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Permit A CITY OF T IGARD BUILDING PERMIT ' COMMUNITY DEVELOPMENT Permit #: BUP2009 -00210 T I G AR O 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/27/2010 Parcel: 1 S 133DA07200 Jurisdiction: Tigard Site address: 11470 SW 130TH AVE Subdivision: SUMMER LAKE PARK Lot: 0 Project: Summerlake Park Storage Building Project Description: Construct 1660 sq ft pole barn. Demo credits from BUP2000 -00049 applied to this permit. Owner: FEES TIGARD, CITY OF Description Date Amount 13125 SW HALL BLVD Permit Fee - COM - New Construction 01/27/2010 $540.42 TIGARD, OR 97223 12% State Surcharge - Building 01/27/2010 $64.85 PHONE: Plan Review 01/27/2010 $351.27 Erosion Control 01/27/2010 $40.00 Contractor: Erosion Plan Review CWS 01/27/2010 $13.00 OWNER Erosion Plan Review COT 01/27/2010 $13.00 PHONE: FAX: Specifics: Type of Use: COM Class of Work: ACS Dwelling Units: Stories: 1 Height: ft Bedrooms: Bathrooms: Value: $50,000 Floor Areas: Total Area: Accessory Stud: 1660 Basement: Carport: Covered Porch: Deck: Garage: Mezzanine: Total $1,022.54 Required: Required Items and Reports (Conditions) Fire Sprinkler: No Parapet: Fire Alarm: No Protected Corridors: Smoke Detectors: No 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 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 the 180 days. ATT • • : Ore! • n law re• ires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -00 1010 through OA • 9 ' 01 ' 1 % • You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Is ued By: / - Y Penn ittee Signature: �� Call 503.639.4175 by 7:00 a.m. for an Inspection that bu i ess 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. VI Ing Permit A plication H I b Rw� �'? F Commercial RE CEIVE „0R OF1=ICf: USE ONLY I ll II City of Tigard I Permit No.: G a ,� ,,, p..00„216 • 13125 SW Hall Blvd., Tigard, OR 97223 Plan R g , � 1 Phone: 503.639.4171 Fax: 503.598.1960 NOV 18 2009 Dat e/B : ,,% : .re:„, Other Permit: f I G A R D Inspection Line: 503.639.4175 Date Ready' i , ' /1 64 See Page 2 for Internet: www.tigardor.gov CITY OF TIGARD Notified/Method: ethod: i �� Supplemental Information il ■ fa . S�!. . - 't TYPE OF WORK ' EQUIRED DATA: 1- AND 2- FAMILY DWELLING O 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. ❑ l- and 2- family dwelling ❑ Commercial/industrial Valuation: $ S-0/90.0 oe E Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder [Other: 1 042ta )Qcai t9 . Number of bathrooms: JOB SITE INFORMATION AND LOCATION , Total number of floors: Job site address: t / I q70 4w 130* 4) V ' New dwelling area: square feet City /State /ZIP: - T f q 01- o a.. Garage /carport area: / bb ' square feet / k� Suite/bldg /apt. no.: Project name: porch q Sel�AM� �n L 3 L r Covered orch area: square feet Cross street/directions to job site: Deck area: square feet l 't I I L/ 7 0 5 / j Other structure area:. square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: Permit fees' are based on the value of the work performed. Tax map /parcel no.: S 3 i24 Q 7 ©O 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. g'104- LE co/c/ We ce 3-e Gt9 c k fie. Valuation: $ f1 0 /CS O /Q B �r /4,,/ � e /_ _ s h Existing building area: square feet New building area: square feet 0 Q [,Z�PfiOPERTY OWNER I ❑ TENANT Number of stories: Q Name: 6", p, 1/ 7 u,Q<z/ Type of construction: I ��. - 5 �.f4 4 � , /'c� Q Address: / 3 / ( � e Occupancy groups: O City/State /ZIP: -,-/ u at d i y 7 Z 2 33 Existing: ., Phone: ( ) / Fax: ( ) CXV New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: y y t iediAl All contractors and subcontractors are required to be (NO (� Contact name: N L k N J S�c� licensed with the Oregon Construction Contractors Board under ORS 701 and may be required_to be licensed in the Address: If 77, 5 w j 4 /2 , ' //ft 1 jurisdiction in which work is being performed. If the 1 I City /State /ZIP: l 9 7/ b V' applicant is exempt from licensing, the following reasons T Yu D _ apply: Phone: (5-03 7/ - 7 /, c ? Fax:: LW)) 68 »' d l i E-mail: A..) 6 ) Al a '7 /[,a `'' e /d CONTRACTO ./ /1 � Business name: e , 4 7 u O CO/jel� BUILDING PERMIT FEES* .1... Address: (Please refer to fee schedule) City /State /ZIP: Structural plan review fee (or deposit): w Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): . p CCB lie. Total fees due upon application: Amount received: Authorized signature: J� This permit application expires if a permit of obtained ��� within 180 days after it has been accepted as complete. Print name: ,f / GM• N.'5,' I Date: / 25 i''c!)/ D * 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) -3.- ` t .w III a e 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