Permit / OIL NG B PERMIT`
. . y YO. R D PERMIT #: BUP2007 -00608
COMMUNITY DEVELOPMENT DATE ISSUED: 11/29/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 102 B D -00500
SITE ADDRESS: 12705 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT: 050 JURISDICTION: TIG
PROJECT: GENIE CAFE
Project Description: Change of occupancy.
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: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 45 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:
FARID ADRANGI
4289 SW ORCHARD WAY
LAKE OSWEGO, OR 97035
Phone: Contact #:
Reg #:
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/27/2007 $62.50
[TAX] 8% State Surcha 11/27/2007 $5.00
[FLS] FLS Pln Rv 11/27/2007 $25.00
[BUPPLN] Pln Rv 11/27/2007 $40.63
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: 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.
lk �Buil d in P E._ A -e- Application 12`?6S(� ` C " li
Commercial FOR OFFICE USE ONLY
City of Tigard RE CEIVE Received /
Date/B : 1 c2 0 • M� . ,�% 41
1 SW Hall Blvd., Tigard, OR 97223 ' Plan Revie �►,��
C . Phone: 503.639.4171 Fax: 503.598.1960 DateB : i 0r =r /L�(� / A r ether Permit:
Inspection Line: 503.639.4175 NOV 2 7 200/ Date Ready :y: a �u� ® See Page 2 for
T I G A K D Date Ready � a � / Q 7 / /J ' Supplemental Information
Internet. www.tigard- or.gov
CITY OF UGRRD
VZDif4GDWISION sp - ' �',�( `�
TYPE OF W REQUIRED DATA: 1-/AND 2- FAMILY D LLING
❑ 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 ID Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12—A A OS Sw pQ }1C I-IW •Il New dwelling area: square feet
City/State /ZIP: '—'r lajOr t O IZ `VA- 2.13 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: QTeVI'te_ c 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: I 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
Oil DESCRIPTION OF WORK work indicated on this application.
/ —Q,� � L � I � C L �- t^ ,� , , _ Va luat io n : $ �/ ddo �yV� Exis building area: square feet
o New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: % A V rcAv%op Type of construction:
Address: ki LW' SW L rCtnGr v1 ay Occupancy groups:
City /State /ZIP: Lc\kc.O S■ -e_ 5 O t v., 1Z vV t•1 S Existing: H
Phone: &3 ) S'._ ,I3 Fax: ( ) New: 23
❑ 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: : ( -) la
,.0
E -mail:
Se.
CONTRACTOR
.5od
Business name: BUILDING PERMIT ,
FEES* �✓
Address: (P lease refer to fee scheduled 'S;e7.0
City /State /ZIP: Structural plan review fee (or deposit):
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: Total fees due upon application: Amount received: S/33.
/
Authorized signature: ►
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print.name: A, ` Qv , ^ , v) Date: ` ` 1 " )- * 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)
11 1111 Building Division
o .
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): $
1: \ Building \ Permits \BUP -COM PermitApp.doc 10/30/07
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 1BUp2007- 00608
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2007
Phone: (503) 639 -4171 /a�ui�IrIG /7-?a
Inspection Requests (24 Hrs.): (503) 639 -4175 .' " :_..
INSPECTION WORKSHEET FOR DATE: 12/11/2007 TIME: 7:00AM PAGE: 93
SITE ADDRESS: 12706 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT #: 050 TYPE OF USE:
PROJECT NAME: GENIE CAFE
DESCRIPTION: Change of occupancy.
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 12/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 061209-02 503 -€414 -5078 N
Corrections /Comments /Instructions:
I /
•
❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V 61` Date: V p 6 "1 Phone #: (503) 718- ?-}12i
CITY OP TIGARD u , L
C I .—...Sdanmunity Development
° Buiiding Division
13 u ,1 13125 SW Hall Blvd,
PERMIT #: B(JP2007
131: TIGARD Tigard, OR 97223 DATE ISSUED: 11/2912007
Phoi 503.639.4171 rq�� l'
Insp ' Albert Shields Direct 503.718.2426 L r•I I-.
Inspector II /Code Fax 503.624.3681
INSF
1 TIME: 7:01AM PAGE:
Enforcement Officer TDD 503.684.2772
— albert@tigard -orgov Web wwu:tigard -orgov
— -- -- ---- -- - -- - -- - — - I CLASS OF WORK:
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT #: 050 TYPE OF USE:
PROJECT NAME: GENIE CAFE
DESCRIPTION: Change of occupancy.
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 12/5/2007 Pour Time:
Code # Inspection Description Confirm # ontact # Message
299 Final inspection 060779 -01 503.5445078 N
Corrections /Comments /Instructions:
a.
r
LW A% And 114" / ' 11 it /. A - 7 l
e
fi tt . 1_4 / / A I . i .. .: / v/, 6 4'f-' \ o ,'�'
Lir/Me-et -
71Veivrah
4L/4,1 9 % , r /4s i it,tie-vie4-
5 7m- 1/...q,
-- / _ 3 4 J4 eJ/
�. mace_ ,
, 4� ■ - Jzu 1:1< . T el...---
1 ' . I i' i
i / _ . ,,� r�DQ G cam _ . 0- 4e.e..." 42,,e �lf
/- :r. TO : Lei' L L%GGw WeLe_d_ez3
/ 11r _
f � Or fig/
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL U NO ACCESS
FAIL ❑ CALL FO INSPECTION ❑ ADDITIONAL FEES ASSESSED
cr / Inspector: Date: 2 d Phone #: (503) 718- id