Permit CITY OF TIGARD BUILDING PERMIT
0 • COMMUNITY DEVELOPMENT Permit #: BUP2010 -00185
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/08/2010
Parcel: 2S113AC00103
Jurisdiction: Tigard
Site address: 7216 SW DURHAM RD, BLDG# P
Subdivision: PACTRUST BUSINESS CENTER Lot: 0
Project: Otis Elevator
Project Description: Construct mezzanine.
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 Permit Fee - Additions, Alterations, 08/11/2010 $347.48
PORTLAND, OR 97224 Demolition
PHONE: 503- 624 -6300 Plan Review 08/11/2010 $225.86
Plan Review - Fire Life Safety 08/11/2010 $138.99
12% State Surcharge - Building 08/11/2010 $41.70
Contractor:
EQUIPMENT ROUNDUP & MANUFACTURING
1109 NE 146TH ST
VANCOUVER, WA 98685
PHONE: 503 - 239 -1554
FAX: 360 - 576 -1201
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $17,900
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 456
Total $754.03
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
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. ATTENTIO • • = - • - requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 rough OAR 952 • • 1100 You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.234
Issued B • • 4 r Permittee Signature: y
Call 503.639.4175 by 7:00 a.m. for an inspection that business da .
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.
1.
Building Permit Application
Commercial FOR OFFIci.: lisl•: (h \'1.1`
City of Tigard P C r � R DateB eceive : Ai 0 I Permit No.: ;oh %/()..(4 fl p
ai, C . ° 13125 SW Hall Blvd., Tigard, OR 9 23 ' T' - "'' i c " ' Plan Review _
II � Other Permit:
Phone: 503.639.4171 Fax: 503.598.196Q U G 1 1 20 10 DateB � � rta�� �� •
WARM
�, Inspection Line: 503.639.4175 H Dare Ready/By: �� te�g: ® See Page 2 for
1 .
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
CITY Or TIGARD I .. ` ,,
TYPE OFEMBRINC. DiVISI(r\ 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 (g Other: th 2.,..4, �� equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling fommercial/industrial
Valuation: $
El 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: -9 .Z / b 9,4 , %. ,y) New dwelling area: square feet
City /State /ZIP: T ,31,,rJ 0, t 7 )_2_ Garage /carport area: square feet
Suite/bidg. /apt. no.: Project name: 0 ` J 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: 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.
,^ _ t 7 z A et �� Valuation: $
Existing building area: square feet
New building area: square feet
a PROPERTY OWNER I ® TENANT Number of stories:
Name: , C I S Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: (TOO) 6 a y b 3 00 Fax: ( ) New:
LPPLICANT R CONTACT PERSON NOTICE ,
Business name: A/o c/ - All contractors and subcontractors are required to be
Contact name: (� � e, - G� licensed with the Oregon Construction Contractors Board
y, under ORS 701 and may be required to be licensed in the
Address: 7 3 7 s ` $ /, �� ✓ � i _ jurisdiction in which work is being performed. If the
City/State /ZIP: C /�r �u applicant is exempt from licensing, the following reasons
1 apply:
Phone:
1
3) ) 1 3 u 43 Fax:: (S (, 6r 3 v's 3-b
E -mail:
CONTRACTOR
Business name: / ,e1?-44A, fr ( �/) BUILDING PERMIT FEES*
Address: ! / 0 g vA ) y b #-I _ _ (Please refer to fie schedule)
Structural plan review fee (or deposit):
City/State /ZIP: ✓4 n t oV v Q/ w4 t
Phone: (.3 60 ) 57 / / 7 ,b Fax:136 6 ) poi
FLS plan review fee (if applicable):
�� • 3
CCB lic.: 6 0 1 5:5- `/� 2 7 Total fees due upon application: 7dj
� / ��'� Amount received: ��
Authorized signature: /J / i% This permit application expires if a permit is not obtained
/�(( � s-v within 180 days after it has been accepted as complete.
Print name: 16l' ► /1 lrt t 4- Date: L3Q�` . ` i� e 0 * Fee methodology set by Tri -County Building Industry
' Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(11 /02/COM/WEB)
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. 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 PennitApp.doc 06/25/08
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