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Permit f n CITY OF TIGARD BUILDING PERMIT Ar e a :3� COMMUNITY DEVELOPMENT Permit #: BUP2010 -00168 Date Issued: 07/30/2010 T I G A R IJ 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S114AA00100 Jurisdiction: Tigard Site address: 9000 SW DURHAM RD Subdivision: Lot: 0 Project: Caring Closet Storage Building Project Description: Owner: FEES TIGARD - TUALATIN SCHOOL Description Date Amount DISTRICT #23J, 6960 SW SANDBURG ST Permit Fee - COM - New Construction 07/16/2010 $263.60 TIGARD, OR 97223 12% State Surcharge - Building 07/16/2010 $31.63 PHONE: Plan Review 07/16/2010 $171.34 Miscellaneous Administration Fee 07/30/2010 $4.00 Contractor: Erosion Control 07/30/2010 $26.00 CATALYST CONSTRUCTION LLC Erosion Plan Review CWS 07/30/2010 $8.45 PO BOX 1922 Erosion Plan Review COT 07/30/2010 $8.45 BEAVERTON, OR 97075 Tig -Tual School CET - Non Residential 07/30/2010 $280.00 PHONE: 503 - 750 -2847 FAX: Specifics: Type of Use: COM Class of Work: NEW Dwelling Units: 0 Stories: 0 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $18,000 Floor Areas: Total Area: 560 Accessory Struct: 560 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $793.47 Required: Required Items and Reports (Conditions) Fire Sprinkler: No Parapet: No Fire Alarm: No Protected Corridors: No Smoke Detectors: No Manual Pull Stations: No 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 • •2- 001 -0100. You may obtain a co• • the direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By:, Permittee Signature: _ •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. Building Permit Application cal/,— r9r /i�v 0 is /a /1/yh ,:o /0 — ao0 /4 Commercial prr l cllt 61 C I tit c)NI •n . City of Tigard Received Permit No. Ili 13125 SW Hall Blvd., Tigard, OR 972AjL 16 2010 Date/B : 7 /.. /0 % • ju/ -QO /� I .�1G�[� a Phone: 503.639.4171 Fax: 503.598.1960 Date/B Plan Revi : e �.'/ Other Permit: `f 1 G A R D Inspection Line: 503.639.4175 GIY �ti° t,�aAr ;� Date Read /B y: Juris: ® S ee Page C f- :r`` e 2 for • Ready /By: www.tigard - or.gov Notified/Method: 7 A9 w Vic' Supplemental Information BUILDING D1VlSK:' te.,/ TYPE OF WORK RE UIRED DATA:1 -AND 2- FAMILY.DWELLING • • .. Q fl-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: equipment, materials, labor, overhead, and the profit for the CATEGORY -,OF CONSTRUCTION - • work indicated on this application. 01- and 2- family dwelling Valuation: $ t' a O , a-D ❑ Commercial /industrial i essory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: o 9Cc' 1 .sn Dc .. /A New dwelling area: square feet City /State /ZIP: / , y,„,,it!/C as_ 4: P 771 age arport area: .g (9 square feet Suite/bldg. /apt. no.: Project name: / i4 j D q-.- Covered porch area: square feet Cross street/directions to job site: w x4-/ /A(( ✓ Deck area: square feet (( Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I 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. ‘g-.0 X , :c.. ,�y�G Cat- c Z� e Valuation: $ / 8 � 49 O o v Existing building area: square feet New building area: _5 0 square feet ' • ❑ PROPERTY OWNER //� . • . p • • ❑ TENANT ' Number of stories: / / Name: - 7i/.4-< 6�, S�� L /)/ 9 / 4 z_ Type of construction: Address: 47'W SW/ (..0/40644/-9 Occupancy groups: City /State /ZIP: 77� 1 72- Z3 Existing: Z Phone: ( 5 i ) 3 / 7� - re �4 05 Fax: ( ) New: '0 APPLICANT : . • 0 CONTACT PERSON ' • •NOTICE Business name: ea I (y� f' ' 2 f 1 �O ,S"' 6� yta pi; All contractors and subcontractors are required to be Contact name: S '� Q (x/K � / �` e //. . licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: /, g p x / R Z2 / jurisdiction in which work is being performed. If the City /State /ZIP: Vc t _ ` '' 7 O 7S— applicant is exempt from licensing, the following reasons apply: Phone: (5 3) 7,95 7O5-2t/7 / Fax:: ( ) E t� c4 4 (/ r .s 7L p A7 j I . Ca iA " CONTRACT R t ,, , Business name: � a r , c).." Z...4.-C-- . . BUILDING'PERMIT'FEES* Address: Po go,� / e7 Z 7 — (Please reter'to fee schedule) . City /State /ZIP: ©� f?7,9 7 � Structural plan review fee (or deposit): ^ „ FLS plan review fee (if applicable): wa BLS Phone: (5631 70 -2- - ��(11 7 ax: ( ) CCB lic.: /7 ? 7 i Total fees due upon application: Amount received: Authorized signature. 1',� I� r � / . , This permit application expires if a permit is not obtained J- - L� 1 � within 180 days after it has been accepted as complete. S Print name: Lp/n t� (' v/ e t✓/ I Date: 74 ( -/D * Fee methodology set by Tri- County Building Industry Service Board. I:\Building\Permits\BUP -COM PennitApp.doc 10/01/09 440- 4613T(1 I /02 /COM/WEB) 4s it it 4 "O 2s ,fN �:e 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): $ I: \Building \Permits \BUP -COM PermitApp.doc 06 /25/08 `' ''v ;` CITY OF TIGARD RECEIPT u , ,a „_ 13125 SW Hall Blvd., Tigard OR 97223 �,,: 503.639.4171 T Cc; Receipt Number: 178900 - 07/30/2010 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID BUP2010 -00168 Miscellaneous Administration Fee 2300000 - 43130 $4.00 BUP2010 -00168 Erosion Control 1003100 -22002 $26.00 BUP2010 -00168 Erosion Plan Review CWS 1003100 -22003 $8.45 BUP2010 -00168 Erosion Plan Review COT 2300000 -43107 $8.45 BUP2010 -00168 Tig -Tual School CET - Non Residential 2300000 -24102 $280.00 Total: $326.90 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 123451 BTAGGART 07/30/2010 $326.90 Payor: Marilyn Hassmann Total Payments: $326.90 Balance Due: $0.00 Page 1 of 1