Permit Nil CITY OF TIGARD BUILDING PERMIT
a COMMUNITY DEVELOPMENT Permit #: BUP2010 -00177
T I GA-RD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/25/2010
Parcel: 2S112AA00300
Jurisdiction: Tigard
Site address: 14200 SW 72ND AVE
Subdivision: NELSON BUSINESS CENTER Lot: 0
Project: Gerber Legendary Blades
Project Description: TI
Owner: FEES
GERBER LEGENDARY BLADES Description Date Amount
14200 SW 72ND AVE Permit Fee - Additions, Alterations, 08/25/2010 $910.17
PORTLAND, OR 97223 Demolition
PHONE: Plan Review 07/29/2010 $591.61
Plan Review - Fire Life Safety 07/29/2010 $364.07
CDC Planning Review, COM 08/25/2010 $128.00
Contractor: CDC Planning Review, COM - LRP 08/25/2010 $38.00
SM ANDERSEN COMPANY INC. 12% State Surcharge - Building 08/25/2010 $109.22
P 0 BOX 5003
PORTLAND, OR 97208
PHONE: 503 -285 -7118
FAX:
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 2 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $74,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,141.07
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 s pended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those s ar set forth in OAR
952- 001 -0010 through OAR • 2- 001 -0100. You may obtain a co. • e ru e - direct questions to OUNC by calling,5 24 699 or 1 00.332.2344.
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Issued By: Permittee Signature: !,, - /
Call 50 •39. 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.
Building Permit Application
Commercial FOR OFFICE USE ONLY
City Of Tigard Received Permit No.: 0e/ 0 -fir ct a L
13125 SW Hall Blvd., Tigard, OR 97223`, { +� S Date /B an R eview �.
Phone: 503.639.4171 Fax: 503.598.1960 24 Other Permit:
T I G A R D Inspection Line: 503.639.4175 y,y\ Date Ready : y , y J uris El See Page 2 for
Internet: www.tigard - or.gov �` l �� ; � d 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
® 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 Valuation: $
® 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: 14200 SW 72nd Ave New dwelling area: square feet
City/State /ZIP: Tigard, Oregon 97224 Garage /carport area: square feet
• Suite/bldg. /apt. no.: Project name: Gerber Legend. Knives T.I Covered porch area: square feet
Cross street/directions to job site: 72nd and Bonita 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.
Placing (13) new 5' x 3' Storefront Windows and (1) new 2' x 3' Valuation: $$74,000.00
in existing concrete tilt -up panels (walls) Existing building area: 95750 square feet
New building area: 95759 square feet
❑ PROPERTY OWNER ® TENANT Number of stories: 1.5
Name: Gerber Legendary Knives Type of construction: VB
Address: 14200 SW 72nd. Ave Occupancy groups:
City/State /ZIP: Tigard, OR 97224 Existing: F & B
Phone: ( ) Fax: ( )
New: F & B
® APPLICANT ® CONTACT PERSON NOTICE
Business name: Ridge Engineering LLC All contractors and subcontractors are required to be
Contact name: Rich Boyer licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 15475 NW Pumpkin Ridge Rd. jurisdiction in which work is being performed. If the
City/State /ZIP: North Plains, OR 97133 applicant is exempt from licensing, the following reasons
apply:
Phone: ((503)) 702 -9169 Fax: : ((503)) 647 -5152
E -mail: ridgeengineering @coho.net
CONTRACTOR
Business name: SM Andersen BUILDING PERMIT FEES*
Address: 6712 North Cutter Circle (Pkasere(erro fee schedule)
City/State /ZIP: Portland, OR 97217 Structural plan review fee (or deposit):
Phone: (503) 285 -7118 Fax: (503) 285 -1551 FLS plan review fee (if applicable):
CCB lic.: 63034 Total fees due upon application:
/ ! /-2 Amount received:
T his p Authorized signature: /� / permit application expires if a permit is not obtained
l within 180 days after it has been accepted as complete.
Print name: Richard M. Boyer Date: 07 - 29 - 10 * Fee methodology set by Tri-County Building Industry
Service Board.
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