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Permit CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit #: BUP2009 -00201 l R iGA 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/29/2009 Parcel: 2S101A601200 Jurisdiction: Site address: 7275 SW HERMOSO WAY Subdivision: Lot: 0 Project: KEYWAY OFFICE CONVERSION Project Description: Change of use only - no structural work. Owner: FEES FRANK, BRIAN L & Description Date Amount KRAFVE, KENT B, 7275 SW HERMOSO WAY Hourly Building Rate 10/29/2009 $90.00 TIGARD, OR 97223 Hourly Building 12% Surcharge 10/29/2009 $10.80 PHONE: ) Contractor: N � //L PHONE: FAX: Specifics: Type of Use: COM Class of Work: ALT Dwelling Units: Stories: Height: ft Bedrooms: Bathrooms: Value: $0 Floor Areas: Total Area: Accessory Struct: Basement: Carport: Covered Porch: Deck: Garage: Mezzanine: Total $100.80 Required: Required Items and Reports (Conditions) Fire Sprinkler: Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 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 accordance • 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 • TENTION: Oregon la -quire •u to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -0'-1 -0010 through OAR 952 -01 1100. Y• -y obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2 r Issued 4y: , / Permittee Signature: r Call 503.639.4175 by 7:00 a.m. for an inspection that bus - s 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. r ,. 'Bu`lclin2 Permit Application 9 uCp/ Commercial v t,,D IN Or � FOR OFFICE USE ONLY of Tigard C 1 2 9 2 009 Received e , An 9 TA Permit No.• I / /t DateB : G 7 v7� /� ._e„,),), � ° 13125 SW Hall Blvd., Tigard, OR 9t7 or • 7 Plan Review 12 • Phone: 503.639.4171 Fax: 503 39, 1960 i w i r d ) Date/B Other Permit: T I G A R D Inspection Line: 503.639.4175 /4 l'il..2 Div /s/ Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov 4N 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 CONST RUCTION work indicated on this application. dwelling Valuation: ❑ 1- and 2-family g ❑C ommercial /industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder I=1 Other: Number of bathrooms: JOB SITE INFORMATION AND .LOCATION Total number of floors: Job site address: 7 2_76 .510 IA 2M.r,:5 (,t..V New dwelling area: square feet City /State /ZIP: `It Ct APO , D�- 7 ' Z ' ' Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Vel(X I & Covered porch area: square feet ross street/directions to job site: n Deck area: square feet C j UJ z 7 1 2-1 , 41, 4 . �H p trx�it� �Jev€(t.w Q + Other structure area: square feet ,��CANA.0a ki 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. e � , Valuation: S Existing building area: square feet New building area: square feet IWPROPERTY OWNER ❑ TENANT Number of stories: Name: 1212-14 rilA 1J- •V 4 -r K.'j1.isf1/4l' Type of construction: Address: Occupancy groups: City /State /ZIP: Existing: Phone: (g)3) (t{-• 51 Cx3 Fax: (a3) 684- 5 New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: U) «i Co g-- All contractors and subcontractors are required to be Contact name: ,�y RA 'y� Q ,,„.Ac___ 0 , 1 - w - - (4-4, -C/� licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 12.7 5 5" 1 orvvto jurisdiction in which work is being performed. If the r f applicant is exempt from licensing, the following reasons � City /State /ZIP: i y-iL t CAL q71•Z3 apply: Phone: ('SO)) &04 51C0 W I Fax:: ( 75) (4' .. S5 (X? E -mail: kev k- L keywo. -f o e g C0141 CONTRACTOR Business name: BUILDING PERMIT FEES* Address: M. (Please refer to fee schedule) City /State /ZIP: IV . Structural plan review fee (or deposit): I W FLS plan review fee (if applicable): Phone: ( ) Fax: ( ) CCB lie.: Total fees due upon application: j „� 0 , . Amount received: 100 . YD Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: IteittKr, ye ) v t Date: /v Z. ZOO, * 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) 1, _ 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