Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2010 -00021
T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/11/2010
Parcel: 2S102AA00200
Jurisdiction: Tigard
Site address: 11920 SW PACIFIC HWY
Subdivision: Lot: 0
Project: Mixers Bar & Grill
Project Description: Add egress door for travel distance.
Owner: FEES
TUMAY CORP Description Date Amount
11920 SW PACIFIC HWY Permit Fee - Additions, Alterations, 02/02/2010 $53.27
TIGARD, OR 97223 Demolition
PHONE: 12% State Surcharge - Building 02/02/2010 $6.39
Plan Review 02/02/2010 $34.63
Plan Review - Fire Life Safety 02/02/2010 $21.31
Contractor:
OWNER
PHONE:
FAX:
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 1 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $500
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $115.60
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: No Protected Corridors: No
Smoke Detectors: No Manual Pull Stations: No
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. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification 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 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: y\ Q Permittee Signature:
��77 �'SRX ' `
Call 503.639.4175 by 7:00 a.m. for an inspection that business 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 1 . .---
r Commercial RECEIVED FOR OFFICE USE ONLY
City of Tigard Date Bea / j Permit No.: 0 0. 0 032 1
II ° 13125 SW Hall Blvd., Tigard, OR 97223 FEB 0 2 2010 Plan Review J,
C . Phone: 503.639.4171 Fax: 503.598.1960 DateB : maw 6 Other Permit:
Inspection Line: 503.639 CITY OF TIGARD Date Ready /By: I ns• lE See Page 2 for
TIGARD Internet: www.tigard or.gov Notified Method: _ • 1 I • to 1 K3 Supplemental Information
BUILDING DIVISION Lm,
' TYPE .OF.. WORK . REQUIRED DATA: 1- A ND 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
'Et Additio alteration eplacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling iz Commercial /industrial
1=1 Accessory building 11 Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE.. INFORMATION AND LOCATION : Total number of floors:
Job site address: 1 kg-2,0 s A D P c t S \C uo New dwelling area: square feet
City /State /ZIP: Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: M t \ e 6rxr v4q g 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 CITECKLIST,
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
' . ". , work indicated on this application.
DESCRIPTION OF .WORK. . PP
Valuation: $
GI • .. • dc
Existing building area: square feet
New building area: square feet
❑ PROPERTY 'OWNER ;' ❑, TENANT:'' Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
133 1470 ut co-c;)
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: ' BUILDING PERMIT FEES* . - -. - • , '
Address: �� A 11� (PIeasereJertojee'schedule)
�--� Structural plan review fee (or deposit):
City /State /ZIP:
Phone: F(7 '7 (3"[ SO lI Fax ( )
FLS plan review fee (if applicable):
�
Total fees due upon application:
CCB lic.:
. Amount received: 0 S . C 00
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Date: * Fee methodology set by Tri -County Building Industry
Service Board.
1: \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02/COM /WEB)
MIARN-
Building Division
,4 .�� swr i
, Accessibility: Barrier Removal Improvement Plan
PI GIMID
k�
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