Permit CITY OF TIGARD BUILDING PERMIT
74 ' h
a COMMUNITY DEVELOPMENT Permit #: BUP2009 -00212
TLUf�R 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 12/08/2009
Parcel: 1S135BC00700
Jurisdiction: Tigard
Site address: 10831 SW CASCADE AVE
Subdivision: Lot: 0
Project: Comcast
Project Description: Install rack storage.
Owner: FEES
CH REALTY III /PORTLAND INDUSTRIA Description Date Amount
BY THOMSON PROFESSIONAL & Permit Fee - Additions, Alterations, 12/08/2009 $498.03
REGULATOR, CONTROLLING OWNER OF Demolition
PHONE: Plan Review 11/24/2009 $323.72
Plan Review - Fire Life Safety 11/24/2009 $199.21
12% State Surcharge - Building 12/08/2009 $59.76
Contractor:
B & B INSTALLATIONS INC
14401 S GLEN OAK ROAD
OREGON CITY, OR 97045
PHONE: 503 - 722 -8155
FAX: 503- 722 -8154
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $28,923
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,080.72
Required: Required Items and Reports (Conditions)
1 BUP Bolts in Concrete
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors:
Smoke Detectors: No 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 wit
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. Thos: ules 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 - ng 503 246.6699 or 1.800.332.2344
Issued By: i T ` 411 Permittee Signature: / " ` / A��� /'
CaII 503.639.4175 by 7:00 a.m. for an inspection tha 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.
Build,�.ng Permit Application 75X9 3' , 13 �c��oz.
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Commercial
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= City Of Tigard DateB ,1 Permit No. �i ,G��j • 4�l.
13125 SW Hall Blvd., Ti ard, OR 97223 n v 2 2 Received
Iii
g Plan Review /
8 Phone: 503.639.4171 Fax: 503.598.1960 . ,.` �' Other Permit:
;
CITY OF TI GAR
>J Date/B :
j,1(.; ; \R 1 Inspection Line: 503.639.4175 *� `/ ' : . p"+ (ate Ready ® See Page 2 for
nos Internet: www.tigard- or.gov BUILDING DI r w , Notified/Method ,...41 1 a, � i Supplemental Information
TYPE OF WORK •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 VOther:jjf equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTIO work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling , ommercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
• JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /063 t'.�' New dwelling area: square feet
City /State /ZIP: 7•4/' Oge, q . 3 Garage /carport area: square feet
Suite/bldg. /apt. no.. Project name: inG 7 Cos /e Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
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. n
Valuation: $ dg 7 a3
Qr 1 7 / 1 ) 147 L B7 e 0 � ine , Existing building area: square feet
l ' 4 rQ6,'S1- New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
IX APPLICANT NI, CONTACT PERSON . . NOTICE
Business name: d All contractors and subcontractors are required to be
Contact name: - RY G � licensed with the Oregon Construction Contractors Board
c _ under ORS 701 and may be required to be licensed in the
Address: ��,,�� /' l l jurisdiction in which work is being performed. If the
,`�� c � / /,1Wr��L(�.�L L applicant is exempt from licensing, the following reasons
City /State /ZIP: Top f.. ", id �� C�� apply:
Phone: SO ) e39_ ®f r) Fax: : C23 / )4S3 3e
E -mail: e e& L o o k w /1(W-
CONTRACTOR .
Business name: R7i.- 1 5kf`4f rz „ U ' 7 BUILDING PERMIT FEES*
Address: / . ok, (9.4k L , D„�Q (Please (o e).
11 °��T^' Structural plan review fee (or deposit):
City /State /ZIP: 61,fr elc a cy7oy e-)
Phone: ($ ) WZ_ 0155 Fax: (92 ) -ZZ . 8/5-z/ FLS plan review fee (if applicable):
CCB lie.: it 06 119 I(AW(o Total fees due upon application:
((( Amount received:
Authorized signature: This permit application expires if a permit is not obtained
l within 180 days after it has been accepted as complete.
Print name: Aey e/� i „. Date: //-29-0/ * Fee methodology set by Tri- County Building Industry
Service Board.
1: \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02 /COM/WEB)
° Building Division
Accessibility: Barrier Removal Improvement Plan
3T l G A lZ`•ft
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and,
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
1: \Building \Permits \BUP -COM PermitApp.doc 06 /25/08 •