Permit . CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00365
COMMUNITY DEVELOPMENT DATE ISSUED: 11/13/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 134 D D - -
SITE ADDRESS: SW NO ADDRESS ZONING:
' SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: PEDESTRIAN BRIDGE
Project Description: Repairing the pedestrian bridge West of the Tigard St. and Tiedeman Ave intersection.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: U2 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: $ 18,500.00
Owner: Contractor:
CITY OF TIGARD WOLF INDUSTRIES INC
13125 SW HALL BLVD 10600 NE 189TH ST
TIGARD, OR 97223 BATTLE GROUND, WA 98604
Phone: 503 Contact #: PRI 360 723 - 5307
FAX 360- 723 -5267
Reg #: LIC 184044
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/13/200E $184.05
[TAX] 12% State Surch 11/13/200E $22.09
[BUPPLN] Pln Rv 11/13/200E $119.63
[FLS] FLS Pin Rv 11/13/200E $73.62
Total $399.39
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 than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Oregon . • I. ' -lion Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of thee- rules or direct . esti. s to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issu d By: / /�/ \ Permittee Si nat ur > ^ ,
i ft
Call 503.639.4175 by 7:00 a.m. for an inspection tha a siness 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.
Building Permit Application
Commerciale FOR OFFICE USE ONLY
City of Tigard Received if/A,/,;7c / +--C10
t t
° 13125 SW Hall Blvd., Tigard OR , b t ; Date /B
`� i Permit No.:
g ,.., Plan Review�
Phone: 503.639.4171 Fax: 503. i .t1 .
� � � c Date /B : Ale Other Permit:
TI'GARD Inspection Line: 503.639.4175 ^\,� A ®� V ,• s ate Ready/By: orris: ® See Page 2 for
Internet: www.tigard- or.gov \y '0 2 eok0 Notified/Method: TrO Supplemental Information
• - ` ' TYPE' OF WO REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ De"ir ttion 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: Pfifetrir equipment, materials, labor, overhead, and the profit for the
. C ATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder [I ' ther: p , kA tylet�p' Number of bathrooms:
JOB. SITE INFORMATION AND LOCATION:" , Q ., -- Total number of floors:
Job site address:
Pt" r g'(y.pet at rezAlri0 Creek- -, „r.,..: New dwelling area: square feet
City /State /ZIP: � , Q = I 24,3 i•ey. - • Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site/41- T%gp WjGfge, C.v.eok OL Deck area: square feet
Teo ew AN/Gh u e. 7 Other structure area: square feet
REQUIRED DATA:.COMMERCIIAL -USE CHECKLIST
Subdivision: Nip Lot no.: /V/9 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: / 5 / 3L � 7b . k ^()_� Indicate the value (rounded to the nearest dollar) of all
�' equipment, materials, labor, overhead, and the profit for the
. ' D ESCRIPTION OF. WORK . work indicated on this application.
i' - 1 11 -C. - e--WfW) . pe-Gleo irle n {?YI , at/CA /IAS f a(affe./ Valuation: $ 18
iv f ' 4).46?, �� ir_plgG 7'ft , raiii Gder-km., der-km., JO)kf5, E Existing building area: square feet
associa.l-c� coma .J¢m.ew-Is . New building area: square feet
Ly' PROPERTY OWNER . . ❑ TENANT ... Number of stories:
•
Name: (°i%. I -1-14.04 Type of construction:
Address: /3/ AG S'i Hall E3t✓el J Occupancy groups:
City /State /ZIP: 755Q,d / OR R izz. ' Existing:
Phone: (03) 6$ -714/ Fax: ( ) New:
- ❑ APPLICANT , . ' - ' ECONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: VC{/)n j4e, &f Off,-/ yee. licensed with the Oregon Construction Contractors Board
((// I ��, under ORS 701 and may be required to be licensed in the
Address: 861/ R& a VVcd jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( - .9..,4f 0 I Fax: : (5pS)
E -mail: VC<nn/e. 0 - el/ —
- CONTRACTOR
5) k 2a--, u R
Business name: { �p(� J Inc , •
ZY?p USI'Y'1` B UILDING PERMTT FEES* I
Address: I0 �00 AJ E I Sr (Please refer to fee schedule) (��. ��
Structural plan review fee (or deposit): ( ( 63
' City /State /ZIP: 'q} (e ► gy p{ / WA G� g(ppC t ( '
W FLS plan review fee (if applicable): 7
c c - Phone: (3o0) 1 QA' - 6B Fax: (30)) e �2 3 - J�,a '7 CO_
CCB lie.: fr O Total fees due upon application: 3qq, `-
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: VA N N IC NGU '-r Date: ii /Slog * Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building \Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(1 I /02 /COM /WEB)
B uilding 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'oneaccessible 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): $
•
•
l: \Boil ding \Permits \BUP -COM PermitApp.doc 06 /25/08
CITY OF TIGARD eZ"OW - 60 3 (o
1 BUILDING DIVISION 4 PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 teii
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1 I /7/cibg
TIME: PAGE:
SITE ADDRESS: N 6 /4d/(Qt9 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: C, T1 ceffd1/4. 44 .
