Permit ��JJC . u.i ivtac _cyc 1o6�s 6. � -- EX' IRED
Bui'didg Permit Applicati I, o ,,�t�■
Commercial r 'I O'1F%f:r Fti)R OFFICE USE
City of Tigard JUN 0 2 2009 Date/By: - A 09 . r PermitNo.: a ° —Q061y
1111 ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Ill . Phone: 503.639.4171 Fax: 503.5 n Other Permit:
T I G n R D Inspection Line: 503.639.4175 TIUa1RD Date Date/By:
Ready /By: �ter ®See Page 2 for
Internet: www.tigard- or.gov
BUILDING DIVISION Notified/Method: "! IC.O 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
® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10655 SW Greenberg Road New dwelling area: square feet
City/State/ZIP: Tigard, ORegon 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: Tigard Motorcycles Canopy Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet •
REQUIRED DATA COMMERCIAL-USE CHECIQ.IST
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.
Demolition of existing and installation of new canopy and awning. Valuation: $$120,000.00
Existing building arca: 21959 square feet
New building area: 26340 square feet
0 PROPERTY OWNER I ❑ TENANT Number of stories: 1
Name: Lanphere Enterprises Type of construction: V -B
Address: 4160 SW 109 Avenue Occupancy groups:
City/State/ZIP: Beaverton, Oregon 97005 Existing: M & S-1
Phone: (503)718.7934 Fax: (503)718.7935 New: M & S-1
0 APPLICANT 0 CONTACT PERSON
NOTICE
Business name: Axis Design Group All contractors and subcontractors are required to be
Contact name: Nate Carter licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 11104 SE Stark Street jurisdiction in which work is being performed. If the
City / State/ZIP: Portland, Oregon 97216 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 284.0988 Fax: : (503) 549.9276 •
E -mail: nathanc ®axisdesigogroup.com
CONTRACTOR
Business name: Lanphere Construction & Development BUILDING PERMIT FEES*
schedul
Address: 4160 SW 109 Avenue (Please 1°I"i°D fee J L / /,
City/ State/ZIP: Beaverton, Oregon 97005 Structural plan review fee (or deposit): T . �g
Phone: (503) 718.7934 Fax: (503) 718.7935 FLS plan review fee (if applicable): a 0.100
CCB lic.: 181282 , Total fees due upon application: IQS Qg
Amount received: 105 .0
Authorized signature:
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 9 - _ �' - _ Date:
_ r / �'/ + Fee methodology set by Tri-County Building Industry
Service Board.
I: \Building\Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(II/02/COM /WEB)