Permit (2) CITY OF TIGARD BUILDING PERMIT
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''. COMMUNITY DEVELOPMENT Permit #: BUP2010 -00163
TIGAAD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/20/2010
Parcel: 2S101 BB00401
Jurisdiction: Tigard
Site address: 11880 SW PACIFIC HWY
Subdivision: Lot: 0
Project: Russ Chevrolet
Project Description: Relocating existing sign.
Owner: FEES
KNAUSS, WAYNE ET AL Description Date Amount
C/O HUMBERSTON, RUSSELL D, REVOCABLE Permit Fee - Additions, Alterations, 07/20/2010 $119.33
TRUST, PO BOX 4300 Demolition
PHONE: Plan Review 07/09/2010 $77.56
12% State Surcharge - Building 07/20/2010 $14.32
Contractor:
YESCO LLC
20100 SW 112TH AVE
TUALATIN, OR 97062
PHONE: 503 - 612 -6672
FAX: 503 - 612 -0914
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 30 ft
Bedrooms: 0 Bathrooms: 0
Value: $3,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $211.21
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 app - ble 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 s - •en • ed for more th- :0
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules ar- se� in OAR
952 - 001 -0010 throe AR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503. :.6•:y or 1.800 .2344.
Issued By: Permittee Signature: / APir
Call 503.639.4175 by 7:00 a.m. for an inspection that bu.' ess 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.
•
,., APP Permit Application !: €60 ., :;,
Commercial �����
• I OR )I I I(I 'til l� OBI ,
City of Tigard � � � Received
: MLR= Permit No.: /,, -V
III 13125 SW Hall Blvd., Tigard, OR 97223 �, \ O �. R� Plan Review J �
Phone: 503.639.4171 Fax: 503.598.196 DateB : , i 6 Other Permit:
a
.1. t ( ; .0 it [) Inspection Line: 503.639.4175 1C) Date Ready/By: ®see Page 2 for
Internet: www.tigard - or.gov ci c.N] 0 *
' V 1•XS� Notified/Method: Supplemental Info rm ation
TYPE OF WOR 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: 1 t w o .� I', H� ✓ New dwelling area: square feet
City /State /ZIP: a1. . G D/` - J Garage /carport area: square feet
/
Suite/bldg. /apt. no.: Project name: g c/ ff ,l e ,i- 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 (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
• DESCRIPTION OF WORK work indicated on this application.
Pe %d ST D . /e S r 614,41e ,f/ — / I • Valuation: $ 3� 60d
e x j jJ.^Gr 7p t h [O
n �� 1 , V _ 11 a( F (Jw // r e 0 O , / Existing building area: square feet
�,(J V New building area: square feet
i ' ' OP ERTY OWNER - `•'(TENANT - Number of stories:
Name: / C evta! - Type of construction:
Address: // WO S J , r ' / G y / Occupancy groups:
City /State /ZIP: � f ,a V ( p1 be - Existing:
r
Phone: a ) Fax: ( ) New:
• 4ij APPLICANT • • , ' .0 CONT -PERSON NOTICE
Business name: yf 5c All contractors and subcontractors are required to be
Contact name: F .^ S licensed with the Oregon Construction Contractors Board
Fi k; fl ORS 701 and may be required to be licensed in the
Address: 2.6 / DSO Si") //a tt A v e jurisdiction in which work is being performed. If the
City /State /ZIP: 'not (CS; J7 (Y/ applicant is exempt from licensing, the following reasons
pp y:
Phone: ( `'; �" 3) I Z' (, (7 7 Fax : : . (5�3 ) (p /2 Z�c /V
E-mail: f_4,4,-,,se . yes,). cork,
• CONTRACTOR .
Business name: yEsC 0 BUILDING PERMIT FEES*
Address: 2,01 d a s j 2 7�� i9v.e (Please refer to fee schedule) - . _
y ��Q / /./.,1 / Structural plan review fee (or deposit):
City/State/ZIP:
iew fee (if applicable):
. Phone: (563 )60)6012_ t�(p � 7z Fax: (55 ' 65)/4/ Total fees due upon application: 7 75
CCB lic.: free), /S —
Amount received: 7 ,,
Authorized signature: , T permit application expires if a perm is not obtained
�
J � within 180 days after it has been accepted as complete.
Print name: Z ?4'l,/ � �� STS Date: 7/?// a * Fee methodology set by Tri -County Building Industry
!" Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(11/02 /COM/WEB)
•
Building Division
Accessibility: Barrier Removal Improvement Plan
TIG.AR
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): $
I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08