Permit li r} b , CITY OF TIGAR It BUILDING PERMIT
g PERMIT #: BUP2009 -00028
° ' COMMUNITY DEVELOPMENT ` DATE ISSUED: 2/24/2009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 113AB -00300
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 175 ZONING: I -
SUBDIVISION: FANNO CREEK PLACE LOT: JURISDICTION: TIG
PROJECT: ZIP REALTY
Project Description: TI
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: 2N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 18 BASEMENT: sf AREA SEP. RATED:
STOR: 3 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING:
VALUE: $ 63,500.00
Owner: Contractor:
OPUS NW BARTEL CONTRACTING INC
1500 SW FIRST AVENUE #1100 PO BOX 160
PORTLAND, OR 97201 GLADSTONE, OR 97027
Contact #: PRI 503 - 650 - 4084
Phone: 503 - 916 - 8963 FAX 503 - 650 - 4104
Reg #: LIC 79970
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 2/24/2009 $433.90
[TAX] 12% State Surch 2/24/2009 $52.07
[BUPPLN] Pln Rv 2/24/2009 $282.04
[FLS] FLS Pln Rv 2/24/2009 $173.56
Total $941.57
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 Utility Notification Center Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of these rules oLdirect questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
C '
Issued / P ermitt ee Signature: / �` ii , ,,,,,A.0
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.
Nitid . Permit Application
Commercial RECED FOR OFFICE USE ONLY
City of Tigard D EB 2 4 2009 Date
Plan aY e9 Permit No 1„,„, P 5
II
° 13125 SW Hall Blvd., Tigard, OR 9722 Plan Review
C Phone. 503 639 4171 Fax. 503 598 1960 .�G� DDate/By 2 f z )( Other Permit
Inspection Line 503 639 4175 CI I ° F ISI Date Ready / tas ® See Page 2 for
T I G A R D
Internet. www.tigard -or gov BUILDIN Notified/Method. � ��. 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
X Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I- 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: / (00 3 7 U vv K� jY ar„),„ed ,,, New dwelling area: square feet
City /State /ZIP: ri a , / (, c /' 7 2 2- Garage/carport area: square feet
Suite/bldg. /apt. no.: / 7 S Project name: z /, �,�5 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: I 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.
at ' 1..... ; ay.' /AP /I It %L %L Valuation: $ (Q 3, 9 0, U
Existing building area: square feet
New building area: / 713 square feet
0 PROPERTY OWNER I ❑ TENANT Number of stories: fi� f. ' o° 2
Name: OP 5 N Ji/ / Type of construction: 1/ C3
Address: l 514/ ,!/s 7L /4 C'fr7/�� T7 -{� //0Q Occupancy groups:
City /State /ZIP: Pna 0� q 7 z.z7 I Existing: i r3
Phone: ( ) 4,7 4. ,o q & 3 Fax: ( ) �1 / t t 9 ,1 New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: 77 1 , a id / 6y-okei All contractors and subcontractors are required to be
cite_ (; 7� . licensed with the Oregon Construction Contractors Board
Contact name: C
Lh e If_ t i lam v ,, under ORS 701 and may be required to be licensed in the
Address: PO i[9Ux & jurisdiction in which work is being performed. If the
City /State /ZIP: Be_e/i/ Qx, 7 7 07 5 applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) 5- 7b ,, 2-/.' Fax: : ( ) 5 7 c. ?.0( 0
E -mail: /.5�/ /;i f 9 » ;cis . 5/7 ,'ivdLf=9 J („ery'V
CONTRACT
Business name: A « " e ,.6 Cien.4,5--�G' f fry BUILDING PERMIT FEES*
Address: P D 13 v x (Please refer to fee schedule)
City /State /ZIP: l( / o f s 7 , -- 7 , ) ,- Le pi. 7 7-02 7 Structural plan review fee (or deposit):
Phone: ( ) (p 5 - 0 tip g t.1 Fax: ( ) (4 57) 1./ oil FLS plan review fee (if applicable):
CCB Iic.: --- q G1 70 Total fees due upon application:
Amount received:
Authorized signature: /'��,
[, This permit application expires if a permit is not obtained
,�,// Date: , p, within 180 days after it has been accepted as complete.
Print name:
li/ /7 (Iii (fin / I , 07 Fee methodology set by Tn -County Building Industry
Service Board.
1• \Buildtng\Permits \BUP -COM PermitApp.doc 2/23 /07 440 -4613T(I1 /02 /COM/WEB)
-Jr
r
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: [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 \Pemuts \BUP -COM PermitApp.doc 06 /25/08
1114 _ ° Building Division
Over- The - Counter (OTC) Building Permit
TIGARD g
Check List
Description of Project: T1
GENERAL INFORMATION
Class of Work:* £.J Floor Areas (sq. ft.): Exterior Wall Construction:
Type of Use:* First floor: N: S:
Type of Construction: 2 Second floor: E: W:
Occupancy Group: (-3 Third floor: Openings Protected Y /N ?:
Occupancy Load: I fi Total sq ft.: N: S:
Stories: �? Note: Combine total floor area for E: E:
Height: all floors above third floor and Roof Construction:
Floor Load: add to the third floors . ft. Fire Retardant:
Basement: Basement: Area Separation Rated:
Mezzanine: Garage: Occu. Separation Rated:
REQUIRED ITEMS
Fire spnnkler: Y/ Handicap access:
Smoke detector: Protected €0,64c rs: y l
Fire alarm: Parking spaces ( #):
Notes:
Total Valuation: $ k��„ 5c3c, .
INSPECTIONS FEES DUE
Footing /foundation Firewall $ A33, 90 Permit Fee
Post /beam structural Smoke detector $ 2• Q State Surcharge
Shear wall Misc. inspection $ 2. Plan Review Fee
Masonry Approach /sidewalk $ 17 FLS Plan Review Fee
Framing $ Additional Permit Fee
Insulation Sprinkler rough -in $ Additional Plan Review Fee
Gyp board Fire alarm $ Metro Construction Excise Tax
Suspended ceiling Sprinkler final $ School Construction Excise Tax
Final inspection $ Misc. Fee
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Other:
$ q4 ( .-3 Total Fees Due
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings
or canopies); REP = repair.
1. \ Building \Forms \01'C - BUP.doc 08/19/08
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BUILDING DIVISION \� ^�� \
16, | ~�"�"=~~=""°~~ ~�"°"~~~~"~ .~ �' BUP�U0�QO02N
| 13125 SW Hall 8�d,Tigmd. OR 97223 - 3YA/2008
Phone: (6U3)63Q-4171 . ���
Inspection Roqueo��WHnoj: (503) 639-4175 / ~��N�°��� • ' ~~~- � k c
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INSPECTION WORKSHEET FOR DATE: 3/2/2O09 TIME: 7:00AIVI PAGE: 16
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 176 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: ZIP REALTY
DESCRIPTION: T|
OWNER: OPUS NW, PHONE #: 503
CONTRACTOR: BARTELC0NTRAC7|WG INC PHONE #: 503-650-40N
Inspection Request Scheduled For: Date: 3/2/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 080918.01 505'818-9620 N
Corrections/Comments/Instructions:
—_ 0 PARTIAL �� ��
�LAPPR�VAL CANCEL NO ACCESS
El FAIL r] CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
.
. &�
Inspector: - �~ ' � ~ Date: 5� «~-` ' Phone #: (503) 718-(94°)—Y