Permit CITY OF TIGARD BUILDING PERMIT
a COMMUNITY DEVELOPMENT Permit #: BUP2010 -00211
T I GAR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/22/2010
Parcel: 2S112AD00900
Jurisdiction: Tigard
Site address: 14800 SW SEQUOIA PKWY
Subdivision: Lot: 0
Project: Home Depot
Project Description: Replace (30) skylights and (43) smoke vents.
Owner: FEES
THE HOME DEPOT Description Date Amount
2455 PACES FERRY RD. Permit Fee - Additions, Alterations, 09/16/2010 $857.46
ATLANTA, GA 30339 Demolition
PHONE: 770- 438 -8211 12% State Surcharge - Building 09/16/2010 $102.90
Plan Review 09/16/2010 $557.35
Plan Review - Fire Life Safety 09/16/2010 $342.98
Contractor:
DRI COMMERCIAL CORPORATION
14275 WICKS BLVD
SAN LEANDRO, CA 94577
PHONE: 510- 544 -4100
FAX: 510- 544 -4121
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 1 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $66,773
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0 .
• Total $1,860.69
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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 o. ' • . . _ or direct questions to OUNC by calling 50 .246.6699 or 1.800.332.2344.
Issued B� — ` i — — - > 1 • natur -
Call 503.6 - • 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 project
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial RECEIVED FOR OFFICE lISE ONLY
111 i City of Tigard R ved Permit No.: . / 41010" ° 13125 SW Hall Blvd., Tigard, OR 97Z�3r, Plan Revie / /O , /� 1
Phone: 503.639.4171 Fax: 503.59 0 1 6 2010 Date/By 'V ` ' J • , er r Permit:
l I C� A R D 6 y Internet: www tigard�r gov75 CITY O F TI � Not fied /Meth ' • ' r / S Fii upplemental See Information
BUILDING DIVISION Cib W r'r Al '—
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 ❑ 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: 148000 SW Sequioa Parkway New dwelling area: square feet
City /State /ZIP: Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: Home Depot 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.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Remove and Replace 30 Skylights and 43 Smoke Vents Valuation: 5566,773.00
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER , 0 TENANT Number of stories:
Name: The Home Depot Type of construction:
Address: 2455 Paces Ferry Road, C -3 Occupancy groups:
City/State/ZIP: Atlanta, GA 30339 Existing:
0 „.., Phone: (770)433 -8211 Fax: ( ) New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Z Bus' ess name: 77RTl, ommercial Corporation All contractors and subcontractors are required to be
C tact name: Joe Flaherty licensed with the Oregon Construction Contractors Board
( under ORS 701 and may be required to be licensed in the
`� ddress: 14275 Wicks Blvd. jurisdiction in which work is being performed. If the
� j 2itylState/ZIP: San Leandro, CA 94577 applicant is exempt from licensing, the following reasons
�/� apply:
0\ r hone: (5 10) 544 -4100 Fax: : (510) 544 -4121
-m ail: jl aherty@dricompanies.com
1 CONTRACTOR
Business name: DRI Commercial Corporation BUILDING PERMIT FEES*
Address: 14275 Wicks Blvd.
(Please refer toleeschedule)
Structural plan review fee (or deposit):
City/State/ZIP: San Leandro, CA 94577
J"' FLS plan review fee (if applicable):
Phone: (510) 544-4100 Fax: (510) 544-4121
CCB lic.: 170830 V /0
Total fees due upon application:
Amount received: j 00 * & 7
Authorized signature: `r^-� This permit application expires if a permit not obtained
within 180 days after it has been accepted as complete.
Print name: Li 4 4N
,.,s, A,en vtt Date: 7,G /u u 4, � Fee methodology set by Tri -County Building Industry
Service Board.
IABuildingTermitABUP -COM PermitApp.doc 10 /01 /09 440- 4613T(11/02/COM/WEB)
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