQUIRED DATA i COMMERCIAL arSE GHECIdiSi Subdivision: Lot no.: Permit fees* are based on the value of the Indicate.the value (rounded to the nearest dollar) of all Tax map/parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION 01 WORK r -. ; - - r'' 5 ' -‘ :",-,. ' '..•. ,-5 work indicated on this application. Valuation: $ Z 4O� . tas I t..) TIL10..(0.A. , 0) a , - 'a cc A ft. i...)4, 6V.41.4... PAO...1'17004J Existing building area: square feet New building area: square feet -PROPERTYOVVNE12 bi TENANT' '"-- ' --' , •••-''''' Number of stories' I Name: ' Type of construction: , g Address: . Occupancy groups: City/State/ZIP: Existing: 3 ,. Phone: ( ) Fax: ( ) New: . _ ' ')..-,'--"•--,-: --II'Aiiideiiicif '=-; ---: 7. --;:: ,.- '' 'bilsifACi'1 .-J --: - -.7. . ,,,,, — - - ,-,, NOTICE Businessmame: .... PiLee p „) -- s le 0 All contractors,and subcontractcirs are;required to be licensed with the Oregon ConStruetion;Contractors Board Contact name: --Z A ID) 6;,.) S t< .4 under ORS 701 and maybe required to be.licensed in the . Address: 2,2 c,c, s, s i „j ( 6.‘4,ft.s-r C T jurisdiction in which,work is beingperformed. If the applicant is exempt freirn licensing, the following reasons City/State/ZIP: 5 1 4, c p di 1 i 4 apply:. Phone: (C ) ) 640 - 6 4 ,4,4 Fax: : ( ) E-mail: • CONTR - .,-; ; •.--,-•-,-- - -4. ,- - --.-- ., 44; i •4,-- f- -4--- A . .„ ...... ''' Busines.s 1/4) oil v j t, 4. ,..r. CbOi. - - - -- ,,,, ,-.; 1 - - ' BJIIIMIlkGTERMITFEES*;', - -.4” 6 1 ':' ,..:- ...,,,,, ,, : ., (Pleas rejer (olee iclzedille) 4. ":, : Address: p -,a o t _ . 1 0 5 Structural plan review fee.(or deposit): City/State/ZIP: ,p, (LT t _ i ,.. ) r , 0 n _ o -7 2 q 8 FLS plan review fee (if applicable): P ) '?.-°1 I -- I. et Fax: (S'03 ) 2.01 I -- 7 c) 3 a , Total fees due upon application: ' 1 0 .c , It CCiflic.: ' , _.> k.0 v I I Amount received: / Authorized signature: C . ) ..., , 0 This perlititapplication expires if a per it is not obtained - within 180 days after it has'been aeceliteilLas complete. Print riame: - D /4 a _ i s j 3 t 0...)skA Date: 7 /7 1 I 0 * Fee methodology; set by Tri-County Building htclustly • Service Board. . . ; , . • ii Building Division Over -The- Counter- (OTC) ,Building Permit TIGARD , Check, List bescription of Project:. . t E Class of Work: T f4'.;;;,` . Floor Areas (sq. 'ft) 4, 'y1' r Exterior Wall Construction: Type of Use C -, . •First floor: ;i N' S: ' type of C 1.,,!," Second or', ' W O ccu p ancy Group: k "! d floo ; O p enings Protecte d Y /N ?: Occupancy Load: A ,. � ; Total sq ft:; , N.. S Stones: z # 'Note: Combine total floor area. for �' E: E: Height: all floors above third floor and ii ,P Roof Construction: Floor Load: _ ;'`, add to the third floors . ft. M Fire Retardant:; Ba m Baseent: Basement: '''''.k . ,'° urea Separation Rated:: Mezzanine: th,,, ' Garage: Occu Separation Rated: cr.; `. S ,- :-t ; ,. 1 ': ‘.. REQUit . + E�NIS '- -N' 4„,:' y r ` '; ' , ', `. Fire sprinkler Oi �, Handicap access. Smoke detector:; . S. Protected.corridors• )3( Fire alarm:. �. _:. A 'F?' Parking spaces. ( #): Notes: Total Valuation: $ 27 € M . .- IINPSPEC, 'TI®N7Sa' A r . " `l ° FEE'S'1).U1E1 `r . in `' f.` ∎ Footing/foundation " Firewall .$ 487 ,O Permit Fee Post /beam structural Smoke detector $ 2 5e , ' k-4... • State'Surcharge Shear wall itifisc. inspection $ 13( . Plan Review Fee Masonry Approach /sidewalk $-, FLS P1an.Review:Fee - Framing $ Permit Additional Pe Fee Insulation Sprinkler rough -in $ Additional Plan Review Fee, ' Gyp board Fire alarm $ Metro Construction Excise Tax Suspended ceiling `Sprinkler final $ School Gonstniction Excise Tax Final inspection $ Misc. Fee - _.. $ Hourly Rate Fee' $ Hourly Rate State, Surcharge $, Other: ,$' 6,a Tota Fees Due, ` � . t = c ommercial; © 8 commercial manufactured n i } ,, a ` r ay WORK a accessory; D D se , o a • o 1 alteration • e e, :DE!M e n e i. e foundation agetti. protection �g . gl 0 ' s o r ( decks, l awnings rP ); .�!? cano ies ' � F� a. repair. -� ' , '. ' . ' ` .. �• '' ' _ ' U \Building \ Forms \OTC BUP.doc, 08/1'9708'