Permit a CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2010 -00183
TIGARD, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/10/2010
Parcel: 1 S135BC00700
Jurisdiction: Tigard
Site address: 10795 SW CASCADE AVE
Subdivision: Lot: 0
Project: Spec Space
Project Description: Demo interior demising walls.
Owner: FEES
ARDEN REALTY Description Date Amount
4510 EXECUTIVE DRIVE, SUITE 220 Permit Fee - Additions, Alterations, 08/10/2010 $619.25
SAN DIEGO, CA 92121 Demolition
PHONE: 858- 521 -4218 12% State Surcharge - Building 08/10/2010 $74.31
Plan Review 08/10/2010 $402.51
Plan Review - Fire Life Safety 08/10/2010 $247.70
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: 1 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $39,256
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: Parapet:
Fire Alarm: Protected Corridors:
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. ATTENTIO . law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are et forth in OAR
952- 001 -0010 rough OAR 2- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246. 9 or 1.80 . .2344.
Issued By: /ci t Permittee Signature: y
Y CaII 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.
a
Building Permit Application ,<,, ,y,' '•
Commercial V0 FOR OFFICE USE ONLY
-. of Tigard T. ` zived g 10 /0 a Permit No.: .1 r6u AdO '400( 9"
City
INI - 5 g ? � \, , ► • '113 :
q 13125 SW Hall Blvd., Tigard, OR 97223 , a \ Plan Review 1/
Phone: 50 Fax: 503.598.1960 ` NI' Date/B : a ,g Other Permit:
T I G A R D Inspection Line: 503.639.4175 '+ . -' - Date Ready/By: 3uris_ 0 See Page 2 for
Internet: www.tigard - or.gov a , , ` IN Notified/Method: Supplemental Information
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
1 \ l, i, Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
(VI Valuation: $
❑ 1- and 2- family dwelling Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: f 0 795 5 W Cascade 13 t#4d . New dwelling area: square feet
City/State /ZIP: rjQ4 Olq 1721.5 Garage /carport area: square feet
I
Suite/bldg. /apt. no.: Project name: Cascade_ De ma 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
DESCRIPTION OF WORK work indicated on this application.
demo hWeh re &I-N SpAG G -10 WA.r�a.4OtcS c. Valuation: $ 3 1. 2 5 6
Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑TENANT Number ofstories: /
Name: r d Ch Real f y Type of construction: ,J
Address: q 5/0 Ek G Cu f f jp Dr. ye. Sw L tc 22.0 Occupancy groups: A - 3
City/State /ZIP: J 1 Di e p , CA 82121 Existing:
Phone: (8r8) 521. y zl 8 J Fax: (gra) 546.1006 New:
0 k APPLICANT ❑ CONTACT PERSON NOTICE
Business name: GOh+P+)e rc / pi ephilria Crier S /M c. All contractors and subcontractors are required to be
Contact name: E r iG Mo 41 , y licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: (2_6 5 SOt,t.tt► 3 G'tk 4:4,,, jurisdiction in which work is being performed. If the
City /State /ZIP: RijiLAi elc/ , 1AI R 86'l Z apply ant is exempt from licensing, the following reasons
Phone: (S)3) t 2 3 . " yyq v Fax:: (Sb 3) 22 3.. 664 y
E -mail: cr.; a C" tG.i L • LO W1
J CONTRACTOR "
Business name: COhltrltr Coh b"OG4fS /V,c. BUILDING PERMIT FEES*
(Please refer to fee schedule)
Address: (Z , E sou.-on 3 5�'` l t, C Structural plan review fee (or deposit):
City /State/ZIP: Ridgt, fiQICI , WA 486y2
Phone: ( f o Z t y. • t j q t c , Fax: (Q ) 2 Z, f - 644%1 FLS plan review fee (if applicable):
Total fees due upon application:
CCB lic.: 1 23 IZ`,i -- g . 7 7
Amount received:
Authorized signature: This permit application expires if a permit (s not o tained
within 180 days after it has been accepted as complete.
Print name: E a PIOPI e y Date: 7/t229 0 * Fee methodology set by Tri-County Building Industry
/ / Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(11 /02/COM/WEB)