Permit •
CITY OF TIGARD BUILDING PERMIT
0 ' COMMUNITY DEVELOPMENT Permit #: BUP2009 -00213
T I GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/13/2010
Parcel: 1 S136CD01000
Jurisdiction: Tigard
Site address: 11745 SW PACIFIC HWY
Subdivision: Lot: 0
Project: Aarons Furniture •
Project Description: Interior TI, adding walls. •
Owner: FEES
MONAGHAN FARMS, INC Description Date Amount
14120 EAST EVANS AVE Permit Fee - Additions, Alterations, 01/13/2010 $542.11
AURORA, CO 80014 Demolition
PHONE: Plan Review 11/25/2009 $156.66
Plan Review - Fire Life Safety 11/25/2009 $96.40
Plan Review 01/13/2010 $195.71
Contractor: Plan Review - Fire Life Safety 01/13/2010 $120.44
TODD CONSTRUCTION 12% State Surcharge - Building 01/13/2010 $65.05
4080 SE INTERNATIONAL WAY B -11
MILWAUKIE, OR 97222
PHONE: 503- 653 -5704
FAX: 503 - 653 -5704
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $33,000
Floor Areas:
Total Area: 0
Accessory Struct: 0 •
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,176.37
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: No Protected Corridors: No
Smoke Detectors: No Manual Pull Stations: No
Accessible Parking: 0
•
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. 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 throw h OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.24: 6699 0 1.800.332.2 44.
Issued By: 9. J\+' RA Permittee Signature:
Call 603.639.4175 by 7:00 a.m. for an Inspection that business da
This permit card shall be kept In a conspicuous place on the Job site until completl • . e project
Approved plans are required on the job site at the time of each Inspection.
B iil ing Permit Application
Commercial RECEIVED 10 12 01 IICI. USE 0.1.1
City of Tigard Received I 1 Permit No
13125 SW Hall Blvd., Tigard, OR 97223 P lan Review
Phone: 503.639.4171 Fax: 503.598.1960 JAN 06 2.010 L e ( �I 0 Other Permit:
Date/By:
- i i Ai( t ) Inspection Line: 503.639.4175 Date ReadyBy: J ® See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: ( 'Diu) 2i ' tq Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction 0 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 $Commerciallindustrial 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: I ('7 4 ' S c4./ ion -c t -K:c i ti zo , - New dwelling area: square feet
City/State /ZIP: re i -i. ' 0 4 T 7 2:2-3 / Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: A f'Q10- I l J - 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.
(NTH/_. Tr ,) ., U�I • to _ Valuation: $ 3 - 3 ) X
Existing building area: q11 2 'square feet
(I New building area: S'l - 12_ square feet
❑ PROPERTY OWNER I I,4 TENANT Number of stories: I
Name: -1-. l�l
c ,, CI.t.L f dj A etArvy t f Fit -r%,t t • f 7 ,-Sit..-- Type of construction: C W1 t-i (
Address: Z 21' E Fo i,t, - 1/.► 1 % ivd . Occupancy groups:
City /State /ZIP: 1/4.A.4.--. c- c ,..V -, .e , / f i A q B 6G / Existing: //1/1 Phone: (5 03) 7 7) ((-,-�-- - 3 0- Fax: ()60 ) 3 )_3 - q 0 2 - New:
❑ APPLICANT At CONTACT PERSON NOTICE
Business name: K ! s .t
c4-47 Yt. S w,,c- 14..�a_. All contractors and subcontractors are required to be
Contact name: S' i� 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: jD Wv. CA4.11,1.( ®- J - 5 L — o L al - frt k
CONTRACTOR
Business name: ( J f - T o d C .34-4. C f - min BUILDING PERMIT FEES*
Address: l,.{ 0 3 0 S ¢ t� d ` ki
(Please refer M lee schedule)
c l� Structural plan review fee (or deposit):
City/State/ZIP:
/ (r t . ✓ I t 1 c `� Z 2 2 FLS plan review fee (if applicable):
Phone: ( 503) X 53 `5_i o'.1- Fax: (5b3 ) (. " S) Z `i /'
CCB lic.: Total fees due upon application:
Amount received: I 9 3 . 3 I i
Authorized signature: 1
C (/'-jL(. f This permit application expires if a permit is not obtained
w ithin 180 days after it has been accepted as complete.
Print name: f .- .. I d Date: (, �O * Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building\Pcrmits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02 /COM/WEB)
This form is recognized by most Building Departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
BUILDING DIVISION
T I G A R D TRANSMITTAL LETTER
a
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: ow d.3
DEC 112009
CITY OF TIGARD
COMPANY: BUILDING DIVISION
PHONE: 8,A
RE: 1 1
(Site Address) 4 � c � w l e rmit� O � e `�
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies:. Description:. I Copies: Description:
Additional set(s) of plans. >c Revisions: ( CCES5 b) \INAlccifivt5
Cross section(s) and details. )L ('all brac g and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS:
• . FOR OF ICE SE ONLY •
Routed to Permit Technici • Date: Initial, r
Fees Due: ❑ Yes To Fee Description: Amount ue:
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
I:\ Building\ Forms \TransmittalLetter- Revisions.doc 4/4/07
•
lb
Building Division RECEIVED
Accessibility: Barrier Removal improvelrin.ent PlaUAN 0 5 2010
TIGARD
BUILDING DIVISION
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. •
(1) Every project for renovation, alteration or modification to affected buildings-and related
fadlities 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 arc 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] $ 33000
MULTIPLIER (25% barrier removal requitement): x .25
•
TOTAL BUDGET FOR BARRIER REMOVAL: [2j $ 8250
ELEMENTS: In choosing which accessible clem.ents to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elccn.ents shall be provided in the
following order:
(a) Parking $ 500
(b) An accessible. entrance: $ 6000
(c) An accessible route to the altered area: GK $ 0
(d) At least one. accessible restroom for. each sex or a single. Unisex ,
restroom: e x� fr $ 0
(e) Accessible telephones: AVA $ 0
(f) Accessible drinking fountains: and, ,✓14 $ N/A
(g) When possible, additional accessible elements such as storage and
alarms: ,/ ra. $ —_ 0 .
TOTAL (shall equal line [2] of Valuation Computation): $ 6500
1: \1 uiidinv \]'emits \Bt iP -CO.M PcrmitApp.dor. 05 /25/08
•
•
•