Permit ,
a CITY OF TIGARD BUILDING PERMIT
1 PERMIT #:
:
COMMUNITY DEVELOPMENT DATE ISSUED: 8 5 2008 - 00252
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136CD-01500
SITE ADDRESS: 11660 SW PACIFIC HWY ZONING: C - G
SUBDIVISION: TIGARD BOWL LOT: JURISDICTION: TIG
PROJECT: TIGARD BOWL
Project Description: Upgrade truss T3 to carry additional load of scoring monitors to be installed.
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: A3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 1 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: $ 25,000.00
Owner: Contractor:
DAVID SCHULZ WESTERN WOOD STRUCTURES
KERR, GLORIA TR 20675 SW 105TH ST
11649 VIA MONTANA TUALATIN, OR 97062
YUMA, AZ 85367
Phone: Contact #: PRI 503 -692 -6900
FAX 503 - 692 - 6434 -
Reg #: LIC 25152
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 7/23/2008 $226.95
[TAX] 12% State Surch 7/23/2008 $27.23
[BUPPLN] Pln Rv 7/23/2008 $147.52
Total $401.70
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 • estions to OUNC by calling 503.246.6699 or 1.800.332.2344.
4IIIIP- ' I� ..
Issued By % / , - Permittee Signature: • •
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.
TM ? z — 1 I - 1�y
B uilding Permit Application
1 Commercial RECEIVED FOR OFFICE USE ONLY
Received n g�
City of Tigard DateB : / (/ eP � / • -it N DO ��.°
• 13125 SW Hall Blvd., Tigard, OR 97223 ��—
Phone: 503.639.4171 Fax: 503.598.19�U L 2 2 2008 D �� =l fffigni Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Rear - :y: Juris: 0 See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental Information
BUILDING DIVISION
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. /I
❑ 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: 1 1 (p(oO 5(....) PI�C.t V-I t- NW Y New dwelling area: square feet
City/State /ZIP: TI G A42.-t. I Q (Z q 7ZZ3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: 'n(, gam_ TRU55 UPG1RAtE6 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.
UP4 RM . TRVSS T`3 Tb cfir Y A-bb 171Q,vpd _ Valuation: $ -z5, DO . eye
1.-or% OP SCiOQ.l•.!(r "-kW ma_ S To BE 1 tissy'/>Mi.(a Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: PowEIRS r EA...L L_L.C, Type of construction:
Address: II ( , ( O S W PA{.\'f' ( L 4W Y Occupancy groups:
City /State /ZIP: 11 6 is I Q R. g1ZZ"! Existing:
Phone: ( 9:33 j ) G39 - I Fax: ( ) New:
❑ APPLICANT 1°l 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:
CONTRACTOR
Business name: W E.ST a W dMij ,STK.0 c- , I &.1t.• BUILDING PERMIT FEES'
Address: Z-0475 w 5 /06 j pj X . 60 130 (Pleaseref�mfeesehedalel - — 1.
Structural plan review fee (or deposit): f � ? „2,
City/State/ZIP: n �T
A-�k 1j O 4. '91062_ ......&_. / 5,;2,
/ FLS plan review fee (if applicable): ......&_ Phone: (5O5) 692 -6,/00 Fax: ( 503) ( 9 Z. - 4O' Sy
CCB lic.: Z 57, Total fees due upon application: c '`7„ . 5 - 14
Amount received:
Authorized signature: 1 �t L1 This permit application expires if a permit is not obtained
Print name: a R.�LJJT7Y A. , 1 u Vt1 rt los D ate: `r/ 1- / Q8 • within 180 days after it has been accepted as complete.
111 Fee methodology set by Tri -County Building Industry
Service Board. I /
I:\ Building \Permits\BUP -COM PermitApp.doc 2 /23/07 440- 4613T(11/02 /COM/WEB) T ,L S "ER-. 69/1/`/El -se
cRa 6.9s eat a3 �� 7/23 /44
•
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Iti
'P Building Division
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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
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2008 -00252
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/512008
j Phone: (503) 639 -4171
A ����
Inspection Requests (24 Hrs.): (503) 639 -4175 4
INSPECTION WORKSHEET FOR DATE: 8/27/2008 TIME: 7:00AM PAGE: 36
SITE ADDRESS: 11660 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: TIGARD BOWL LOT #: TYPE OF USE:
PROJECT NAME: TIGARD BOWL
DESCRIPTION: Upgrade truss 13 to carry additional load of scoring monitors to be installed.
OWNER: SCHULZ, DAVID PHONE #:
CONTRACTOR: WEST WOOD STRUCTURES PHONE #: 503- 692 -6900
Inspection Request Scheduled For: Date: 8/27/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message I. .C/
299 Final inspection 074685 -01 503 633 - 2001 Y
Corrections /Comments /Instructions: Orr'Q ?earl
•
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: . aS Date: 274v 08 Phone #: (503) 718 2W 3