Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2009 -00201
l R iGA
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/29/2009
Parcel: 2S101A601200
Jurisdiction:
Site address: 7275 SW HERMOSO WAY
Subdivision: Lot: 0
Project: KEYWAY OFFICE CONVERSION
Project Description: Change of use only - no structural work.
Owner: FEES
FRANK, BRIAN L & Description Date Amount
KRAFVE, KENT B, 7275 SW HERMOSO WAY Hourly Building Rate 10/29/2009 $90.00
TIGARD, OR 97223 Hourly Building 12% Surcharge 10/29/2009 $10.80
PHONE: )
Contractor: N � //L
PHONE:
FAX:
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units:
Stories: Height: ft
Bedrooms: Bathrooms:
Value: $0
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $100.80
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
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 accordance • 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 • TENTION: Oregon la -quire •u to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -0'-1 -0010 through OAR 952 -01 1100. Y• -y obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2
r
Issued 4y: , / Permittee Signature: r
Call 503.639.4175 by 7:00 a.m. for an inspection that bus - s 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.
r ,.
'Bu`lclin2 Permit Application 9 uCp/
Commercial v t,,D
IN Or � FOR OFFICE USE ONLY
of Tigard C 1 2 9 2 009 Received e , An 9 TA Permit No.• I /
/t DateB : G 7 v7� /� ._e„,),), �
° 13125 SW Hall Blvd., Tigard, OR 9t7 or • 7 Plan Review
12 • Phone: 503.639.4171 Fax: 503 39, 1960 i w i r d ) Date/B Other Permit:
T I G A R D Inspection Line: 503.639.4175 /4 l'il..2 Div /s/ Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov 4N 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
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONST RUCTION work indicated on this application.
dwelling Valuation:
❑ 1- and 2-family g ❑C ommercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder I=1 Other: Number of bathrooms:
JOB SITE INFORMATION AND .LOCATION Total number of floors:
Job site address: 7 2_76 .510 IA 2M.r,:5 (,t..V New dwelling area: square feet
City /State /ZIP: `It Ct APO , D�- 7
' Z ' ' Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Vel(X I & Covered porch area: square feet
ross street/directions to job site: n Deck area: square feet
C j UJ z 7 1 2-1 , 41, 4 . �H p trx�it� �Jev€(t.w Q + Other structure area: square feet
,��CANA.0a ki 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.
e � , Valuation: S
Existing building area: square feet
New building area: square feet
IWPROPERTY OWNER ❑ TENANT Number of stories:
Name: 1212-14 rilA 1J- •V 4 -r K.'j1.isf1/4l' Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: (g)3) (t{-• 51 Cx3 Fax: (a3) 684- 5
New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: U) «i Co g-- All contractors and subcontractors are required to be
Contact name: ,�y RA 'y� Q ,,„.Ac___ 0 , 1 - w - - (4-4, -C/� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 12.7 5 5" 1 orvvto jurisdiction in which work is being performed. If the
r f applicant is exempt from licensing, the following reasons
�
City /State /ZIP: i y-iL t CAL q71•Z3 apply:
Phone: ('SO)) &04 51C0 W I Fax:: ( 75) (4' .. S5 (X?
E -mail: kev k- L keywo. -f o e g C0141
CONTRACTOR
Business name: BUILDING PERMIT FEES*
Address: M. (Please refer to fee schedule)
City /State /ZIP: IV .
Structural plan review fee (or deposit):
I W FLS plan review fee (if applicable):
Phone: ( ) Fax: ( )
CCB lie.: Total fees due upon application:
j „� 0 , . Amount received: 100 . YD
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: IteittKr, ye ) v t Date: /v Z. ZOO, * Fee methodology set by Tri- County Building Industry
Service Board.
l: \Building\Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02 /COM/WEB)
1, _ 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 06/25/08