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Permit CITY OF TIGARD BUILDING PERMIT 11 11 s COMMUNITY DEVELOPMENT Permit #: BUP2009 -00055 Date Issued: 04/03/2009 TIGA 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S115BA02600 Jurisdiction: Tigard Site address: 16230 SW PACIFIC HWY 100 Subdivision: Lot: 0 Project: Panda Express Project Description: TI of tenant shell. Owner: FEES SN PROPERTIES PARTNERSHIP Description Date Amount 1121 SW SALMON ST Permit Fee - COM 04/03/2009 $305.21 PORTLAND, OR 97205 Plan Review 04/01/2009 $198.39 PHONE: Plan Review - Fire Life Safety 04/01/2009 $122.08 Tax - 12% State Surcharge 04/03/2009 $36.63 Contractor: PACIFIC CREST STRUCTURES INC 17750 SW UPPER BOONES FRY #190 DURHAM, OR 97224 PHONE: 503 - 968 -8949 FAX: 503 - 598 -6658 Specifics: Type of Use: COM Class of Work: ALT Dwelling Units: 0 Stories: 1 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $39,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $662.31 Required: Required Items and Reports (Conditions) Fire Sprinkler: Yes Parapet: Yes Fire Alarm: No Protected Corridors: No Smoke Detectors: No Manual Pull Stations: No Accessible Parking: 0 permit is issued su 6 t to the re. ulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other - . plicable law. All work will be done in accordance wi a • • rov- • plans. This permit will expire if work is not started within 180 days of issuance, or if work i. 'suspended for more the 180 days. ATTENTION: Or on law —quires you to follow the rules adopted by the Oregon Utility Notification Cent= . Those r es are set forth in OAR 952- 001 -0010 rough OAR • 2 -.101 r 10. You may obtain a copy of the rules or direct questions to OUNC by calling 03.246.66•', or 1.800.332.2344. Issued By: . � � v / Permittee Signature: Iv 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. Buildinm Permit Application RFrir ft f " Commercial FOR OFFICE USE ONLY City of Tigard APR -1 2009 Received Date/B: . • # . (� Permit No P2OOct .0 4 - . 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review "� Phone: 503.639.4171 Fax: 503.598.1960 CITY OF TIGARD D a /�'� Other Permit: TIGARD Inspection Line: 503.639.4175 BUILDING DIVISIO '•ate ed /Metho _ See Page 2 for Internet: www.tigard- or.gov otified Methodl . �' C] Su . plemental Information L-IM. -P sr tic c - . . /A- TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. I Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement Other: �j e i 7 5 N e r T 11M(�R0VE. equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. El I- and 2- family dwelling Commercial /i tstriel- Valuation: $ — ❑ Accessory building ❑ Multi - family Number of bedrooms: _ 1=1 Master builder ❑ Other: Number of bathrooms: — JOB SITE INFORMATION AND LOCATION Total number of floors: — Job site address: i 602"3 o New W • .F,..ct F I G Ct W y . New dwelling area: — square feet City /State /ZIP: 7 I v ARp 1 o 9722i- Garage /carport area: _ square feet Suite gfapt -t*a: I Op Project name: pp,rNpp, EA,,,SS - - T. 1. Covered porch area: -- square feet Cross street/directions to job site: s W PI°PGl r\ C. ..-‘W y 4 T)trkR1tPtrn \Z-D. Deck area: —. square feet - 7 t GAIL - T'ovZ N E SQL( Rite. S}40 PPINCo C- F- (Z Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: —. Lot no.: — Permit fees* are based on the value of the work performed. Tax map /parcel no.: W �T� 2 S 56A - 7.\... 2(p pp 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. NEW T..Nt.TtsT 1 ,MPR-01 EVVAH`&T OF SB ELL POOL Valuation: $ -(1 t �O o0 l_�4SE SpA2� IN x'sTtN[o(Jtntt_DlrlE. Fob Existing building area: 8 1 t�po squarefeet TOTttt. DP* X'PRTSS- R€5- rthv,RPoNIT New building area: 2 t 0 " square feet 324ROPERTY OWNER ❑ TENANT Number of stories: O N E. Name: 1.4 , ,,,, ttV vi sTv.fIi t-4-T T 7� RpPelzT1CS (9 N pr_weiL-nts") Type of construction: r S Address: 1 12 l S , W , S pt. Linn p Kt S' . Occupancy groups: City/State /ZIP: p �- L, D 1 ©(Z 9 7 2. 0 5" N4 Existing: Phone: (So 3) 21'2 • 2 °r o D Fax: (5503) 2 7+ - 2 / q 0 3 New: A ,APPLICANT ❑ CONTACT PERSON NOTICE Business name: L -F AR.GF}l z E. e rs Psiv17 2 M.4 NETZ� All contractors and subcontractors are required to be Contact name: �E -r�¢�� licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: (0775 5.w. t 11_} -1, Nv e , S ` - T . € 2 p jurisdiction in which work is being performed. If the q �7 applicant is exempt from licensing, the following reasons City /State /ZIP: �.fS'V .� zrZ t71� 1 0 CZ 1 / o ° Q7 apply: Phone: ( 503) 4 . -22.2 Fax: : (5 (74-1- - Cp Y.P7 E - mail: P Y-- . 1' C+- LE EK•A 1NC , Co vet CONTRACTOR Business name: 'p Ct F1 G G2 t^ sT I S�CZVI _- VI I. s BUILDING PERMIT FEES* Address: - 7 - 1" - ''', SuJ KfhSLE 1.-RNe - SNt 900 (p��reJnmjeeschede►e) City /State /ZIP: ocZ 9 722 d Structural plan review fee (or deposit): 118.39 D2'C l -R ND , -f Phone: (Sp- 7(p g - 89 Fax: (503) 5 90 - Co Co 5g FLS plan review fee (if applicable): 122,0g S Total fees due upon application: .12z 320.47 CCB lie.: c12, (40`09i 2o. '- Amount received: 3 Authorized signature: This permit application expires if a permit is not obtained • within 180 days after it has been accepted as complete. Print name: t .- (z.s Date: .3 Fee methodology set by Tri -County Building Industry Service Board. I: \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11 /02 /COM/WEB)