Permit CITY OF TIGARD BUILDING PERMIT
.71 : 0 COMMUNITY DEVELOPMENT Permit #: BUP2010 -00202
T f GAR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/01 /2010
Parcel: 2S112AA00600
Jurisdiction: Tigard
Site address: 6713 SW BONITA RD 270
Subdivision: NELSON BUSINESS CENTER Lot: 0
Project: ServPro
Project Description: TI
Owner: FEES
WALTON CWOR NELSON 13 LLC Description Date Amount
BY TTA/EPROPERTYTAX DEPT 735, PO BOX Permit Fee - Additions, Alterations, 09/01/2010 $718.43
4900 Demolition
PHONE: 12% State Surcharge - Building 09/01/2010 $86.21
Plan Review 09/01/2010 $466.98
Plan Review - Fire Life Safety 09/01/2010 $287.37
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: $49,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,558.99
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. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in 0
952- 001 -0010 through OAR 952- 001 -0100. You may obtain a co• • • _ • - or direct questions to OUNC by calling 51 •.6699 or 1.86; .2344.
Issued By _ Permittee Signature: /
Call '• •4175 by 7:00 a.m. for an Inspection that busi - s day. /
This permit card shall be kept In a conspicuous place on the job site • completion of the proj�.
Approved plans are required on the Job site at the time of each Inspection.
Building Permit Application ...
Commercial
RECEI1E1 Received FOR M'''ICE USE ONL.
,, City of Tigard Date /B : 9 ! f • G Permit No.: " I j v — 06)
a 13125 SW Hall Blvd., Tigard, OR 97 £ U 1 2010 Plan Review
11 Phone: 503.639.4171 Fax: 503.598 DateB : ,1� d� Other Permit:
r I , 11 D Inspection Line: 503.639.417 Date Ready/By: El See Page 2 for
Internet: www.tigard or.gov C ITY OF TIGARD Notified/Method: / Supplemental Information
BUILDING DIVISION
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
-3 work indicated on this application.
CATEGORY OF CONSTRUCTION •
❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder
0 Other: Number of bathrooms:
I JOB SITE INFORMATION AND LOCATION Total number of floors:
j Job site address: 6713 SW Bonita Road New dwelling area: square feet
City /State /ZIP: Tigard, OR 97035 Garage /carport area: square feet
ji Suite/bldg. /apt. no.: 270 Project name: ServPro 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.
$ Demolition of non structural partitions Valuation: S49,000
Construction of non structural partitions Existing building area: 84000 square feet
Q New building area: 36000 square feet
ii,
❑ PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: GVA Kidder Mathews . -" Type of construction: V -B
Address: One SW Columbia St., Suite 950 Occupancy groups:
City /State /ZIP: Portland, 0197258 Existing: B & S -1
Phone: (503) 221 -9900 Fax: (503)221 -2277 New: B & S -1
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Commercial Contractors Inc. All contractors and subcontractors are required to be
Contact name: Eric Money licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1265 South 35 Place jurisdiction in which work is being performed. If the
City /State /ZIP: Ridgefield, WA 98642 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 227 -4440 Fax: : (503) 227 -6644
E -mail: eric @ccigc.com
CONTRACTOR •
Business name: Commercial Contractors Inc. BUILDING PERMIT FEES*
Address: 1265 South 35 Place (Please refer to fee schedule)
City /State /ZIP: Ridgefield, WA 98642 Structural plan review fee (or deposit):
Phone: (503) 227 -4440 I Fax: (503) 227 -6644 FLS plan review fee (if applicable):
CCB lic.: 123729 Total fees due upon application: 'I 55'7, lq
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:, f Date: e 2 " 1'D * Fee methodology set by Tri- County Building Industry 1:44(
V Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(1 I /02/COM/WEB)
•
1,111
e ° Building Division
Over- The - Counter (OTC) Building Permit
rlc.,nlzD Check List
Description of Project: TI
GENERAL INFORMATION
Class of Work:* ikUr Floor Areas (sq. ft.): Exterior Wall Construction:
Type of Use:* rile First floor: N: S:
Type of Construction: Second floor: E: W:
Occupancy Group: l % 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: Handicap access:
Smoke detector: Protected corridors:
Fire alarm: Parking spaces ( #):
Notes:
Total Valuation: $ 49 ono
INSPECTIONS FEES DUE
Footing /foundation Firewall $ 71 Permit Fee
Post /beam structural Smoke detector $ 4P „2 State Surcharge
Shear wall Misc. inspection $ 'u - Plan Review Fee
Masonry Approach /sidewalk $ X . , 27 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:
$ 15 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.
1: \ Building \Forrns \OTC - BUP.doc 08/19/08