Permit •,N0V-17-2008-M0N 05:24 PM EXP1�R ED. r P. 002
Building Permit Application . 6""g"/Z APP
Ap �
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"y?C3 ivi• _ FOR OFFR F I'SI.. QV1.\
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City of Tigard RECEIVED Leceit.V. If /g did Permit No.: ' - vdig—e037/
" 13125 SW Hall Blvd.,Tigard,OR 97223 pan Review
Phone: 503.639.4171 Fax: 503.598.1960 y Q R Date/By; herr Permit
TIC.A.P D JnSpee4oA Line: 503.639-4175 1 V 200" Date head y ��/�. s Information
for
Internet www.tigard-or.gov Not£ed/ivtarhod 1 cv
r 1 TIGARD
❑New constriction 0 Demolition Permit fees*are based on the value of the work performed.
, badicate the value(rounded to the nearest®Addition/alteration/replacement 0 Other. equipment,materials,labor,overhead,and the p of all
profit for the
,.,s r; �t ;<F r� '7 r r� ' Valuation:work Cated On this app cation
❑ 1-and 2-family dwelling ®Commercial/industrial
Number of bedrooms:
Q Accessory building ❑Multi-family
O Master builder 0 Other: Number of bathrooms:
i t 2 Total number of floors:
Job site address:10830 SW Greenbtag Road New dwelling area; square feet
City/State/ZIP:Tigard,Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt no.: I Project name:Shilo Inn Covered porch area: square feet
Cross street/directions to job site:Near Hwy 217 beck area: square feet
and Greeoburg Road Other structure area
square feet
-t r} \, c \ .
t tr .
Subdivision: I Lot no.: Permit fees"are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:
equipment,materials,labor,overhead,and the profit for the
7 r ",,-_:-k_',',-.: r I r work indicated on this•..lication.
Remove old roof debris. Overlay lowsloped asphalt /tear-off tile mansard y Valuation: SS19,240.00
Install.40 single ply membrane on flat roof deck Existing building arca: 14 sq square feet
Install 12"standing seam metal on mansard New building area: square feet
', rc r w ? r c, l rj_: t • Number of stories: 2
Name:Mr.Doc Patel Type of construction: roofing
Address:10830 SW Greenling Road Occupancy groups:
•
City/State/ZIP:Tigard,Oregon 97223 Existing:
Phone:(503)620-4320 Fax:( ) New:
: r r cj:_-_,,.,..,_v_ '` �contractors and subcontractors are required to be
Business name:Washington Roofing Company .>.
Contact name:Eric or Karen licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:1700 SW Hwy 18 jurisdiction in which work is being performed.If the
City/State/ZIP:McMinnville,Oregon 97128 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)472-7663 J Fax::(503)472-3394 ...r.
E-mail:wrc@oulinemac.cotm
i,:, ._.r, ..:,;_,,,. ;.,.'.,��., ..,2, r-,;-,41'n,r %,•c",,,';';'71;t _ ,. ,.,, .,._ ..
.Business namb:'WathingtoaRoofing Company r ,t,r i s z t dee
7y
Address'1700 SW Hwy 18 _. s ? r. ._.f 1_ .:::1.z.
Structural plan review fee(or deposit):
City/State/ZIP:McMinnville,Oregon 97128
FLS plan review fee(if applicable):
Phone:(503)472-7663 Fax:(503)472-3394
CCB lic.:55201 Total fees due upon application:
I / /
/
/ • Amount received: -�
Authorized signature: iIl
y
r
This permit application expires Era permit Is not obtained
within 180 days after it has been accepted as complete.
Print name:K Hancock Date:11/17/2008 * Fee'methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pennits\HUP-COM PetmitApp.doc 2/23/07 440-46l3T(11/02/COM/WFB)
4NOV-17-2008-M0N 05:24 PM P. 003
.-_._._
71 Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARP
REQUIREMENT: OREGON REVISED STATUTE(ORS)447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related 1
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] $ N/A
MULTIPLIER(25%battier re naval requirement): x .25
•
TOTAL BUDGET FOR BARRIER REMOVAL [2] $ N/A
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 entrances $
(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
alaaxxxv $
TOTAL(shall equal line[2]of Valuation Computation): $
i•\Bnilding\Pecmias\BUP•COM Petmiu'pp.doc 10/30/07
„ .T CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00347
COMMUNITY DEVELOPMENT DATE ISSUED: 10/17/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 135BD -01300
SITE ADDRESS: 10830 SW GREENBURG RD ZONING: C -G
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: SHILO INN
Project Description: Enlarge main entrance.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: R1 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: $ 11,000.00
Owner: Contractor:
SCHAEFER, ROBERT M + SALLY J + RED BULL DEVELOPMENT INC
MILLER, GERALD V 12984 SW PINE VIEW ST
BY $HILO INN - WASHINGTON SQUARE TIGARD, OR 97224
PORTLAND, OR 97225
Contact #: PRI 971 - 404 -1176
Phone:
Reg #: LIC 180145
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 10/15/200€ $82.45
[FLS] FLS Pin Rv 10/15/200€ $50.74
[BUILD] Permit Fee 10/17/200€ $126.85
[TAX] 12% State Surch 10/17/200€ $15.22
Total $275.26
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 ..• - • •. ect qu: tions to OUNC by calling 503.246.6699 or 1.800.332.2344.
i
Issue By L � /�� Permittee Signature: f j
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.
