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Permit
q CITY OF TIGARD BUILDING PERMIT 2 ° COMMUNITY DEVELOPMENT Permit #: BUP2009 -00209 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/20/2009 Parcel: 2S102DA00600 Jurisdiction: Tigard Site address: 13360 SW HALL BLVD Subdivision: Lot: 0 Project: Fanno Creek Trail /Bridge /Hall Blvd Crosswalk Project Description: Construction of 135' long timber boardwalk. Owner: FEES CITY OF TIGARD Description Date Amount 13125 SW HALL BLVD TIGARD, OR 97223 PHONE: Contractor: CIVIL CONSTRUCTION COMPANY 1840 W 16TH ST THE DALLES, OR 97058 PHONE: 541 - 298 -8025 FAX: 541- 298 -6980 Specifics: Type of Use: COM Class of Work: ADD Dwelling Units: Stories: Height: ft Bedrooms: Bathrooms: Value: $0 Floor Areas: Total Area: Accessory Struct: Basement: Carport: Covered Porch: Deck: Garage: Mezzanine: Total $0.00 Required: Required Items and Reports (Conditions) 1 BUP Other Report (see note) Fire Sprinkler: No Parapet: No Fire Alarm: No Protected Corridors: No Smoke Detectors: No Manual Pull Stations: No Accessible Parking: 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 i f work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTE r g n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001- 10 through OA 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 3.246.6699 or 1.800.332.2344, Issue By: I Permittee Signature � " Call 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. w '1 Building Permit Application �t., (�o?LU t - ood c I Commercial Q FOR OFFICE USE ONLY City of Tigard DateB , lI L// Q / I%, Permit No : 4 /, 4._ • q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review . Q • C ' Phone: 503.639.4171 Fax: 503.598.1960 DateB : 1 � t lot Other Permit: G A R D Inspection Line: 503.639.4175 Date Ready /By: H See Page 2 for Internet: www.tigard - or.gov Notified/Method: i f` — Supplemental Information TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING NT 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. 1:1 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ El Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 133fa0 Sw./ Op. LL L—VN. New dwelling area: square feet City /State /ZIP: - T - IGR(_ © 0<2 . 9 7. 3 Garage /carport area: square feet Suite /bldg. /apt. no.: Project name: F 44on /� v. • — 'j 1 , �� Covered porch area: square feet Cross street/directions to job site: i P `_v.. IAN "ge—t 166E Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: 1 Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: 2_ S 10'L Dp ppL,OCJ equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK ' . work indicated on this application. 'i Ni STtou Tt N. OF A - T 1 M L)EYL 3.4!< e_13WA t-1L Valuation: S c {ate_ 13 S t . , Of�G Existing building area: square feet New building area: square feet (8, PROPERTY OWNER ❑ TENANT Number of stories: Name: C t - i o c -r-16 .a -t Type of construction: 1j° F.E.F S 1)0 - E... - ' Address: j,3 Z.5 .5,,V.J i t A -E LA/ C Occupancy groups: ( CAS iSsy0f) VAW(ll lv City /State /ZIP: -- t o p_ . , ci 12-2- Existing: pry p � D Phone: (503) 1039 — 44 i i Fax: (4503) (g 2.4 ' 0_152_ New: `V�V�( =D VII' I q "t -iL'I ❑ APPLICANT • ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: Y 1! / licensed with the Oregon Construction Contractors Board f.,N E E1 1 under ORS 701 and may be required to be licensed in the Address: in which work being performed. If the A .F-41. /t A z®.t j ti i hih k i bi g p City/State/ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( 5 -I 1 8 - 2_ L O Fax:: ( ) E -mail: CONTRACTOR Business name: C t V a L G is 5. r n d Nj Co 1'.l i> BUILDING PERMIT FEES* (Please refer to fee schedule) Address: ( 6140 /tom it 0 ' 11-1 ST(2 -EST City /State /ZIP: Structural plan review fee (or deposit): �E. � ALL Es . ©r 9 1OS& Phone: Fax: FLS plan review fee (if applicable): ( 511) w ig•- Sv2_S (5 ,41) � 8 , (99.90 CCB lic.: .2, Total fees due upon application: t 3 Amount received: Authorized signature: � " — This This permit application expires if a permit is not obtained Print name: ,/(� {v N' � N Y Date: `) I within 180 days after it has been accepted as complete. . / �D * Fee methodology set by Tri- County Building Industry Service Board. 1:\Building \Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(11 /02 /COM/WEB) 1 'r 4 • 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): $ I: \Building \Permits \BUY -COM PemutApp.doc 06/25/08