Permit te (
14 CITY OF TIGARD BUILDING PERMIT
a .. COMMUNITY DEVELOPMENT Permit# BUP2009 -00063
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/13/2009
Parcel: 2S112AD01000
Jurisdiction: Tigard
Site address: 7007 SW CARDINAL LN 135
Subdivision: Lot: 0
Project: North American World Trade
Project Description: TI
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
ATTN: N PIVEN, 15350 SW SEQUOIA PKWY Permit Fee - COM 04/13/2009 $510.70
#300 Tax - 12% State Surcharge 04/13/2009 $61.28
PHONE: Plan Review 04/13/2009 $331.96
Plan Review - Fire Life Safety 04/13/2009 $204.28
Contractor:
PHONE:
FAX:
Speci fics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 1 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $80,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,108.22
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: No
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 w• is sus.. . • - • for more
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. T is rul are set fo• h in OAR
952 - 001 -0010 through OAR 9.52- 001 - 0 You may obtain a copy of the rules or direct questions to OUNC by calling 504.2 •.64•9 or 1.81.. 32.2344.
Issued By: gOKki x / 4) \ i �� � Permittee Signature/ 1
Call 503.639.4175 by 7:00 a.m. for an inspectio at business day.
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.
7
V CITY OF TIGARD BUILDING PERMIT
1111 1 COMMUNITY DEVELOPMENT Permit #: BUP2009-00063
Date Issued: 04/13/2009
T. IG,ry g,Lp 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S112AD01000
Jurisdiction: Tigard
Site address: 7007 SW CARDINAL LN 135
Subdivision: Lot: 0
Project: North American World Trade
Project Description: TI
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
ATTN: N PIVEN, 15350 SW SEQUOIA PKWY Permit Fee - COM 04/13/2009 $510.70
#300 Tax - 12% State Surcharge 04/13/2009 $61.28
PHONE: Plan Review 04/13/2009 $331.96
Plan Review - Fire Life Safety 04/13/2009 $204.28
Contractor:
DURUS CONTRUCTION LLC
15806 UPPER BOONES FERRY RD
LAKE OSWEGO, OR 97035
PHONE: 503- 320 -8601
FAX: 503- 244 -4318
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 1 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $80,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,108.22
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: No
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 18 ays. ATTEN eN' Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Ce• - . Those rules are set forth in OAR
95 001 -0010 through OA; " 2 10 100. You may obtain a copy of the rules or direct questions to OUN , g callin• 503.246.6699 or 1.800. 32.2344.
I ued By: / n Permittee gnature: 4:44 ��
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
a rr' ( ,
Building Permit Application D ` I , / ,� ; . FOR OFFICE USE ONLY - '
City of Tigard Da
feB �� 2 Permit No.: � ‘a:9651/��t�
Pr
" 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review � J
Phone: 503.639.4171 Fax: 503.598.1960APR 3 2oO9 DateB : i� i►� �� Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready / : y: - I f ® See Attached Checklist for
Internet: www.tigard- or.gov CITY OFTIGARD Notified/Method: t t Supplemental information
BUILDING DNISIO
TYP . E O F , WORK ] i x ' ,PIi a.. ; =, ' , 4 - - - -, - ; , ,. /REQUIRE DATA "1 ' AND.2 FAMI •
.n .4' . 3 . i- ...,... « .. '.t'; ,, a a-�= II 4. ... „,' I4 - , : -e'YrXZ:t,,,s .,r , _is':,•:;f a . -.., . t- - ... ,rs> "sue: ° .. .
Q New construction LI Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
A Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
. ▪ #" £ ry CATE ; 2 . i work indicated on this application.
❑ 1 - and 2-family dwelling Valuation: $
y g ®Commercial /industrial
El Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB , SITE # INFORMATION AND LOCATION , ' a; ▪ , ▪ g , Total number of floors:
Job site address: 9 Q 7 ,c 4"„ , ,, Aqi/n. .4 � i., New dwelling area: square feet
City/State /ZIP: G if G� '�fa Iv 1 -2.2 y Garage /carport area: square feet
r$ Suite/bldg. /apt. no.: / Project name 0 ,�� ���� 14 .,� r ,` Covered porch area: square feet
Cross street/directions to job ✓ ✓ ✓ site: 1A-10f? / 4- 77Fo_ d .e- Deck area: square feet
Other structure area: square feet
? ,•, %, -:,, t:„ A ,
',,, ';:• id`Y:r
el .. . : - :.. ... •- ,v,,, �r„*tiw
REQUI EO ,, DRAT', iCO MERCI.L USE CHEC trey 6 :
a ` , i,
., ',"V- E v a - ,, ,,,,, G - 5; 5i.. ..
3 .a .f 7 5 . .cd .7 _ 8k
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
r 4_ � 0 DESCRIP IONWOF WORK ti � ', workindicatedonthusapplication.
,,,,-!;',•:•
i d ir.. ,4 1 . T f , er v7 I'+ /7..t-, 4--.,;-,1" Valuation $ c.. CL 7
/ Existing building area: square feet
''''e l�� �--��' : 29,e ��. is ����
New building area: square feet
_ - g.F ® P R OPERTY,,OWNER ` ` ,M a - w. - .. yy T c 1 v 1 Number of stories: J
Name: PacTrust Type of construction: J1. -.3
Address: 15350 S.W. Sequoia Pkwy., Suite 300 Occupancy groups:
City /State /ZIP: Portland, OR 97224 Existing: 1-57?-5—
Phone: (503)624 -6300 Fax: (503)624 -7755 New:- -
:!;:::,:',c-3.? .. ;,.�' s - :�.� � �; a . � vim; % r .. „°�,+.,; ::;,r�^ %�. ` .xq p r�
,; �, APPI ICANT `" ON TACT PERSON" " ,. , . ". �:;:w :° .
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t ?.,., . „_ -:? .'e = ,,,,, —, p... , tim .,. ;e - . n- , . ; ® C -. o > : ;o n . ; -.a , ro , ,, , ba NOTw c . "
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
'.r; r t : i k a r CON % w itt9P K'x t< ..A
Business name: "`e? '" ~' "" ` BUIlDI1�I
�c.Cs , £g f= G PERIVIII FEES ' "}° '_ ° ,
' :,
Address:
INEWRI as refer o jee sched 11ej f" :Ai ;�r
Structural plan review fee (or deposit):
City/State/ZIP:
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: Total fees due upon application:
Amount received:
Authorized signature:
., i This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: / 1 Date: �� .. * Fee methodology set by Tri- County Building Industry
cJ Service Board.
1: \Building \Permits \BUP- PermitApp doc 03/21/06 440- 4613T(I I /02JC0 B)