Permit II CITY OF TIGARD BUILDING PERMIT
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PERMIT #: BUP2007 00209
COMMUNITY DEVELOPMENT DATE ISSUED: 6/8/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 104 B B -08200
SITE ADDRESS: SW NO ADDRESS TRACT "A" ZONING: C -N
SUBDIVISION: RUSSELL'S SCHOLLS FERRY LOT: OOA JURISDICTION: TIG
PROJECT: NORTHVIEW PARK
Project Description: Park shelter
REISSUE: CO" FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: bIEK FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N 160 sf N: S: E: W:
OCCUPANCY GRP: U1 TOTAL AREA: 160 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 10,000.00
Owner: Contractor:
CITY OF TIGARD G.R. MORGAN CONSTRUCTION
13125 SW HALL BLVD. 10536 SW 25TH AVE.
TIGARD, OR 97223 PORTLAND, OR 97219
Phone: 503-718-2598 Contact #: PRI 503 - 452 -4268
FAX 503 - 245 -4872
Reg #: LIC 78555
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee . 6/8/2007 $139.30
[TAX] 8% State Surcha 6/8/2007 $11.14
[BUPPLN] Pln Rv 6/8/2007 $90.95
Total $241.39
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 es'ordir� q -..ons to OUNC by calling 503.246.6699 or 1.800.332.2344.
Is ued By: j .._ y , • - a' Permittee Signature: ' „ - �. Aft
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.
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Building Permit Application
i Commercial ��� FOR OFFICE USE ONLY
City of Tigard � � ( � I.__, 2007
.9TY OF l IG HD Datem I PennitNo.:6 4,. .....0 �,��
° 13125 SW Hall Blvd., Tigard, OR 97223 tv � I Plan Re d
`7a • Phone: 503.639.4171 Fax: 503.598.1 6 Date/By: • - ej 077 Other Permit:
�
TiG Inspection Line: 503.639.4175 ®® t � n �/ //��p� Date Rea .yBy: Iuris See Page 2for
Internet: www.tigard - or.gov BUILDING lal� V P��HI�a 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
❑ Addition/alteration/replacement ❑ Other: 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 - .
ID 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: 4' " S 1 ,) A/ > �P
� D J 4/ � New dwelling area: square feet
City /State /ZIP: Ti,Aaa-D Q 1 . 972 a. 3 1 ( j Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: A10 ryt/I e,rj p /c S4 hi Covered porch area: squall feet
Cross street/directions to job site: / Deck area: square feet
Oh) /INor usNt.) Dr 700 ie s0v4 o f 40/1/4/af' ,..53 Other structure area: /Go ' square feet
REQUIRED :DATA: COMMERCIAL -USE .CHECKLIST
Subdivision: > d O&Z 00 Lot no.: Permit fees* are based on the value of the work performed.
5 �� y (� Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel `'� / arc no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
/0 /l. ' , . ,S`al / Valuation: $ ��i p0o, 00
Existing building area: square feet
New building area: /‘ p square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: 0;4 O r/ G A4 -0 n (, Type of construction: 0)0sA) y 4 f
Address: i i) 2 3 .SW ! 04 / v7 � Occupancy groups: y t cjet 0., 4 a„ AI
City /State /ZIP: 7, .4yO r 04. , 7223 Existing:
Phone: ( 5a3 ) 7/3 -oh 9 R Fax: (Sbi ) 7/9 c/0/ New: a - 8
El APPLICANT 2-CONTACT PERSON NOTICE
Business name: '� �
C l O / / 6 A,al..D All contractors and subcontractors are required to be
Contact name: �T f!J £ ��� �,J licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: / 3/ ZS J rsJ //g // ef7Uel jurisdiction in which work is being performed. If the
City/State/ZIP: applicant is exempt from licensing, the following reasons
T/ 6 apply:
Phone: ( SaJ) 7 /g e3 s 5 it Fax: : ( )413) 7/9 ,L(/O/
E -mail: t,.. e� 7 - O ti . C B!/
CONTRACTOR '
Business name: x`74. / r �
2. t BUILDING. PERMIT FEES*
Address:
0 (Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP:
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: Total fees due upon application:
Amount received: 0
Authorized signature: T his permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: S72 /4, re_r /,.../ Date: 2 7 1 — / / — 0 7 * Fee methodology set by Tri- County Building Industry
Service Board.
l: \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 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 %).
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VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $ _
MULTIPLIER (25% battier 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: $
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(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, $
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(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 02 /23/07