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Permit
',;',, i CITY OF TIGARD BUILDING PERMIT ` � s ` : : COMMUNITY DEVELOPMENT Permit #: BUP201000260 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/30/2010 ? ��rAR g Parcel: 2S102AA02501 Jurisdiction: Tigard Site address: 12170 SW MAIN ST Project: Under Water Works Subdivision: Lot: 0 Project Description: Replace existing 10' section of wood fence with new vinyl slaUchain link fence. Contractor: SUPERIOR FENCE & CONSTRUCTION Owner: FREY, HILDE C 10001 SE POWELL 21745 SW HEDGES DR PORTLAND, OR 97266 TUALATIN, OR 97062 PHONE: 503 - 760 -7725 PHONE: 503 - 620 -6993 FAX: 503 - 762 -1127 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee - Additions, Alterations, 11/30/2010 $53.27 Class of Work: ALT Demolition Dwelling Units: 0 12% State Surcharge - Building 11/30/2010 $6.39 Stories: 0 Height: 0 ft Plan Review 11/30/2010 $34.63 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 $94.29 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. All 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 day ATTENTION: Oreg• • law • uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95'x- 001 -0010 through OAR 95., • ■ 1-00'1. •u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. sued By: r t fre Y Permittee Signature: k, Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 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. ,4 Building Permit Application r Commercial FOR OFFICE USE O N " (j ' rt L Y I ■ City of Tigard DateBe� 30 ' , 1 Permit No.: 611 /kit, -e9e, 6 • ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review C • Phone: 503.718.2439 Fax: 503.598.1960 DateB Other Permit: TI G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard - or.gov 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 ■4 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 $I 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: /a/ n , S',,„1 Mp,v'v. SY New dwelling area: square feet City /State /ZIP: •- r � � 9 7... 3 , , 1a Garage /carport area: square feet Suite/bldg. /apt. no.: c � Project name: V Q� `yl l ` e f W t 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. er r r Lot no 3 Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all n Tax map /parcel : c p ,n u yrt �rcxr' �� A pit ._ Oa :CO / equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: `f A Y\_€., x) V vhy t -''.\. ..e- rnc.c� Existing building area: square feet / New building area: square feet PROPERTY OWNER I ❑ TENANT Number of stories: Name: 1 \ � e ____ c--,--c ( 1 4„,, Type of construction: Address: / / 70 \,,) ��- Occupancy groups: City/State/ZIP: � �� 9 7 3 Existing: Phone: ( ) Fax: ( ) New: ® APPLICANT ❑ CONTACT PERSON NOTICE Business name: . 1 N Ae � \ _ 1 ,� . ` k '�� S r N r All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: W �r .ke . L _ P Y under ORS 701 and may be required to be licensed in the 7 ) Address: is / < w\ a. t w �� jurisdiction in which work is being performed. If the City /State/ZIP: �V -- v- d 1/4. © 2 G� 7�� apply: applicant is exempt from licensing, the following reasons `` / j Phone: (5) 6 99 3 Fax:: (643) 6o2 L / iy E -mail: AA e; u W < (;rus, 0,_ c__,0 vv` CONTRACTOR Business name: .. C � � - BUILDING PERMIT FEES* Address: Mao/ c T 1' o w e. t \ ' V C:k (Please refer to fee schedule) Structural pitisseleiew fee (or deposit): 453 . A City/State/ZIP: k\ h�l 9, 9 7oz 6.6 Phone: Fax: / F p * ee (if applicable): 5 el . &3 X3 )7 0.. -- 7 5 W3)76d //� 3 • CCB lic.: ' `1 a tlAk� Total fees due upon application: LP . V 11 Amount received: . 94/. 01 / q Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: a c i e._ ��, f to ate: f /,./ U_ /0 * Fee methodology set by Tri- County Building Industry Service Board. I: \BuildingWermits\BUP -COM PermitApp.d c 09/09/10 440- 4613T(11 /02 /COM/WEB) a 11 11 1" 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: \Buil ding \Permits \BUP -COM PennitApp.doc 06 /25/08