Permit .... . „
OF TIGARD BUILDING PERMIT
41, CITY PERMIT #: BUP2006-10003
3/1/2006
�( DEVELOPMENT SERVICES DATE I
"- ' -- - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 25101 AC -01900
SITE ADDRESS: 12615 SW 72ND AVE ZONING: C -G
SUBDIVISION: LOWE'S HIW, INC LOT: JURISDICTION: TIG
Project Description: Replace existing entrance doors.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: UNK : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 49 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 5,000.00
Owner: Contractor:
LOWE'S HOME IMPROVEMENT NORTHWEST COMMERCIAL INC
1000 LOWES BLVD 3635 S LAWRENCE ST STE G
MOORESVILLE, NC 28117 TACOMA, WA 98409
Phone: Contact #: FAX 253 - 476 -8827
PRI 253 - 471 -3980
FEES Reg #: LIC 133350
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/31/2006 $91.30
[BUPPLN] Pln Rv 3/31/2006 $59.35
[FLS] FLS Pin Rv 3/31/2006 $36.52
[TAX] 8% State Surchari 3/31/2006 $7.30
Total $194.47
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 than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 503- -6699 'l 00- 332 -2344.
Issued By: Permittee Signature: / ' _ �� _
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.
Bui ri4, . EIV
rdin� Permit App �"� � FOR OFFICE usl: ON1N
City of Tigard DateBea - Emma Permit No z p .„ _. 4L , „ 1
13125 SW Hall Blvd., Tigard, OR 97223 ~ p R 1 2006 „A-,
Phone: 503.639.4171 Fax: 503.598.196 AA' Plan Review
l Date/B Other Permit:
Inspection Line: 503.639.4175 ' -IL' Date Ready /By: ® See Attached Checklist for
Internet: www.ci.tigard.or.us' CITY OF TIGAR I Notified/Method: B Supplemental Information
0 HM`IJ BUILDING DIVISION
3,4 E 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
XAddition/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:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND . LOCATION Total number of floors:
Job site address: I /2,6AG gti•I it. N° ..O.%Ar. New dwelling area: square feet
City /State /ZIP: ∎ r` Project " • Garage /carport area: square feet
t
Suite/bldg./apt. no.: name: LOVI4 6°1 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: I Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK' work indicated on this application.
fillt
. =� — t ^„ A_ � Valuation: $ % 2j
Q� A Existing building area: s feet
1�� / O New building area: ...06 square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories: �. 1
Name: Le �ftl1 " "' ` I i L4 j & 4"m ( " Type of construction:
Address: Letitia., Occupancy groups: y ip
City /State /ZIP: Mani G w ' Existing: !! A��
1
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: _ ._ _ _ All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board • under ORS 701 and may be required to be licensed in the
Address: P. 0 "(* 1 jurisdiction in which work is being performed. If the
City /State /ZIP: ,�a Oa. QI 11'1 applicant is exempt from licensing, the following reasons
apply:
Phone: cot � "!/ . 1r$b I Fax:: ( +peel
E -mail:
CONTRACTOR
Business name: 7 ` 1' _ _ . '1■ a... . A _ _ / i � BUILDING PERMIT FEES*
Address: _ . .:f Lo •
Please refer to fee schedule.
City /State /ZIP:
Fees due upon application
Phone: of an -. ' Fax ' ,1 • i i/ II
/.5-5 7601 Amount received
CCB lic.:
Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print nme: pu I Date: 'j , ` • Fee methodology set by Tri- County Building Industry
•
�// Service Board.
i:\Building \Permits \BUP•PermitApp.doc 12/03 440- 46I3T(I I /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 1 ;1W:jizi}6•100•)3
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 311/20:16
Phone: (503) 639 -4171 o�ilik
Inspection Requests (24 Hrs.): (503) 639 -4175 ..W li
INSPECTION WORKSHEET FOR DATE: 4/20/2006 TIME: 7:04AM PAGE: 59
SITE ADDRESS: 12616 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: LOWE'S HIW, INC LOT #: TYPE OF USE:
PROJECT NAME: 1OWE'S
DESCRIPTION: Replace existing entrance doors.
OWNER: LOW} ' i HOME IMPROVEMENT, PHONE #:
CONTRACTOR: NORTHWEST COMMERCIAL INC PHONE #: 253-471-3980
Inspection Request Scheduled For: Date: 4/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 02.8366-•01 360 -471 -7693 V
Corrections /Comments /Instructions: ROb e is NS6G of 4PeYrac) l'1
elect c-c ff 1 c Lgt 3orin
C
cs., Fizz_
0
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR NSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � 1 I Date: VD O Phone #: (503) 718'