Permit v CITY OF TIGARD BUILDING PERMIT
11 11 2 C OMMUNITY DEVELOPMENT P ermit #: BUP2011 00006
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/03/2011
Parcel: 2S113AC00103
Jurisdiction: Tigard
Site address: 7244 SW DURHAM RD, BLDG# M
Project: RSD Refrigeration Subdivision: PACTRUST BUSINESS CENTER Lot: 0
Project Description: TI. Phased permit.
Contractor: DURUS CONTRUCTION LLC Owner: PACIFIC REALTY ASSOCIATES
15806 UPPER BOONES FERRY RD 15350 SW SEQUOIA PKWY #300
LAKE OSWEGO, OR 97035 PORTLAND, OR 97224
PHONE: 503 - 320 -8601 PHONE: 503 - 624 -6300
FAX: 503 - 244 -4318
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 02/03/2011 $880.05
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 02/03/2011 $105.61
Stories: 0 Height: 0 ft Plan Review 01/11/2011 $572.03
Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 01/11/2011 $352.02
Value: $70,000 Phased Plan Review 02/03/2011 $88.01
Additional Plan Review 02/03/2011 $200.00
DC Provision Review, COM TI - Ping 02/03/2011 $64.00
Floor Areas: DC Provision Review, COM TI - LRP 02/03/2011 $9.00
Info Process /Archiving - Lg Sheet (over 02/03/2011 $8.00
Total Area: 0 11x17)
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,278.72
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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 ccordan 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. TENTION: Ore •n law requires you to follow the rules adopted by the Oregon Utility Notification Ce • Those • -s are -t forth in OAR
952 -00 -0010 through OAR • •2 -001 -4 9. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232 • or 1.800 • 2.2344.
Issue By: \ / L1/ � /....4 Permittee Signature: `��(
Call 503.639.4175 by 7:00 a.m. for the next available inspection 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 Application • FOR OFFICE USE ONLY
Received
Ihil . City of T igard Date/B : _ I Permit No.: , (4
i i.l
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revi
Phone: 503.639.4171 Fax: 503.598.1960 \\\.\) Notifi D ; ' • �� Other Permit:
TI GARD Inspection Line:
Internet: www.ti 8 03.63 .4175 � �Date Notified/Method: f 7uris: H See Attached Checklist for
and -or. ov ,� ed/Me A y / _ !/ C]r Supplemental Information
G,4 t O.� wV L , ., -2(1 /1/
TYPE OF WORK i k REQUIRED DATA: 1- AND 2- FAMILY DWELLING
[] New construction ❑ Demolition \1.1�`` Permit fees* are based on the value of the work performed.
f C) 1U\ — 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.
dwelling Valuation: $
❑ 1- and 2-family g ®Co mmerciaUindustrial
❑ 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: 22 4/4/ fhb A ./6 , v A 40 , r , 7 ,,Z A. ... Ci New dwelling area: square feet
City/State/ZIP: -TU -i.,4 O2 99'A v Garage/carport area: square feet
Suite/bldg. /apt. no.: S Project name: 1, j) R k to q e ez ,'� 7 v ":- 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* arc 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.
L Valuation: $
e� ,t.ST�Y , „c)w,).F� /!J / j7. dD
,12t) Cl, _ 54ert e a,r/ Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories: /
Name: PacTrust Type of construction: ///
Address: 15350 S.W. Sequoia Pkwy., Suite 300 Occupancy groups: /S
City/State/ZIP: Portland, OR 97224 Existing: 7'90
Phone: (503)624 -6300 Fax: (503)624 -7755 New:
® APPLICANT ® CONTACT PERSON NOTICE
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
CONTRACTOR
Business name: )/) Ft ) C BUILDING PERMIT FEES*
Address: y (Please refer to fee schedule)
City/ State/ZIP: Structural plan review fee (or deposit):
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lie.: i 85 / Total fees due upon application:
I Amount received:
Authorized signature: This permit application expires if a permit is not obtained
YZ within 180 days after it has been accepted as complete.
Print name: 3 ,J- W r QN - - Date: J/ // /
* Fee methodology set by Tri -County Building Industry
/ Service Board.
L\Building\Pe mits\BUP- PermitApp.doc 03/21/06 440- 4613T(I1 /02/COM/WEB)
7 7/ 514 9144 A., 246:/ .S`'ZX
• Building Division
Development Code Provision Review
T 1 c. n 1i Commercial Projects - No Associated Land Use Case
Building Permit No: V 1O// ^ 0000(D lJ(J Expedited Review
Plan Submittal Date: /l //
To the Applicant:
➢ If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
➢ If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approved. � ,,
Planning Review (contact l40a� '`' -�/ s at 503 -718 —� 0 //
or �'Uv_ @ ti g ard- or.
1 Z oning t7 Permitted Use Yes J( No ❑
❑ Land Use Required: Yes ❑ No ' (explain below)
Notes: i P7' 1 5 ^ _� Sz �PiL ,? 7 — - 511 rr3 - CGr? S i� •�
P
Approved ❑ Not Approved Date: V/O/
Permit Coordin or Review (contact Albert Shields at 503 - 718 -2426 or albert@tigard-or.gov)
Notes: ' 44-, IA/ • �_ A d, -
J/F� . _ / �, w J •
Routed back to Building Div / i• Date:
I: \CURPLN