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Permit • CITY OF TIGARD COMMERCIAL MANUFACTURED STRUCTURE PERMIT ` COMMUNITY DEVELOPMENT TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Permit #: CMS2011 -00002 Date Issued: 09/02/2011 Parcel: 2S101 BCO2401 Site address: 12650 SW HALL BLVD Jurisdiction: Tigard Project: Snyder Roofing Subdivision: Lot: Project Description: Placement of 20' x 60' modular office. Contractor: MODERN BUILDING SYSTEMS INC Owner: JFK PROPERTIES OREGON LLC PO BOX 110 12650 SW HALL BLVD AUMSVILLE, OR 97325 TIGARD, OR 97223 PHONE: 503 - 749 -4949 PHONE: FAX: 503 - 749 -4950 FEES Specifics: Description Date Amount Type of Use: CMS MH State Admin 09/02/2011 $30.00 Class of Work: ALT Type of Const: MH BLD Permit 09/02/2011 $275.50 Occupancy Group: 12% State Surcharge - Building 09/02/2011 $33.06 Stories: 0 Height: 0 ft Project Valuation: $5,755.00 Floor Areas: First Floor Area: 0 Second Floor Area: 0 Third Floor Area: 0 Total Area: 0 Required Setbacks: Left: 0 Right: 0 Front: 0 Rear: 0 Required: Parking Spaces: 0 Fire Sprinklers: Total $338.56 Smoke Detectors: Party Wall: Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Code and all other ap•',icable 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 ork is susp:, nded for more the 180 days. ATTENTION: re on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those r' es are se ' orth in OAR 952- 001 -001 rough OA \952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503, 32.19: or 1.80. 332.2344. Issued B : i Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available inspection da -.1 This permit card shall be kept in a conspicuous place on the job site until completio of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application . - RECEIVED o il'IIICI to FOR OFFICE USE ONLY M City of Tigard Date Bea A if Q ed Permit No da .ph q 13125 S W Hall Blvd., Tigard, OR 9722 E P 0 2 2011 Plan Review C A R, Other Permit: Phone: 503.7]8.2439 Fax: 503.598.1960 Date /B TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /By. Juris. 10 See Page 2 for Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method Supplemental Information ti, 5'a k6 ". x ax, - ki xt ki" 3" x4 b£r.:S,i �' uX a b° $�yuw�' Z l.' KC A i , , TYPE *':,'O x '1 � 'f- s ; REQ *:k,,i TA ` , 1 li-Wd 111G" ? ��. �. .:..„ a�, � ° ::�A` -.. .�. - � „� �a,�� ems,° � .,�.., rase a_ � ��� a = °a E ❑ ew construction El 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 ' ! se, ', g�y. * . , work indicated on this application. . i ;` - ' C T QI§a8DK RU O e is .. , . ❑ 1- and 2- family dwelling Commercial /industrial Valuation: $ • ❑ Accessory building 1=1 Multi-family Number of bedrooms: El Master builder ['Other: Number of bathrooms: �, I ' � OR V O Pa W r aj 4 Total number of floors: Job site address: njoSv S 1J ik 1511,..\10 New dwelling area: square feet City /State /ZIP: It ©( j o r '1122- Garage /carport ar- :. square feet Suite/bldg. /apt. no.: KIN Project name: AYDat Koofiik --imvit Covered pore area: square feet Cross street/directions to job site: S Nisi i'fPL fA)J tt Ito.O.Iss Deck . - a: square feet I) LormAviiikt. Slibcxy PAM' V 5uX 0f 5d1 • er structure area: square feet t'C 4 -ice Vt Atkikit Mk TIMRD eutY - ' 6"ei i`nl e rMi ' r.= :ls i> xi §9T �+`B+t. .,..ags$''A.`~ E f_ 4'34'P ` :-`d .3„ Tom' `tare 9° g.,' Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the Vit ° _ p}EAR 01 1 41#1$11;c111:, work indicated on this application. PIA,{„r -.per ot '0) akkly oxvc E t Valuation: $ s4' I © C e c Cp (A/C UC tl 24br X .0 I 6rV � , o _ 1 Existing building area: square feet r , CO eI , R � 1 � New building area: 1 i RD square feet ;, =w� r 1 ,� € ` gat- of �PROE X �._ �'” �... O ti�R ' � s � ` '�. da 2 LT �ln y Number of stories: IL area. ,ar, ..' . k a�A is '_ : m Name: V1aQ,04 ku, T ype of construction: Ii p Q e 1 KAl Address: 'P® 60x 23f511 Occupancy groups: City /State /ZIP: 1 t O f ( ,J ° 7Z. 'i Existing: Phone: (5b ) 20 P 52s2., Fax: (53) (0%1-3310 New: �° N T =" ° i"i „, ' , 66N4 i, z ' ERStI I B + Xb G E ' iTh ' $* 1 .— - _ , iE ,E , / � _. . � '.., , 414 -S ax ' a f.: -mot o- - 1 Business name: $ ' / Structural plan review fee (or deposit): Contact name: PEViiiiS \IEEA . Address: �A 1\ 13 AD. FLS plan review fee (if ap t City /State /ZIP:. Il(s.. r3(. °7213 Total fees due upon application: Phone: (503) (AO— `"'�` 91_,S2, 1' Fax:: ( ) ( - 310 Amount recei� ��� — E C wiD "'�lzWfi mk 1' $ PHQ t `TAT U AR ) ^ ,, rE E ,� :° e a. ,� A,fw� t Commer '.1 and residential prescriptive o to ation of ,, .. i : ,�� ° �,�� �X, is - _ .,� ,C'Y I roof -top mo °- ed Photovoltaic Solar P. el System. Business name:. Fit !), Q‘V1UD� Sy S Submit two (2) s- - of roof plan w'.: connection details ^ and fire department -a . - ss, alo e with the Oregon Address: (l Solar Installation Specia - Pode checklist. City /State /ZIP: i wMt I ilk a p,,� ,�,[ C' 1. .S Permit fee (inclu. plan -view MA `rt t '1`�",`'!� and as s nistrative fe- - $180.00 Phone: (Sp) '7' oi F ( ,L'j . — Y., o State surchar_ - (12% of permit fee): $21.60 CCB lie.: ' �) • al fee due upon application: 01.60 Authorized signature: • This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: I) II Nt ^Q ' 'V8 _ Date: ` u * Fee methodology set by Tri County Building Industry a Service Board. I: \Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440-4613 T( I 1/02/COM/WEB) ' r1