Permit 7 ' n CITY OF TIGARD BUILDING PERMIT
1 COMMUNITY DEVELOPMENT Permit #: BUP2010 -00263
1 3125 SW Hall Blvd., Tigard OR 9 7223 503.718.2439 Date Issued: 12/01/2010
[ t GAR. Parcel: 2S113AB01400
Jurisdiction: TIGARD
Site address: 7312 SW DURHAM RD
Project: Protection One Subdivision: Lot: 0
Project Description: TI
Contractor: MATTHEW OLSON CONSTRUCTION Owner: PACIFIC REALTY ASSOCIATES
5320 SW DOVER LN 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97225 PORTLAND, OR 97224
PHONE: 503 - 892 -0066
PHONE: 503 - 624 -6300
FAX: 503 -892 -0067
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 12/01/2010 $256.22
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 12/01/2010 $30.75
Stories: 1 Height: 0 ft Plan Review 12/01/2010 $166.54
Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 12/01/2010 $102.49
Value: $12,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $556.00
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes 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. ATT ■ Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Cent = Those r are . forth in OAR
952 -00 .010 through • , - 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1 •r 1.800. 2.2344.
I
/..,
Issue' By: , % Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspe ion date.
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 Applicat><o i
ECE1VED .. ,, .,
9E, �. FOR .OEFICE USE 'ONLY `' `,:
x
City of Tigard C 1 ZO1O Received !�i a 6,- o(l g.... n C / P erm it N o.:
13125 SW Hall Blvd., Tigard, OR 97273 Plan Review
,. .. ' _ ,, Phone: 503.639.4171 Fax: 503.59 Date /I3 : `1�► � Other Permit:
Line: 503.639.4175 �� OF TIGARD D ate Readyy y: Juris: ® See Attached Checklist for
TIGARD g g BU ILDING DIVISION
Internet: www.ti and -or. ov Notified/Method: Supplemental Information
-, ORK
TYPE OF W REQUIRED DATA 1 AND ;2 FAIVIILY 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 ® Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder 111 Other: Number of bathrooms:
,„ JO SITE INFORMATION,' AND LOCATION Total number of floors:
Job site address: 7 7. ,, .9 / 4/� 2 New dwelling area: square feet
�
City /State /ZIP: � 7L/4 � 0 � ' /,"� I� 4-1 Garage /carport area: square feet
of
Suite/bldg. /apt. no.: Project name: / ` ��d�7 / 857— e , 4 - J Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
le • Other structure area: square feet
REQUIRED DATA COMMERCIAL USE CIIEGIWIST
,. _ . 0 m� ,,,, ,; ,.; w%.:v..
Subdivision: l 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
work indicated on this application.
,DESCRIPTION OF WO / K i
e T ... ti/ Y e cY� _ _ Valuation: $ 44.4' �• des v c v j .r /d �
^ Q2 � ' 1 d � Existing building area: square feet
/ l' T'[ New building area: square feet
, /
4 ®t PROPERTY OWER ❑ N TENANT, ) Number of stories:
Name: PacTrust Type of construction:
Address: 15350 S.W. Sequoia Pkwy., Suite 300 Occupancy groups: /� �7 / / (',
Existing:
City /State /ZIP: Portland, OR 97224 ,..../..,.C.,
� � v 9
Phone: (503)624 -6300 Fax: (503)624 -7755 New:
r x ®TPPLICANT ®.`CO PERSON =� t� NOTICE
dry, .�.���, �..,�,v, �< .Y� _. . x�,�_ Pr�. -_ . ...� ,..� , �., � .�- ����:
_ a., 4 , ms.' ,.�s� ate. ,�a`�a . �� _' � rt
Business name: PacTrust All contractors and subcontractors are required to be
Contact name: Dennis Pagni licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 15350 S.W. Sequoia Pkwy., Suite 300 jurisdiction in which work is being performed. If the
City/State /ZIP: Portland, OR 97224 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 624 -6300 Fax:: (503) 624 -7755
E - mail: dennisp @pactrust.com
'' ':. x , _ CONTRACTOR, Ie i ., .... , -r
Business name: EES
/� ,��� 5-,•Jt> t BUILDING PER rf i`
�/ _.� ",.: _ , i lemma.�seirefer €to p eafit ^, % c
Address:
City /State /ZIP: Structural plan review fee (or deposit):
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: Total fees due upon application:
/4/ 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: Date:
�� * Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building \Permits \BUP- PermitApp. doc 03/21/06 440 -46I 3T(I I /02 /COM/WEB)
1 cli
111 . Building Division
• Over - The - Counter (OTC) Building Permit
TIGnR° Check List
Description of Project: 1 1
GENERAL, INFORMATION
Class of Work:* C Floor Areas (sq. ft): Exterior Wall Construction:
Type of Use:* LCMA First floor: N: S:
Type of Construction: Second floor: E: W:
Occupancy Group: Third floor: Openings Protected Y /N ?:
Occupancy Load: 7A- 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: Y�5 Handicap access:
Smoke detector: Protected corridors:
Fire alarm: Parking spaces ( #):
Notes:
Total Valuation: $ t2)
INSPECTIONS FEES DUE
Footing /foundation Firewall $ 2'5 - k,, 7 ZZ.- Permit Fee
Post /beam structural Smoke detector $ Jr ?5 State Surcharge
Shear wall Misc. inspection $ FL.. . ' Plan Review Fee
Masonry Approach /sidewalk $ Wri 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
$ I- Iourly Rate Fee
$ Hourly Rate State Surcharge
$ Other:
$460 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 \Forms \OTC - BUP.doc 08 /19/08