Permit CITY OF TIGARD BUILDING PERMIT
®• COMMUNITY DEVELOPMENT Permit #: BUP2009-00230
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/02/2010
Parcel: 2S113B000600
Jurisdiction: Tigard
Site address: 16060 SW 85TH AVE
Subdivision: SEWER TREATMENT PLANT Lot: 0
Project: Clean Water Services
Project Description: Aeration basin 3.
Owner: FEES
CLEAN WATER SERVICES Description Date Amount
2550 SW HILLSBORO HWY Permit Fee - COM - New Construction 02/02/2010 $1,424.55
HILLSBORO, OR 97123 12% State Surcharge - Building 02/02/2010 $170.95
PHONE: 503- 789 -3564 Metro Const. Exdse Tax - Commercial 02/02/2010 $284.40
Use
Plan Review 02/02/2010 $925.96
Contractor:
NORTHSTAR GENERAL CONTRACTOR
5401 RIDGE DRIVE NE
KEIZER, OR 97303
PHONE: 503 - 304 -0500
FAX:
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $237,000
Floor A reas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,805.86
Required: Required Items and Reports (Conditions)
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Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued • ct 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 a rdance with app • ed 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. AT NTION: Oregon law req ' es you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set fort in OAR
952 -00 0010 through OAR 952 -001 -• I.. • ou may obtain a copy of the rules or direct questions to OUNC by calling 503.2 . • . •9 o 600.332.2344,
Issue By: Permittee Signature: i
Call 603.639.4175 by 7:00 a.m. for an Inspection that busines . . y.
This permit card shall be kept In a conspicuous place on the Job site until c • pletion of the project
Approved plans are required on the Job site at the time of each Inspection.
• Building Permit Application .. •
Commercial, RE FOR Oil ICE: USE ONLY
1 • , n I
City b of Tigard VED Received ♦ • i d�EC Date/ : ! / /�s a:.� %���" • �, . 02.�/ _ Rory f
° 13125 SW Hall Blvd:, Tigard, OR 972 . 2,3 '20 CARD Plan Review
'� C Phone: 503.639.4171, Fax: 503.598.1960 . , Date/B : t /JA �It� Other Permit:
. 1 . 1 G A It t) Inspection Line: 503.639.4175 CITY OF Date Ready/fly: r , " El See Page 2 for
Internet: www.tigard or.gov TI Notitied/Method: A' f //LP Supplemental Information
BUILDING DIVISION ' ,o,04,14.1 I -
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TYPE OF WORK di' QUIRED 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
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CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling Valuation: $
❑ 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: '' 6 D 6 d . 5 iq/, - g ,S �4 , ve , y e New dwelling area: square feet
City /State /ZIP: ', q r a l o /' 9 ' 7 Z.2 L/ ' Garage /carport area: square,feet •
Suite/bldg. /apt. no.: •1 Project name: 4 er n 1 , / ' o,. 6 t s 3 ,4j,' Covered porch area: square feet
Cross street/directions to job site: ..Z pro o�tnEn t3 s Deck area: square feet
S6 4 t 4 el.., /-1 1 1/ c r e s s D.4 r f y /Pere Other structure area: square feet
P/51 et ! i ✓e v y oil / f • • - 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, ,d the rofit foi.t(ie
DESCRIPTION OF WORK work indicated on this application. 3 7
) Valuation: $ 2
c,' /l,'.s, e brn�,r s t✓i`f - 4 eoarrrlc veiny -,J
// Existing building area: square feet
eh Afrh a %ttrsr re t0,1, -,J, .
,S f c p i e - 00 630 - 1 01 S p re Q oa 4.. ' New building area: square feet
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❑ PROPERTY OWNER ❑ TENANT - - Number of stories:
Name: • C /iq ti MI ter" s rry 1'r r,S Type of construction: ,
Address: / 6, 4. 0 S y g •5 t- Ore_ - ° Occupancy groups: •
City /State /ZIP: -77 f t. % 0 2 1 '2-2 y • -, , Existing:. . ,
Phone: ( 593) 7 g "9 3 s4 y Fax: ( ) .
New: -
❑ APPLICANT ❑ CONTACT PERSON NOTICE '
Business name: C /, n t:/7 ter SP r ' •' c !-S All contractors and subcontractors are required to be
Contact name: � ���� n 4 / licensed with the Oregon Construction Contractors Board
I A 0 rG e IS under. ORS 701 and may be required to be licensed in the `,
Address: jurisdiction in which work is being performed. If the. . i
City /State /ZIP: applicant is exempt from licensing, g, the'following reasons ;;
apply 4,
Phone: (S63) _ N 7 -" )/ 7 7 Fax: : ( ) -
E- mail: ' •
CONTRACTOR �13 _
Business name: d o k rii . � ( p L n , i € l J . BUILDING PERMIT FEES*
Address: � f0/, 124:b64..... WI A ) t,
(Please refer to fee schedule)
`� Structural plan review fee (or deposit):
City /State /ZIP: �(s r X 6,, 97. t —
�1 FLS plan review fee (if applicable):
- Phone: ( ) Fax: ( )
CCB lie.:
16/9 9 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: I Date: * Fee methodology set by Tri- County Building Industry
.- Service . Board. -
1: \Building\Permits\BUP -COM PermitApp.doc 2/ 23/07 440- 4613T(I1 /02 /COM/WEB)
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III a 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: $
1
1 + (E) 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 PermitApp.doc 06/25/08