Permit ?n, l ,, I tii i , I
a CITY TI BUILDING PERMIT
PERMIT #: BUP2008 -00042
'' ° COMMUNITY DEVELOPMENT DATE ISSUED: 2/14/2008
JGARD, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S126DB-02800
SITE ADDRESS: 09370 SW GREENBURG RD A ZONING: C - P
SUBDIVISION: PP1991 -018 LOT: 001 JURISDICTION: TIG
PROJECT: STEPHEN HAYES
Project Description: TI
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 13 BASEMENT: sf AREA SEP. RATED:
STOR: 1 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: Y PARKING:
VALUE: $ 15,500.00
Owner: Contractor:
FRANKLIN COMMONS ASSOCIATES CG CONSTRUCTION
BY NORRIS + STEVENS 1801 NW UPSHUR ST
520 SW 6TH STE 400 SUITE 400
PORTLAND, OR 97204 PORTLAND, OR 97209
Contact #: PRI 503 - 226 -1078
Phone: FAX 503 - 226 -1088
Reg #: LIC 1156
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 2/14/2008 $162.60
[TAX] 12% State Surch 2/14/2008 $19.51
[BUPPLN] PIn Rv 2/14/2008 $105.69
FLS] FLS Pin Rv 2/14/2008 $65.04
Total $352.84
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.230.
Issued By: rmittee Signature: \ i ; 1 j , /
Call 503.639.4175 by 7:00 a.m. for an inspection that busin- - day.
This permit card shall be kept in a conspicuous place on the job site until c • pleti. n of the project.
Approved plans are required on the job site at the time of each spection.
,
/ Commercial Tenant Improvement
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1 Building Permit Application �� ; �� � ,� I O 1' O I I I v i h \ a fr �; r te 3 ',,tw
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�;r City of Tigard R ECEIV E ` ' ! � o e/ B ed �� Pernit N(o. ; j % —
IN
q 13125 SW Hall Blvd., Ti d OR 97223
� Fes Tigard, Plan hew �
Phone: 503.639.4171 Fax: 503.598.1960 e/B Re ,
0 e ��i Other Permit:
Inspection Line: 503.639.4175 4 ZQ o$ Dat D ate Ready : ® See Page 2 for
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_ � `.. , � l Internet: www.tigard or.gov Notified/Method: Supplemental Information
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TYPE OF Wt 'L ®(N OF Cjt . DIVISU TIGAR .)M 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.
13 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:e g° &pee 2 tr , New dwelling area: square feet
City /State /ZIP: .0)(1 r or- e1" 772 7 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: ---m7 /�j�Ej 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 pP
work indicated on this application.
Valuation: S i �i
1.5 , I h Y.� j Dii'10 �1
5 V, 1f� Existing building area: square feet
� New building area: square feet
PROPERTY OWNER ' ❑ TENANT Number of stories:
Name: ( j N.01-2,1245 4 Sfi v s Type of construction:
Address: (" M 017,47.4s0 NI Occupancy groups:
City /State /ZIP: 24/ '")' .. 97 i Existing:
Phone: ( 'J .0t' Fax: (Ea) 2 . 245,® New:
-. ❑ APPLICANT ❑ CONTACT PERSON ' NOTICE
Business name: CFRe -2 60s o i r o All contractors and subcontractors are required to be
Contact name: ejj licensed with the Oregon Construction Contractors Board
'�1 w f j �X � under ORS 701 and may be required to be licensed in the
Address: Poo I jurisdiction in which work is being performed. If the
City /State /ZIP: RD121-1.-4 D (D f2 11 50 applicant is exempt from licensing the following reasons
apply:
Phone: (5U'3) .4t: 7I 7 Fax: : ( 5 220.57'21
E -mail:
CONTRACTOR
Business name: • I Gt'L� BUILDING PERMIT FEES*
C, ∎ , ■ DI
Address: 14191 q� tt [ J f A260-012.—
(Please refer to fee schedule)
`l `^o Structural plan review fee (or deposit):
City /State /ZIP: Po(2 - D Or2_
Phone: (5Q2J 12-6, , t 011% Fax: (8i 22G,, 1 O' , FLS plan review fee (if applicable):
Total fees due upon application:
CCB lic.: (9 11%2
r�� "V (/ t 'i i i t i ,1 Amount received:
r Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: D '1.„ Date: Z1 i b/. * Fee methodology set by Tri- County Building Industry
Service Board.
L:\Building\Permits\BUP -TI- PermitApp.doc 0323/06 440.4613T(11/02/COM/WEB)
r Building Division
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Plan Submittal Requirement Matrix
Tki G ASR -D Commercial & Multi - Family - New, Additions or Alterations
Type of Submittal # of Plans
(Includes new, additions and alterations) Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 1*
Fire Protection System 2 **
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington
County, and Tualatin Valley Fire & Rescue)
* For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
1: \ Building \ Permits \BUP- 11- PcrmitApp.doc 03/23/06