Permit ,n CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00174
a COMMUNITY DEVELOPMENT DATE ISSUED: 5/22/2008
TIGARD! 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S136DD -00801
SITE ADDRESS: 11565 SW 67TH AVE ZONING: MUE
SUBDIVISION: WEST PORTLAND HEIGHTS LOT: 003 JURISDICTION: TIG
PROJECT: SMARTFACE
Project Description: TI
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
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TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 16 BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 1,300.00
Owner: Contractor:
ROSS & VICKI MERCER JHC COMMERCIAL LLC
11535 SW67TH 11125 SW BARBUR BLVD
TIGARD, OR 97223 PORTLAND, OR 97219
Phone: Contact #: PRI 503 - 624 - 7100
FAX 503 - 684 - 5295
Reg #: LIC 158061
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 5/22/2008 $62.50
[TAX] 12% State Surcha 5/22/2008 $7.50
[BUPPLN] Pin Rv 5/22/2008 $40.63
[FLS] FLS Pin Rv 5/22/2008 $25.00
Total $135.63
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 follow the rules adopted by the Oregon Utility Notification Center.
Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling .246.6699 • .800.332.2344.
Issued / Permittee Signature: ' �`
.....'' 'II t
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
Commercial FOR OFFICE USE ONLY
City of Tigard�;� D Received 12..9. og ' Permit No.: i -cam / 7 d
13125 SW Hall Blvd., Tigard, OR 97223 Plan Re '
' :.` Phone: 503.639.4171 Fax: 503.598. DateB : ' �`m �. Other Permit:
T I G A R D Inspection Line: 503.639.4175 A 2 2 2008 Date R. Jul El See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
CITY OFTIGARI)
TYPE JIHG DIV iSION 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 g Comercial/industrial Valuation: $
m
❑ 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: 0 S( 5 3 (,,,s l , ?li+ Pr1/ ...... New dwelling area: square feet
City/State /ZIP: 71 C. ile% D 02. 912.2"a Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Song 1=. Covered porch area: square feet
Cross street/directions to job site: 4 O ' 4 PAgir t l T . Deck area: square feet
/ (,e}(Z S 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.: 15 t 3 to L D D o $o l 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.
B OtL\ 221 0 az Gu , t ALL Valuation: $ i" 3,
t-- `? l - i t -÷ p A ` t s. r ._ ,s 6tiL`f Existing building area: ! p c square feet
New building area: square feet
❑ PROPERTY OWNER 90 TENANT Number of stories: 2
Name: 3 M fic - F *_ ■ P — Cr (40.0,-S 0 gR{} -x H Type of construction: 5 6.
Address: t 3a'1 g. e. T E e O >^n t p. S7 # 38 . Occupancy groups: OFT.:: ( G c
City/State /ZIP: CiDchrZit.Pfl O R,, Existing: 1 I
Phone: (5) '7S tj - 551 S Fax: ( ) New: 1 I
10 APPLICANT ❑ CONTACT PERSON NOTICE
Business name: 0 Ca V.A. v v , t o,.Z ( L L C. All contractors and subcontractors are required to be
Contact name: &.-6,.$ �S �� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: / I i7is S to a p..1501 'iD jurisdiction in which work is being performed. If the
City/State / ? -Z AA*, p-ia, 4 7 ,,, 1 ct applicant is exempt from licensing, the following reasons
apply:
Phone: (So3 ) (o Z L. - 11 O17 Fax: : (5-03) (o ri f - $'24.5
E -mail: jftA .= 1 , 4g( Tbre t406 1-t11ES . CO lNI
CONTRACTOR
Business name: '11 I , L (t — BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
Structural plan review fee (or deposit):
City/State /ZIP:
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: /� Total fees due upon application:
/ Amount received:
Authorized signal... . Ste.
J i This permit application expires if a permit is not obtained
/ within 180 days after it has been accepted as complete.
Print name 1 3 4 Date: S la Q * 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)
$
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARID
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 un less
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] $ 1 �1 r)
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [ $ .3z S
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: $ 3z 5
(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: $
(0 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 10/30/07
CITY OF "WARD • .
BUILDING DIVISION
A 3 #: 1311P200 00174
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/22/2008
Phone: (503) 639 -4171 E• I�I:+�
Inspection Requests (24 Hrs.): (503) 639 -4175 -:.
INSPECTION WORKSHEET FOR DATE: 6120/2008 TIME: 7 :02AM PAGE: 41
SITE ADDRESS: 11565 SW 67TH AVE CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 003 TYPE OF USE:
PROJECT NAME: SMARTFACE.
DESCRIPTION: 11
OWNER: MERCER, ROSS & VICKI PHONE #:
CONTRACTOR: JHC COMMERCIAL LLC PHONE #: 503. 6247100
Inspection Request Scheduled For: Date: 612012008 Pour Time: vit
Code # Inspection Description Confirm # Contact # Me i
Final inspection 071552-02 503.201 -5762
Corrections/Comments/Instructions:
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I V/ \
h ,...............___
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED iz ID Ins ector: _ Date: /
P Phone #: (503) 718 -
CITY OF TIGARD , .
BUILDING DIVISION PERMIT #: BUP200I3•00174
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5122/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 W �''j_
INSPECTION WORKSHEET FOR DATE: 6/3/2008 TIME: 7:O0AiVI PAGE: 22
SITE ADDRESS: 11566 SW 67TH AVE CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 003 TYPE OF USE:
PROJECT NAME: SMARTFACE
DESCRIPTION: TI
OWNER: MERCER, ROSS & VICKI PHONE #:
CONTRACTOR: JHC COlviivMERCIAL LLC PHONE #: 603-6247100
Inspection Request Scheduled For: Date: 6/3/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Messa•e
276 Framing 070713-01 503-201-5792 .0 —
Corrections /Comments /Instructions:
lid .t �_ --fiat Ls L� �— e ' -- L.— _,A
.mss, A_ C 4 5:
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' ;0 P' j PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
r
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
C 5
Inspector: Date: Z/Ctg Phone #: (503) 718