Permit II CITY OF TIGARD BUILDING PERMIT
. ; COMMUNITY DEVELOPMENT Permit #: BU P2009-00183
1 3125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/01/2009
T� ARD Parcel: 2S101AC00900
Jurisdiction: Tigard
Site address: 7128 SW GONZAGA ST 100
Subdivision: Lot: 0
Project: Holmes & Co
Project Description: First floor office space TI.
Owner: FEES
BARMASS LLC Description Date Amount
PO BOX 69409 Permit Fee - COM - New Construction 10/01/2009 $1,595.17
PORTLAND, OR 97239 12% State Surcharge - Building 10/01/2009 $191.42
PHONE: Metro Const. Excise Tax - Commercial 10/01/2009 $330.00
Use
Plan Review 10/01/2009 $1,036.86
Contractor: Plan Review - Fire Life Safety 10/01/2009 $638.07
LORENTZ BRUUN CO INC
3611 SE 20TH AVE
PORTLAND, OR 97242
PHONE: 503 - 232 -7106
FAX: 503 - 230 -0914
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 2 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $275,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,791.52
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 through OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344
Issued By: kL: 131._ , s ij y'/ Permittee Signature: W 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 project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercla RECEIVE FOR OFFICE USE ONLY
City of Tigard 0 C T 01 '2009 Received : Permit No. n2 4
Date /B : ) A I 0O `1 • Q
" 13125 SW Hall Blvd., Tigard, OR 97223
• g Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date /By: � �� �� Other Perm
•
Inspection Line: 503.639.4175 CITY OF TIG ARD Late Ready /By ® See Page 2 for
TIGARD g g B UIL DING DIVISIO Supplemental www.ti at'd -or. ov ot ified/Method: S u Iementallnformation
-
TYPE OF WORK r REQUIRED DATA.1 AND 2- FAMILY, DWELLING',
El 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
CATEGOR OF CONSTRUCTION work indicated on this application.
1:1 I- and 2- family dwelling ® Commercial /industrial Valuation: $
I=1 Accessory building ❑ Multi family Number of bedrooms: • ❑ Master builder El Other: Number of bathrooms:
• JOB SITE INFORMATION. °AND' LOCATION Total number of floors:
Job site address: 7128 SW Gonzaga Street New dwelling area: square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Holmes & Co. T.I. Covered porch area: square feet
Cross street/directions to job site: 72 " Avenue Deck area: square feet
72 " to Gonzaga. East on Gonzaga to Address Other structure area: square feet
REQPIREDDATA COMMER'CIAL,USE CHECKLIST,
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 2SI01AC00900 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.
First floor tenant improvement, remodel of office space Valuation: $$275,000.00
Existing building area: 9700 square feet
New building area: square feet
OWNER ❑TENANT v Number of stories: 2
Name: Holmes & Company, LLC Type of construction: VB
Address: 888 SW Fifth Avenue, Suite 470 Occupancy groups:
City /State /ZIP: Portland, OR 97204 Existing: B
Phone: (503)796 -9800 Fax: (503)796 -0806 New: B
® =APPLICANT» 2; - - •
NOTICE
Business name: Tiland Schmidt Architects, PC All contractors and subcontractors are required to be
Contact name: Scot Sutton licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 3611 SW Hood Avenue, Suite 200 jurisdiction in which work is being performed. If the
City /State /ZIP: Portland, OR 97239 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 220 -8517 Fax: : (503) 220-8518
E -mail: scotsutton @tilandschmidt.com
CONTRACTOR
Business name: Bruun Properties BUILDING PERMIT FEES *z
Address: 3611 SE 20 Avenue, Suite 300 - .Please referto feetsc%
Structural plan review fee (or deposit):
City/State /ZIP: Portland, OR 97202
FLS plan review fee (if applicable):
Phone: (503) 232-7106 Fax: (503) 232-5609
CCB lie.: 415195 Total fees due upon application:
Amount received: 37 Q S '1
Authorized signature
�" l C/-
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:'' L Gi 772a Date: /p, . * Fee methodology set by Tti- County Building Industry
Service Board.
I: \Building\Petmits \BUP -COM PennitApp.doc 2/23/07 440- 4613T(I1/02/COM /WEB)