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Permit r � CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit #: BUP2010 -00261 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/01/2010 TIGARD Parcel: 2S112AC00200 Jurisdiction: Tigard Site address: 7220 SW BONITA RD Project: Building Specialties Subdivision: Lot: 0 Project Description: Free standing entry canopy. Contractor: OSWEGO DRYWALL INSTALLERS INC Owner: NATIONAL SAFETY CO 19155 SW TETON 17010 SW WEIR RD TUALATIN, OR 97062 BEAVERTON, OR 97007 PHONE: 503 - 692 -4742 PHONE: FAX: 503 - 692 -9394 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee - Additions, Alterations, 12/01/2010 $164.96 Class of Work: ALT Demolition Dwelling Units: 0 12% State Surcharge - Building 12/01/2010 $19.80 Stories: 0 Height: 11 ft Plan Review 12/01/2010 $107.22 Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 12/01/2010 $65.98 Value: $6,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $357.96 Required: Required Items and Reports (Conditions) Fire Sprinkler: 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. 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 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. • Issued By: /�� -� • = rmittee Signature: — Call 50 . tarb110 :00 a.m. for the next available inspecti n date. This permit card shall be kept in a conspicuous place on the job site until co • pletion of the project. Approved plans are required on the job site at the time of each in • • ecti , n. lit ilding Permit Application N 3 la `'` c rc if c Cc„.- . , Commercial FOR OFFICE USE ONLY City of Tigard •'eceived !� `J DateB I Permit No.: 4 p ‘` ....CI() , , 1 111 q 13125 SW Hall Blvd., Tigard, OR 97223 q Plan Review "I:t� C Phone: 503.718.2439 Fax: 503.598.1960 DEC 1 201 O Date/B : r �,MI l V Other Permit: 1 I G A R D Inspection Line: 503.639.4175 Date Ready :y: ®See Pagel for Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: s Supplemental Information BUILDING DIVISION 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 ')KI.Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the "fit for the CATEGORY OF CONSTRUCTION work indicated on this application. J- ❑ 1- and 2- family dwelling lit- C-ommercial /industrial Valuation: $ ❑ 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: 7, 5 00 Pe.) ,J j j /2-b . New dwelling area: square feet City /State /ZIP: if O g i`,jj 0 (c.. 9 J Z2-3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Ull Lli, N c.) 5 ,, ,„. , (4_,I1 S Covered porch area: square feet Cross street/directions to job,site: ! Deck area: square feet i y� p-i 73 °' •C:k'`- { . 1 I'7� v " t(. Other structure area: square feet • l 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. qj /1 C) PLC 5 IA14©r cry 61 cPrN of `--1 - Valuation: $ (U000 Existing building area: square feet New building area: i 2 square feet ❑ PROPERTY OWNER TENANT Number of stories: Name: NMI Ni/1 S/ -t�/�j 1 t.-•� Type of construction: Address: 1 L•ZO 5u) i Poo) t* Occupancy groups: City /State /ZIP: M "*,n 0 ( i 13 Existing: Phone: ( ) Fax: ( ) New: 03-Al'PLICANT ❑ CONTACT PERSON NOTICE Business name: a-,Q. ,iLt,4u -c4_, _.....xsolit e1tJ . All contractors and subcontractors are required to be Contact name: a/ h1 F(...2,/JS licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: / G / 5-S--- 5'uj A-.774 �+ jurisdiction in which work is being performed. If the 7 i4/ City/State /ZIP: 7,i , z »t ((N) - l z 6 6 Z applicant is exempt from licensing, the following reasons 7 ,!- ` L �, apply: Q 9/ Phone: ( 9 ) 1 — t1 7 3-- Fa (`Sb3 ) G 5Z---73q r T ' . — -/ of 5 7. " �° E-mail: %pm_'3,( )ry' e, d5 CO C' c) v+y COdl.. CONTRACTOR r Business name: 0:,5k,fv 'et) �\ V Dr..„ti '/ . f 5 j} l,L3LS BUILDING.PERMIT FEES* Address: 01.53 S3 5' le).) / t. /e ,4 (Please refer to fee schedule) y j7�/7 -( 9-�D&V Structural plan review fee (or deposit): • City/State/ZIP: fj,. FLS plan review fee (if applicable): Phone: (5 07;,1.- o f 7 i 2_ Fax: (5t) ) 6.,c1 Z ? 39 CCB lic.: al Total fees due upon application: / �''�"� Amount received: Authorized signature: This permit application expires if a permit is not obtained ..-� �� /` within 180 days after it has been accepted as complete. Print name_ \- J 1 l/l� Gl-I n.. Date: i ! / b * Fee methodology set by Tri -County Building Industry Service Board. I: \Building\Permits\BUP -COM PermitApp.doc 09/09/10 440- 4613T(11 /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 re stroom: $ (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 \Perrnits \BUP -COM PermitApp.doc 06/25/08 '' Building Division Over- The - Counter (OTC) Building Permit TIGARD Check List Description of Project: J1J Y CiikliW , �,_^_` GENERAL INFORMATION Class of Work:* 1 Floor Areas (sq. ft.): Exterior Wall Construction: Type of Use:* COM First floor: N: S: Type of Construction: Y Second floor: E: W: Occupancy Group: M Third floor: Openings Protected Y /N ?: Occupancy Load: Total sq ft.: N: S: Stories: — Note: Combine total floor area for E: E: Ideight: ( I all floors above third floor and Roof Construction: _ Floor Load: add to the third floor sq. ft. Fire Retardant: Basement: Basement: Area Separation Rated: Mezzanine: Garage: Occu. Separation Rated: REQUIRED ITEMS Fire sprinkler: Handicap access: Smoke detector: Protected corridors: Fire alarm: Parking spaces ( #): Notes: Total Valuation: $ l� INSPECTIONS FEES DUE Footing /foundation Firewall $ 1 4 9 Permit Fee Post /beam structural Smoke detector $ State Surcharge Shear wall Misc. inspection $ (OZ /ZZ-- Plan Review Fee Masonry Approach /sidewalk $ 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: $ ! l 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