Permit CITY OF TIGARD BUILDING PERMIT
1111
Ls COMMUNITY DEVELOPMENT Permit #: BUP2010 00205
TIGARD A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/14/2010
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Parcel: 2S112DD00400
Jurisdiction: Tigard
Site address: 15912 SW 72ND AVE B17
Subdivision: OREGON BUSINESS PARK I Lot: 17
Project: JOHN CRANE INC
Project Description: Rack storage
Owner: FEES
PACTRUST Description Date Amount
15350 SW SEQUOIA PKWY SUITE 300 Permit Fee - Additions, Alterations, 09/08/2010 $60.05
PORTLAND, OR 97224 Demolition
PHONE: 503- 624 -6300 12% State Surcharge - Building 09/08/2010 $7.21
Plan Review 09/08/2010 $39.03
Plan Review - Fire Life Safety 09/08/2010 $24.02
Contractor:
NORLIFT OF OREGON INC
PO BOX 68348
PORTLAND, OR 97268
PHONE: 503 - 659 -5438
FAX:
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $700
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $130.31
Required: Required Items and Reports (Conditions)
1 BUP Bolts in Concrete
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is ' • b'ect to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done ' accordance wit = • proved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
day • TTENTION: Oregon law •=qui s y• u t• •Ilow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95•- 001 -0010 through OAR 952- -0100 ou may obtain a co• of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.234
/, ✓ /�/
-sued By: I Permittee Signature:
Call 603.639.4176 by 7:00 a.m. for an inspection that bus ness 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 A77,7 i --k41-
• Commercial FoR 0[TILE HSI•, ON'I.1
RECEIVED R eceived /
City of Tigard 0 Permit No.: bte DOM5
q 131 SW Hall lvd., Tigard, OR 97223 S E p 08 2010 Plan Review ► �7� +—
C ' Phone: 503.639.4171 Fax: 503.598.1960 Date/B : � � Other Permit:
`''\'' �' Internet: www.tigardor.gov75 CITY OF TIGARD Notified/Mdethod: q li Su pplemental Information
BUILDING DIVISION
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
1 - //
❑ Addition/alteration/replacement Other: Aff equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling Commercial/industrial
El 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 ..5-1 1 S k✓ `7 , hit New dwelling area: square feet
City/State /ZIP: y " d q 7 ,2 Z 7 Garage /carport area: square feet
Suite/bldg. /apt. no.: �/ Project name: 0 l , (' fan 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.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
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DESCRIPTION
r CRIPTION OF WORK C work indicated on this application.
f 1,k ny 51 a f- / ` e-T, ` l 1- k,mil Valuation: $ 7 0L2 ✓p
Q n J 19' / - _ Existing building area: square feet
New building area: square feet
.,PRO ERTY OWNER I ❑ TENANT Number of stories:
Name: J - G ,, Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
d APPLICANT `� CONTACT PERSON NOTICE
Business name: );(1j)(11— . All contractors and subcontractors are required to be
Contact name: ���( L licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 7 3 7 3 , 7)7 / /tia ✓k 7 -ir- n� jurisdiction in which work is being performed. If the
City/State /ZIP: }� r ). / -- / !4 ` � ! "__ 6 7 - 2 2.. _ / apply
G 3 �
applicant is exempt from licensing, the following reasons
Phone: ( .` / t 3 o 7 7 Fax: !3 ) 6 r' ClC/
E -mail:
�� CONTRACTOR
Business name: , /'/ ( / / / �; BUILDING PERMIT FEES*
Address: (Please refer to fee sehedele)
Structural plan review fee (or deposit):
City /State /ZIP:
( J 7 q J / P � � ( Y, ) ' / 5- 5-3 FLS plan review fee (if applicable):
Phone: D J b
Fax: .� ! ----- I Total fees due upon application:
'r
CCB lic.: ( l a g ( 1 (, 3 !�
/� / Amount received: /ek 0 3l
Authorized signature: /4? /,'"------
rmit a lication es ires if a permit is not obtained
t ?ivG ...1" ` P e PP P P
within 180 days after it has been accepted as complete.
Print name: - - - - 4 , n (j i e . iy Date: / v Fee methodology set by Tri-County Building Industry l� Service Board.
1:\Building\Permits\BUP -COM PerrnitApp.doc 10/01/09 440- 4613T(11 /02/COM/WEB)
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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 \Permits \BUP -COM PermitApp.doc 06/25/08