Permit CITY OF TIGARD BUILDING PERMIT
111 11 ' COMMUNITY DEVELOPMENT Permit #: BUP2009 -00051
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 03/26/2009
Parcel: 1S136DD01300
Jurisdiction: Tigard
Site address: 6855 SW BAYLOR ST
Subdivision: WEST PORTLAND HEIGHTS Lot: 2
Project: Tillamook Sales
Project Description: TI. New interior partitions, doors, relites.
Owner: FEES
GSP LLC Description Date Amount
BY DWIGHT SCHWAB, 15450 SW BOONES Permit Fee - COM 03/26/2009 $191.20
FERRY RD STE #2 Tax - 12% State Surcharge 03/26/2009 $22.94
PHONE: Plan Review 03/26/2009 $124.28
Plan Review - Fire Life Safety 03/26/2009 $76.48
Contractor:
ESLINGER BUILDERS INC
11575 SW PACIFIC HWY
TIGARD, OR 97223
PHONE: 503 - 997 -8478
FAX: 503 - 620 -9475
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $20,000
Floor Areas:
Total Area: 0
Accessory Struct. 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $414.90
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: Protected Corridors: No
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 t rou h OAR 952 - 001 -0100 You may obtain a ^ copy _ of the rules or direct questions to OUNC by calling 503.246 66 or 1.800.332.2344.
y
Issued By: /�, r u Y I (J 11A Permittee Signature: `�PS' I
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 the • • ct.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial RECEIVED ., rak OFFICE USE ONLY '
City of Tigard Received eN ^ • _ A Penult No.� 1 • 0• • . `
1 3125 SW Hall Blvd., Tigard, OR 9722 hR ���0J 7a
1 ' ^' 2 5 Plan Review _E , '�,
Phone: 503.639.4171 Fax: 503.598.1960 � Date/B : / Other Permit:
l�J■
T I GA R D Inspection Line: 503.639 �.� �F MOOD D ate Ready/By • See Page 2 for
Internet: www.tigard - or.gov CITY s 1 D l i , rfi �� fi Not ified/Method: Supplemental Information
�tlDl'N� Y A V
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
CI construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of 71-Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ I- and 2- family dwelling Commercial /industrial
CI Accessory building 1=1 Multi-family Number of bedrooms:
CI Master builder III Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: r;IS V L SST New dwelling area: square feet
City /State /ZIP: `(-1(A/F- 47 I UR 9 7223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: . 1 - 1 L IVAd - 1„ , [ NC, Covered porch area: square feet
Cross street/directions to job site: Sly fog Tti 5 u) 136,•/1,42g51 Deck area: square feet
. Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: )`404 j3 Permit fees* are based on the value of the work performed.
�5�. P� 0 3� Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel / arcel n o.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
MINOR t /10L- T► Valuation: 5 2.0
N1 I 1•11g-1 ;FiN 1-nONS 1 1 F...1.- 1• r e'S Existing building area: G],`l square feet
New building area: G> j� square feet
PROPERTY OWNER ❑ TENANT Number of stories: .
Name: TAALW LM �L ( b Type of construction: v -- 6
Address: 1 1 7� r()J '1 iR (j ' I (pO Occupancy groups:
City /State /ZIP: — n (jAizt;:) 1 OF-- 9 7 Z2'I> r Existing: g
Phone: ( /12) 99 7- 2,4-7Q Fax: (0/9 (02-O 9k7% New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: UJ&5 - All contractors and subcontractors are required to be
Contact name: `I—NOV X 1.1 b j 91`-k licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: - COK Qcv jurisdiction in which work is being performed. If the
City /State /ZIP: �jZTL/�1Jp 1 �. 972. applicant is exempt from licensing, the following reasons
apply:
Phone: (t (;t ) I _779e, Fax: : ( 24 I - O94-
E -mail: STAG/ $ ° ' 1,06,S'pe,s 1&N , L0M.
CONTRACTOR
Business name: '1,4 N .1.)11_PRS BUILDING PERMIT FEES*
iy ff � (Please refer to fee schedule
Address: ' ) ' ,.w {'p c. I FG Hwy I F'M e71 • tom Structural plan review fee (or deposit):
City /State /ZIP: nn 1 — l -ARP I Dg. 9 -7ZZ /_ '1+7*
FLS plan review fee (if applicable):
Phone: ( C�/) `I 9 7 4'7
t 9 Fax: (0') (aW -
� Total fees due upon applicatio
CCB lie.: !�
r : • " Amount received:
A
/
uthorized signature: ���
`� iA AP " This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: (V1AL_COLN\ ELI N\ Date:} * Fee methodology set by Tri- County Building Industry
!! Service Board.
l: \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02 /COM/WEB)