Permit 71 y < CITY OF TIGARD - i 3
BUILDING PERMIT
PERMIT #: BUP2007 -00126
COMMUNITY DEVELOPMENT DATE ISSUED: 3/13/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 102AC - 0100 0
SITE ADDRESS: 12575 SW MAIN ST ZONING: CBD
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: WEI LI
Project Description: Eliminate (4) windows, add (1) door.
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: sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE:•
f DOD i TJ o
Owner: �' Contractor:
WIE LI JIM SHATTUCK CONSTRUCTION
12575 SW MAIN ST 30630 SE JACKSON RD
TIGARD, OR 97223 GRESHAM, OR 97030
Phone: 503 - 577 - 1092 Contact #: PRI 503 - 663 - 5085
Reg #: LIC 71048
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/13/2007 $62.50
[BUPPLN] PIn Rv 3/13/2007 $40.63
[TAX] 8% State Surcha 3/13/2007 $5.00
[FLS] FLS Pln Rv 3/13/2007 $25.00
Total $133.13
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 • ay obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. /
Issued By: i,<),ZZ,e Permittee Signature: ��
Call 503.639.4175 by 7:00 a.m. for an inspec n that bu9iness 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 Applica on,� , -, [2 : � 1 r'; Q'. Commercial V �-•• 1.4 FOR OFFICE USE ONLY
114 City of Tigard : i 2001 Date/By: Permit Nt �l/� 00 Od /� C Received
q 13125 SW Hall Blvd., Tigard, OR 97223, 1h 1 Plan Review
C Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: k.e
TI G A It D Inspection Line: 503.639.4175 el i I r�yi` g ii:J 1 Date Ready/By: - luris: ® See Page 2 for
Internet: www.ligard or.gov "rs�` Ty �f�� • Notified/Method: Supplemental Information
24:1 pri 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 IX Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling Commercial/industrial Valuation: $ ,2 6 0
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: / 2...S e J LA ) t ✓J New dwelling area: square feet
City/State /ZIP: -cl'a, �� d D12_ ' 7 Z Z 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: e t - ' . w 7 y.j Covered porch area: square feet
Cross street/directions to job site: K �y ' 9 A Deck area: square feet
J ( 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.
j' 1 � r' s.;6 w- f A�� Valuation: $
C Existing building area: square feet
New building area: square feet
[PROPERTY OWNER I 0 TENANT Number of stories:
Name: we . 4. 1.._; Type of construction:
Address: ( / DS 5(.t) Occupancy groups:
City /State/ZIP: 2prre( 44 OR. 72 7i� Existing:
Phone: ( (33 5.-7 7 ( e. ( 2 F ax : ( )
t New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: 1 i /, , , / 1-1,7 All contractors and subcontractors are required to be
Contact name: FN . licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: //DS 3 S w vt 4 3f 1AP 2 jurisdiction in which work is being performed. If the
City /State /ZIP: P ° ( UR 9 72 mss— applicant is exempt from licensing, the following reasons
apply:
Phone: ( fby s ..._ 7 7 l o p y I Fax:: ( )
E -mail: /
CONTRACTOR
Business name: ( I 5v j L( 14 ci-C_ BUILDING PERMIT FEES*
Address: . D & 3/ 5 3 a-le S Rd (Please refer to fee schedule)
Cit /State /ZIP: //'' �,p '> Structural plan review fee (or deposit): o
y `t! s" "" 7 FLS plan review fee (if applicable):
Phone: (s–o3) 6 69 ,� kS Fax: Spa )1( 6 3 7_7.4 U
CCB lic.: Total fees due upon application:
Amount received: /7 „Pj ,.,
Authorized signature:
�� ` This permit application expires if a permit is not obtained
. • Print
within 180 days after it has been accepted as complete.
t Date J(� ■
( Fee methodology set by Tri -County Building Industry
j Service Board.
I:\Building\Perrnit.4 UP- COM'PermitApp.doc 2 /23/0' 440- 4613T(l1/02 /COM/WEB)
° 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): $
1: \ Building \ Permits \BUP -COM I'crmitApp.doc 02/23/07
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 4. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/13/2007
Phone: (503) 639 -4171 AA l i Inspection Requests (24 Hrs.): (503) 639 -4175 _..
INSPECTION WORKSHEET FOR DATE: 7/1/2008 TIME: . 7:OOAM PAGE: 21
SITE ADDRESS: 12575 SW MAIN ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WEI LI
DESCRIPTION: Eliminate (4) windows, add (1) door.
OWNER: W11.- LI, PHONE #: 103.577 1092
CONTRACTOR: YUECHAN CONSTRUCTION CO PHONE #: 5(3.25G-5029
Inspection Request Scheduled For: Date: 7/1/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 072060 -01 503.998 -3018 N
Corrections /Comments/ Instructions:
' p PASS n PARTIAL AP, F,39,\ A L ❑ CANCEL n NO ACCESS
V•dJw " " .v
FAIL ❑% ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . r,„(
Inspector: Date:Z --/ Phone #: (503) 718-