Permit 71 Y `'4 CITY OF TIGARD BUILDING PERMIT
a COMMUNITY DEVELOPMENT Permit #: BUP2010 -00174
a - i ` Date Issued: 07/28/2010
AA G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S102B000600
Jurisdiction: TIG
Site address: 12725 SW PACIFIC HWY
Subdivision: Lot:
Project: Hafez Restaurant
Project Description: New wall next to stairway.
Owner: FEES
FARID ADRANGI Description Date Amount
4289 ORCHARD WAY Permit Fee - Additions, Alterations, 07/28/2010 $53.27
LAKE OSWEGO, OR 97035 Demolition
PHONE: 12% State Surcharge - Building 07/28/2010 $6.39
Plan Review 07/28/2010 $34.63
Plan Review - Fire Life Safety 07/28/2010 $21.31
Contractor:
M & S CONTRACTOR SERVICE INC
5720 SW SEVILLE ST
LAKE OSWEGO, OR 97035
PHONE: 503 -351 -6765
FAX:
Specifics:
Type of Use:
Class of Work:
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 $115.60
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 i - ,,- • : - 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. ENTION: Orego -w requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 .01 -0010 through OAR 9' -, , -, 00. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Iss ed By: / /, . I f Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that bus ness 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 cd $.; ' _ 1 '
Commercial FOR QI 1 I(1 litil ()N1.1 ,
City of Tigard r ' • . , c .j ' „ Date/B Received . j� ` Permit No.:
III .
13125 SW Ha Blvd., Tigard, OR 972 f ` Plan Review i
o Phone: 503.639.4171 Fax 503.598.160 ''-.,•1 t \0 Date/B : . VIN�� 0 Other Permit `• ge • .. . S.
J
i I ( ni l > Inspection Line: 503.639.4175 % ` q % 4 1- Date Ready/By: ® See Page 2 for
Internet: www.tigard- or.gov U� Ir ,,n Notified/Method: ? � Supplemental Information
TYPE 'OF WORK c� I ��(.._'0 S \ � • , REQUIRED DATA: 1- AND:2- FAMILY DWELLING
❑ New construction ❑ DemOnVw 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 ❑ 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: 1 Z'_ 2s ' w f ) c i F I c_ lL w i. New dwelling area: square feet
•
City /State /ZIP: -1-1 06 t r01 p R °I I- - 2-3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: / e.. R ritu ,J7 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.
Valuation: $ ,..5:6e
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER 4 TENANT Number of stories:
Name: rj ✓1 (3K0 h 1'Oi 11 Type of construction:
Address: 5 1.-'2,, o S W se ✓l II € 4 v e Occupancy groups:
City /State /ZIP: t e o S 1'✓ e‘60 6 s q 7.. 0 3 5 Existing:
Phone: (S5 3) 3 5 1 , 6 Fax: ( ) New:
• � ' NOTICE
❑ APPLICANT H / • CONTACT PERSON ' ' • '
, ..
Business name: 4_ r All contractors and subcontractors are required to be
Contact name: M rl ' licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: C j ' . 4 - 2 p 5,/ S e ✓ / I lQ 'lye jurisdiction in which work is being performed. If the
City /State /ZIP: Ke 5 try Q. ° �u d R 9 �- o3$ applicant is exempt from licensing, the following reasons
apply:
Phone: (5 53) 6q q 1---°, 9 a Fax: : ( )
E -mail:
CONTRACTOR . .
Business name: A\ (S Col) + YO C-f - 0 r sd- V I (e 1 I /C BUILDING PERMIT, FEES* • -
Address: c1 T(7 Sw Sev; tic ` , .. (Please refer to fee schedule)
� Structural plan review fee (or deposit): ") , )27? City /State /ZIP: �, (� v�st t, (>� 61?6 3�
1 FLS plan review fee (if applicable): • )1 Phone: (S o3) 3 S I 6 6 5 Fax: ( )
CCB lic.: \ 0 9 60 l/i bray).- Total fees due upon application: (( (
r/ Amount received:
Authorized signature: d v � Th is permit application expires if a permit is not obtained
, within 180 days after it has been accepted as complete.
S
Print name: 51 0) S ) � / 1 t� l / ( h ' -n Date: 7 - 2 g_ 2 0 4 * Fee methodology set by Tri -County Building Industry
Service Board.
1:\Building\Permits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(I l /02 /COM/WEB)
Building Division
ri
Accessibility: Barrier Removal Improvement Plan
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 (251/4 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 PermitApp.doc 06 /25/08
III
o Building Division
Over- The - Counter (OTC) Building Permit
T i c n iz ° Check List
Description of Project:
GENERAL INFORMATION
Class of Work:* Floor Areas (sq. ft.):. Exterior Wall Construction:
Type of Use:* First floor: N: S:
Type of Construction: g Second floor: E: W:
Occupancy Group: Third floor: Openings Protected Y /N ?:
Occupancy Load: Total sq ft.: N: S:
Stories: Note: Combine total floor area for E: E: _
Height: all floors above third floor and Roof Construction:
Floor Load: add to the third floor sq. ft. - Fire Retardant:
Basement: Basement: Area Separation Rated:
Mezzanine: Garage: Occu. Separation Rated:
• REQUIRED TEEMS
Fire sprinkler: Handicap access:
Smoke detector: Protected corridors:
Fire alarm: Parking spaces ( #):
Notes:
Total Valuation:. $ S O co..) O
• INSPECTIONS o FEES DUE
• Footing /foundation Firewall $ Permit Fee
Post /beam structural Smoke detector $ State Surcharge
Shear wall _ Misc. inspection $ Plan Review Fee
Masonry Approach /sidewalk $ FLS Plan Review Fee
Framing • $ Additional Permit Fee
Insulation Sprinkler rough -in $ Additional Plan Review Fee
Gyp board Fire alarm $ Metro Construction Excise Tax
Suspended ceiling Sprinkler final $ School Construction Excise Tax
Final inspection $ Misc. Fee.
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Other:
$ Total Fees Due
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection - system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings
or canopies); REP = repair.
I: \Building \Forms \OTC - BUP.doc 08/19/08
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