Permit l n
v -,.!. CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00109
COMMUNITY DEVELOPMENT DATE ISSUED: 4/9/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 102A B - 00912
SITE ADDRESS: 12125 SW 92ND AVE ZONING: R -
SUBDIVISION: KIMBERLY ADDITION LOT: 012 JURISDICTION: TIG
PROJECT: LAWSON
Project Description: Replace double car entry with single car entry in existing garage.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: U1 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: $ 3,500.00
Owner: Contractor:
RICK LAWSON MARK DAWSON CONSTRUCTION
12125 SW 92ND AVE 41290 SW SANDSTROM RD
TIGARD, OR 97223 GASTON, OR 97119
Phone: 503 Contact #: PRI 503 - 805 - 0814
FAX 503 - 357 - 9590
Reg #: LIC 92226
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/9/2008 $84.16
[TAX] 12% State Surch 4/9/2008 $10.10
[BUPPLN] Pln Rv 4/9/2008 $54.70
Total $148.96
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 foil the- rules_adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -0 1 -0100. You may obtain a copy
of the es o . ect questions to OUNC by calling 503.246.6699 or 1.800.332.2344. ■
Iss ed By: `xCX 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.
Building Permit Application
C� -erXI^ `Z S IDE/v/ />,y. FOR;OFFICE USE ONLY
City of Tigard
RE CEIV j : 0 ved
Permit No.: / '7
!p
° 13125 SW Hall Blvd., Tigard, OR 97223 Review
'r
Phone: 503.639.4171 Fax: 503.598.1960 `Date/By: Other Permit:
T I GA RD Inspection Line: 503.639.4175 APR 9 2008 Date Ready /By: luris: ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
CITY OF TIGA64D
TYPE OF W014 jILDING DIVISION DIVIS REQUIRED DATA:'1- AND 2- FAMILY DWELLING
❑ New construction El Demolition V +7 49111 Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
}ter Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION • work indicated on this application.
1J. --and 2-family dwelling Valuation: $
y g ❑C ommercial /industrial ��G�
ID Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 72 l 07._ 5 5 C.lJ /24d 4--,/.6._ New dwelling area: square feet
City /State /ZIP: Q Garage /carport area: square feet
Suite/bldg. /apt. no.: ra' Project name: 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.
l -dam 5G 6, ,y'� / . h . - Valuation: $
`0 _e ,1 _.� C/Q9-� Existing building area: square feet
7 t� New building area: square feet
. • ❑' PROPERTY OWNER. '❑ TENANT Number of stories:
Name: A i '`Z1c- ca L , (--t¢t y m 0 Type of construction:
Address: /2--1 .2. .5 9 w 97n al 414— Occupancy groups:
City /State /ZIP: dtiti Existing:
Phone: ( ) Fax: ( ) New:
• ❑ APPLICANT. ❑ CONTACT PERSON NOTICE
Business name: fix k j4 4(,) ad ' 1-77-4,(2_7, All contractors and subcontractors are required to be
Contact name: ��'f,�� �A ��e� licensed with the Oregon Construction Contractors Board
under.ORS 701 and may be required to be licensed in the
Address: l 9 r � ! iv 5 ei .. o� j/ jurisdiction in which work is being performed. If the
City /State /Z1P: A !�7 I Gf .7/� f • applicant is exempt from licensing, the following reasons
apply:
/
Phone: ($`V3) � b 05— e f V Fax: : (b3) j57-5 � o
S U
E -mail:
J S0'YI 0 all, /1 e..:(
CONTRACTOR
Business name: /7/4.IZk-- W5 e ) e i�fez L7 % ° /t BUILDING PERMIT FEES*
Address: (Please refer to fee schedule) -
City /State /ZIP: 1 Structural plan review fee (or deposit):
Phone: (5 ( 505 - ",.. 001 1, J Fa , - .3 ) 35 7 9 z..) FLS plan review fee (if applicable):
CCB lic.: a a 7 A Q '_ / Total fees due upon application:
fff���"` j
Amount received:
Authorized signature: T his permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: me A._ _f j) , Date: �/i$.� 0 * Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building \Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02 /COM/WEB)
i
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 10/30/07
CITY .OF TIGARD
BUILDING DIVISION PERMIT #: i ! P20U O0109
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/912008
Phone: (503) 639- 4171
. Inspection Requests (24 Hrs.): (503) 639 -4175 • '_—
INSPECTION WORKSHEET FOR DATE: 4/18/2008 TIME: 7 :01AM PAGE: Q
SITE ADDRESS: 12126 SW 92N0 AVE CLASS OF WORK:
SUBDIVISION: KIMBERLY ADDITION LOT #: 012 TYPE OF USE:
PROJECT NAME: LAWSON
DESCRIPTION: Replace double car entry with single car entry in existing garage.
OWNER: LAW SON, RICK PHONE #: EiO3 -96B -9048
CONTRACTOR: MARK DAWSON CONSTRUCTION PHONE #: 503 -805 -0814
Inspection Request Scheduled For: Date: 4/18/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing O08610.01 503805-0814 Y
Corrections /Comments/ Instructions:
• PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: , Date: Phone #: (503) 718-
CITY OF CIGARD
BUILDING DIVISION #: l31)P20tf80i11t?y •
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4!!:12008
Phone: (503) 639 -4171 ° ',,i11�
Inspection Requests (24 Hrs.): (503) 639 -4175 s'!+� "IL.
i INSPECTION WORKSHEET FOR DATE: 411&2008 TIME: 7:00AM PAGE: 3£i
# SITE ADDRESS: 12125 SW 92ND) AVE CLASS OF WORK:
SUBDIVISION: KIMBERLY ADDITION LOT #: 012 TYPE OF USE:
PROJECT NAME: LAW::SON
DESCRIPTION: Replace double car entry with single -car entry in existing garage.
OWNER: I..AWSON, RICK PHONE #: 503-968-9048
CONTRACTOR: MARK DAW;;)ON CONSTRUCTION PHONE #: 503 - 805 - 0814
Inspection Request Scheduled For: Date: 4/18/2008 Pour Time: 11:00
Code # Inspection Description Confirm # Contact # Message
205 1Footiirg 060447 -01 503.805-0814 N
Corrections /Comments /Instructions: AO �
* - 0
f
•
ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ , ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/
Inspector: Date: ¢--16 9' Phone #: (503) 718- ___