OWNER: C ../`/ �{ PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
7A4 N k V
Corrections /Comments /Instructions:
/
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7
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0 „plikl_s/n/J - to ch,,J oOkrv-v--e_ .
/' PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
® � � Ph -54
Inspector: Z A.........__ Date: g � one #: (503) 718 - `— " `1
11/25/2008
Case Activity Listing
'CCELI 7:38:23AM
Case #: BUP2008 -00365
Assigned Done Updated
Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes
BUP1010 Application received 11/5/2008 None RECD BTT 11/5/2008
BTT
BUP1020 Permit created 11/5/2008 None DONE BTT 11/5/2008
BTT
BUP1030 Check for parcel 11/5/2008 None DONE BTT 11/5/2008
tags /C WS BTT
BUP1060 Building plans routed 11/6/2008 None DONE DEB 11/6/2008 Plans with Brian Blalock
to PE DEB
BUP1065 Begin plan review 11/7/2008 None DONE DAN 11/7/2008
DAN
BUP1100 Building plans 11/7/2008 None APRV DAN 11/7/2008
approved by PE DAN
BUP1110 Approved plans 11/7/2008 None DONE DAN 11/7/2008
routed to PT DAN
BUP1240 Post- review 11/7/2008 None DONE BTT 11/7/2008
completed BTT
BUP1270 Ready to issue permit 11/7/2008 None REDY BTT 11/7/2008
BTT
BUP1280 Issue permit 11/13/2008 None DONE DEB 11/13/2008 Fees paid manually as to be paid by
BLD journal entry.
Page 1 of 1 CaseActivity..rpt
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for. BUP2008 -00365 REQUIRED ON GREEN INSPECTION CARD.
✓ Code 1 Inspection Description I PASS Date By ✓ Code 1 Inspection Description PASS Date I B
BUP - Buildin • Permit ELC - Electrical Permit
405 Excavation _ 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr •roofin• basement walls 135 Low voltage
- 260 Tilt -u..and -_ 195 Misc. inspection:
- 265 Mason • -_ 199 Electrical final
270 Reinforcin• - steel rebar -_
ME 275 Framin.
810 MFG - Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
X 299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab
910 Sprinkler rough -in I' - Plumbing Permit
915 Fire alarm rough -in 305 Plumbing underslab
920 Suppression trip test 310 Crawl drain
995 Misc. inspection: 315 Post /beam plumbing
998 Al al 320 Plumbing rough -in
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert /catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
` • CITY OF TIGARD "• BUILDING PERMIT
' COMMUNITY DEVELOPMENT PERMIT #: BUP 2008
DATE ISSUED: 11/13/2008
T3,G 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S134DD -R -O-
SITE ADDRESS: SW NO ADDRESS ZONING:
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: PEDESTRIAN BRIDGE
1 Project Description: Repairing the pedestrian bridge West of the Tigard St. and Tiedeman Ave intersection:
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: U2 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: $ 18,500.00
Owner: - Contractor:
CITY OF TIGARD WOLF INDUSTRIES INC
13125 SW HALL BLVD 10600 NE 189TH ST 00
TIGARD, OR 97223 BATTLE GROUND, WA 98604
Phone: 503-639-7141 Contact #: PRI 360- 723 -5307 10
FAX 360- 723 -5267
O
Reg #: LIC 184044 CO
FEES
REQUIRED ITEMS AND REPORTS 0
Description Date Amount o
[BUILD] Permit Fee 11/13/200E $184.05 V3
[TAX] 12% State Surch 11/13/200E $22.09 V [BUPPLN] PIn Rv 11/13/200E $119.63 U)
[FLS] FLS PIn Rv 11/13/200E $73.62
Total $399.39
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 than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Oregon
Issu d 'My ntotific_ation Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of the rules or direct "questio s to OUNC by calling 503.246.6699 or 1.800.332.2344.
By: ■ l
/ t •: l V , j Permittee Sidnature: ` a) / 1 t f (i:?r/
Call 503.639.4175 by 7:00 a.m, for an inspection that- b 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.
II
", City of Tigard
TIGARD
Tidemark Journal Entry Request
This form is used to request a journal entry for Tidemark case fees to: 1) correct revenue accounts
of paid case fees, or 2) transfer fees between revenue accounts to pay case fees. Receipts and
documentation must be attached when applicable. All Tidemark journal entry requests must be
routed to the Tidemark System Administrator for processing. The Tidemark System
Administrator will route the request to Accounts Payable and a copy of the journal entry will be
returned to the Tidemark System Administrator to adjust or pay case fees.
DA 1 E: 11 -5 -08
REQUESTED BY: Vannie Nguyen by Linda Fenstermaker
CASE NO.: BUP2008 -00365 54) Ale 9 /
j iCe1 ST F 77 (76 e7 7,9n/ gf/E
...
