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Permit
,� CITY OF TIGARD BUILDING PERMIT II I I : COMMUNITY DEVELOPMENT Permit #: BUP2009-00056 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/02/2009 Parcel: 2S 102 DA00401 Jurisdiction: Tigard Site address: 13125 SW HALL BLVD PERMITS Subdivision: Lot: 0 Project: City of Tigard Project Description: Permit Center - Interior wall for new office for Commercial Crimes Unit. Owner: FEES TIGARD, CITY OF Description Date Amount 13125 SW HALL BLVD Permit Fee - COM 04/02/2009 $83.95 TIGARD, OR 97223 Tax - 12% State Surcharge 04/02/2009 $10.07 PHONE: Plan Review 04/02/2009 $54.57 Plan Review - Fire Life Safety 04/02/2009 $33.58 Contractor: CEDAR MILL CONSTRUCTION COMPANY 19465 SW 89TH AVE TUALATIN, OR 97062 PHONE: 503 -885 -9370 FAX: 503- 885 -9368 Specifics: Type of Use: COM Class of Work: ALT Dwelling Units: 0 Stories: 0 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $4,900 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $182.17 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 C: •es and all other applicable law. All work will be done in - - • • - ith approved plans. This permit will expire if work is not started within 180 days of i ance, • ork is suspended for more the 184 •ays. ATTENTION: Ore. law =• I - • to follow the rules adopted by the Oregon Utility Notificatio ent= .'ules are set forth in OAR 952 -• 11 -0010 through OAR 952 -00 • 00. Y' u =y obtain a copy of 'e rules or direct questions to OUNC by 03.2' 6.6:9 a 1.800.33 . : 1 Iss • d By: , ` / i �/ j ,f .d. , Permittee Signature: ';* _ Call 503.639.4175 by 7:00 a.m. for an inspection tha bu. , --s day. This permit card shall be kept In a conspicuous place on the job site unt • pletion of the project. Approved plans are required on the Job site at the time of ea spection. Building Permit Application Commercial FOR OFFICE USE ONLY q City of Tigard DateB Received D Permit No.: u. ..., ,,o41) ! 5 4 . 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review �i� ■ Phone: 503.639.4171 Fax: 503.598.1960 Date/B : �twan©= Other Permit: T I G R D Inspection Line: 503.639.4175 Date Read " . Juris. 0 See Page 2 for Internet: www.tigard or.gov Notified/Method: Supplemental Information 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 2 (ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ g— e , p � i ❑ 1- and 2- family dwelling UPC ommercial /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: l 3 j 2 S 4.4..) pia. / / A Jv d New dwelling area: square feet City /State /ZIP: II ? a /-L of € a. -j 7 / 2_3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: C G . i ,./ 12 e. Covered porch area: square feet Cross street/directions to job site: Deck area: square feet 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. /f l' r -4 ' / 2_ , , 1.3,iz>t! c j� / ,0,,,+p,t_ Valuation: $ e .� €110 Existing building area: square feet New building area: square feet PROPERTY OWNER ❑ TENANT Number of stories: Name: C i '71/ v, 7 - i yd ,z,f -- Type of construction: Address: 1 3 / 2_6 5 tot) /--j&e 1/ Occupancy groups: City/State /ZIP: 46, 7/ p t! ,L- d v /L. 7 7y Z- Existing: Phone: (�7�3) 7/ - 2,. &" Fax: ($t') 6 � 1 '. ✓�� New: ❑ APPLICANT [- CONTACT PERSON NOTICE Business name: 6/ /`„,,, f/ f , All contractors and subcontractors are required to be r� licensed with the Oregon Construction Contractors Board Contact name: N / C' 1c N / _5 .5 under ORS 701 and may be required to be licensed in the Address: 4 g > -7 7 i.-4.) f yeH le/Y7 jurisdiction in which work is being performed. If the City/State /ZIP: -? y4.�J v ., 7i 7 4/ applicant is exempt from licensing, the following reasons apply: Phone: (y(3) 07/ V -2 &-,e r° '.7 Fax:: (.Sa) 1 . S 7 g6-90 E -mail: CONTRACTOR Business name: Ceofb<R Ce,,et. BUILDING PERMIT FEES* Address: IS l S W s A c (Please refer to fee schedule) n�Jt Structural plan review fee (or deposit): City /State /ZIP: V AticTut Fax: (503 ) —93 MI ct 1c Io (1:-.;,j ) s:6 _ 3 (ap FLS plan review fee (if applicable): Phone: ( CCB lic.: `? ii3 Total fees due upon application: 4 Amount received: s --Q... Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ,3 .5 - Date: i - - * Fee methodology set by Tri- County Building Industry Service Board. 1: \Buiiding\Permits\BUP -CO PermitApp.doc 2/23/07 440- 4613T(11 /02 /COM/WEB) r. • 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 \BUP -COM PermitApp.doc 10/30/07 1 _ " Building Division Over- The - Counter (OTC) Building Permit TIGARD Check List Description of Project: TT GENERAL INFORMATION Class of Work:* -t.T Floor Areas (sq. ft.): Exterior Wall Construction: Type of Use:* CO First floor: N: S: Type of Construction: .- ti Second floor: E: W: Occupancy Group: (7 Third floor: Openings Protected Y /N ?: Occupancy Load: 'J Total sq ft.: N: S: Stories: I Note: Combine total floor area for E: E: _ Height: all floors above third floor and Roof Construction: Floor Load: add to the third floor s . ft. Fire Retardant: Basement: Basement: Area Separation Rated: Mezzanine: Garage: Occu. Separation Rated: REQUIRED ITEMS Fire sprinkler: _ 7 Handicap access: Smoke detector: Protected corridors: Fire alarm: tt Parking spaces ( #): Notes: Total Valuation: $ 49( an INSPECTIONS FEES DUE Footing /foundation Firewall $ Z, Cj<] Permit Fee Post /beam structural Smoke detector $ ((., 07 State Surcharge Shear wall Misc. inspection $`7 Plan Review Fee Masonry Approach /sidewalk $ �? , S 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: $ [ 82 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. is \ Building \ Forms \OTC - BUP.doc 08/19/08 I ; , , , , , , !oil , 64...s..,4...4.g.1 44 "rq c...64400. e..P., LANES vOrr . • li , 1 II 1 9 - F - F - -gt lir C-EIZTale__ 1 . 1 • g o-ri vv.* vockg— , , ■,, - - • , . . . ; ( ' Atk6.1. tisC-rrr ii -ire WALL I.,. 1 , idt 11 Approveit / Conditionally Approvs4.....4,ft. , . !illi 0,-T•43 ... 1 1 I 1 . , Soot ilier r F01100 II 7sipows.......... , panti6nthirs....re -13.111117.... By: A 04:711 • „ i leigili O OFFICE COPY VS : • fz- v v 2 -3 .