Permit 'CITY OF-TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT DATE #: BUP2008 - 00006
DA ISSUED: 1/10/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 101 AA - 08700
SITE ADDRESS: 12511 SW 68TH AVE ZONING: MUE
SUBDIVISION: WEST PORTLAND HEIGHTS LOT: 029 JURISDICTION: TIG
PROJECT: HPNORTHWEST
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?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 0 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 : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING:
VALUE: $ 7,500.00
Owner: Contractor:
THE BEVELAND BUILDING LLC OWNER
12511 SW 68TH AVE
TIGARD, OR 97223
Phone: 503 - 597 - 1600 Contact #:
Reg #:
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 1/10/2008 $105.40
[TAX] 8% State Surcha 1/10/2008 $12.65
[BUPPLN] Pln Rv 1/10/2008 $68.51
[FLS] FLS Pln Rv 1/10/2008 $42.16
Total $228.72
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 Utilit ■ • ification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952-4! -. :4. You may obtain a copy
of these r. es or dire •uestio.. to OUNC by calling 503.246.6699 or 1.800.332.2344. dr
Issued :y: _ 1 -- , 1,—/IA-1. Permittee Signature: r, '
Cali 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.
Buik Permit Application
Commercial
RECEVED FOR OFFICE USE ONLY
City of Tigard N 1 �, l j 5 Received l `p p ;
Date/By: Permit No.: gU ' - y'70or�
13125 SW Hall Blvd., Tigard, OR 97 I Plan Review r * t
°: C . Phone: 503.639.4171 Fax: 503.59> i or- (1� HD Date/By: '`l ., i 1 (0 Other Permit:
vv
i G \ it p Inspection Line: 503.639.4175 feint' Date Ready ` _furls. ® See Page 2 for
T
Internet: www.tigard or.gov BU Notified/Method: 170 Supplemental Information
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
Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling ❑ Commercial/industrial
❑ 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: a s' i 1 S cc) 6itUf iftvE ie New dwelling area: square feet
City /State /ZIP: ri 6AR OR q --)0,3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: 13,f �" iL - Covered porch area: square feet
Cross street/directions to job site: / itiP p ■/ L7 ./t-) S 5 t— 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.
?FA/4 1 M P oII tri At75 . c , E '7k�Q1 Valuation: $ 7 r 5720
(P# 1 C E 5 I NTO 1We Existing building area: square feet
New building area: square feet
'PROPERTY OWNER ❑ TENANT Number of stories:
Name: 'h
e 6 erve I n d g '» i Q t n L LC Type of construction: 6 6
Address: / 2 c / 1 f f 8 Occupancy groups:
City /State /ZIP: P0-14 Q 0 q-71-2._s Existing: /3
Phone: ( S0 3) 59 —1 601 r Fax:( ) ;"5 —/(, (i7 New: >6
❑ 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: BUILDING PERMIT FEES *.
' '(� (Pleast wjeeschedafe)
Address: 06e)/U l Structural plan review fee (or deposit):
City /State /ZIP:
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: Total fees due upon application:
' , , j_ I 1, Amount received:
Authorized signature: , I t. t _�"" , j /� / vd-C K t This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: /d ward 11. 4.,;,,, i S-, rc y - D e: f— 0 8_ 0 E * 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)
• as
a B uilding 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\ Pcrmits \BUP -COM PermitApp.doc 02 /23/07
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: I31JP2008- 00()06
13125 SW Hall Blvd., Tigard, OR 97223 — DATE ISSUED: 1/10/7.008
Phone: (503) 639 -4171 n4Iilitl
Inspection Requests (24 Hrs.): (503) 639 -4175 �:_..
INSPECTION WORKSHEET FOR DATE: 1/29/2008 TIME: 7 :O2AIvl PAGE: 25
`TL 6GYaled-a)
SITE ADDRESS: 12511 SW 68TH AVE CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 029 TYPE OF USE:
PROJECT NAME: I - IPNORTHWEST
DESCRIPTION: TI
OWNER: THE BEVELAND BUILDING LLC, PHONE #: 503 - 597 - 1600
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 1/29/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 064118 -01 503.793 -5359 N
Corrections /Comments /Instructions: .
Ohs— _ / 77 ��.�
d v C__
❑ PASS it ` • - ' a - PRO , L/ ❑ CANCEL ❑ NO ACCESS
❑ FAIL MI CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
: / Inspector: A -- ---6 -------- Date: Phone #: (503) 718- i � 1 Y
v
CITY OF TIGAR •
BUILDING DIVISION PERMIT #: BUP200B -00006
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/10/2008
Phone: (503) 639 -4171 moo'
Inspection Requests (24 Hrs.): (503) 639 -4175 .�'_' I I I
INSPECTION WORKSHEET FOR DATE: 5/1 ' . 008 TIME: 7:01AM PAGE: 30
SITE ADDRESS: 12511 SW 68TH AVE CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 029 TYPE OF USE:
PROJECT NAME: HPNORTHWEST
DESCRIPTION: TI
OWNER: THE BEVELAND BUILDING LLC. PHONE #: 503597 - 1600
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 5/12/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 069693-01 503 -597 -1626 N
Corrections/Comments/Instructions:
`I ' ' PARTIAL APPROVAL 111 CANCEL 111 NO ACCESS
FAIL ❑CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (1■-------- j Date: 708 Phone #: (503) 718- Zh