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Permit CITY TIGARD BUILDING PERMIT Alk PERMIT #: BUP2006 -00269 DEVELOPMENT SERVICES DATE ISSUED: 6/30/2006 I I I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 102BD -01900 SITE ADDRESS: 12900 SW PACIFIC HWY ZONING: C -G SUBDIVISION: HUDSON PLAZA LOT: OOD JURISDICTION: TIG Project Description: Demo 3,500 sq. ft. commercial building on sewer. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: DEM 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: Owner: Contractor: HENDERSON, MARILYN DOROTHEA OWNER JENSEN HUDSON TRUSTEE 11795 SW KATHERINE ST TIGARD, OR 97224 Phone: Contact #: Reg #: FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 6/30/2006 $62.50 [TAX] 8% State Surcha 6/30/2006 $5.00 [ERPRMT] Erosion Con 6/30/2006 $26.00 [ERPLN] Erosn Pin Rv C 6/30/2006 $8.45 (additional fees not listed here) Total $110.40 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 no 'arted within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to foil.,, ' I;. adopt- - • the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -'s I . • _ .. .. :' . py of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. // Issued By: 0, )4572,... — Permittee Sig • • ure: i ,y Call 503 - 639 -4175 by 7:00 a.m. for an inspect' • n 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. D- iv\c) . . Buildine Permit Application roll o r ii c is tis E o N L\' City of Tigard ,v�® Received a / �� . ._ 13125 SW Hall Blvd., Tigard, OR 97e Plan Revie Phone: 503.639.4171 Fax: 503.598 G 00 6 Date/By. Other Permit: FIG n It D Inspection Line: 503.639.4175 , ` � w `` t Q L Date Ready/By: r ®pplem Attached ental lufoCh eeW m etiou ist for ,� \v Internet: www.tigard- or.gov J Noti ed/Method 1 Sur TYPE OF wcgi t�� D 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. ❑ 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: lice 0 L pttr 1 New dwelling area: square feet City /State/ZIP: T1 t I A t p e ,„... Garage /carport area: square feet Suite/bldg. /apt. no.: //D 210 1 Project name: /\ flL jg � Covered porch area: square feet Cross street/directions to job site: `W (;,,C(' ` " • Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: 0 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 ` W � WORK work indicated on this application. katitOtte_ 3 ar3C7f 'O tl �'tp a Valuation: $ t 00 000i 00 Existing building area: 3. son square feet New building area: square feet ',PROPERTY OWNER I ❑ TENANT Number of stories: .3 Name: to �Q.. ill � t Type of construction: tp)ttO p Address: t • 1 n SCO ° ' e P (.14-- r e -Vert Occupancy groups: me c t City /State/ZIP: ETA 6 A al) C E °k 4 2,- Existing: Phone: ( ® ...7 tell9 Fax: ( ) 6, .. 7•° 6 p , a4 New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: NO kAit 0 *Wk oet ticj +mil Czt4.eZr, All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: /\gyp I� -� 1) I C M Ore ? 70 �I 4 ° r � under ORS 701 and may be required to be licensed in the Address: KC.t�T `cL: Soz,5 jurisdiction in which work is being performed. If the City /State/ZIP: 4 614 (>t(0 0 P e q s —( 1, ., e� applicant is exempt from licensing, the following reasons �q c.)- a I Phone: ( )) �1 3 �1" I FFax:: 6 6.a" E-mail: tTt 4 C tr:31 . (E) A.c L. . co NA„...,_ CONTRACTOR Business name: N\ k1 Ve W ■Atf r e- Ii t BUILDING PERMIT FEES* Address: I 1 C t>4 ' (Please refer to fee schedule) , Structural plan review fee (or deposit): City /State/ZIP: 6, 4 W 0 e 7 4-1 . FLS plan review fee (if applicable): Phone: ( 6 4(5 -' "Pr I Fax: (57j', 4'n '.- -3,66 Total fees due upon application: CCB lic.: VP im• '/ Amount received: / I0. 7 o Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: MA lAh(0 ilks 61 s; cam I Date:15,6 -,0....04, • Fee methodology set by Tn -County Building Industry Service Board. I:\ Building \Permits\BUP- RES- PelmitApp.doc 0321/06 4404613T(I I /02/COM/WEB) . One- and Two - Family Dwelling __ >, Building Permit Application Checklist rOlz ()Eller. liSE ()NIA IN City of Tigard Received Permit No.: to 13125 SW Hall Blvd., Tigard, OR 97223 Assoc. Date/By III . Phone: 503.639.4171 Fax: 503.598.1960 Associated permits: f I C n It I) 24- Hour Inspection Line: 503.639.4175 , , _ _ ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard- or.gov \ - >:,i ' ❑ THE FOLLOW ING ITEMS ARE REQUIRED FOR PLAN REVIEW W 1` NO N /:\ 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ■ • • • 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district a . . royal re 1 uired. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorisation for remodel. Existing system capacity . • ❑ • 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ 0 ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ 0 . ❑ 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ 0 ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 1 I Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ' ❑ there is more than a 4-ft. elevation differential, plan must show contour lines at 2 -ft intervals); location of easements and driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator; lot area; building coverage area percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. • 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ • ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- . ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors/roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ - • ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑ for four or more appliances. . 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore on and shall be shown to be licable to the project under review. 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17". ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ 0 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑ `� OS . ik,Clean Water Services' Sensitive Area Pre- Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ \ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. 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BUILDING TO REMAIN TO REMAIN I i CITY OF TIGARD BUP200€ 00263 BUILDING DIVISION PERMIT #: 6/30/2006 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 6", �11� , ill 'I Inspection Requests (24 Hrs.): (503) 639 -4175 _ — 7/21/2006 7: 01 AM 12 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 12.900 SW PACIFIC HWY SITE ADDRESS: HUDSON PLAZA OOD CLASS OF WORK: SUBDIVISION: HUDSON BUILDING LOT #: TYPE OF USE: PROJECT NAME: Demo 3 500 sq. ft. commercial building on sewer. DESCRIPTION: HENDERSON, MARILYN DOROTHEA, OWNER: OWNER PHONE #: CONTRACTOR: PHONE #: 1 7/21/2006 Inspection Request Scheduled For: Date: Pour Time: C o l # Ir m c go i ription %gfl€St i r5®n3-td 3-x537 Message i: ,4Jk ®33 0 --6 l Corrections/Comments/Instructions: h et/3 ,( Cel___@er,Q-- 4 ifl l v • 1 __ __, , / ., /yr .1:: -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTIO ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ` 1 b ` Phone #: (503) 718- v -A