Permit d4, CITY OF TIGARD
BUILDING PERMIT
` G ' COMMUNITY DEVELOPMENT Permit #: BUP2010 -00165
fi Date Issued: 07/13/2010
T[GA'RD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S102AD03100
Jurisdiction: Tigard
Site address: 9047 SW BURNHAM ST
Subdivision: PP1998 -032 Lot: 1
Project: Miller Paint & Graphics
Project Description: Change of occupancy from B to S -1.
Owner: FEES
DEANGELO, STEPHEN T & Description Date Amount
BOSLEY, BECKI A, 13215 SW 124TH AVE Building Permit - COM 07/13/2010 $53.17
PORTLAND, OR 97223 12% State Surcharge - Building 07/13/2010 $6.39
PHONE:
Contractor:
OWNER
PHONE:
FAX:
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $500
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $59.56
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: 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 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 the 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 OA •52- 001 -0100. Yo •: ai = copy • • the rule- or direct questions to OUNC by calling 503.246.6699 or 1.800.33278344.
Issued By: �i� - / 1 � Perm ittee Signature: 4 � l „i/
3.639.4175 by 7:00 a.m. for an inspection that bus' 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.
s Building Permit Application
h �
Commercial "4 I t)K ()I I I( I'. Iltil. ONl 1
City of Tigard 3 2010 DateB Permit No.:
° 13125 SW Hall Blvd., Tigard, OR 97223 Ju` 1 Plan Review
C Phone: 503.639.4171 Fax: 503.598.1960 r t Date/B : Other Permit:
p - ' s � , -1 � Date Ready/By: Juris:
Inspection Line: 503.639.4175 �'� � ' y y: ® See Page 2 tor-
i l 6 A It D . � ,4 r I S I p
Internet: Li ne: g 3.63 .41 V1 \0{ Notified/Method: Supplemental Information
' 'TYPE OF WORK ' - REQUIRED DATA:. 1- AND 2- FAMILY DWE •
❑ 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 ,2 Other: 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 ID Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION . Total number of floors:
Job site address: 9 0 y 9 <L) Bu �N (,,' A. 511- ee i._- New dwelling area: square feet
City /State /ZIP: Ti 0 / c-C- 9 -) Z 2 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: in i j i U2 Nis, 4 ,.. ? (, k, t 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.
Tax 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.
: uation: $ t)o Pd" tv wn,2 k..
f I -1, t/ ID e• e , i Ex ing buildin: . ea: square feet
1 New but . i' _ area: square feet
7 PROPERTY OWNER ❑TENANT Numb of s •ries: Ai / P ;I W C
Name: f-0. V i . D Er t i opvto / B.v t `3 ,, s s I e T '. a of construc 'on:
I
Address: 6 9e 3 D -3 2. Occupancy groups: CALA -A)1,6 i'6 AR 4 °^ I-)
City /State /ZIP: - 1 - 1 6-44 0 6 go.,) 00 Z7Y �j Existing:
Phone: (03 ) L•D .9o2� Fax: (5 ) X c, 0 ' / � . 1 New:
s-
' ' .' APPLICANT, . 1- '.CONTACT PERSON -•: NOTICE
Business name: 44 Ai 6 4- �,.. LI � All contractors and subcontractors are required to be
Contact name: 3 8 D�G A licensed with the Oregon Construction Contractors Board
7. _ 7 under ORS 701 and may be required to be licensed in the
Address: PP 6 n)< a-- 3 •9 3 F?-- jurisdiction in which work is being performed. If the
City /State /ZIP: r( � 1 � , n 9 7 Z Z 3 applicant is exempt from licensing, the following reasons
I G-42 3 l apply:
P h o n e : ( ) 1 1 . 3 - G l p 4 , 0 F aax:: ( ) / C. vi....., +� / n
E- mail: (l 1 i ,� I C
, G �J (.2 /)vU 1 c Go 1 - .. �t
- COIVTRACTOR ;
Business name: ',BUILDING PERMITFEES*
Address: (Please refer to lee schedule)
Structural plan review fee (or deposit): 3 a 7
City /State /ZIP:
FLS - vie ab1 : 6,,3 9
Phone: ( ) Fax: ( ) iii-i,4"1..;
CCB lic.: Total fees due upon application:
' Amount received: 5j 7. 3-6
Authorized signature: ! 1 C/ This permit application expires if a permit is not obtained
" �� within 180 days after it has been accepted as complete.
Print name: Sna Di p _ .„) E . La Date: 1 I c 110 * Fee methodology set by Tri -County Building Industry
1T " Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(11 /02 /COM/WEB)
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ii
IN
Building Division
Accessibility: Barrier Removal Improvement Plan
TlGARD
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): $
I:\ Building \Permits \BUP -COM PcrmitApp.doc 06 /25/08
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