Permit ;s'* CITY OF TIGARD
BUILDING PERMIT
z,
s '' COMMUNITY DEVELOPMENT Permit #: BUP2010 00088
.3 .1 GRAD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 05/04/2010
Parcel: 2S102AA03903
Jurisdiction: Tigard
Site address: 8861 SW COMMERCIAL ST
Subdivision: Lot: 0
Project: Spec Space
Project Description: Add display walls
Owner: FEES
NW URBAN DEVELOPMENT INC Description Date Amount
PO BOX 230307 Permit Fee - Additions, Alterations, 05/04/2010 $56.66
TIGARD, OR 97281 Demolition
PHONE: 12% State Surcharge - Building 05/04/2010 $6.80
Plan Review 05/04/2010 $36.83
Plan Review - Fire Life Safety 05/04/2010 $22.66
Contractor:
HOMEMASTERS INC
PO BOX 230207
TIGARD, OR 97281
PHONE: 503 - 639 -7700
FAX: 503 - 639 -5060
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 2 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $550
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $122.95
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: No 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 Cod= -nd all o iiii applicable r w. All work will
be done i cordance with-. ...proved plans. This permit wit expire if work is not started within 180 days of issuance, or i ork uspended r more the 180
days. TENTION: Oregon la , re.; -s you to follow the rules adopted by the Oregon Utility Notification Center. Th.'se ru -s .et fort h in; AR
952 01 -0010 through OAR 95. 101 -0100. u may obtain a copy of the rules or direct questions to OUNC by callin! 503.2. •. i9 or 1.800 . -4.
Is ued By: / /O / ./) Permittee Signature: . 'l i —______
_---
�.� 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 proje .
Approved plans are required on the job site at the time of each inspection.
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Building Permit Application A `"'' W c?` ( 11 .w.il `".
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City Of Tig d DateB : Y /d a Permit No.: L( o
I ; . q 13125 SW Hall Blvd., Tigard, OR 97223 MAY - .4 2010 Plan Review - .'� J a "; Phone: 503.639.4171 Fax: 503.598.1960 Date/B : r r ' Other Permit:
j . 1 A I(" ): Inspection Line: 503.639.4175 Date Read /B Juris: ® See Page 2 for
I.''�.-,.. _, .: Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: 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
i ddition/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: fa 26 SW) C ,,� cE4 � New dwelling area: square feet
City /State /ZIP: 7 0 r'\ 477z2:3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: 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.
N C tot \ `S vU I ,pa y s Valuation: $ 57-4-0 `0
Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: IA Ir. b 't Type of construction:
Address: -- .. " 1 n Zf — 1 Occupancy groups:
City/State/ZIP: "�` .1 C 0 1-2 Z S 1 Existing:
Phone: ( S u s ) — 1 7 OU Fax: ( 71, j cv 3c _ 5 - 6 ( 0 New:
• RAPPLICANT . ❑ CONTACT. PERSON NOTICE
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 BUILDING'PERMIT FEES*
Business jtjAxc (Please refer to fee schedule)
Permit fee:
Address: p , , 2,3 o 2v-
City /State /ZIP: 1 � 09, e l - 72,9 1 State surcharge (12% of permit fee):
� �
FLS plan review (40% of permit fee):
Phone: )631, 00 Fax: (5a3 ) 03/- Q (Due upon application.)
CCB lic.: 0 i O, Total permit fees:
% Amount received: ,
Authorized signature: ` la�, FS
This permit application expires if a permit is not obtained
Print name: Date: -, — v within 180 days after it has been accepted as complete.
- t" • * Fee methodology set by Tri -County Building Industry
Service Board.
1:\ Building 'Permits\FPS- PermitApp.doc 10 /01/09 440- 4613T(11/02 /COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1 -10 heads: No plan review required.
RI Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
Type of System (Complete A, B, 'C or D as applicable): •
A.) Commercial Sprinkler
❑ Wet ❑ Dry
Additional Standpipes •
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I Hood Fire. Suppression System
Hood Project Valuation: $
C) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
•
D) Residential Sprinkler (Stand. Alone System)
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05 •
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
Project valuation subtotal (see A, B & C above): $
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $
FLS Plan Review (40% of permit fee): $
TOTAL: $
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal.
•
1:\ Building \ Permits \FPS- PcrmitApp.doc 10/01/09 2
ill RI I
Building Division
,
Over -The- Counter (OTC) Building Permit
TIGARD ' Check List
Description of Project: 71
GENERAL INFORMATION
Class of Work:* e-[ Floor Areas (sq. ft.): Exterior Wall Construction:
Type of Use:* �(��� First floor. N: S:
Type of Construction: " Second floor: E: W:
Occupancy Group: `F Third floor: Openings Protected Y /N ?:
Occupancy Load: Total sq ft.: N: S:
Stories: Z _ Note: Combine total floor area for E: E:
Height: _ all floors above third floor and Roof Construction: _
Floor Load: add to the third floor s . ft. Fire Retardant:
Basement Basement: _ Area Separation Rated:
Mezzanine: Garage: Occu. Separation Rated:
REQUIRED ITEMS
Fire sprinkler: 0 Handicap access:
Smoke detector: Protected corridors:
Fire alarm: 100 Parking spaces ( #):
Notes:
Total Valuation: $ 16
INSPECT_ IONS FEES DUE
f
Footing /foundation Firewall $ , 1 r Permit Fee
Post /beam structural _ Smoke detector $ State Surcharge
Shear wall Misc. inspection $ 2 . 6 Plan Review Fee
Masonry Approach /sidewalk $ .2.2.-1 t` FLS Plan Review Fee
Framing $ Additional Permit Fee
Insulation Sprinkler rough -in $ Additional Plan Review Fee
Gyp board Fire alarm $ - Metro Construction Excise Tax
Suspended ceiling Sprinkler final $ School Construction Excise Tax
Final inspection $ Misc. Fee
$ Hourly Rate Fee '
$ Hourly Rate State Surcharge
$ p Other:
$ 1 2- l Total Fees Due
''OPT ONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK: ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings '
or canopies); REP = repair.
l: \Building \Forms \OTC - BUP.doc 08/19/08