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Permit i. v CITY OF TIGARD BUILDING PERMIT :i a PERMIT #: BUP2008 -00162 COMMUNITY DEVELOPMENT DATE ISSUED: 5/30/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S1 12AA - 00300 SITE ADDRESS: 14200 SW 72ND AVE ZONING: I -H SUBDIVISION: NELSON BUSINESS CENTER LOT: JURISDICTION: TIG PROJECT: GERBER Project Description: Installing metal canopy over break area. REISSUE: (OI FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: � 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: 12 ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 4,200.00 Owner: Contractor: GERBER LEGENDARY BLADES PIKE AWNING CO 14200 SW 72ND AVE 7300 SW LANDMARK LN PORTLAND, OR 97223 PORTLAND, OR 97224 Phone: Contact #: PRI 503 - 624 - 5600 FAX 503 - 968 - 5440 Reg #: LIC 32364 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pin Rv 5/14/2008 $54.57 Bolts in concrete [FLS] FLS Pln Rv 5/14/2008 $33.58 [BUILD] Permit Fee 5/30/2008 $83.95 [TAX] 12% State Surch 5/30/2008 $10.07 Total $182.17 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 rule or direct t questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued Per mittee Sig nature: , /; 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 t e projec Approved plans are required on the job site at the time of each inspection. ►zt043 /4z co 72, Building Permit Application INI IN 1 01:1:lcc I sr: oyl.) City of Tigard IF(clksiE Rece pry . 'I , II ��* / - ° 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.639.4171 Fax: 503.598.1960 n �( 1 4 200' plan Review ►�L ° 1`jl A 1 , . ai L ' ` ot pemut. T I G A R D Inspection Line: 503 t Suns: ®See Attached Checklist for - Internet: www.tigard- or.gov �_�, f �'� •' _ "• ' t t 77(J) Q vp Supplemental Information IT C V ' - D 1 ,mill led-ter./ ./ TYPE OF WORT 3 JIL REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. ❑ Addition/alteration/replacement Other: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I- 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: / Z /, 2 Oo S ,e,/. 7,z /L h Y� New dwelling area: square feet City / State/ZIP: 7 to Q ®g.. 9.'7 2 2, y Garage/carport area: square feet Suite/bldg. /apt. no.: I Project name: C b' <r R 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: I 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. , 4~ r, L c A ...igor , 0 V. Valuation: $ /, .-• 9 ;' A/MA K A g A ' ai W e : E building area: 5 f ©f� 1 �7 •� g g square feet q : . r • a - , (� R, , New building area square feet IX PROPERTY OWNER I 0 TENANT Number of stories: Name: t. 4 r / � Type of construction: Address: , A/ 2_ Le, � ` S , ' 7 .4"` , �i (4/....r , Occupancy groups: City / State/ZIP: T/ 6.,4 re N I 0/ 9 2 2.V Existing: Phone: ($'c'$') 9/ 43 • / /sf, Fax: ( ) New: I APPLICANT ❑ CONTACT PERSON NOTICE Business name: p / p f/v/ N� K. 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: 73.,„ O s , . L /4 A. / /714 i f < Lam/• jurisdiction in which work is being performed. If the Ci City/State/ZIP: applicant is exempt from licensing, the following reasons h �'O �- �4., e 1 ®� ,. -7 Z'V apply: Phone: (. s ) f., '� ° ,,wa i * I Fax:: ( ) E -mail: CONTRACTOR Business name: I / A:* i v. A ‘4,40a /A. ._ ,0r BUILDING PERMIT FEES* / / A (Please refer to fee schedule) Address: e�) 'St r /���1«� "�'' Structural plan review fee (or deposit): City /State/ZIP: / / ate q / - 574 FLS plan review fee (if applicable): 37 . ,-c Phone: ( sb)) (o ....S I Fax: (503) 4 (02'- S -(L ( r,/ _ s CCB tic.: 3 '1 36�/ Total fees due upon application: (- • _ JO' ` 1 , . i f,: J Amount received: r./� Authorized signature: f �' This permit application expires if a permit is not obtained I f p , within 180 days after it has been accepted as complete. Print name:- „ / `, J ��i/ ,r? 7°, Date: _ y 7 • Fee methodology set by Tri -County Building Industry ! Service Board. I: \Building\Pamiu\BUP- PenmlApp.doc 03/21/06 4404613T(I I/02/COAUWEB)