Permit CITY OF TIGARD BUILDING PERMIT
is ' • COMMUNITY DEVELOPMENT Permit #: BuP2010-00200
T [ G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/31/2010
Parcel: 2S101 DAO1200
Jurisdiction: Tigard
Site address: 7165 SW FIR LP 100
Subdivision: Lot: 0
Project: Alternative Services
Project Description: TI
Owner: FEES
WESTON INVESTMENT CO LLC Description Date Amount
2154 NE BROADWAY, STE 200 Permit Fee - Additions, Alterations, 08/31/2010 $149.75
PORTLAND, OR 97232 Demolition
PHONE: 12% State Surcharge - Building 08/31/2010 $17.97
Plan Review 08/31/2010 $97.34
Plan Review - Fire Life Safety 08/31/2010 $59.90
Contractor:
OWNER
PHONE:
FAX:
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 2 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $5,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $324.96
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: No Protected Corridors: Yes
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is ' su je e regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done ' ccordance 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: Oregon law require " - to f•Ilow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 01 -0010 through OAR 952 -0. -0100. - u m- y obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
lss ed By: — d; Permittee Signature: Y
Call 503.639.4175 by 7:00 a.m. for an inspection that business d y.
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 ' p- " 7
- 4 �� , ': I !i ,P Full OFI ICI•: USI•: ()Nix -, ! ,�� ,I __ � Received Q / q_
City of Tigard Date/B : v St I� N Permit No.: �u �'/o .. caOO
. ° 13125 SW Hall Blvd., Tigard, OR 97 Plan Review
Phone: 503.639.4171 Fax: 503.598.��� r � 1 2010 Date/B : f�r�ij Other Permit:
I I , t Inspection Line: 503.639.4175 Date Ready 1u ® See Page 2 for
Internet: www.tigard -or.gov City ( . _ ` -1 ��,�' Notified/Method: /'4 Supplemental Information
ni li tIF..AI{' i�i:`JiS!C
TYPE OF WORK 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
t1 Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
igiffie
❑ 1- and 2- family dwelling to Commercial/industrial
Valuation: $ P
❑ Accessory building El Multi-family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: — 7 /(0S .5(,) ('( 4 L (,0 e New dwelling area: square feet
City /State /ZIP: l t �Ori Qe_ Garage /carport area: square feet
Suite/bldg. /apt. no.: v /cD Project name: Al tia4,.e ccr v,te5 Covered porch area: square feet
Cross street/directions to job site: 7 r Fir gik L o0r 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.
e So00 `�
QH~ov�..f 0 � �/W . Valuation: $
Existing building area: 4 20 00 square feet
New building area: app .) square feet
IP PROPERTY OWNER I ❑ TENANT Number of stories: 2
Name: i4jyter,Gc,.r / - lli 14/j 7 ,1 Type of construction: V— a
Address: 6 25) v "..16 r4,/ ,� 4 Occupancy groups:
City /State /ZIP: ` v itfly od 4' 2 97232_ Existing: S
Phone: (50 - 3) 2P - 6 ( 3 3 Fax: (Sb) 2 ell — A 6 7 New: B
fa APPLICANT CONTACT PERSON NOTICE
Business name: 4 . , , , , c ,,,2, P 5 m ,.,e„ -/ All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
��
Contact name: r tL & trc
under ORS 701 and may be required to be licensed in the
Address: , 5 D NC v 14,,4 / jurisdiction in which work is being performed. If the
City /State /ZIP: P �(' J ()Z. 922 3 2 apply ant is exempt from licensing, the following reasons
o( � (
Phone: ( 503) Zo z/ - 6/ 33 Fax:: (St))) 2,3q, /6 6 7
E -mail:
CONTRACTOR
Business name: /,,,, 2 12►"✓gy
o p- t"1 "i4L Q f k BUILDING PERMIT FEES*
Address: J (Please refer to fee schedule)
Structural plan review fee (or deposit):
City/State /ZIP:
Phone: ( ) I Fax: ( ) FLS plan review fee (if applicable):
Total fees due upon application:
CCB lic.:
dx
Amount received:
Authorized signature:•—�7// /Ja ` This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: ar' IL M.40 tk Date: 8/3) / * Fee methodology set by Tri -County Building Industry
/ Service Board.
1:\Building\Permits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(I I /02/COM/WEB)
III
0
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGi \RD
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 PcrmitApp.doc 06/25/08
o ° Building Division
Over - The - Counter (OTC) Building Permit
ricnii° 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: Second floor: E: W:
Occupancy Group: Third floor: Openings Protected Y /N ?:
Occupancy Load: Total sq ft.: N: S:
_Stories: Z Note: Combine total floor area for E: E:
Height: all floors above third floor and Roof Construction:
—
Floor Load: add to the third floor s . ft. Fire Retardant:
Basement: Basement: Area Separation Rated:
Mezzanine: Garage: Occu. Separation Rated:
REQUIRED ITEMS
Fire sprinkler: iL.X3 Handicap access:
Smoke detector: Protected corridors: e:
Fire alarm: .}(2) Parking spaces ( #):
•
Notes:
Total Valuation: $ con uu
INSPECTIONS 1 FEES DUE
Footing /foundation Firewall $ V a, j 5 Permit Fee
Post /beam structural Smoke detector $ mat
State Surcharge
Shear wall Misc. inspection $ • , Plan Review Fee
Masonry Approach /sidewalk $ 1`. g 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:
$ 324: le, 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