Permit CITY OF TIGARD BUILDING PERMIT
i3 COMMUNITY DEVELOPMENT Permit #: BUP2010 -00212
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/21/2010
Parcel: 2S112BB04400
Jurisdiction: Tigard
Site address: 8115 SW BONITA RD •
Subdivision: Lot: 0
Project: Minger
Project Description: Demo 1,799 sq ft residential dwelling
Owner: FEES
MINGER, STACY & JARROD Description Date Amount
8115 SW BONITA RD Permit Fee - Additions, Alterations, 09/21/2010 $453.95
TIGARD, OR 97224 Demolition
PHONE: 12% State Surcharge - Building 09/21/2010 $54.47
Erosion Control 09/21/2010 $26.00
Erosion Plan Review CWS 09/21/2010 $8.45
Contractor: Erosion Plan Review COT 09/21/2010 $8.45
RESTORATION OREGON
25589 SW CANYON CRK, #300
WILSONVILLE, OR 97070
PHONE: 503 - 427 -2671
FAX: 503 - 922 -0945
Specifics:
Type of Use: SF
Class of Work: DEM
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $25,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $551.32
Reauired: Required Items and Reports (Conditions)
1 BUP Ersn Cntrl 681 -4444
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6 1.800.332 ' 4.
Issued By: Permittee Signature:
AP
Call 503.639.4175 by 7:00 a.m. for an inspection that businy.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial
RECF FoR OFFICi.: ust: oNi.v
City of Tigard SEP 21 2010 Received DateB : 7 0 2 / / 4 ' Permit No.az/A./a/0 —O0,2/ .'
14 I
q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.196 Date/I3 6ITY OF TIGARD Date : her Permit: E�o20/ 0 'QQ 9.
"I IGAItI� P Ready/
By: ecti Line: 503.639.4175 Date Read Ju ris: ® See Page 2 for
I Y� S
Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement h equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this applien.
Valuation: )t$ 2,5` b
jii 1- and 2- family dwelling ❑ Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder 12 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: et? J Sw / ig 1 04, New dwelling area: square feet
City /State /ZIP: 7714A4/O d Q 972,A til 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
/j ti / 'T'9 I E / s/ 6r area: / ; 7 q 9 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.
�, a G/ Y v N G by,, f7/ovS Valuation: $
6,... .. „ ,i9 .
� �d 1)4o, ,e✓ti Existing building area: square feet
i vi e- , S New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: /ill /V3 �12.. Type of construction:
Address: �/ / C Sz"J /2d)A/ /7 9 ■/'c Occupancy groups:
City /State /ZIP: /, 7; ‹,),g,/9 c Existing:
Phone: f7.7 /) 5-3-3 _ /1 Fax: ( ) New:
- APPLICANT ❑ CONTACT PERSON NOTICE
k� p �N Q� !, '
Business name: ,-- L i .t, < � _ ) All contractors and subcontractors are required to be
Contact name:1t�,il Gj0 LA-2 t� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 56--5, 5,f) (p, C/Z 4d, 571" 32s'j) jurisdiction in which work is being performed. If the
City /State /ZIP: �j 65 a C, fiC,_ oA 9 p"70 applicant is exempt from licensing, the following reasons
apply:
Phone:,$d3) � 3.t 2 Fax: : 663 )
E-mail: (.1":4,A., 1 i g /7l.G,,-4,O 6-0,4. AJ. at) ✓V\i
CONTRACTOR
Business name: /etSOV IQ��b 2.e.s p BUILDING PERMIT FEES*
Address: S;S '� e, e, J Cp „i y . OA fr 3 d� (Please refer to fee schedule)
�� , OH O? Structural plan review fee (or deposit):
City /State /ZIP:
�t.�P La Gl—�
hone:,r5S) Xg 7-.),67 f �p.,) 9 2,Z, -4,9.,/,_s- FLS plan review fee (if applicable):
,5
/13 CCB lic.: 1 d 7 ! r$ / .2
Fax: Total fees due upon application: sy, 32
Amount received:
Authorized signat . This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
— v
Print name: " Date: 9Zegi c.. * Fee methodology set by Tri- County Building Industry
Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(11/02 /COM/WEB)
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, oc RECEIVED
SEP 2 1 2010
CITY OF TIGARD
BUILDING DIVISION
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