Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00042
DEVELOPMENT SERVICES DATE ISSUED: 2/4/2005
�' II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10770 SW CASCADE AVE PARCEL: 1S1356C -00500
SUBDIVISION: ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3N : sf N: S: E: W:
OCCUPANCY GRP: S1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 227 BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 10,000.00
Remarks: TI, Dyno Test Room.
Owner: Contractor:
MIKE DURBIN OWNER
10770 SW CASCADE BLVD
TIGARD, OR 97223
Phone: 503 - 924 -3700
Phone: 503 -475 -3180
Reg #:
FEES REQUIRED INSPECTIONS
Description Date Amount Framing
[BUILD] Permit Fee 2/4/2005 $139.30 Final inspection
[TAX] 8% State Surcharl 2/4/2005 $11.14
[BUPPLN] Pln Rv 2/4/2005 $90.55
[FLS] FLS Pln Rv 2/4/2005 $55.72
Total $296.71
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 than 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 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503 -6 9 or 1- 800 - 332 -2344.
Issued y: - ce.s...„,,a, -
Permittee --------- g-7- _
Signature: r
Call 639 -4175 by 7 p.m. for an inspection the next business day
Building Permit Application FOR OFFICE USE ONI.,I'
City of Tigard D e/B . 6 1 A� PermitNo.: � , I , „ ��
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Oa' %r Mrr,� ' ( °. Date/B . Other Permit:
Inspection Line: 503.639.4175 _ ^f i I Date Ready/By: Juris: El See Attached Checklist for
Internet: www.ci.tigard.or.us Notifed/Method: Supplemental Information
TYPE OF WORK . REQUIRED DATA: 1 AND 2: 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
'ddition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2 -family dwelling Commercial /industrial
Valuation: $
❑ Accessory building ❑ Multi -family Number of bedrooms:
❑ Master builder 12 Other: Number of bathrooms:
' JOB, SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 o -r o 5 .. . cAsc.i(tr - Mt_ . New dwelling area: square feet
City /State /ZIP: "T% GA-(Z(J t o (Z °C12 -2-3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street /directions to job site: C 146c14 -pQ_ ; GP- Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST.
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
DESCRIPTION OF WORK work indicated on this application.
` Valuation: $ 1 B 0 0
atisiALL._ sC>v:lD RA- bJc:ri ( i
0
t J fye5 t ST 1 sJ c &. t l— D..1't; , Existing building area: square feet
New building area: square feet
PROPERTY OWNER t ❑ TENANT Number of stories:
• Name: M ■ 46- Do g i it Type of construction:
Address: i O O 5 . , i . c & cdbDf2 —. &Ai fa_ Occupancy groups:
City /State /ZIP: ---i- G A I) I o L 9 Existing:
Phone: ( 9 24 - Z1 00 Fax: (SS) 9 24 I 3 ( New:
PPLICANT ❑ CONTACT PERSON NOTICE'
Business name: 'P t D 15...__ 4442...i...6--P - A4Jt /) Sa , All contractors and subcontractors are required to be
Contact name: Nl 1 tC- ti 12_ Lei t-1 licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1 0110 S.J. Cisr,e"kAL- P:40_ . jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
-n 1 G 4 t2d l O ( q i ZZ' apply:
Phone: (5 ,4 3) ' ? o Fax: : ( Se. ) 99 L4= t 93 1
E -mail:
. CONTRACTOR
Business name: SA* MfZ 14 o..1,P� BUILDING PERMIT FEES* . ,
Address:
Please refer to fee schedule.
City /State /ZIP: Fees due upon application
Phone:( ) Fax:( )
Amount received
CCB lie.:
Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: PA i e.. cAL. FjaS Date: z( 4-1 QS * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ BuitdingWermits \BUP- Ti- PermitApp.doc 12/03 4404613T(11 /02/COM/WEB)
Building Division
ktio!Nr;tjl4)\ Plan Submittal Requirement Matrix
11. Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
• Type of Submittal ,# of Plans
(Includes new, additions alterations.) Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 1*
Fire Protection System 3**
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
•
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue)
* For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
is\ Building \Pennits\BUP- TI- PemiitApp.doc 12/03 440- 4613T(I l /07JCOM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005-00042
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/4/2005
Phone: (503) 639 -4171 ictill i l Inspection Requests (24 Hrs.): (503) 639 -4175 _ ..
INSPECTION WORKSHEET FOR DATE: 5/13/2005 TIME: 7:12AM PAGE: 79
SITE ADDRESS: 10770 SW CASCADE AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: PARADISE HARLEY DAVIDSON
DESCRIPTION: TI, Dyno Test Room.
OWNER: DURBIN, MIKE PHONE #: 503 -924 -3700
CONTRACTOR: OWNER • PHONE #: 503- 475 -3180
Inspection Request Scheduled For: Date: 5113/2005 Pour Time:
Code # Inspection Description Confirm # Contact #. Message
810 MFG - Structure set -up 006817 -01. 503. 9243700 N
1'10■5
Corrections /Commen'ts /Instructions:
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•
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO EES ASSESSED
A
Inspector: 10 •/ Date: R ®*--- Phone #: (503) 718-