Permit I . •
q CITY OF TIGARD MASTER PERMIT
2 ,-'' . ." ' DEVELOPMENT Permit #: MST2009 -00101
`T1 GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/12/2009
Parcel: 1S136AA02201
Jurisdiction:
Site address: 11153 SW 65TH AVE
Subdivision: Lot: 0
Project: KESSLER
Project Description: Fire damage repair. Subtrade work to be deferred.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: sf Value: $118,000.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Catch Basins: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Drains: 0 Other Fixtures: 0
Tubs /Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0
Bckflw Prevntr: 0
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits
1000 sf or less: 0 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0
Ea add l 500 sf: 0 20 1-400 amp: 0 201 -400 amp: 0 1st W/O Svc/Fdr:
Limited Energy: 401 -600 amp: 0 401 -600 amp: 0 Ea addl Br Cir:
601 -1000 amp: 0 601 +amp- 1000v: 0
1000 +amp /volt: 0
ELECTRICAL • RESTRICTED ENERGY
SF Residential
Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
N
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
Owner: Contractor: Required Items and Reports (Conditions)
KESSLER, JULES HORIZON RESTORATION
8700 SW 26TH STE H 7235 SW BONITA ROAD
PORTLAND, OR 97219 TIGARD, OR 97224
PHONE: PHONE: 503 - 620 -2215
FAX: 503 - 624 -0523
Total Fees: $1,714.45
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 d P 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 0 days. ATTENT ON: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 -001 -0010 through OA' • -001 -0 a I . You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
I ued By: _ , /A It % Pe rmittee Signature: r G
' u■ ding Permit Application El- C ?— OGY,..2'g
'.J�►. e Ac
I m ; r a I OIZ OI 1 l(, ONI 1
City of Tigard � ECEIVED Received ' .
5 � 0 Permit No.:Hy - -" r
1 11111
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
_ o Phone: 503.639.4171 Fax: 503.598.1960 MAY 2 2009 DateB : .. Z•0 - ,� j Other Permit:
r i . n It D Inspection Line: 503.639.4175 Date Ready/By: Juris ® See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
CITY OF TIGARD
TYPE OF WOR�fUILD1NG DIVISION REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ 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.
❑ 1- and 2- family dwelling ❑ Comercial/industrial Valuation: S //8000
tn
i
❑ 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: I I I S-3 5 I 65
/ Vc , New dwelling area: square feet
City /State /ZIP: ! ko. g . D i OK C1 7 2 Z 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: kEs Fg 6r Covered porch area: square feet
Cross street/directions to job site: 6 5- J2 .4._. 0 ,4)4 As so 0A-0 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 'r work indicated on this application.
-FIAe . i1 E R l bi . ,4 769 / — jj kIMt7MnDQuik,/ Valuation: s
Existing building area: square feet
New building area: square feet
' ❑ PROPER TY OWNER ' 0 TENANT Number of stories:
Name: TO LE k — g LEK ' / Type of construction:
Address: 8 7C s 14 26 Ale, s >t, /1 Occupancy groups:
City /State /ZIP: Po (1.- i i 9 O i( q 721 9 Existing:
Phone: (.5-a3) 2.#5--1-6e 3 Fax: ( ) New:
❑ APPLICANT ❑ .CONTACT PERSON • NOTICE .
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E -mail:
CONTRACTOR -
Business name: NOiZ 1 -7j J ge j pAie}'7iOW BUILDING.PERMIT FEES*
Address: 72_3_5-- S I� g . g_p, (Plenserejertofeeschedufe) •
1�-�L.� �l� Z 2 Structural plan review fee (or deposit):
City /State /ZIP:
" " I ` 7 y FLS plan review fee (if applicable):
Phone: ( -o3) 6 Zp- 2 S Fax: ( )
CCB lic.: 6 7 Z Total fees due upon application:
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: s r L� �/ S a d2.4 l e--5c Date: 5 i Z _ 0 G} • Fee methodology set by Tri -County Building Industry
/ Service Board.
I: \Building\Permits\BUP -COM PennitApp.doc 2 /23/07 440- 4613T(11 /02 /COM/WEB)
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Building Division
Accessibility: Barrier Removal Improvement Plan
:T 1 GAR D`
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
_ • -
B uilding Division
Plan Submittal Requirements
T I G A R [) Commercial & Multi- Family - New, Additions or Alterations
1. SITE PLAN (fully dimensional, drawn to scale) labeled with:
A. ❑ map & tax lot # ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking, including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape -ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations, plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit - based on valuation of project.
4. EXTRA SET OF THE FOLLOWING:
A. Two (2) copies of site plan to include vicinity map.
B. One (1) copy of erosion control plan with details.
C. Fire Department Building Survey, and full set of architecture drawings.
I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08
Building Division
Plan Submittal Requirement Matrix
T rG A\ R D Commercial & Multi- Family - New, Additions or Alterations
:Type, of Submittal # of Plans
• (Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 2
Fire Protection System 2
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington
County, and Tualatin Valley Fire & Rescue)
I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08