Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2011 -00002
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/04/2011
Parcel: 1 S135BB00500
Jurisdiction: Tigard
Site address: 10355 SW CASCADE AVE
Project: Fisherman's Marine & Outdoor Subdivision: Lot: 0
Project Description: Interior demolition to prepare for TI.
Contractor: EATON GENERAL CONSTRUCTION LLC Owner: RAM /CASCADE CENTER LLC
99 W HISTORIC COL RIVER HWY BY ELLIOTT ASSOCIATES INC
TROUTDALE, OR 97060 901 NE GLISAN ST
PORTLAND, OR 97232
PHONE: 503 - 539 -0811 PHONE:
FAX: 503 - 489 -0550
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 01/04/2011 $520.07
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 01/04/2011 $62.41
Stories: 0 Height: 0 ft Plan Review 01/04/2011 $338.05
Bedrooms: 0 Bathrooms: 0
Value: $30,210
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $920.53
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through • • R 952- 001 -0090. You may obtain a copy oo =r direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
1
Issued B • Permittee Signature: �= �
41110 by 7:00 a.m. for the next availabl: ' nspection . ate.
/
This permit card shall be kept in a conspicuous place on the job site u .mpletion o ' he proj �J
Approved plans are required on the Job site at the time of each inspection.
Building Permit Application
Commercial V FOR OFFICE USE ONLY
Cl g �J O'�\ of Tigard C�j + Received ' , /
11 q Date/B . Ar Molt Permit No.: • , 1 _ O
13125 SW Hall Blvd, Tigard, OR 9722 'I, _ / U i RMIIMIIII
Phone: 503.639.4171 Fax: 503.598.1 ,, �\\ Q ; Other Permit:
T I G n R D Inspection Line: 503.639.4175 p \`' ,�G .te Ready /By: See Page 2 for
Internet: www.tigazd- or.gov f* h� .$\5 1IV� (a Notified/Method: `', Supplemental Information
C4S
TYPE OF WORK NO...- REQUIRED DATA: 1- AND 2- FAMILY DWELLING
El New construction D Demo n 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.
❑ 'l- 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: 10355 SW Cascade Ave. New dwelling area: square feet •
City /State/ZIP: Tigard,, Oregon 97223_ Garage /carport area: square feet
Suite/bldg. /apt. no.: 10355 Project name: Fisherman's MG itivve 4 _ , . - , Covered porch area: square feet
Cross street /directions to job site: Deck area: square feet
Approx. 1/2 mile North of SW Greenburg Rd on SW Cascade Avenue Other structure area: square feet •
Located on,West side of road.. REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 1 S 135- n{30 U (-'� t I Lot no.: Permit fees* are based on the value of the work performed.
X� Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: R273162 equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Demolition of existing Interior elements to prepare for new Tenant Improvement Valuation: $$30,210.00
Existing building area: 25600 square feet '
- New building area: 0 square feet
❑ PROPERTY OWNER I ® TENANT Number of stories: I
Name: Dan Grogan /Fisherman's Marine & Outdoor Type of construction: HI -B .
. Address: 901 North Columbia Blvd. , Occupancy groups:
•
City /State /ZIP: Portland, Oregon 97217 • Existing: M
Phone: (503)283 -8310 Fax: (503)285 -9461 New:. M
❑ APPLICANT ® CONTACT PERSON
NOTICE
Business name: CONDUFF architectureldesign, LLC All contractors and subcontractors are required to be •
Contact name: Jerry Conduff licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
' Address: 3870 NW 172 t Place jurisdiction in which work is being performed. If the
• City /State/ZIP: Beaverton, Oregon 97006
'applicant is exempt from licensing, the following reasons
apply:
. Phone: . (503)419 -7916 • I Fax: :• (503) 645 -7027 -
E -mail: jerry@conduff.com -
CONTRACTOR
Business name: Eaton General Construction LLC BUILDING PERMIT FEES*
Address: 99 W. Historic River Hwy
(Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State/ZIP: Troutdale, Oregon 97060 .
FLS plan review fee (if applicable):
Phone: (503) 539 -0811 I Fax: (503) 489 -0550
CCB lic.: 154142 )/ / l Total fees due upon application: p� ,, 53
Amount received: rt � 0 �' • Authorized signature: / / / .% II� • I This permit application expires if a per t is not btai d
• within 180 days after it has been accepted as complete.
Print name: ry Conduff / , I Date: 1/4/2011 * 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)