Permit 'r `
4 I ,I � CITY OF T I G D BUILDING PERMIT
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PERMIT #: BUP2008 -00290
,..., ' COMMUNITY DEVELOPMENT DATE ISSUED: 9/24/2008
.rtGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S113B0 - 00600
SITE ADDRESS: 16580 SW 85TH AVE ZONING: I -P
SUBDIVISION: SEWER TREATMENT PLANT LOT: JURISDICTION: TIG
PROJECT: CLEAN WATER SERVICES
Project Description: Installing structural steel column and beam for influent pump station.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2FR : sf N: S: E: W:
OCCUPANCY GRP: U2 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 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: $ 14,000.00
Owner: Contractor:
CLEAN WATER SERVICES STETTLER SUPPLY CO INC
2550 SW HILLSBORO HWY 1810 LANA AVE NE
HILLSBORO, OR -9379 SALEM, OR 97303 -3198
Phone: 503 - 681 -3600 Contact #: PRI 503 - 585 -5550
FAX 503 - 581 -6799
Reg #: LIC 33228
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pin Rv 8/27/2008 $96.40 Bolts in concrete
[FLS] FLS Pln Rv 8/27/2008 $59.32 Structural welding
Special inspection (see plat
[BUILD] Permit Fee 9/24/2008 $148.30
[TAX] 12% State Surch 9/24/2008 $17.80
Total $321.82
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 U .' • •tifisation Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of th- e rules or direct • e '•ns to OUNC by calling 503.246.6699 or 1.800.332.2344. '
Issued By: / j -` / / 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.
Approved plans are required on the job site at the time of each inspection.
AT' - 45.5-6 5-t;{i. 852',.51-iC c ion 'ia
Building Permit Application
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C ommercial 1 + ,a� �'t��'O' i 'r'�'+ { cF. ; iti gar �n"'S4,r� + .!4��""Pr�'S� °i4u ",,�. uf��'�,r ici�n���fr ? J'
C'' + r,. ..' p4 VVIZ OFFICE�USE giV y , '"A �,t-;6, - . 0'" Y . R eceived rFt Ci of Ti and r � Permit No.: /
71 tY g � .,. �. Date /B : g . , Ii r 1 ..
°- 13125 SW Hall Blvd., Tigard, OR 97223
• p 1 Q O O ther Permit:
Phone: 503.639.4171 Fax: 503,598.196 p y , _ i
iT I G R D Inspection Line: 503.639.4175 P6) D i V to Ready By: See Page 2 for
! +0. Internet: www.tigard- or.gov � 4, �� , 1 k4i.. ethod 4/ it Supplemental Information
� 9 1 1 0 : `-„rite 6 ' '� y
TYPE OF WORK - `` O ` t00`1�1�" _ REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ DemS�n • 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 p 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: lj W — P.-0E 1 6 5ce d S to S5' 40C New dwelling area: square feet
City /State /ZIP: D1/4) _ • CDR Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: ( r. (( 4)/, Zb{ Covered porch area: square feet
Cross street/directions to job site: `-'1 Deck area: square feet
C 1e--u en.4 ( LOc-S / 7 eit 1:440/ 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.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
• DESCRIPT OF WORK
� . work indicated on this application.
Z✓1- 5 / GL 6 frl/ �.1 67 - k-e-) l.dtPl) In ail 4 BY'4,11 Valuation: $ ' Li ) CO3
Existing building area: square feet
New building area: square feet
1SU PROPERTY OWNER • . ❑ TENANT Number of stories:
Name: C ( .(--+-r Lt.) 0-- vi(- S Type of construction: t (v � 1 "ll Ekcf•- 3c. e__,,i ,,-)
Address: • l0 i- 3 — b n € B5 -71- t - is.-0c '.p Occupancy groups:
City /State /ZIP: j('j,- ,„,� I C) IR CA Existing:
Phone: ( ) Fax: ( ) t•-) 1 ' .1'.-- N ew:
''APPLICANT . • " ❑ CONTACT PERSON NOTICE
Business name: 64T t+l 6 I a . All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: /
'- -,, -y 5 ' er under ORS 701 and may be required to be licensed in the
Address: 1 ', 1 6 L-0-_,..1 P(\hZ jurisdiction in which work is being performed. If the
�( l v applicant is exempt from licensing, the following reasons
City /State /ZIP: t -73 apply:
Phone: (5 L b) s v 'J - 6 Fax:: (S)3) J / / 6 7 q -
r D
E-mail: --fl J � ../ � T � er /v . Coi
CONTRACTOR
s � n ire � � 4 'lef S pp
Business name: l c/ CID . BUILDING IT FEES* G PERM.
Address: / (Pleas r efer to fee sch
Structural plan review fee (or deposit): 1%. Zy
City /State /ZIP: 5
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): ' Y .
CCB lic.: Total fees due upon application: /5 7a
3
Amount received:
Authorized signature: i ' ,..Al� . This permit application expires if a permit is not obtained
// within 180 days after it has been accepted as complete.
Print name: cA-4 41 5J= e., Date: Q, -7 -ocz. * Fee methodology set by Tri- County Building Industry
Service Board.
1: \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440-4613T( I 1/02/COM/WEB)
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` Building Division
Accessibility: Barrier Removal Improvement Plan
:•:TIGARD :.
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): $
C\ Building\ Pcrmits \BUP -COM PcrmitApp.doc 06 /25/08
CITY OF TIGARD `i
BUILDING DIVISION PERMIT #: I3UP70011- 002M
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/04000
Phone: (503) 639 -4171 puq
,,''I °__.ptlilI+
Inspection Requests (24 Hrs.): (503) 639 -4175 .
INSPECTION WORKSHEET FOR DATE: 1/211/2003 TIME: 7 :00AM PAGE: 18
SITE ADDRESS: 16':80 SW 85TH AVE CLASS OF WORK:
SUBDIVISION: : `i PLANT LOT #: TYPE OF USE:
PROJECT NAME: CLEAN WATER SERVICES
DESCRIPTION: Installing structural E:teel column and beam for influent pump station.
OWNER: CLEAN WATER SERVICES, PHONE #: 603 - 681 - 36111)
CONTRACTOR: S O iLER SUPPLY CO INC PHONE #: 503.585.5660
Inspection Request Scheduled For: Date: 1/2012009 Pour Time: 5..F. 44
Code # Inspection Description Confirm # Contact # Message
' vat"
225 Post/beam structural 079838 -01 503-585-55.50
Corrections /Comments /Instructions: C
— . -�t41A ---- Gt _•_ I
mil ? i � !-12__ --1' J ` _ - -� - - -P ' 43 e,
❑ PASS 0 -ARTIAL APPRO ! ❑ CANCEL ❑ NO ACCESS
❑ FAIL . A CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ . '
2 L
Inspector: Date: ' Phone #: (503) 718-