Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
_ A q CITY OF TIGARD BUILDING PERMIT I `; COMMUNITY DEVELOPMENT Permit #: BUP2010 -00035 T E GARL? 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/03/2010 Parcel: 2S112DB00300 Jurisdiction: Tigard Site address: 7233 SW KABLE LN 500 Subdivision: Lot: 0 Project: Nuance Systems Project Description: TI Owner: FEES PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY #300 Permit Fee - Additions, Alterations, 03/03/2010 $1,407.95 PORTLAND, OR 97224 Demolition PHONE: 503 - 624 -6300 12% State Surcharge - Building 03/03/2010 $168.95 Metro Const. Excise Tax - Commercial 03/03/2010 $180.00 Use Contractor: Plan Review 03/03/2010 $915.17 PACIFIC REALTY ACCOCIATES LP Plan Review - Fire Life Safety 03/03/2010 $563.18 15350 SW SEQUOIA PKWY #300 PORTLAND, OR 97224 PHONE: 503 - 624 -6300 FAX: 503 - 624 -7755 Specifics: Type of Use: COM Class of Work: ALT Dwelling Units: 0 Stories: 0 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $150,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $3,235.25 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 if work is suspended for more the 180 days. ATT • ION: Ore. • law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -0D 0010 through OAR • 52 -• % 010•. You may obtain a copy of the rules or direct questions to OUNC by calli .: •3.246.6699 or 1.800.332.2344, Issu By: -i 1_2(. Permittee Signat �/� / . `lrVJ. Call 503.639.4175 by 7:00 a.m. for an inspection that busines • ay. 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. Building Permit Application J ' N ,- ` • • FOR OFFICE USE ONLY City of Tigard MAR 0 2 2010 Received s © PermitNo.: N --W O ° 13125 SW Hall Blvd., Tigard, OR 97223 Date/B g Plan Review PP .;�� Phone: 503.639.4171 Fax: 503.598.196 Other Permit: i ... .a. : , Date/B Inspection Line: 503.639.4175 ' 1 `� - • .: a D ate R ea d /B lu ris: TIGARD p , Ready /By: RI See Attached Checklist for Internet: www.ti ard -or. ov i f `°: C` iy +' -; -" ,; Notified/Method: Supplemental Information TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ID 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: 9 ? S /CA / /0.., „6 "a ' a New dwelling area: square feet City /State /ZIP: ( GW7 ( 7 1 Ge .1✓Ci 0 6 / o ✓ , y Garage /carport area: square feet Suite/bldg. /apt. no.: 1 Project name: �(/' l/4 e.- f - I- c Covered porch area: square feet Cross street/directions to job site: Deck area: square feet lj e4v ' eco G r[ v t/ A j C ' Lr— i, [ /� G�Z Other structure area: square feet C4-- G(/ L kw: r p . A "? L— -- - 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. Valuation: $ JJ a) Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: 1 Name: PacTrust Type of construction: /// Address: 15350 S.W. Sequoia Pkwy., Suite 300 Occupancy groups: 1:71s .g /�. City /State /ZIP: Portland, OR 97224 Existing: L /��" Phone: (503)624 -6300 Fax: (503)624 -7755 New: / 4 a - -J ® APPLICANT ® CONTACT PERSON NOTICE Business name: PacTrust All contractors and subcontractors are required to be Contact name: Dennis Pagni licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 15350 S.W. Sequoia Pkwy., Suite 300 jurisdiction in which work is being performed. If the City /State /ZIP: Portland, OR 97224 applicant is exempt from licensing, the following reasons apply: Phone: (503) 624 -6300 Fax: : (503) 624-7755 E -mail: dennisp @pactrust.com CONTRACTOR Business name: .F� s -7 BUILDING PERMIT FEES* Address: (Please refer to fee schedule) City /State/ZIP: Structural plan review fee (or deposit): Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): CCB tic.: Total fees due upon application: Amount received: Authorized signature: / This permit application expires if a permit is not obtained � within 180 days after it has been accepted as complete. Print name: /2 -, y1 ./ . Date: 3/ �, /j� * Fee methodology set by Tri -County Building Industry L/ � / / Service Board. 1:\ Building \ Permits \BUP- PermitApp.doc 03/21/06 440- 46I3T(1 I /02 /COM/WEB)