Permit r,. t ' j. Cot
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I „ CITY OF TIGARD 400
BUILDING PERMIT
' 2 - COMMUNITY DEVELOPMENT Permit #: BUP2O11 -00152
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718.2439
Date Issued: 07/15/2011
Parcel: 2S113A0001 O3
Jurisdiction: Tigard
Site address: 7228 SW DURHAM RD, STE# 100
Project: Style Shock Subdivision: Lot:
Project Description: Remove and replace damaged area of roof 11/3/11, reprinted to change contractor
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY #300 ATfN• N PIVEN
PORTLAND, OR 97224 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 624 -6300 PHONE:
FAX: 503 - 624 -7755
FEES
Specifics:
Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 07/15/2011 $509 05
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 07/15/2011 $61 09
Stories: 1 Height: 0 ft Plan Review 07/15/2011 $330 88
Bedrooms: 0 Bathrooms: 0
- Value: $30,000 .
Floor Areas:
Total Area: 0
Accessory Struct. 0
Basement 0
Carport 0
Covered Porch: 0
Deck: 0
Garage• 0
Mezzanine 0
Total $901 02
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 a - - _ , - ice with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is sus.- .e• or more the 180
days •TTENTION• Or - =•n law requires you to follow the rules adopted by the Oregon Utility Notification Ce cr Those • es are ,' forth in OAR
95 001 -0010 through OAR • .2 -01 la 90 You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 • ;7 or 1 800 • 2 2344
Is- ued By: , , / / Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available in '• ectiote.
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.
q CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2011 -00152
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/15/2011
Parcel: 2S113AC00103
Jurisdiction: Tigard
Site address: 7228 SW DURHAM RD, STE# 100
Project: Style Shock Subdivision: Lot:
Project Description: Remove and replace damaged area of roof.
Contractor: EMERICK CONSTRUCTION CO Owner: PACIFIC REALTY ASSOCIATES
P.O. BOX 66100 ATTN: N PIVEN
PORTLAND, OR 97290 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 777 -5531 PHONE:
FAX: 503 - 771 -2933
FEES
Specifics:
Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 07/15/2011 $509.05
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 07/15/2011 $61.09
Stories: 1 Height: 0 ft Plan Review 07/15/2011 $330.88
Bedrooms: 0 Bathrooms: 0
Value: $30,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $901.02
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 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 OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1 or 1.800.3 44.
Issued By: ' / Permittee Signature:
C175 by 7:00 a.m. for the next available i pection 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
Commercial roll OFFICE USE ONLY
Cl of Tigard � rl , � Received J Permit /
2 5 SW Hall Blvd., Tigard, OR 9722 � , r +. , Fi e Review i . • � ', I t
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17 , IP
131
11 Phone: 503.718.2439 Fax: 503.598.196 ,�� l ��v `! � , Date/By: ' 7 1 • • (/ Other Permit:
I 1 Ci \ It 1) Inspection Line: 503.639.4175 r'\j Q\ Date Ready/B . 1 n ® See Page 2 for
Internet: www.tigard- or.gov G �� Notified/Method: Supplemental Information
a TYPE OF WORK A ,. REQUIRED DATA. I AND r 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
O. Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
si . gi work indicated on this application.
,.. do ..1; a . ,4:.. CA I EGOhY OF CON fJCTION r , ,, ,, ` f ..._..:._c
El 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $
El Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms:
z JOB SITE'�IlVFORMATION APTD� LOCATION A ` Total number of floors:
Job site address: ,77 ,7N,k,�-) 7r d m / tJ 0 New dwelling area: square feet
City/State /ZIP: / /? . 4 / �J l e 1 1 - a y Garage /carport area: square feet
Suite/bldg. /apt. no.: I Project reame: / _ Covered porch area: square feet
Cross street/directions to job site: k Deck area: . square feet
Other structure area: square feet
,.REQUIRED DATA COMMERCJ .L USE`CI CKLIST is
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Fax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
:at t Y r. M ,,r t ,� �,; ` work indicated this ones and the profit for the
; �' ' , Si � U . ; e� F�SCRIPTION OF,WORI ,.. �# 7 ,Y A 1 a application.
Valuation: S ___?.e/ n n U
01 f� j V Rev
.0t ,yl />� Existing building area: square feet
/,-t f t New building area: square feet
1 - ®PROPERTY' OW IER 'r :4 M yer r ?r ® TENANT s _ r '" Number of stories:
Name: PacTrust Type of construction: //4—
Address: 15350 S.W. Sequoia Pkwy., Suite 300 Occupancy groups: }'{ '
City /State /ZIP: Portland, OR 97224 Existing:
Phone ( 503) 624-6300 Fax: ( ) 624- 755 ew
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Business name: PacTrust All contractors and subcontractors are required to be
Contact name: • licensed with the Oregon Construction Contractors Board
Denni s Pagiti 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:
�.� 7� �� �'� ���� � �} �� ,�� two sAs . �' �LLI��� ac �� -, ,
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Business name: P 1 G• Nm ' �'`a BIJIsDfi FEES! " � a;
r
l 0 S 461t . 3:. �1 Kflf fO ftl SC (M 0.4MW
Address: , d %171 c (o c -
y� Structural plan review fee (or deposit):
City/State /ZIP:
oI' e,�x� F' t� • FLS plan review fee (if applicable):
._.S
Phone: (503 ) 777. -3 ( l Fax: ( )
--j I Total fees due upon application: 50 ( ,
CCB lic.: U / J--
l Amount received: 'C�(�0
Authorized signature:'
This permit application expires if a permit is not obtained
Print name Date: * within 180 days after it has been accepted as complete.
Fee methodology set by Tri- County Building Industry
■
Service Board.
1:\l3uilding \Permits\BUP -COM PermitApp.doc 09/09/10 440 4613T( I /02/COM/WEB) .
I If
Building Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List
Project Description: f
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: Occupancy Group: j Type of Construction: I
*Type of Use: #74,1--
Occupancy Load: Oregon Specialty Code: 2.0
SPECIFICS
Number of Stories: Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT - SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport: Mezzanine:
SETBACKS
Sideyard Setback – Left Sideyard Setback – Front
Sideyard Setback – Right Sideyard Setback – Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access. Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: Fire Alarms:1 Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ ) FEES DUE
$ f 441 % • rov vw, • ' -
$ w ry ! - e
DC Provision Review Fee for COM TI $ '561 , ' Fee – Add, Alt, Demo
Project Valuation Planning LRP $ am. 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ 'lj 'r f. " Plan Review, Structural
$5,000 - $74,999 $64.00 $9.00 $ Plan Review, Fire Life Safety
$75,000 - $149,999 $160.00 $24.00 $ Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $256.00 $38.00 $ Info Proc /Arch, Sm (up to 11x17 $0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
Planning Staff: $ Hourly Rate State Surcharge
$ Misc. Admin Fee
Permit Coordinator: $ Other:
$ Other:
Building Staff: $ Other:
Date /Time: .$ COI , 62—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.
I: \Building \Forms \OTC - BUP.docx 01/13/2011