Permit n i,LT'Y OF TI BUILDING PERMIT
° ,. ISSUED: DEVELOPMENT DATE SUED: 1
0
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 102AB -04800
SITE ADDRESS: 12460 SW MAIN ST ZONING: CBD
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: LAB 33
Project Description: TI
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: . S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 28 BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 2,000.00
Owner: Contractor:
CAPISTRANO, NICOLAS N + CHRISTIN INTERIOR CONCEPTS
6646 SW 35TH AVE 12333 SW HOLLOW LN.
PORTLAND, OR 97221 TIGARD, OR 97223
Contact #: PRI 503 - 590 -4235
Phone: FAX 503 - 590 -4239
Reg #: LIC 156888
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/5/2007 $62.50
[TAX] 8% State Surcha 10/5/2007 $5.00
[BUPPLN] Pln Rv . 10/5/2007 $40.63
[FLS] FLS Pln Rv 10/5/2007 $25.00
Total $133.13
•
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 of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: 4 Permittee Signature: ,t / , `/�� 9
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.
wilding Permit Application ,
Commercial' • RECEIVED FOR OFFICE USE ONLY
City of Tigard Received ‘0 Date/By: S� O 7 tie)
Permit No. 7 — 00572
III 13125 SW Hall Blvd., Tigard, OR 97223 0'4- 0 2001 Plan Review
C Phone: 503.639.4171 Fax: 503.598.1960 DateBy: Other Permit:
T i G A R D Inspection Line: 503.639.4175 CITY OF TI GAR D Date Ready/By: / 0 See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Informa
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 CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling 'Commercial/industrial
Valuation: $
❑ 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: / Zqt 0 Sc MA /41 ,5'r New dwelling area: square feet
City/State/ZIP: i j A ,) 6 A 51 2 2 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: J I Project nameA IL, 3 5 Covered porch area: square feet
Cross street/directions to job site: c 6t,li, NA... �fj //V S % 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.
3 jnr4 cc S 1►1 14 kOC K Sion - w Valuation: $ COQ ' —
Existing building area: square feet
lN 1IlrKiS
New building area: square feet
❑ PROPERTY OWNER TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: L A 3 3 All contractors and subcontractors are required to be
Contact name: C 11,4i) 114911/O4�lCh... licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: / 2 V 6 a ,S'w M a>+v 5- - . jurisdiction in which work is being performed. If the
Ci City/State/ZIP: applicant is exempt from licensing, the following reasons
ty Ti ,.� D<C 972z3
apply:
Phone: (�) y, - g3 to 3 Fax: : 633 ) 1-90 _ v2. f
E -mail: 4 AA i ,e dop J c �►,.• 'c , cd.--
CONTRACTOR 7:4,„...,
Business name: -/ /✓ TPrio„ ([Y+t . u- • BUILDING PERMIT FEES*
Address: /2333 ...v.' /jieat..+ /i✓ (Please refer lo fee schedule)
City/State /ZIP: Structural plan review fee (or deposit):
T ni J !J Q 9 7 2 Z � FLS plan review fee (if applicable):
Phone: (Jo ) .S%O — '127 f I Fax: (S-O3) SIO 9279
CCB lic.: /S6 skg V* /0q Total fees due upon application:
/ Amount received: /.5f.. /3
Authorized signature: This permit application expires if a permit is not obtained
A within 180 days after it has been accepted as complete.
Print name: ey4/xj A/9N 40ft^, - Dategyr 7 ■ Fee methodology set by Tri -County Building Industry
j Service Board.
(:\Building \Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02 /COM/WEB)
A
. a 'I
° Building Division
C
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 \Pcmrits \BUP -COM PermitApp.doc 02/23/07
•
,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00518
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/5/2007
Phone: (503) 639 -4171 j i l
Inspection Requests (24 Hrs.): (503) 639 -4175 F,
INSPECTION WORKSHEET FOR DATE: 10/19/2007 TIME: 7 PAGE: 51
SITE ADDRESS: 12460 SW MAIN ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: LAB 33
DESCRIPTION: TI
OWNER: CAPISTRANO, NICOLAS N + CHRISTIN, PHONE #:
CONTRACTOR: INTERIOR CONCEPTS PHONE #: 503. 59(14235
Inspection Request Scheduled For: Date: 10/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 057824 -01 503 -317 -0369 N
Corrections /Comments /Instructions:
Fllukt 0- .
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: MA-) L' 2 CK pate:/ d' l9 — 07 - Phone #: (503) 718 - 2- 1/1/8 8
CITY OF TIGARD r-
BUILDING DIVISION PERMIT #: BUP2007 -00518
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/5/2007
Phone: (503) 639 -4171 1
Inspection Requests (24 Hrs.): (503) 639 -4175 I �..
INSPECTION WORKSHEET FOR DATE: 10/15/2007 TIME: 7:01AM PAGE: 39
SITE ADDRESS: 12460 SW MAIN ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: LAB 33
DESCRIPTION: TI
OWNER: CAPISTRANO, NICOLAS N + CHRISTIN, PHONE #:
CONTRACTOR: INTERIOR CONCEPTS PHONE #: 503-590 -4235
Inspection Request Scheduled For: Date: 10/15/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
276 Framing 057542 -01 503-317 -0369 N
Corrections /Comments /Instructions:
,490 S TOL'S TD neer Re-Qv/Rev
It' o.c. ..fP,4 -i ,Jo-
ay- Tv sH5I%/Zc Gle
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 8,1- I t --- Date: / G " Is 0 7 Phone #: (503) 718- 2-41445