Permit CITY OF TIGARD BUILDING PERMIT
.11111
e COMMUNITY DEVELOPMENT Permit #: BUP2012 00123
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/18/2012
Parcel: 1 S136CA01500
Jurisdiction: Tigard
Site address: 7705 SW PFAFFLE ST
Project: Hawthorne Villa Apartments Subdivision: FAIRVALE Lot: 6
Project Description: Fire repair, gut due to smoke damage, no sturctural.
Contractor: JR JOHNSON INC Owner: HAWTHORNE URBAN DEVELOPMENT LLC
PO BOX 17196 7705 SW PFAFFLE ST
PORTLAND, OR 97217 PORTLAND, OR 97223
PHONE: 503 - 240 -3388 PHONE:
FAX: 503 - 240 -3424
FEES
Specifics: Description Date Amount
Type of Use: MF Permit Fee - Additions, Alterations, 06/18/2012 $286.64
Class of Work: OTR Demolition
Dwelling Units: 0 12% State Surcharge - Building 06/,18/2012 $34.40
Stories: 0 Height: 0 ft Plan Review 06/18/2012 $186.32
Bedrooms: 0 Bathrooms: 0
Value: $14,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $507.36
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
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. AP ' • `: = eon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -01 -0010 through OAR • 2 -001 -Or a You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Iss e`: Permittee Signature: ��af -
Call 503.639.4175 by 7:00 a.m. for the next available I ion date.
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.
Building Permit Application
Commercial R I.oltol llcl
City of Ti and Received / per mit No.:
�J g Date/13 : / d #1...--09/49.-
C ° 13125 SW Hall Blvd., Tigard,OR 97223 JUN 1 8 2012 Plan Review
111 Phone: 503.718.2439 Fax: 503.598 Date/By: Other Permit:
1 . �� D Inspection Line: 503.639.4175
CITY k Date Ready/By: tws: ® See Page 2 for
Internet: www.tigard -or.gov CITY OF 9 IGA iD Notified/Method: Supplemental Information
Bllll DING 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: h r Rt Pm, r— 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: 7741 s (,ti B Wk Rd New dwelling area: square feet
City /State /ZIP: '' 16ri�(+ 2 !.1 ]2 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: 6 Project name: 1440.1..._!/ ke :-bl e 1 /•t H4 Covered porch area square feet
Cross street/directions to job site: 6 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. 1
, /�
- Fire kg..).,-/ t d., fpa d( dadir ti,.. a
,', Valuation: $ / / Il���
V Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: t 7.0}1 NOCA t u,fla,,,\ A il ea c s Y.di ^ t r L-1-11) Type of construction:
Address: Occupancy groups:
City /State /ZIP: a Existing: .
Phone: ( ) Fax: ( )
New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name:
FLS plan review fee (if applicable):
Address:
Total fees due upon application:
City/State /ZIP: i' , 3�
Phone: ( ) Fax:: ( ) Amount received: 5 7
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
tt CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: J R J 0 Rfy`. a—, Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: Qo 11 I ?f q C Solar Installation Specialty Code checklist.
City /State /ZIP: o r+`.A, t' !72) 7 Permit fee (includes plan review $180.00
and administrative fees):
Phone: (S03 )2_40 s3 58 Fax: ( 3,121 State surcharge (12% of permit fee): $21.60
CCB lic.: 41 76 l0 (I7 /13 Total fee due upon application: $201.60
Authorized signature: € T 2 - This permit application expires if a permit is not obtained
G within 180 days after it has been accepted as complete.
Print name: J / � Date: p8 • , L * Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building,Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(I I /02 /COM/WEB)
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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 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 03/03/2011