Report r'fi ik ` a BUILDING PERMIT
p l ' oir. 1 Y OF TO ;�, {, PE RMIT #: BUP2007 00620
n ; a COMMUNITY DEVELOPMENT DATE ISSUED: 12/27/2007
T t 9, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S113AB-00300
SITE ADDRESS: 16045 SW UPPER BOONES FERRY RD ZONING: I -
SUBDIVISION: FANNO CREEK PLACE LOT: JURISDICTION: TIG
PROJECT: FANNO CREEK PLACE
Project Description: Monument sign, 8' high. Located at North entrance.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 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: $ 3,000.00
Owner: Contractor:
OPUS NW OPUS NORTHWEST CONST LLC*171001
1500 SW FIRST AVE SUITE 1100 1500 SW FIRST AVE STE 1100
PORTLAND, OR 97201 PORTLAND, OR 97201
Contact #: PRI 503 - 916 - 8963
Phone: 503 - 519 - 4715 FAX 503 - 478 - 8038
Reg #: LIC 171001
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 12/6/2007 $45.27
[BUILD] Permit Fee 12/6/2007 $69.65
[TAX] 8% State Surcha 12/6/2007 $5.57
Total $120.49
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 503.246.6699 or 1.800.332.2344.
Issued By: kt j _ Permittee Signature: 6 Jt4. t
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.
Epo Ni t /6>CA - 3 �e11 U ?A .
- Building Permi Application S
'+v.Y '� �,� �"�'." �l^!.31 i°� kM,?F M Jp Rq1 �- l�? x a� ;i } I�'�y i�<. -r
RECEIVED �i� t`'FOR OFFICE'U O r9 '4z�fr °r u,r �,: r I h
(.Om1YIr�>rrla�l , �r,T 1 ,
s,.r �� �cSr "+)4Lk.-!,, .".�.: 3+:. r4 "d .:1s,, 1Cr ��.t }C1 r Fd9 &� It ^ ',.-: i', ��.� F,;
City of Tigard Received 2OD2 Permit Na: / �� '7 -e4 i�
III
13125 SW Hall Blvd. Tigard, OR 9722 ` C f� r! 2O( Plan Review I
Phone: 503.639.4171 Fax: 503.598.1':1 li 1 �+ Date/By: e rr • f Other Permit:
l I G A R D ' Inspection Line: 503 Date Ready /: y: ® See Page 2 for
.. - Internet: www.tigard- or.gov t, ITY OF TIGARD Notified/Method: la Supplemental Information
BUILDING DIVISION
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. • ❑ 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: /704/5 5,..„/ G /, / foe 4 eS- -,' .- New dwelling area: square feet
City /State /ZIP: 7 -i e„--,,d/ G " 972 ,2 y Garage /carport area: square feet
Suite/bldg. /apt. no.: ✓ Project name: �-�ntio C„-,_,._ 7 Covered porch area: square feet
Cross street/directions to job site: 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.
l— 1' �DriA Pi i j Valuation: $ �(JQ
/ Existing building area: square feet
New building area: square feet
❑PROPERTY OWNER ❑ .:TENANT Number of stories:
Qi Name: 7 15 A Type of construction:
O Address: /5270 S 44J .,4' /-S / AV.� sit, 4 /,7 Occupancy groups:
,� City /State /ZIP: Ro 7c--r G d/2 9 / Existing:
Phone: ( flay')
Fax: ( ) New: .
` ^^ ❑ _ APPLICANT . 0 . CONTACT:' PERSON . NOTICE
Q C Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax::( )
E -mail:
• CONTRACTOR. . •
Business name: 0 / 0 4.1 S /f/GE1 BUILDING PERMIT FEES',
Address: /500 5'w l riS7 �t' , S . /' ?id- / /Ga c v Pleasereferrofee o sit ) :
Structural plan review fee (or depo
City /State /ZIP: / 5
Phone: Fa FLS plan review fee (if applicable):
(5o3 ) 9_y7/5 ( )
Total fees due upon application:
CCB Iic.: /1/ n 0 I
Amount received: /1 0.
Authorized signature: �. d�Us This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 252,,,,, , Z -s // Date: 4,2 -6— �jp 7 * Fee methodology set by Tri- County Building Industry
Service Board.
1: \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11 /02 /COM/WEB)