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Permit
l i lu 07s 1C 5 ( mss ; • � - Building Permit Application i ' QI. / /�'y /iz- Site Work RECEIVES FOR OFFICE USE ONLY City Tigard MAY 212009 Recei n `J^ T Ci of Ti a nd Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 pa Review � Or 1 L.C. 1T ? - 00009 • Phone: 503.639.4171 Fax: 503.598.1960c OFTIGARD Date/By: Other Permit: 0:16. Ins T I G n R D Inspection Line: 503.639 Date ReadyBy: um 65 See Page 2 for : Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: �` Supplemental Information ' i • ❑ New construction ❑ Demolition Permit fees' are based on the value of the work performed. indicate the value (rounded to the nearest dollar) of all (Si Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the 'i e TECOR UCOIYSTRUCTION ik work indicated on this application. • Fl s�f.= e di9s 8 �sa ❑ 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: Total number of floors: - _ _ - ".file. 14y411gic.^Ja #lip- P.ii Mii -Srtri 2a �:2 Job site address: 10655 SW Greenburg Road New dwelling area: square feet City/State /ZIP: Tigard/OR/97223 Garage /carport area: square feet Suite/bldg. /apt. no.: I Project name: Tigard Motorcycles Covered porch area: square feet Cross street/directions to job site: SW of Greenburg and 217 Deck area: square feet Other structure area: square feet _� .O �OMk1ERCIA gE.:CHECIT Subdivision: I Lot no.: 800 Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no 1S 1W 35BB _ equipment, materials, labor, overhead, and the profit for the t * ,t - work indicated on this application. Remodel existing vehicle service center and parking lot improvents including Valuation: $55,200.00 replacement of damaged surfaces and paving of existing compacted gravel Existing building area: —22K square feet surfaces New building area: square feet l' ®, CAITCLO1 .: © .0.�.'�n r :.. Number of stories: 1 Name: Bob Lanphere Enterprises, Inc Type of construction: V -B Address: 12505 SW Broadway Street Occupancy groups: City/State /ZIP: Beaverton, OR, 97005 Existing: M & S -1 Phone: (503)5,1'W.1IS - 713' Fax: (503)71 . 1 1 New: M & S - �'' .. .. _ +. J pi t . lkxE - - r . _ F _ r _x - +1. •-� f ; ''� Business name: Cardno WRG All contractors and subcontractors are required to be Contact name: Jesse Nemec licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 5415 SW Westgate Drive Suite 100 jurisdiction in which work is being performed. If the City/State /ZIP: Portland OR. 97229 applicant is exempt from licensing, the following reasons apply: Phone: (503) 419 -2500 Fax: : (503) 419 -2600 E -mail: jesse.nemec @cardnowrg.com Business name: T.B.D. a tvI tW E MI1 F Address: - . ref ml sr edrr Structural plan review fee (or deposit): 257.08 City/State /ZIP: Phone: ( ) I Fax: ( ) FLS plan review fee (if applicable): 158.20 • CCB lic.: Total fees due upon application: $415.2 Amount received: Authorized sign. y _ This permit application expires if a permit is not obtained • Print name: within 180 days after it has been accepted as complete. Date: -ac, pq • Fee methodology set by Tri -County Building Industry Service Board. I:\ Building \Permits\SIT- PermitApp.doc 12 /27/06 440.4613T(11/02/COM/WEB)