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Permit i . CITY OF TIGARD BUILDING PERMIT i PERMIT #: BUP2008 -00333 COMMUNITY DEVELOPMENT DATE ISSUED: 10/17/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S113B0 - 00600 SITE ADDRESS: 16580 SW 85TH AVE ZONING: I -P SUBDIVISION: SEWER TREATMENT PLANT LOT: JURISDICTION: TIG PROJECT: CLEAN WATER SERVICES Project Description: Aeration basin #3 channel repair. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: UNK sf N: S: E: W: OCCUPANCY GRP: U2 TOTAL AREA: 0 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: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 49,300.00 Owner: Contractor: CLEAN WATER SERVICES GH MCCULLOCH INC 2550 SW HILLSBORO HWY 18200 SW PACIFIC HWY HILLSBORO, OR 97123 -9379 TUALATIN, OR 97062 Phone: 503 Contact #: PRI 503 - 691 -1199 Reg #: LIC 46558 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pln Rv 10/3/2008 $238.36 Structural welding [FLS] FLS Pln Rv 10/3/2008 $146.68 Special inspection (see plat Structural observation [BUILD] Permit Fee 10/17/200E $366.70 [TAX] 12% State Surch 10/17/200E $44.00 Total $795.74 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 or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. i // / / Issued By it,,,..-- . / Permittee Signatu e: .„,� 61414 Z.�, 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. Bnitaing Permit Application Commercial AsC) FOR OFFICE USE ONLY City of Tigard Date/Be: 0, L� �� Permit No.: r! . Gb i; IN ' 13125 SW Hall Blvd., Tigard, OR ' to Plan Review II Phone: 503.639.4171 Fax: 503 ` Z • ( � 0V Date/By: /' A t / 1 v/q /o $ Other Permit: Inspection Line: 503.639.4175 Gi r � Date Ready/By: B See Page 2 for T I G A R D Internet: www.tigard - or.gov (....S\ � N k X 0 N ot; ethod: '� /O /1(//" �P `". Supplemental Information - ev. O <N N. ,T _ _J TYPE OF WOI . "? REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Detvolition� Permit fees* are based on the value of the work performed. QQ 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 CONSTRUCT IN 4 +'(k work indicated on this application. ❑ 1- and 2-family dwelling © �' O `� Valuation: y g ❑ Commercial /industria V` $ y7 3 o d l � O ❑ Accessory building ❑ Multi - family O r `�N? Number of bedrooms: ❑ Master builder ❑ Other: 00° Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: d 5 i, / c S-4 New dwelling area: square feet City /State /ZIP: / 5' 1' e l V .7 7 Z Z y _ ,_ c Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: C kept/ e�4 c� I v72J 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. P CP7:1- of .411 f .c»1 AA i - 1 jc(-r r Valuation: $ G / ti ti / 1� Existing building arca: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: 1 y t/; t< r. $ 1 C t'S All contractors and subcontractors are /r required to be Contact name: / licensed with the Oregon Construction Contractors Board L r` r S under ORS 701 and may be required to be licensed in the Address: 6 (J 6 6 $ h0 57� jurisdiction in which work is being performed. If the City /State /ZIP: `�i� t f �' applicant is exempt from licensing, the following reasons / / apply: Phone: ($2 )3) t j7 -/ g / 77 Fax:: ( ) E -mail: 60 r' t h e I^_ r � �✓ C iet i till ier -serv, i +ms 0�? NCONTRACTOR �•! Business name: 6, J /1'. G „di ®G 4 BUILDING PERMIT FEES* Address: / ') 5C a, s Li,� ...7-4,6, e to fee schedule) City /State /ZIP: l v Cal /l Structural plan review ew feee (or deposit): a3 3G - Y' < L � FLS plan review fee (if applicable): / Y& (49 ( p g Phone: (i3) C f 1 C VI Fax: ( ) t Total fees due upon application: d CCB lic.: � � u 1 1,6,4„.0,..._ Amount received: 3 Authorized signal . - This permit application expires if a permit is not obtained :1-0—e''' within 180 days after it has been accepted as complete. Print name: G . Re) r,Aerg Date: 7/340/Z 60 h * Fee methodology set by Tri- County Building Industry Service Board. I: \Building\Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(I1/02 /COM/WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2008- 00333 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2008 Phone: (503) 639 -4171 1,���,,,��� Inspection Requests (24 Hrs.): (503) 639 -4175 `'I INSPECTION WORKSHEET FOR DATE: 12112/2008 TIME: 7 PAGE: 13 SITE ADDRESS: 16680 SW 06TH AVE CLASS OF WORK: SUBDIVISION: SEWER TREATMENT PLANT LOT #: TYPE OF USE: PROJECT NAME: CLEAN WATER SERVICES DESCRIPTION: Aeration basin #3 channel repair. OWNER: CLEAN WATER SERVICES, PHONE #: 503.681 -3600 CONTRACTOR: U "H MCCULLOCH INC PHONE #: 503 -691 -1199 Inspection Request Scheduled For: Date: 12/12/2008 Pour Time: Code # Inspection Description Confirm # Contact # Messa•e 299 Final inspection 079010 -01 503 -547 -8177 d. 9'.00 Corrections /Comments/ Instructions: s ore_ k.) F-1 iv 5 �M Life N �1Th o r'3 S VAl F-o � T v2 ,g3) 6t & • Cri • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ; . ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED yam__ 1 v /� Inspector: I Date: Phone #: (503) 718- Zb 1777' at ` • • 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