Permit N. y ,, CITY OF TIGARD
BUILDING PERMIT
• '' - COMMUNITY DEVELOPMENT Permit #: BUP2012 -00238
•
TIGARD 13125 SW Hall Blvd.. Tigard OR 97223 503.718.2439 Date Issued: 11/29/2012
Parcel: 2S102AB04800
Jurisdiction: Tigard
Site address: 12460 SW MAIN ST
Project: Jeffery Alan Home Decor Subdivision: KINGSTON Lot: 2
Project Description: Interior demolition for TI preparation.
•
Contractor: VT CONSTRUCTION LLC Owner: CAPISTRANO, NICOLAS III & CRISTINA
1200 NE 160TH AVE REVOCABLE LIVING TRUST
PORTLAND, OR 97230 6646 SW 35TH AVE
PORTLAND, OR 97221
PHONE: 503 - 706 -8345 PHONE:
FAX: •
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee ' Additions, "Alterations, 11/29/2012 $134.54
Demolition -
Occupancy Grp: Occupancy Load: 12% State Surcharge = Building 11/29/2012 $16.14
Dwelling Units: 0 Info Process /Archiving - Sm $0.50 (up to 11/29/2012 $0.50
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0
Value: $3,380
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $151.18
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. ATTENT • : • egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -00 r through OA' •52 -0090 ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
1 l ✓"
Issued = Permittee Signature:
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Call 503.639.4175 by 7:00 a.m. for the next available Inspection 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.
ie
• " Building Permit Application
Commercial
RECEIVED RI C Received
City of Tigard Il 07 /� PermitNo.: ��Y� a ,3 OP
Date/By:
'li 13125 SW Hall Blvd., Tigard, 01V97M3 Plan Review
Phone: 503.718.2439 Fax: 503M 9� 9 2012 DateBy: Other Permit:
TI G A R D CITY OFTIGARD 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 (romded 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.
dwelling Valuation: $
❑ 1- and 2-family g ❑ Commercial/industrial
❑ 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 4 60 et 71'A //./ i s ' New dwelling area: square feet
City /State /ZIP: 7 1 y ty 0 0 '? Z Z 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: P roject name: 7e-1966-7 AyLL6-1•1 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 (romded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
D£l'►OL I / ice" Valuation: $ 3 , 0— Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: pc-rT'Ci-r-c. Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:
Structural plan review fee (or deposit):
Contact name:
FLS plan review fee (if applicable):
Address:
City /State /ZIP: Total fees due upon application:
Amount received: I/5 f Phone: ( ) Fax:: ( )
. f E(
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof -top mount =. PhotoVoltaic Solar Panel System.
Business name: `/ co N S' I ����QN _ L 6 C Submit two (2) sets . oof plan with connection • • .
7r and fire department acre -, - ong with • I I Oregon
Address: i 2-d-0 N £ /6- -74 iti Solar Installation Specially Co » • .- list.
City /State /ZIP: nQ�� � (9 0 '� Z /�.0 and .. tn Permit fee (include review
istrative fees): $180.00
Phone: ( ' p) /' 3 706 $ `-/ S Fax: ( ) State su . . ge (12% of permit fee): ', 1.60
CCB lic.: i b' 6 • 3 / if(oAi Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Ui Pc•-e Date: 1 I Za/ 0 * Fee methodology set by Tri -County Building Industry
1 �� Service Board.
l:\Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440 -4613T(11 /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 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: $
(0 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 03/03/2011
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