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Permit r v CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit #: BUP2010 -00064 7IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/08/2010 Parcel: 2S112BB04000 Jurisdiction: Tigard Site address: 14500 SW HALL BLVD 102 Subdivision: Lot: 0 Project: Edgewood Manor Project Description: Convert existing utility room to laundry room. Owner: FEES D'ORAZIO INVESTMENTS, LLC & Description Date Amount HFR INVESTMENTS I, LLC, 4500 Permit Fee - Additions, Alterations, 04/08/2010 $180.17 BEACONSFIELD CT Demolition PHONE: Plan Review 03/31/2010 $117.11 Plan Review - Fire Life Safety 03/31/2010 $72.07 Investigation Fee (Equals Permit Fee) 04/08/2010 $180.17 Contractor: 12% State Surcharge - Building 04/08/2010 $21.62 C & S QUALITY HOMECARE & REPAIR INC 12% State Surcharge - Building 04/08/2010 $21.62 PO BOX 82512 PORTLAND, OR 97282 PHONE: 503 - 558 -6395 FAX: Specifics: Type of Use: MF Class of Work: ALT Dwelling Units: 0 Stories: 0 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $6,400 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $592.76 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. At work will be done • • • • - • - 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. • TTENTION: Ore! • n law re• • -s you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -r01 -0010 through OA' 95 .01-0 • %, You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issu- • By: J • / / Perm ittee Signature: /Ld • Cali 503.639.4175 by 7:00 a.m. for an inspection that b 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. - -i± wilding Permit Application . R�� iy A o if � ; i i�1,0,,,, wit t },a � 0 , 0 a ,4 wu:x* 'i t N d r �� i , i t �n�� , rti Commercial E "+.4,, ' , 5 iti far,0 t�, nI I ,l W. ICI lltil OiAl1 + � ! � iill' f 1 1, . M vs,.,, ' , M q • � "fWcW ki n d „9 "JI.„Y n +, 7 ,, ,, r "i"inioi w i:�:� , p,n." a ,,,,, Plh ..... wry City of Tigard MAR 1 n DateBea to Permit No. 1 A00.-...„ ,1 13125 SW Hall Blvd., Tigard, OR 97223 Ir g `' Plan Review C .. Phone: 503.639.4171 Fax: 503.598.1960 DateB : a \\►j ��� Other Permit: 1 c i A it ) Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /By: ® See Page 2 for Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: rall Supplemental Information 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 (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: /4 SG, / LL New dwelling area: square feet City /State /ZIP: �L j q " Garage /carport area: square feet t e_ Suite/bldg. /apt. no.: / Project name 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. 801LE) 5o r c/ 7`7,4)6- ID / f'1 e:AM/A/6- Valuation: $ y 1) /, I 7 �� D � /tit/00 ' 3 � A26/ Existing building area: square feet ,' 1/41 J T A► � - yy � - c ��/ jam" New building area: square feet �� 0 PROPERTY OWNER ❑ TENANT Number of stories: Name: g.(EvuL, sT'Rzr a-iY A1 " Type of construction: Address: jay l e2 E. c o 4v,�M j //au Occupancy groups: City /State /ZIP: // 7764 -�jp q e)A 7Z -Z- Existing: Phone: (53) 76 / • —/ (t f 7 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: (11 g1 c - 15q 7 Fax:: ( ) E- mail: ✓ `CONTRACTOR Business name: C,G Qju rt' /1 i - p /.N(.„ BUILDING PERMIT FEES* Address: po At/ (Please is/ Z (Please refer to fee schedule) Structural plan review fee (or deposit): // 7, City /State /ZIP: l� /1 � /r/p rig 917 Z 6 � j> ) Fax: ( ) FLS plan review fee (if applicable): 7A -e 7 Phone: ( . 5 ') -- ) 3 ?5 CCB lic.: 13z 5z/ Total fees due upon ap if 7 ,1/,‘„,„,<I Amount received: � 'ig9 Authorized signature: 7,.....".i.", This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: AtLCa, m 4 ,4477,1 Date: 3 ; 3/...../O Fee methodology set by Tri -County Bu' ding Industfy/ rvice B�: d. (/ I: \Building\Permits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(l I /02 /COMIWEB) # i 4 A • Building Division Tsl`G n`R D' Accessibility: Barrier Removal Improvement Plan 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): $ L\ Building \ Permits \BUP -COM PermitApp.doc 06/25/C8 . r. __ /ue«����� � S�� ' ��� ` ` �� ~_. ^~~ �j / � ' | il A 1 q 0 R i.‘\ r:,:ti 1:-:1 - at ' 0 1 r 1 e'' EXT Ti N6- � ^-~� ` . | - . �� /����� �� | *� � � I I ■ ) �� EX'S � �l �6' �� perT'^w�M. ' ! - . ~ ^. ~~~.~.~~ ~~ Follow, ^°— � ' P - �y� . � �)�� ) � ` �- i , � � __~~~� ' _� ,} ` ' � � By: |D��e: 4 131E7 6 ! � �~~ ��u���� ��� ! ° u ~ .' ^ , ~~ ' - - - ' ' ' - '�� . ' ' u . `~ OFFICE ~^~=~ | <� / ��� ^ // « �� -�r---------------------~- � /� t� -_--------''------� '�—�------- /w ^ —1---- . . 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