Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2001 -00197
.., , ���;� DEVELOPMENT SERVICES DATE ISSUED: 06/05/2001
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101AA -03800
SITE ADDRESS: 12259 SW 69TH AVE
SUBDIVISION: TIGARD CORPORATE CENTER ZONING: MUE
BLOCK: LOT: OOB JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5 -1 HR : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0.00 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: U SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 1,300.00
Remarks: Addition and relocating (12) sprinkler heads.
Owner: Contractor:
TIGARD CORPORATE CENTER LP DELTA FIRE INC
15400 SW MILLIKAN WAY 14795 SW 72ND AVE
BEAVERTON, OR 97006 PORTLAND, OR 97224
Phone: Phone: 620 -4020
Reg #: LIC 64174
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
5PCT CTR 06/01/2001 $5.00 27200100000 Sprinkler Final
PRMT CTR 06/01/2001 $62.50 27200100000
FIRE CTR 06/01/2001 $25.00 27200100000
Total $92.50
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 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Pe mt ittee
Signature: C�,��; %°"`„ �j( f L cT' \
Issued By: 1 A jA___A.L. ,A
Call 639 -4175 by 7 p.m. for an inspection the next business day
6(41
Building Permit Application
� , . Datereceived: a) Permit no.: ` j , 4 2 9t) pafi
,.N,.:..�,�. City of Tigard
! - Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard OR 97223
Phone: (503) 639 -4171 Date issued: B 1 Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: 1&2 family: Simple Complex:
T1 Pt: fIF PER III
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 New construction 0 Demolition
A Addition/alteration /replacement ATenant improvement ! :I 1 , 7 alarm 0 Other.
JOB SFI E INFORNIA1 ION
Job address: ,a,. y V\/ mi Bldg. no.: j= Suite no.: '
Lot: Block: Subdivision: Tax map /tax lot/account no.:
Project name: i
Description and location of work on premises/special conditions: i 4 1 A A t . • 0 la ao! eir
°\I NLR F OR SPECIAL, INFORMATION, USE CHECKLIST
Name: (1:Iwtdplain, septic capacity, solar, etc.)
Mailing address: 1 & 2 family dwelling:
City: State: ZIP: Valuation of work $
Phone: Fax: E -mail: No. of bedrooms/baths
Owner's representative: Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
IIE ' Covered porch area (sq. ft.)
Mailing address: ∎ � �– ''''' •cir Deck area (sq. ft.)
City: 'O 0 & • 1 ZIP: ...... . Other structure area (sq. ft.)
Phone: VA- k ab elmetag E -mail: Commercial /industrial/multi - family: 00
CON I RACI OR Valuation of work $ I (. O O
Existing bldg. area (sq. ft.)
Business name:
lk• NM
' diM New bldg. area (sq. ft.)
Address:
City: State: Number of stories
Type of construction
Phone: Fax: E -mail: Occupancy group(s): Existing:
CCB no.: j/i' f % =�� New:
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCM I Ft 111)i:SIGNER licensed with the Oregon Construction Contractors Board under
MEM ._. a dllrMIMIIIIIIIIMII provisions of ORS 701 and may be required to be licensed in the
Address: iGa�� �
jurisdiction where work is being performed. If the applicant is
exempt from licensing, the following reason applies:
City: State: ZIP:
Contact person NIENIMM Plan no.:
Phone: / .b - q ia.O Fax: ,_'a- 1 ;; E -mail:
ENGINEER
Name: Contact person: Fees due upon application $ - a
Address: Date received:
City: State: ZIP: Amount received $
Phone: Fax: E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this 0 visa 0 MasterCard
work will be complied with whether specified herein or not Credit oand number /
A signatu Date: (0 / 1 / 0 1 Name of cardholder as shown on credit card
Print name: .1 EL NE I S LER. Cardholder signature $ Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6A0ICOM)
•
•
SUBJECT: 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 of all renovation, alteration or modification being done
excluding painting, wallpapering. [1] $
multiply: 25% Barrier removal requirement. .25
BUDGET FOR BARRIER REMOVAL [2] $
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 $ •
(9) When possible, additional accessible
elements such as storage and alarms: $
TOTAL: Shall equal line 2 of Value Computation $
i:\dsts \fomu\access.doc