Permit c C 3 I o`' Q. — tc .630A
CITY OF TIGARD BUILDING PERMIT
" 11 . COMMUNITY DEVELOPMENT Permit #: BUP2009 -00161
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/28/2009
Parcel: 2S113AB01400
Jurisdiction: TIGARD
Site address: 7324 SW DURHAM RD
Subdivision: Lot: 0
Project: Performance Systems
Project Description: TI
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 Permit Fee - COM 08/28/2009 $266.08
PORTLAND, OR 97224 12% State Surcharge - Building 08/28/2009 $31.93
PHONE: 503- 624 -6300 Plan Review 08/28/2009 $172.95
Plan Review - Fire Life Safety 08/28/2009 $106.43
Contractor:
BNK CONSTRUCTION INC
45 82ND DR SUITE 53B
GLADSTONE, OR 97027 -2562
PHONE: 503 - 557 -0866
FAX: 503 - 557 -1085
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 1 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $32,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $577.39
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes 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 -• s I through OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or }.800.332.2344.
Issued Permittee Signatur : 40-
Call 503.639.4175 by 7:00 a.m. for an inspection that business
This permit card shall be kept in a conspicuous place on the job site until cue pletion of the project.
Approved plans are required on the job site at the time of each inspection.
CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2009 -00161
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/28/2009
TIGARD Parcel: 2S113AB01400
Jurisdiction: TIGARD
Site address: 7324 SW DURHAM RD
Subdivision: Lot: 0
Project: Pet Fe) l24- Ir3'JUfe o> >/'- tF -l5
Project Description: TI
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 Permit Fee - COM 08/28/2009 $266.08
PORTLAND, OR 97224 12% State Surcharge - Building 08/28/2009 $31.93
PHONE: 503- 624 -6300 Plan Review 08/28/2009 $172.95
Plan Review - Fire Life Safety 08/28/2009 $106.43
Contractor:
BNK CONSTRUCTION INC
10730 SE HWY 212
CLACKAMAS, OR 97015
PHONE: 503 - 557 -0866
FAX: 503 - 557 -1085
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 1 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $32,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $577.39
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes 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 s : • ded f 180
days. A • ' ' ION: • -:.n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules - o in OAR
952 -• $1 -0010 through OAR •5 '01 -' 00. You may obtain a copy of the rules or direct questions to OUNC by calling 503 1.800.332. .
Is ued By: A I / Permittee Signature: /
Call 503.639.4175 by 7:00 a.m. for an inspection that b in i
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 -, K ' FOR OFFICE USE ONLY
City of Tigard R eceived p ermit No. /
13125 SW Hall Blvd., Tigard, OR 97223 Date/ _ I � -y09 L`��
g AUG 2 8 2009 Plan • Re view /� '
111
= Other Permit: ezi Phone: 503.639.4171 Fax: 503.598.1960 Date/ : I � L/
TIGARD Inspection Line 503.639 (� GAR Date R ' : See Attached Checklist for
Internet: www.ti ard -or. ov �� " .- �� Notified/Metho
g g , 1 Of r�.r; -� y . ,, _ Supplemental Information
TYPE OF WORK REQUIRED DATA 1- AND 2- FAMILY DWELLING
ID New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
AAddition/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: $
I=1 Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION a /ca ort Gara / Total number of floors:
!
Job site address: �f 9 '":,?, j � ....-/? A A4 � ,-. (7 New dwelling area: square feet
City/ State/ZIP:
t?*/
e v o zv 1.4 square feet
v �cf I Garage/carport area: q
Suite/bldg. /apt. no.: Projename: Q ,, porch area: square feet
Cross street/directions to job site: / .Q,, ‘ C.-- peck area: square feet
4?..--. s° _ Other structure area: square feet
REQU D i)A A CU 1:10,4***"
. ZJSB E()f�4.l'O '
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
DESCRIP ION OF RK work indicated on this application.
Valuation: $ 2 iC/
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
)
Name: PacTrust Type of construction: Y'ir
Address: 15350 S.W. Sequoia Pkwy., Suite 300
Occupancy groups: 77 5.
City /State/ZIP: Portland, OR 97224 Existing: �} �flf
Phone: (503)624 -6300 Fax: (503)624 -7755 New: *-.� //
El APPLICANT ® CONTACT PERSON
NOTICE
Business name: PacTrust All contractors and subcontractors are required to be
Contact name: Dennis Pagni licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 15350 S.W. Sequoia Pkwy., Suite 300 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) 624 -6300 Fax: : (503) 624 -7755
E -mail: dennisp @pactrust.com
CONTRACTOR
Business name:
7./1..1 //' 0 r ,, f , � � [ -T BUILDING PE IT "E,ES*
Address: 1 5 g a -1--e,„ 6,',. 53 6 / (Please refe+ to�"ee schedule)
Structural plan review fee (or deposit):
City/State /ZIP: aL„.t,e7r tot Oil 970a ?—a5-(y�
(3b) 55`7 OsIstp ► FLS plan review fee (if applicable):
Phone: J(J Fax: ( )
CCB lic.: 161 6/55 ' / /1O Total fees due upon application:
( Amount received:
Authorized signature:
.e• / 7 4 2e,.4-• /' This permit application expires if a permit is not obtained
Print name: r within 180 days after it has been accepted as complete.
_ , _ Date = • ' � * Fee methodology set by Tri-County Building Industry
�� Service Board.
I:\ Building \Permits \BUP- PermitApp.doc 03/21 /06 440- 4613T(l i /02/COM/WEB)
II _ " Building Division
Over - The - Counter (OTC) Building Permit
TIGARD Check List
J .
Description of Project: C
GENERAL INFORMATION
Class of Work:* (_r Floor Areas (sq. ft.): Exterior Wall Construction:
Type of Use:* First floor: N: S:
Type of Construction: f Second floor: E: W:
Occupancy Group: Third floor: Openings Protected Y /N ?:
Occupancy Load: 1 Total sq ft.: N: S:
Stories: ' 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 h'EMS
Fire sprinkler: W.S Handicap access:
Smoke detector: Protected corridors: _ 00
Fire alarm: Parking spaces ( #):
Notes:
Total Valuation: $ S2) r
INSPECTIONS FEES DUE _
Footing /foundation Firewall $ . Permit Fee
Post /beam structural Smoke detector $ 3 ( , State Surcharge
Shear wall Misc. inspection $ ��5 Plan Review Fee
Masonry Approach /sidewalk $ I ..3 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:
$ '5 -7 ( ■ 3 / Total 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