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Permit
7 Y t I CITY OF TIGARD BUILDING PERMIT 1 T o : COMMUNITY DEVELOPMENT Permit #: BUP2010 00059 T I GA RD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/24/2010 Parcel: 2S102BA00303 Jurisdiction: Tigard Site address: 9814 SW TIGARD ST Subdivision: Lot: 0 Project: Barrier Project Description: Owner: FEES ANDREWS MANAGEMENT LTD & Description Date Amount TIGARD INDUSTRIAL LLC, 5805 JEAN RD Permit Fee - Additions, Alterations, 03/24/2010 $256.22 LAKE OSWEGO, OR 97035 Demolition PHONE: Plan Review 03/18/2010 $166.54 Plan Review - Fire Life Safety 03/18/2010 $102.49 12% State Surcharge - Building 03/24/2010 $30.75 Contractor: TENANT PHONE: FAX: Specifics: Type of Use: COM Class of Work: ALT Dwelling Units: 0 Stories: 0 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $11,505 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $556.00 Required: Required Items and Reports (Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Yes Accessible Parking: 0 This permit is issuee subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be do ' accordance wi = • proved • ans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 d . ATTENTION: Oregon la , ires ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 52- 001 -0010 through OAR 95 -**1-010 u may obtain a copy of the rules or direct questions to OUNC by calling 51. '• • - • • • or 1.800.332. . Issued By: ■ / A 'IA Permittee Signature: /� / / Call 503.639.4175 by 7:00 a.m. for an inspection that bus ess 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 C • Q d . I) I l ' 11-, v moip e ! "lxb" , .: G n A k ,, a t> `,,: t- Commercial t L c, ' ; 5 d �, " u r ,l t )R OI I I6ElUSl ON'I 1 " " t _ i 6u,Fr �,..._ ?�'i. 9� Jna¢.. a i .e - J; Vr.S41tuu, City of Tigard MAR Received 2013 Date/B `le I Permit No.: ;i�up • , 00039 q 1 3125 SW Hall Blvd., Tigard, OR 97223 Plan Review ° - , . Phone: 503.639.4171 Fax: 503.598.1960, , __ Date/ : 'K ( C� Other Permit: I I (' K 17 �-+ Inspection Line: 5 LID f Cif i '30 Date Ready : y: la See Page 2 for Internet: www.tigard- or.gov BUILDING DIVISIG' ` Notified/Method: 0 • . V _. rial 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 'Other: s:4( .- 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: $ ❑ 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: 98,\ , A.. s,t) Ti b/z0 S-. New dwelling area: square feet City /State /ZIP: --r 6,a,RD 0 C o P `3722 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: seam t 3oa . t .- t.1/4 is.s ,,, . Covered porch area: square feet Cross street/directions to job site: FQOI� t� a - s i t • t t l - r% 6.44. D, 6.6 Deck area: square feet Y4- m t LE 1tkt i op Tt 6,442.0 ST . v R N 1_ Ft I t.i co Other structure area: square feet 6 4.40 ttJ DtIST12tNl.- 2, ., REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. fax map /parcel no.: 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. As l: N`PaL`‹ CZ F S�x=ev � SQQ.d -`f Valuation: $ " S OS.� ^CO �i Z V S- 0 P- 'p(L`( f1JCa 1,° -(Zr— Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER KTENANT Number of stories: Name: MAetc Do./E ( 'e,f-1,aa tF12. C004)> Type of construction: Address: C)8 S "/- -7 6 O S i - . Occupancy groups: City /State /ZIP: 'T'\ 6 OItG(,Oty 97223 Existing: Phone: (5 63 ) 6,39 _4, 02_ Fax: (S3 )-684... 1515 New: ❑ APPLICANT CONTACT PERSON - NOTICE Business name: 224 . 12 CD(24)cj( (ZQf►1 All contractors and subcontractors are required to be Contact name: ��., CC.0 `- ��S t � licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: ° .>E5©1C, ,,, c .w _ jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City /State /ZIP: • 6 p__ ,c:::5 C ^► 9 1 226 apply: Phone: (5 )- ()39 -44 ,2_ ,( 305 Fax: : (S22) 684- 1 S\ 5 E -mail: h r) C .el o @ b& rt e_✓ cor CIS It"— �/ CONTRACTOR Business name: t■VA BUILDING PERMIT FEES* Address: 7 1/1 c, 1\� (Please refer w fee schedule) City /State /ZIP: Structural plan review fee (or deposit): FLS plan review fee (if applicable): Phone: ( ) Fax: ( ) Total fees due upon application: CCB lic.: Amount received: aU)� o ?� J oe Authorized sign. This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: y)Rsic E L... HECZ Date: tAoaeµ Ic . f 2 I O * Fee methodology set by Tri- County Building Industry Service Board. 1: \Building\Permits \BUP -COM PermitApp.doc 10/01/09 440- 4613T(11 /02 /COMIWEB) Building Division Accessibility: Barrier Removal Improvement Plan .TIG'ARD 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): $ • L \ Buil ding\ Permits \BUY -COM PermitApp.doc 06 /25/08