, Building Permit Application
Comme CO ED ' ' ' FOR OFFICE USE ONLY
City of Tigard : , i i . ) / Pennit No.: if 0(1 "( ) IV
° 13125 SW Hall Blvd., Tigard, P' 1 `72 1 3 5 nob
Phone: 503.639.4171 Fax: SA. • 8. 60 a " Other Permit:
TI G A R D
Inspection Line: 503.639.4175 AR® Date Ready/By: ! ' See Page 2 for
Internet: www.tigard -or.gt ll y V- ` 11 ��ss ed/Methnd: � � A� ® Supplemental Information �4 %� . , a‘.7"-•}2-...4
P E OF WO QUIRED DATA:' 1- AND 2- FAMILY DWELLING
❑ ew construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
1 Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
-1 CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ❑ 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: /061,6 v 2 s' /p v rl g bLW A- RA, New dwelling area: square feet
C'ty /State /ZIP: r1 � ,` 7 Z Garage /carport area: square feet
uite / bldg. /apt. no.: t Project name: g i„ �) ;10 f v, Covered porch area: square feet
\' Cross street/directions to job site: /` Deck area: square feet
1 1?-...- .. . • \ LS `. 1 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.
• C /� • �� � y Valuation: $ l/ 6/)0
`� Existing building area: / square feet
I�
New building area: square feet
\ ❑ PROPERTY OWNER ❑ TENANT` Number of stories:
Name: C i n i /1 r Type of construction:
Address: 1 �
Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
APPLICANT 0 CONTACT PERSON NOTICE'
Business name: te u ! , I i e All contractors and subcontractors are required to be • ' licensed with the Oregon Construction Contractors Board
1 Contact name: . p ;/ ii i . under ORS 701 and may be required to be licensed in the
� It: Address 1 jurisdiction in which work is being performed. If the
IA C /State /ZIP: 9� C� � OA � < ^ eA� applicant is exempt from licensing, the following reasons
p', 760.1--r4 C� p q q )___2_ apply:
I Phone: (* ) Fax:: ( )
E -mail: I.
CONTRACTOR
C>ce Business name: ( t b Ll.--� OE_ (,pPo g,J7" 4, C, BUILDING PERMIT FEES*
‘Q. Address: R 4 �� P ( � i �W �� { (Please refer to fee scheduled
� _ Structural plan review fee (or deposit): $ a. 5
1 ,() City/State /ZIP: - l ! , A lL' U2 X1 7 9-/
FLS plan review fee (if applicable): 50 .7
Phone: (�j 7/ ) 04 i/ ? I Fax: ( )
*".- P `�e / q
' CCB lie.: ir /0 Total fees due upon application:
Amount received: / 55 5 • /1
Authorized signature:
This permit application expires if a permit is not obtained
� within 180 days after it has been accepted as complete.
�11I1 \ %��Zt'•/' 1� Date: rO * Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02 /COM/WEB)
•
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 arid 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): $
t: \Building \Permits \BUP -COM PcrmitApp.doc 10/30/07 s .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 6UP 008 -era
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2008
Phone: (503) 639 -4171 /�im¢�d�I g�a6C '� t
Inspection Requests (24 Hrs.): (503) 639 -4175 ,...440; -.� ,.
INSPECTION WORKSHEET FOR DATE: 12/55/ 008 TIME: 7 :00AM PAGE: 14
SITE ADDRESS: 10830 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: Sl LO INN
DESCRIPTION: Enlarge main entrance,
OWNER: SCHAEFER, ROBERT M + SALLY J +, PHONE #:
CONTRACTOR: RED BULL DEVELOPMENT INC PHONE #: 97 4041118
Inspection Request Scheduled For: Date: 12/5/2008 Pour Time:
Code # • Inspection Description Confirm # Contact # Message
2J9 Final inspection 078810.01 971 - 4041178 N
Corrections /Comments /Instructions:
t._PAS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
I 1 FAIL �'[ ,]► CALL FOR INSPEC ❑ ADDITIONAL FEES ASSESSED
Inspector: A _ Date: 12 -S OL 7 Phone #: (503) 718- a
CITY OF TIGARD
BUILDING DIVISION PERMIT #: h31JP 008 00 '17
13125 SW Hall Blvd., Tigard, OR 97223 `s DATE ISSUED: 10/17/2008
Phone: (503) 639 -4171 /u6ypi� I
Inspection Requests (24 Hrs.): (503) 639 -4175 I.L�
.
INSPECTION WORKSHEET FOR DATE: i2/3/2008 TIME: 7 PAGE: 8
SITE ADDRESS: 10030 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: SHILO INN
DESCRIPTION: Enlarge main entrance.
OWNER: S CHAEFER, ROBERT M + SALLY J +, PHONE #:
CONTRACTOR: RED BULL DEVELOPMENT INC PHONE #: 971•
Inspection Request Scheduled For: Date: 'I2/312008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 078741 -01 971- 4t34•1176 N
Corrections/Comments/Instructions:
I&PA IIIP •, PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
,_____y_X
Inspector: Date: (t / 68 Phone #: (503) 718