Permit CITY OF TIGARD BUILDING PERMIT
m • COMMUNITY DEVELOPMENT Permit #: BUP2012 -00223
T t G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/19/2012
Parcel: 1 S135DC00200
Jurisdiction: TIGARD
Site address: 11825 SW GREENBURG RD 212
Project: Spec Space Subdivision: TIGARDVILLE PARK Lot: 8
Project Description: TI
Contractor: GENERAL CONSTRUCTION SERVICES Owner: TWO G'S REAL ESTATE LLC
18395 WOOD THRUSH ST 18395 WOOD THRUSH ST
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035
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PHONE: 503 -684 -0550 PHONE: 503 - 684 -0550
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg Permit Fee - Additions, Alterations, 11/19/2012 $87.17
Demolition
Occupancy Grp: • B Occupancy Load: 4- 12% State Surcharge.- Building 11/19/2012 $10.46
Dwelling Units: 0 Plan Review 11/07/2012 $56.66
Stories: 2 Height: 0 ft Plan Review - Fire Life Safety 11/07/2012 $34.87
Bedrooms: 0 Bathrooms: 0 Info Process /Archiving - Lg $2.00 (over 11/19/2012 $2.00
Value: $1,500 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
. Deck: 0
Garage: 0 •
Mezzanine: 0
Total $191.16
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: 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 .f work is suspe • _ a for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification er. Those ru are a 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 5# 32.19; or 1.800.3 ' .2344.
Issued By: Permittee Signature: / a
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Call 503.839.4175 by 7:00 a.m. for the next available I • . , on date.
This permit card shall be kept Ina 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.