Permit v CITY OF TIGARD BUILDING PERMIT
i W "* . PERMIT #: BUP2007 -00525
° COMMUNITY DEVELOPMENT DATE ISSUED: 10/9/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 102 DC - 02100
SITE ADDRESS: 09355 SW MCDONALD ST ZONING: R-4.5
SUBDIVISION: EDGEWOOD LOT: 018 JURISDICTION: TIG
PROJECT: WOODLAND HEIGHTS
Project Description: Disable (2) fire doors.
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: : sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 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: $ 300.00
Owner: Contractor:
GERALD & CHAREE CROW CRAWFORD ROLL LITE DOOR SALES
26 BECKET ST 16798 SW 72ND AVE
LAKE OSWEGO, OR 97035 PORTLAND, OR 97224
Phone: 503 - 684 -9696 Contact #: PRI 503 -431 -6856
• Reg #: LIC 138592
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/9/2007 $62.50
[TAX] 8% State Surcha 10/9/2007 $5.00
[BUPPLN] PIn Rv 10/9/2007 $40.63
[FLS] FLS Pln Rv 10/9/2007 $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 U ' ' k •tification Cen -r. Those rules are set forth in OAR 952 - 001 -0010 through *AR 952 - 001 -0100. You may obtain a copy
of the -- rules or di _ t quz ion to OUNC by calling 503.246.6699 or 1.800.332.2344. /
Issu = d By: / , q ' Permittee Signature: A .I A `
/
I
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.
BuildiA Permit Application
Corn fAcial !
m V FOR OFFICE USE ONLY
City of Tigard - ' ~ t Date/By: r 9 Q/
` Permit No.:
• 1 3125 SW Hall Blvd., Tk : - :...e,a ° t
.
Plan Review
II . Phone: 503.639.4171 ' . :.. r - '8.1960 ^L 0 01 Date/By: Other Permit:
I G A R D �'�Cl Inspection Line: 503.639.4175 ( 9 Date ReadReady/By: 1 0 See Page 2 for
Internet: www.tigard tin Notified/Method: 7t2 Supplemental informadou
TYe1 v0 � ! /�� 1 0 REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction Bb molition Permit fees' are based on the value of the work performed.
�� Indicate the value (rounded to the nearest dollar) of all
El Addition/alteration/replacement 2 Other: Oi, maN. �ir't t,v equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El I- and 2- family dwelling Valuation:
❑ C ommercial /industrial
El Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder 2 Other: N e, C o P1_512,... j Number of bathrooms:
c fle3n
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: I
wood (awt , ; h i s 13,s-s- Sul pi / /oa,/j S ./• . New dwelling area: square feet
City /State /ZIP: - J J o v R. / .z y t Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: Wood /444 J A,, "1d Covered porch area: square feet
'I
Cross street/directions to job site: f 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
�C.. N OF WORK work indicated on this application.
J i ��( i G Ca) / 7 Uk - C�'`5 Valuation: $1 '
�� Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: w po lcw1 d H i J k,1S L L c Type of construction:
Address: 93S S S R) Mc D cm/2A di S1- . Occupancy groups:
City /State /ZIP: .T;S J 0k_ Existing:
Phone: (.5 ) 6341-16 u Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/State /ZIP: • applicant is exempt from licensing, the following reasons
apply:
Phone :( ) Fax::( )
E -mail: p� �
CONTRACTOR JJ��QQ -L+
Business name: l.Nr��
Iw 14.) a-r, 1(1. BUILDING PERMIT FEES*
8 cdto 7 /►-t)� (Please refer to fee schedule)
Address: l �(/
City /State /ZIP: rLD OR y 7P-24 Structural plan review fee (or deposit):
Phone: (05) 'j3/ (p5.5‘. q I Fax: ( ) FLS plan review fee (if applicable):
CCB lie.: / � gS/ Total fees due upon application:
Amount received: ( ems' . /3
Authorized signature: �� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Date: • Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(11 /02 /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. [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 02/23/07
CITY OF TIGARD Mi"
BUILDING DIVISION' PERMIT #: BUP2007 -00525
13125 SW Hall Blvd., Tigard, OR 97223 �� A DATE ISSUED: 1019/2007
Phone: (503) 639 -4171 �IWg i�l�
Inspection Requests (24 Hrs.): (503) 639 -4175 .,' °:
INSPECTION WORKSHEET FOR DATE: 10/16/2007 TIME: 7:01AM PAGE: 58
SITE ADDRESS: 09355 SW MCDONALD ST CLASS OF WORK:
SUBDIVISION: EDGEWOOD LOT #: 018 TYPE OF USE:
PROJECT NAME: WOODLAND HEIGHTS
DESCRIPTION: Disable (2) fire doors.
OWNER: CROW, GERALD & CHAREE PHONE #: 603 -684 -9696
CONTRACTOR: CRAWFORD ROLL LITE DOOR SALES PHONE #: 503-431 -61356
Inspection Request Scheduled For: Date: 10/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 067650-01 503 -684 -9696 N
Corrections/Comments/Instructions:
V —PAS 'A' IAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ Date: JO i6 0 7 Phone #: (503) 718 - ZZ:27W_