Permit IMP!
CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2009 -00031
13125 SW Hall Blvd., Tigard OR 97223 503.639 4171 Date Issued: 03/03/2009
;xylGll'R. D Parcel: 1 S 135BA02800
Jurisdiction: Tigard
Site address: 10380 SW CASCADE AVE
Subdivision: Lot: 0
Project: Beaverton Moto Sales
Project Description: TI
Owner: FEES
LANPHERE ENTERPRISES INC Description Date Amount
ATTN DOUG MEATH, 12520 SW CANYON RD Permit Fee - COM 03/03/2009 $510.70
BEAVERTON, OR 97005 Tax - 12% State Surcharge 03/03/2009 $61.28
PHONE. Plan Review 03/03/2009 $331 96
Plan Review - Fire Life Safety 03/03/2009 $204 28
Contractor:
LANPHERE CONSTRUCTION &
DEVELOPMENT
12505 SW BROADWAY ST
PHONE:
FAX.
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $80,000
Floor Areas:
Total Area. 0
0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
. .. 0
Total $1,108.22
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet.
Fire Alarm: Yes Protected Corridors Yes
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. ATT regon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rule are set or •,
952 -00 010 through OAR 9 2 -001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503 - 46.6r-•• o %.B0 32 2344
/�
Issued By: / /0/ 4 / Permittee Signature: ��`
Call 503.639.4175 by 7:00 a.m. for an inspection that busines- day.
This permit card shall be kept in a conspicuous place on the job site until co pletion of the project.
Approved plans are required on the job site at the time of each inspection.
• Building Permit Application
Commercial FOR OFFICE USE ONLY
City of Tigard �? Receiv 3 2 by Permit No.: h O 9 _ 3/
IN - Plan R • b1
° 13125 SW Hall Blvd., Tigard, OR 97223 p Plan Revi;�
Phone: 503.639.4171 Fax: 503.598.1960 MAR 0 3 2009 Date /B Other Permit:
TIGARD
Inspection Line: 503.639.4175 Date Ready /By: FM See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Notified /Method: Supplemental Information
TYPE OF WB yib li G DIVI0ION
REQUIRED DATA: 1- AND 2- FAMILY DWELLING
El New construction El 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 El Other: equipment, materials, labor, overhead, and the profit for the
CATEGOR Y OF CONSTRUCTION work indicated on this application.
El I- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10380 SW Cascade Blvd. New dwelling area: square feet
City/State /ZIP: Tigard, Oregon 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Beaverton Moto Sales Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 1S135BA02800 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.
Tenant Improvement Valuation: $80,000.00
Existing building area: 25633 square feet '
New building area: 25633 square feet
k5 PROPERTY OWNER ❑ TENANT Number of stories: I
Name: Lanphere Enterprises Type of construction: V -B
Address: 4160 SW 109 Avenue Occupancy groups:
City/State /ZIP: Beaverton, Oregon 97008 Existing: B, M, S -1
Phone: (503)718.7934 Fax: (503)718.7935 New: B, M, S -1
® APPLICANT ■. CONTACT PERSON NOTICE
Business name: Axis Design Group All contractors and subcontractors are required to be
Contact name: Nate Carter • licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 11104 SE Stark St. jurisdiction in which work is being performed. If the
City /State /ZIP: Portland, Oregon 97216 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 284.0988 Fax: : (503) 546.9276
E -mail: nathanc @axisdesigngroup.com
CONTRACTOR
Business name: Lanphere Construction & Development BUILDING PERMIT FEES*
Address: 4160 SW 109 Avenue . (Please refer tojeeschedule)
City/State /ZIP: Beaverton, Oregon 97008 Structural plan review fee (or deposit):
FLS plan review fee (if applicable):
Phone: (503) 718.7934 Fax: (503) 718.7935
CCB lic.: 181282 / • Total fees due upon application:
/ Amount received:
Authorized signature
f ? %�
Print name: Nathan C rter Date: 2/25/09 This permit application expires if a permit is not obtained
f within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
l: \Building\Pennits \BUP - COM PermitApp.doc 2/23/07 440- 4613T(I l /02 /COM /WEB)
Building Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List
Description of Project:
GENERAL INFORMATION
Class of Work:* Floor Areas (sq. ft.): Exterior Wall Construction:
Type of Use:* First floor: N: S:
Type of Construction: 5 ' Second floor: E: W:
Occupancy Group: Third floor: Openings Protected Y /N ?:
Occupancy Load: Total sq ft.: N: S:
Stories: Z _ Note: Combine total floor area for E: E:
Height: all floors above third floor and Roof Construction:
Floor Load: add to the third floor s . ft. Fire Retardant:
Basement: Basement: Area Separation Rated:
Mezzanine: Garage: Occu. Separation Rated:
REQUIRED ITEMS
Fire sprinkler: PS Handicap access:
Smoke detector: Protected corridors:
Fire alarm: Parking spaces ( #):
Notes:
Total Valuation: $
INSPECTIONS FEES DUE
Footing /foundation Firewall $ a7 ( U Permit Fee
Post /beam structural Smoke detector _ $ (� ( ,26 State Surcharge
Shear wall Misc. inspection $ (, Plan Review Fee
Masonry Approach /sidewalk $ 204 ;28 FLS Plan Review Fee
Framing $ Additional Permit Fee
Insulation Sprinkler rough -in $ Additional Plan Review Fee
Gyp board Fire alarm $ Metro Construction Excise Tax
Suspended ceiling Sprinkler final $ School Construction Excise Tax
Final inspection $ Misc. Fee
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Other:
1 I 06 , Z'ZI'ot Fees Due
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings
or canopies); REP = repair.
I: \Building \Forms \OTC - BUP.doc 08/19/08