Permit le
r/
o CITY OF TIGARD BUILDING PERMIT
2 COMMUNITY DEVELOPMENT Permit #: BUP2009-00032
,TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/06/2009
Parcel: 1 S 135CA90205
Jurisdiction: Tigard
Site address: 11040 SW GREENBURG RD 205
Subdivision: Lot: 0
Project: Ash Creek Condos
Project Description: Repair decks on units 205, 206, 207, 208, 310, 311.
Owner: FEES
DAVIS, EUGENE L AND Description Date Amount
DAVIS, VIVIAN, DAVIS, CONNIE SUE, 10875 Permit Fee - COM 03/06/2009 $219.80
SW 89TH AVE Tax - 12% State Surcharge 03/06/2009 $26.38
PHONE: Plan Review 03/06/2009 $142.87
Contractor:
ABNEY REVARD INC
9375 SW COMMERCE CIR STE 7
WILSONVILLE, OR 97070
PHONE:
FAX:
Specifics:
Type of Use: MF
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $24,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $389.05
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet: No
Fire Alarm: No Protected Corridors: No
Smoke Detectors: No Manual Pull Stations: No
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. ATTEN o •rego law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 -'s` 0 through OAR 952 -001 1 011 You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6•.99 -a ;ti, %. 44.
Issue. By: �� L- Permittee Signature: '
..
Call 503.639.4175 by 7:00 a.m. for an inspection that busines
This permit card shall be kept in a conspicuous place on the job site until corn. •tion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
i
Commercial FOR OFFICE USE ONLY
City of Tigard ECFNED } _n DatDate/By: • . U i o 7- 1.52_
al Perm
5 D it No.:
13125 SW Hall Blvd., Tigard, OR 9722 U 3 2009 Plan Review - �,+ 11 •
I ° • Phone: 503.639.4171 Fax: 503.598. O\ Date/By: tw 45-1. Cq Other Permit:
T l G A R D C� Inspection Line: 503.639 `�? � Date Ready /By: p . lurl ® See Page 2 for
Internet: www.tigard- or.gov Notified/Method: n• 0 S Yl l Supplemental Information
ri III M T�� DIVISIO 3 ' �Y 1 VV""
TYPE O!I ORK 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: K e . p ,' equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ V- ' 000
❑ 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: t 104 0 New dwelling area: square feet
City /State /ZIP: 11 u t 7l l 7 Garage /carport area: square feet
uite/bldg. /apt. no.: V Project name: Covered porch area: square feet
Cross street/directions to job sit Deck area: square feet
/ , Other structure area: square feet
0,Ip Ul S 20b, (o , 207 2Dg' 3 31 o 31 I 3
REQUIRED DATA: COMMERCIAL iTSE 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.
(
,
1rtp AA, r , � �1�; oU e Valuation: $
L/ Li �' Existing building area: 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:
y l APPLICANT [ CONTACT PERSON NOTICE
Business name: �{ "' Re y ,, (� ( All contractors and subcontractors are required to be
Contact name: ►'- ( r,eAri'"/� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 315 S epinty1/lGV(?k C.,ircke 7 jurisdiction in which work is being performed. If the
City /State /ZIP: U0k Yw4I k-. j OR 1-707b applicant is exempt from licensing, the following reasons
apply:
Phone: (3 //�� ) "I 0 n '�j — 1 l Fax:: (SCE) laD._—(00.04,:
E -mail: -eve vityl vii — C C.(,LMCL rc . ()StvL
CONTRACTOR
•
Business name: -4 r y /jyt& & I 1/\O BUILDING PERMIT FEES*
3 0 S (+ l,J _ , ^ l � I (Please refer to fee schedule)
Address: O\�1/ 12 LFJ a ( /i .W lJl l
City /State /ZIP: ` I 09..... et
plan review fee (or deposit):
1 FLS plan review fee (if applicable):
Phone: (Gjk ) (A _ a _ • S Fax: ( €) (o -a �Z36r, t,,,,
CCB lic.: I (Y1 b Total fees due upon application:
1 11102:01w -
0
Amount received: —_
�Authorized signature: ` . This permit application expires if a permit is not obtained
-.' �� within 180 days after it has been accepted as complete.
Print name: Date: * Fee methodology set by Tri- County Building Industry
Service Board.
l:\Building\Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(1 I/02 /COM/WEB)
Building Division
Accessibility: Barrier Removal Improvement Plan
TI GARD
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): $
1: \Buil ding \Pcrmits \BUP -COM PcrmitApp.doc 10/30/07