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Permit
CITY OF TIGARD PERMIT PERMIT #: BUP2006 -00066 j DEVELOPMENT H Blvd., MENg SERVICES 9 S -639 -4171 D ATE ISSUED: 2/23/2006 PARCEL: 2S 103DD -00900 SITE ADDRESS: 13855 SW PACIFIC HWY ZONING: C -G SUBDIVISION: LOT: JURISDICTION: TIG Project Description: Porch cover over existing entrance, 576 sqft area . REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: S: E: W: OCCUPANCY GRP: A3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 299 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 3,500.00 Owner: Contractor: TUALITY COMMUNITY OF CHRIST BASELINE CONSTRUCTION CO PO BOX 23462 32 NW LILLY BEN PLACE TIGARD, OR 97281 GRESHAM, OR 97030 • Phone: 503 - 684 -6620 Contact #: PRI 503 - 516 -1605 FEES Reg #: LIC 128772 Description Date Amount REQUIRED ITEMS AND REPORTS ,[BUPPLN] Pln Rv 1/30/2006 $53.11 :[BUILD] Permit Fee . 2/23/2006 $81.70 [TAX] 8% State Surchari 2/23/2006 $6.54 Total $141.35 • 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 than 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 these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1-800- 332 -2344. c://ari?)4 Issued By: Permittee Signature: 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. �I I Approved plans are required on the job site at the time of each inspection. _ . {I lI! P l3 5u' a, °` '� lath Coinrnah,, - c - % sa Building Permit Applica CEIVE ► . � FOR OFFICE l'SI; O i.1 City R e i "� / _ 3 Permit No.: SW Hall Blvd., of Tigard Tigard, OR 97223 A Re e txive D � 4 F"2 ..�0 131 JAN 3 0 20 1,t Plan Review 0444,A11 Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 • ., I • DateB . '/ Inspection Line: 503.639.4175 _ „ + .I Date By. '' ® See Internet: www.ci.tigard.or.us CITY OF TIG ' ' ,_ y ady etn.�� _ '7 'i•� Supplemental Attached Intormatian Checklist for BUILDING DIVISION A� � f 4 1 . TYPE OF WORK i/ / REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ 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 CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling PO Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: -. ❑ Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION ANDc�LOCATION Total number of floors: Job site address: i3 �.�5 � / T /� �uj y New dwelling area: square feet City /State/ZI GP 7020 / Garage /carport area: square feet Suite/bldg. /apt. no.: Project name / 6 dimA7iG,u , y �/, S f Covered porch area: square feet oss street/directions to job s ite: /� �r Deck area: square feet �Tucr� it/ ©/ CI'G/L/G!r ell? ,4 . o (/. L4, Other structure area: square feet f0 (4'a / /'{,x/15 REQUIRED REQUIRED DATA: COMMERCIAL -USE CHECKLIST • Subdivision: Q n I Lot no. :0G 9, 0 Permit fees' are based on the value of the work performed. S / t3 / Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. l'arcfi DOUG/" o ver 6/2 /ra /9/ sidewalk Valuation: $ 35'00 - r Existing building area: 8 000 square feet A New building area: square feet X. X g, PROPERTY OWNER I ❑TENANT Number of stories: Name: 7 a // - ty 6 min 4/1 i 7 of U ! / ,./.571- Type of construction: 5 N Address: P. d Box �j p Occupancy groups: A - . q City / State/ZIP: 24/ / L a rel. [/ f 791/ r Existing: /1 .Phone: (, o3) tgtf - 66,2_ Fax: ( ) New: `--t ❑ APPLICANT CONTACT PERSON NOTICE mess name: All contractors and subcontractors are required to be Awn C��or L City /State /ZIP: �� licensed with the Oregon Construction Contractors Board Contact name: T under ORS 701 and may be required to be licensed in the Address: t5 3 Z / � �j „�///Z �so �) r T r _ �Q jurisdiction in which work is being performed. If the �q a is exempt from licensing, the following reasons apply: Ci E `7c 6, -*1. V-N . Phone: (503) GS7 - 1 Y4 7 y I Fax ::: (So3) - D - dal 214,4.1 _wl.70 191.3 W E -mail: aims r/ a fd�CQ /i ST• e )- �! G. 9.4 CONTRACTOR /� / .�l.� 6. // Business name: Z s l Sz4i� aSt U, t, e 0D. BUILDING PERMIT FEES* =, Address: 3d X/ C) ,c/// Se4 Pale . y Please refer to fee schedule city / State/ZIP: G/ q 70 Fees due upon application Phone: (S0 ) - IG - /6 Drs I Fax: ( ) Amount received CCB lic.: /a g 77 6/3 6 Date received: Authorized signature: This permit application expires if a permit is not obtained c/ within 180 days after it has been accepted as complete. Print name: 44 4�/!o r -/- I Date: /730/61 G $ Fee methodology set by Tri- County Building Industry Service Board. i:\Building\Pennits\BUP -TI- PermitApp.doc 12/03 440-4613T(11/02/COM/WEB) am 1 , I . '0 FJ' . . ' Building Division Plan Submittal Requirement, Matrix Commercial & Multi- Family - New, Additions or Alterations City of Tigard Type of Submittal # of Plans (Includes new, additions and alterations.) Required at Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 • (must include location of all accessible parking) • • Plumbing (site utilities) 2 • Building 1* Fire Protection System 3 ** Mechanical 2' • • . Plumbing (building fixtuies) 2 , Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request . , additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) 1 t * For over -the- counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3 "-technicians. • i:^ Building \Pennits\BUP- T1- PennitApp.doc 12/03 440- 4613T(11 /02/COMAVFB)