Permit : - CITY OF TIGARD BUILDING PERMIT
, 7 t Permit #: BUP2009 -00188
COMMUNITY DEVELOPME
0
13125 S H all Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/14/2009
TIGARD 13125 2S101AB02703
Jurisdiction: Tigard
Site address: 7450 SW BEVELAND RD 100
Subdivision: MCA OFFICE BUILDING Lot: 27
Project: MCA Building
Project Description: Fire repair.
Owner: FEES
MCCAFFERY, HUGH R & NANCY J TRS Description Date Amount
7450 SW BEVELAND ST STE 100 Permit Fee - Additions, Alterations, 10/14/2009 $377.90
TIGARD, OR 97223 Demolition
PHONE: 12% State Surcharge - Building 10/14/2009 $45.35
Plan Review 10/14/2009 $245.64
Plan Review - Fire Life Safety 10/14/2009 $151.16
Contractor:
HORIZON RESTORATION
7235 SW BONITA ROAD
TIGARD, OR 97224
PHONE: 503 - 620 -2215
FAX: 503- 624 -0523
Specifics:
Type of Use: SF
Class of Work: ALT
Dwelling Units: 0
Stories: 1 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 $820.05
Required: Required Items and Reports (Conditions)
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 rule - - - e • h in OAR
• 952- 001 -0010 throu h OAR 952- 001 -0100. You may obt a copy of the rules or direct questions to OUNC by calling 503.246.6699 ,- 1.800.3 _ - - -.
it t(
Issued By: a \ A c \ WWW 1 y V 0 /� Permittee Signature:
t! 1 \
Call 503.639.4175 by 7:00 a.m. for an inspection that b siness d y.
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.
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Building Permit Applicatio ! ' , Ex -PE /�:� �41
Re J Z ,FOR OFFICE' USE *.ONLY '
City of Tigard �� Date /B tO i er diP911 Permit No.: 6u PAt/ "ex/
" 13125 SW Hall Blvd., Tigard, OR Ti g 9722A
OF TIGARD Plan Revie . 1
Phone: 503.639.4171 Fax: 503.598.19 Date /B : j��l_ [� Other Permit:
• TIG Inspection Line: 503.639.4175 B UILDING DIVISIO Date Rea ' ": 0 See Page 2 for
Internet: www.tigard - or.gov Notified /Method: Supplemental Information
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�, <. �. `.. .,.TYPE: OF= WORK RE UIRED. DATA:°- 1= `:AND•2- F.AIVIILY'DWETfLING. .
❑ 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
work indicated on this application.
:• CATEGORY , OF =° •vr ;:.. s •
❑ 1- and 2-family dwelling . Valuation: $
y g ®Commercial /industrial
12 Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
:. ' : : . ,:: Total number f floors:
SITE ' INFORMATION AND''LQCATTON r s: to o
Job site address: 7450 SW Beveland Rd New dwelling area: square feet
City/State /ZIP: Portland, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 100 Project name: MCA Building Covered porch area: square feet
Cross street/directions to job site: 72" Ave & Beveland Deck area: square feet
Other structure area: square feet
�.,,a °bra :.: .. . . ,,... y...::�.�: :7a:a• `a, �€
`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
work indicated on this a
. ESCRIPT , ION " ; 4 PP lication.
_. �. ,.E a.�;. " "..... ...... fir;:;.:': ... . 7,.
e 4 -, n _ Valuation: 00
ll' K. Existing building area: 17000 square feet
New building area: 17000 square feet
OPERTY; O
® PR WNEIZ` > >z''';' ;��,? ,x � °��� "i?� °,' : ® TENANT�,�; > �� Number of stories: 1
Name: Hugh McCaffery Type of construction:
Address: 7450 SW Beveland Rd Suite 100 Occupancy groups:
City/State /ZIP: Portland, OR 97223 Existing:
Phone: (503)860 -2711 Fax: ( ) New:
APPLICANT: E
'T" =CONTACT= PE SON " ="
o�
Business name: Horizon Restoration All contractors and subcontractors are required to be
Contact name: Chris Rossi licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 7235 SW Bonita Rd jurisdiction in which work is being performed. If the
City/State /ZIP: Portland, OR 97224 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 620 -2215 Fax: : (503) 624 -0523
E -mail: chrisr @horizonrestoration.com
... C I RACTOR :. a".e.>:'
Business name: Horizon Restoration AU1tiDING:P.E *; =:m �_�� ° "����� "`�
Address: 7235 SW Bonita Rd (P lease'refer to,fee`schedule)•.,:: ;,,.... .' : '> «i:,
9:122.f...___1 Structural plan review fee (or deposit):
City/State /ZIP: Portland, OR
0ti FLS plan review fee (if applicable):
Phone: (503) 620 -2215 co 7q 7vi P'ax: (503) 624 -0523
CCB lie.: 160672 Total fees due upon application:
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Chris Ro 14 �� , •/, � Date: 9 /25/09 * Fee methodology set by Tri -County Building Industry
�/ Service Board.
I:\Building \Permits \BUP -RES PermitApp.doc 11/6/07 440- 4613T(11/02/COM /WEB) 2 r os