Permit CITY OF TIGARD MASTER PERMIT
II 3 ; COMMUNITY DEVELOPMENT Permit #: MST2009 -00085
Date Issued: 03/26/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S134DA06900
Jurisdiction: Tigard
Site address: 11221 SW BUFFALO PL
Subdivision: DAKOTA MEADOWS Lot: 2
Project: Dakota Meadows
Project Description: Repair dryrot on partywall at deck.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms 0 First: 0 sf Basement 0 sf Left: 0 Parking Spaces. 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: No
Total: sf Value. $4,000.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Catch Basins: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Drains: 0 Other Fixtures: 0
Tubs /Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0
Bckflw Prevntr: 0
MECHANICAL
Fuel Types Air Conditioning: Vent Fans: 0 Clothes Dryers: 0
Heat Pump: Hoods: 0 Other Units: 0
Furn <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn > =100K: 0
ELECTRICAL '
Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits
1000 sf or less: 0 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0
Ea add'I 500 sf: 0 20 1 -400 amp: 0 201 -400 amp: 0 1st W/O Svc/Fdr:
Limited Energy' 401 -600 amp: 0 401 -600 amp: 0 Ea addl Br Cir:
601 -1000 amp: 0 601 +amp- 1000v: 0
1000 +amp /volt: 0
ELECTRICAL - RESTRICTED ENERGY
SF Residential
Audio & Stereo: HVAC: Security Alarm: Vaccuum System: Garage Opener: All
Other: Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT Single Family VB R -3
Owner: Contractor: Required Items and Reports (Conditions)
DEVE, PAUL M FJS CONSTRUCTION LLC
11221 SW BUFFALO PL 33470 CHINOOK PLAZA SUITE #353
TIGARD, OR 97223 Scappoose, OR 97056
PHONE' PHONE: 503 - 701 -0858
FAX: (503)771 -0742
Total Fees: $148.96
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 • / 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 Notificati. ' Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952-001-0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503. :1,6699 or 1.800.332.2344.
c Issued By: ' l. Q C- S�\ ni2A ' Permittee Signature: 1
7
Building Permit Application
Commercial FOR OFFICE USE ONLY •
r City of Tigard RECEIVED Date /B : ► ZERNIM Permit No.: yyr ,..-Mbg 3
13125 SW Hall Blvd., Tigard, OR 97223
Tigard, Plan Review er/
Phone: 503.639.4171 Fax: 503.598.1 Date : ®.If � ® Other Permit:
Inspection Line: 503.639.4175 �R 1
2009 B Date Ready /By: See Page 2 for
Internet: www.tigard- or.gov Notified/ -thod _ PIW ,, ® V I (�� Supplemental Information
CITY OF TIGARD . ' e ; , - icy 40_
TYPE - A . �i • !'r•, D T • \ REQUIRED DATA: 1- AND 2- FAMILY DWELLING'
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
I ' ldicate the value (rounded to the nearest dollar) of all
(]
❑ Addition / alteration /replacement ,'Other. ,'> r ) t KO A q uipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTIOl'Q work indicated on this application.
Valuation: $ 7
❑ 1- and 2- family dwelling ❑ Commercial/industrial
❑ Accessory building ❑ Multi - family Number of bedrooms: 3
❑ Master builder ❑ Other: Number of bathrooms:
JOB. SITE INFORMATION A L CATI N Total number of floors: ` 3
Job site address: 1 12 2 ( 3 /...„,) ,,,, c New dwelling area: 05 square feet
City /State /ZIP: .� j 0 9'7. V Garage /carport area: 9QK31luare feet �(
Suite/bldg. /apt. no.: Project name: 1 ' A c4 - 1 4 & Odn1 K S Covered porch area: � - 2 square feet 35'
7 "�
Cross street/directions to job site: Deck area: s / O square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CIIECKLIST •
Subdivision: , DAL IA citsto_5_ 1 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.
4) Valuation: $ j f• • . , I ! .k'- Existing building area: square feet
r
New building area: square feet
7 PROPERTY OWNER ❑ TENANT Number of stories:
Name: ?iii K 1 ' J y J Type of construction:
Address: ��� "` {Ti +ti ?ii1CA-- Occupancy groups:
City /State /ZIP:
1 G 9'7�3 Existing:
, j
Phone: ( _ ) C 9 C I S - 5 5 i Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: a n d', ,,L,C All contractors and subcontractors are required to be
' licensed with the Oregon Construction Contractors Board
t Contact name: Q� , (b_(j (' under ORS 701 and may be required to be licensed in the
Address: 33 0, , 005 K !AU 5 0, �p 44 ,�� jurisdiction in which work is being performed. If the
City /State /ZIP: L x � t K 9 9 U�b applicant is exempt from licensing, the following reasons
.i12,,,,,' �t apply:
Phone: (533 ) 7Q r 5 i8 I Fax:: (53 79 I I _09 it d._
J ✓1
E -mail: .1) 3 .$CA ctioo I , W
CONTRACTOR
Business name: 4 -�� I f 4 cItd,, L C BUILDING PERMIT FEES*
Address: -3 h Y t 000 413
A -5u( (Please:referto fee schedule)
�` Structural plan review fee (or deposit):
City /State /ZIP: c,, y 0 91656
) ?0� ) 6 u 5a Fax: (5 a3 n � 6 q 4/ FLS plan review fee (if applicable):
(
Phone: 4 ) r /I ��' 7d
CCB lie.: 1 1P y 1 9 ,13 /«' M Total fees due upon application:
Amount received: PI 5y . 70
Authorized signatu :
This permit application expires if a permit is not obtained
Print name: Date: 3 / / /6, * within 180 days after it has been accepted as complete.
Fee methodology set by Tri County Building Industry
_ Service Board.
I: \Building\Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11 /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: [I] $
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: \Bui]ding \Permits \BUP -COM PermitApp.doc 10/30/07