Permit 772445 c3 1)uP-Wi .4 # 141_ .
Building Permit Application EXPIRED 2 Y /I 4n'
Commercial FOR OFFICE USE ONLY
RECEIVED
City Tigard RDeacteeB ived /lip? Permit No.:
va I 9-C1-.- err r g
• • 13125 SW Hall Blvd.,Tigard,OR 97223 1 Plan Review ��
• e Phone: 503.639.4171 Fax: 503.598.196�AN 1 4 2009 DateB : r ar m Other•-rmit:
T 1 G A R D
Inspection Line: 503.639.4175 Date Ready/:y:1 � El See Page 2 for
Internet: www.tigard-or.gov crr OF�GARD Notifah ethod:( li/lJ a' emo Supplemental information
1 l. . I) •■ .?Li/v9 __
:I. •, • -
TYPE 0 "1 ' REQUIRE I 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 Valuation: S
❑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: 7Z9l SUJ Dv<<•har"1 .g.eAI 4 .j tOD New dwelling area: square feet
City/State/ZIP: Izp Tt idcK4 or-.- , I 7'-2-Z,if Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: n Covered porch area: square feet
Cross street/directions to job site: ?tA.d b F
— '.4X,25 Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: l 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
Tit L
DESCRIPTION OF WORK 1_ work indicated on this application.
Ti 4 ? th1A TO Cdckv.lci 6'4 1 SCI%W R«O� Valuation: S 00� O�
to Wdzr haO5e. Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name:TatTRst 5t Type of construction:
Address: '} Occupancy groups:
City/State/ZIP: - Existing:
Phone:( ) Fax:( ) New:
❑ 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:( ) I Fax::( )
E-mail:
CONTRACTOR
Business name:12dv,j C',tr on eoyv.Ar0.4-16q BUILDING PERMIT FEES*
Address: Zit 90 SW $vizkyli F - viewereferrofeeosit):wfe)
t Structural plan review fee(or deposit): in.9 9.
City/State/ZIP: HOS bra 0 g..— 1 7-(2-3
Phone:( (,Lt S . -1 g'0 S Fax:( ) FLS plan review fee(if applicable): jam,7 9..
CCB lic.: l S IS 7_44 Total fees due upon application: k.e./Li
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
('� I within 180 days after it has been accepted as complete.
.�.,
Print name: DKr �m' 1 Date: 'f !10i * Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building\Permits\BUP-COM PermitApp.doc 2/23/07 440-4613T(11/02/COM/WEB)
I
•
UPI 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: In] $
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: $
(>) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I
I:\Building\Permits\BUP-COM PermitApp.doc 06/25/08
City of Tigard UI
13125 SW Hall Blvd.
Tigard, OR 97223
• I.
Phone: 503-639-4171
TIGARD
LETTER OF TRANSMITTAL
Date February 4, 2009
To: Dat Pham From: Debbie Adamski
Co: David Green Construction Co: City of Tigard
Fax #: 503-598-1960
Ph #: 503-718-2450
SUBJECT: SuperFloors, 7244 SW Durham Rd Suite 100, BUP2009-00009
MESSAGE:
The building permit for the above permit has been reviewed and approved,it is ready to pick up at the
Building Counter, in the Permit Center, at the City of Tigard. The balance of the fees due to pick up
the permit are $86.02. We have tried to contact you by phone on numerous occasions but the phone
always rang busy and did not offer voicemail.
You can pick this permit up Monday through Friday, from 8:00 AM — 4:30 PM. If you have any
questions please call 503-718-2439.
%ENG\FAX DOT