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" a CITY OF TIGARD BUILDING PERMIT
ij
-; ' -A _ COMMUNITY DEVELOPMENT Permit #: BUP2009-00214
'. Date Issued: 12/03/2009
T tGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S102AA03903
Jurisdiction: Tigard
Site address: 8861 SW COMMERCIAL ST
Subdivision: Lot: 0
Project: Spec Space
Project Description: TI of upper floor.
Owner: FEES
NW URBAN DEVELOPMENT INC Description Date Amount
PO BOX 230307 Permit Fee - Additions, Alterations, 12/03/2009 $453.95
TIGARD, OR 97281 Demolition
PHONE: 12% State Surcharge - Building 12/03/2009 $54.47
Plan Review 12/03/2009 $295.07
Plan Review - Fire Life Safety 12/03/2009 $181.58
Contractor:
HOMEMASTERS INC
PO BOX 230207
TIGARD, OR 97281
PHONE: 503 - 639 -7700
FAX: 503 - 639 -5060
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 2 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $25,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $985.07
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: No Protected Corridors: No
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 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 the 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 the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature:
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.
1 y rt CITY OF TIGARD BUILDING PERMIT
11- COMMUNITY DEVELOPMENT P ermit #: BUP2009 -00214
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 12/03/2009
Parcel: 2S102AA03903
Jurisdiction: Tigard
Site address: 8861 SW COMMERCIAL ST
Subdivision: Lot: 0
Project: Spec Space
Project Description: TI of upper floor.
Owner: FEES
NW URBAN DEVELOPMENT INC Description Date Amount
PO BOX 230307 Permit Fee - Additions, Alterations, 12/03/2009 $453.95
TIGARD, OR 97281 Demolition
PHONE: 12% State Surcharge - Building 12/03/2009 $54.47
Plan Review 12/03/2009 $295.07
Plan Review - Fire Life Safety 12/03/2009 $181.58
Contractor:
LUNDSTROM CO LLC
PO BOX 230209
TIGARD, OR 97281
PHONE: 503 - 849 -6325
FAX: 503 - 684 -0472 •
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 2 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $25,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $985.07
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: No Protected Corridors: No
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 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 the 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 throug OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1 8.0 332.2344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that busi •s• day.
This permit card shall be kept in a conspicuous place on the job site until completi n of the project.
Approved plans are required on the job site at the time of each inspe• ion.
Building Bni lding Permit Application C
MED
Commercial FOR OFFICE USE ONLY
City of Tigard DEC 0 3 2009 Received
14 Date/By: I bltP2e 1
° 13125 SW Hall Blvd., Tigard, OR 97223 plan Re Re Permit No.: view
Phone: 503.639.4171 Fax: 503.598.19{ Ty OF TIGARD Date/By: 12 \ 3169 Other Permit:
T IGA R D Inspection Line: 503.639.4175 4 �►t INIV Date Read fur > RI See Page 2 for
Internet: www.tigard- or.gov ���bD Notified/Method: � Supplemental Information
TYPE OF WORK G D 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
p " 'Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION • work indicated on this application.
❑ I- and 2- family dwelling Commercial /industrial
Valuation:
❑ Accessory building ❑ Multi- family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9? 6 / .///, u, /j4 /1,l 1� Sr. New dwelling area: square feet
City /State /ZIP: & � t Garage /carport area: square feet
Suite/bldg. /apt. no.: 1 Project name: c000 pri.- 6 v5 Covered porch area: square feet
Cross street/directions to job site: M A � i amMeg Deck area: square feet
3 � Other structure area: square feet
REQUIRED DATA: COMMERCIAL- USE,CHECKLIST .
Subdivision: 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.
•I^ ��( ( 1 /p UF /�i� / Valuation: $ -2,5 ✓
I / / 11 5 9 ( iV 9 f ` r. r _ Existing building area: i � l .--s feet
i
/' New building area: square feet
E PROPERTY OWNER ❑ TENANT Number of stories:
Name: t// / gy/cf7 e '� �� f� p j > Type of construction:
Address: 1 /t/ / ,i7� / A I � , . ' 2 Y G y At Gr' Occupancy groups:
City /State /ZIP: 1' � t - � 4/ v/ al— " :G 7' Existing:
////������'
Phone: ( ) C ? Fax: � � e:717>a
New:
f
/APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Al , \11" /I'7 ��( All contractors and subcontractors are required to be
Contact name: 3 mo ! 2_l/j' ,^ � 1,24)114 I �' licensed with the Oregon Construction Contractors Board
V /° r % under ORS 701 and may be required to be licensed in the
Address: L- v-e, A, , &htvf 7 i.2� jurisdiction in which work is being performed. If the
City /State /ZIP: J/�, � 7 2 fd applicant is exempt from licensing, the following reasons
�' `?i apply:
Phone: ( /Wy4 O — ��f Fax :: ( g1, j
E-mail: 1/) lilt5� 1
y 46 —Q ax
`e , i " '� - )S4,l� 4011th /
CONTRACTOR
Business name: /440 rizom zie: io y BUILDING PERMIT FEES*
Address:
'(Please refer to fee schedule)
City /State /ZIP: Structural plan review fee (or deposit):
R4-/ _ i gr ( / � � FLS plan review fee (if applicable):
(
Phone: !�/ Fax: (!�
i
CCB lic.: / -7 / Ot Total fees due upon application:
Amount received: 9 85 , 07
Authorized signature: // This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: �/� - 405,172_0 � Date: t 1, 62
* Fee methodology set by Tri -County Building Industry
/ ! / ' Service Board.
I:\Building\Permits \BUP -COM PermitApp.doc 10/01/09 440- 4613T(1 I /02/COM/WEB)
Building Division
TIGARD 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: 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] $ (O('J,�
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: $ ) 01)P
(c) An accessible route to the altered area: ( ( p 9 ) i $ (j Oa()
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ f 5d
(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): $ � ` 7/
I:\Building\Permits\BUP -COM PermitApp.doc 06/25/08