RECEIPT NO.: DATE:
EXPLANATION: Tigard Street Pedestrian Bridge Repair CIP# M08 -08
"Posted" A Description : Posted . ` Post; "Aount Description ; 1 Post To
(Acc «here fees currently reside:)' $ Amount:; •(Account;ices are to be transferred to) t $ 'Aitil unt;
Example 245.0000 = 433000 Example . , 245- 0000 - 432000 - 1.. - -
,` .[BUPPLN] Pin Rv [BUILD] Permit Fee
Springbrook 200 - 6300 - 757023 184.05 245 - 0000 - 432000 184.05
or IFAS 96290- 200 -150
(Build) Permit Fee
Springbrook 200 -6300- 757023 119.63 245- 0000 - 433000 119.63
or IFAS 96290- 200 -150
Tigard Street Ped Bridge Repair (BUPPLN) PIN RV
M08 -08
Springbrook 200 - 6300 - 757023 22.09 100 - 000 - 207020 22.09
or IFAS 96290- 200 -150
Tigard Street Ped Bridge Repair (TAX) 12% State Surcharge
M08 -08
Springbrook 200 - 6300 - 757023 73.62 245 - 000 - 433020 73.62
or IFAS 96290- 200 -150
Tigard Street Ped Bridge Repair (FLS) FLS PIN RV
M08 -08
TOTAL: 399.39 TOTAL: 399.39
V FOR TIDEMARK SYSTEM ADMINISTRATION USE:ONLY '
:
V , Case Fees Adjusted: JE #: r f Date: „ /p e - By :
I: \ Building\ Refunds\J ournalEntryRequest- ErsnCntrl.doc 09/15/06
CITY OF TIGARD 11/26/2008
111 I Fees Associated With 1:27:43PM -
13125 SW Hall Blvd.
TIGARD Tigard, OR 97223 503.639.4171 Case #: BUP2008 -00365
Fee Start End Revenue Created
Type Date Date Dept Description Account Number By Date Amount Due
PRMT 1/1/1990 12/31/2020 [BUILD] Permit Fee 245- 0000 - 432000 DAN 11/7/2008 184.05 0.00
SURI 12/31/2007 12/31/2020 [TAX] 12% State Surcharge 100- 0000 - 207020 DAN 11/7/2008 22.09 0.00
PLCK 1/1/1990 12/31/2020 [BUPPLN] Pln Rv 245- 0000 - 433000 DAN 1 1/7/2008 119.63 0.00
FIRE 1/1/1990 12/31/2020 [FLS] FLS Pln Rv 245- 0000 - 433020 DAN 11/7/2008 73.62 0.00
Total Due: $0.00
W
0
f W
Vt
I
Page 1 of 1 CaseFees..rpt
General Ledger
Journal Entry Proof List
User: Phyllis
Printed: 12/02/2008 - 9:49 AM
Account Number Account Description Debit Amount Credit Amount Line Description System Reference Project Management
Journal Entry: 000437 05 2009 Journal Entry Date: 11/30/2008 System: General Ledger 3 (!/�
- v °
100- 0000 - 101000 Cash & investments 22.09 0.00 (Tax) Cip M08 -08 Tigard St Ped / , 0al�
Bridge Repair / , Q
100- 0000 - 207020 State Bldg Permit Surcharge 0.00 22.09 (Tax)Cip M08 -08 Tigard St Ped l �/ f /
Bridge Repair v /� ' �
Fund Total 22.09 22.09
Fund Balance 0.00
200 - 0000 - 101000 Cash & Investments 0.00 399.39 CIP M08 -08 Tigard St Ped Bridge
Repair
200 - 6300 - 757023 Pedestrian Bridge RepairTigard 399.39 0.00 CIP M08 -08 Tigard St Ped Bridge
Repair
Fund Total 399.39 399.39
Fund Balance 0.00
245- 0000 - 101000 Cash & Investments 377.30 0.00 CIP M08 -08 Tigard St Ped Bridge
Repair
245- 0000 - 432000 Building Permits 0.00 184.05 (Build) Cip M08 -08 Tigard St Ped
Bridge Repair
245- 0000 - 433000 Building Plan Check Fee 0.00 119.63 (Buppin) Cip M08 -08 Tigard St Ped
Bridge Repair
245 - 0000 - 433020 Fire Life Safety Plan Ck Fee 0.00 73.62 (FLS) Cip M08 -08 Tigard St Ped
Bridge Repair
I
GL - Journal Entry Proof List (Printed: 12/02/2008 - 9:49 AM) Page 1
Account Number Account Description Debit Amount Credit Amount Line Description System Reference Project Management
Fund Total 377.30 377.30
Fund Balance 0.00
Journal Entry Totals 798.78 798.78
Joumal Entry Balance 0.00
Report Totals 798.78 798.78
Report Balance 0.00
VV
d
GL - Journal Entry Proof List (Printed: 12/02/2008 - 9:49 AM) Page 2