Permit CITY OF TIGARD BUILDING PERMIT
111
COMMUNITY DEVELOPMENT Permit #: BUP2009 -00184
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/01/2009
Parcel: 1 S 136AD04000
Jurisdiction: Tigard
Site address: 11507 SW PACIFIC HWY D
Subdivision: Lot: 0
Project: Bear Painting
Project Description: Interior TI. Demo walls and all one wall.
Owner: FEES
PACIFIC TERRACE COMMERCIAL LLC Description Date Amount
BY EDITA M SMITH, 833 NW 170TH DR Permit Fee - COM - New Construction 10/01/2009 $220.56
BEAVERTON, OR 97006 12% State Surcharge - Building 10/01/2009 $26.47
PHONE: Plan Review 10/01/2009 $143.36
Plan Review - Fire Life Safety 10/01/2009 $88.22
Contractor:
TODD CONSTRUCTION
4080 SE INTERNATIONAL WAY B -11
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MILWAUKIE, OR 97222
PHONE: 503 - 653 -5704
FAX: 503 - 653 -5704 •
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $13,700
Floor Areas:
Total Area: 0 •
Accessory Struct: 0 •
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0 • •
Garage: 0
Mezzanine: 0
Total $478.61
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: 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. se 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 ca [603.246 61! or 1.800.332.2344.
Issued By: &I Q) n^ I In 0 / \ „ / Permittee Signature: 41, -• clear
Cal 503.639.4175 by 7:00 a.m. for an Inspection that businesi; day.
This permit card shall be kept In a conspicuous place on the Job site until completion of r project.
Approved plans are required on the job site at the time of each Inspection.
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Building Ptrmit , Application
. Commercial RECEIVED CI Of ' and FOR OFFICE USE ONLY
Received
- ° 13125 SW Hall Blvd., Tigard, OR 9 t3' Tigard n Date /By: Permit No.ap `R (0I
XTT 0 1 2009 Plan Review j� Ic Phone: 503.639.4171 Fax: 503.598.1960 Date/By: it �/ (11 Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready ty. Juris: ® See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
El New construction El Demolition . Permit fees* are based on the value of the work performed.
Indicate the value (rotnded to the nearest dollar) of all
%Addition/alteration/replacement El Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1- and 2- family dwelling Commercial /industrial
Valuation: $
❑ Accessory building I=1 Multi-family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: I'C�0f' �J�r �� i- New dwelling area: square feet
City /State /ZIP: '1r1� - 42.0 Ci Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: L [L, pp Covered porch area square feet
Cross street/directions to job site: Deck area: . square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I ;��,RRAe "'� '1 i we 0A _ Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (romded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
DC tgo klZk if„ f �.d 61�L. wm_k_ Valuation: $ IZ, °�
Existing building area square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: �� Noels 4 S Type of construction:
Address: / tw Kprial5 t s orm 16se, Occupancy groups:
City /State /ZIP: 47 � i oiz_ 112,05 Existing:
Phone: 223.3l7 I Fax: ( l ZZ$ . 2i New: •
X APPLICANT ❑ CONTACT PERSON ' NOTICE
Business name: I ejuSI NE ��! L --0t iF)C All contractors and subcontractors are required to be
Contact name:��� \10-6 �(7 licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: (2-6 etrjA. c I jurisdiction in which work is being performed. If the
City /State /ZIP: PS11241 0 1 applicant is exempt from licensing, the following reasons
���, `f apply:
Phone: ( .91141. Fax:: (9 .7+ �a . Z'
E -mail: 8.-an G o 13IZ 1rck _ Q_CSW�� .
CONTRACTOR
Business name: goWeki-cejci (9 0cribt4 BUILDING PERMIT FEES*
Address: 41010 4: ._ r,4 r- �, m i � � t B-ii3 review refer to d schedule)
City /State /ZIP: 1 . ,C12. 17 2 Structural plan review fee (or deposit):
t 2 FLS plan review fee (if applicable):
Phone: ( 13 3 - swvi. Fax: (503 42 3. 57
el`��l Total fees due upon application:
CCB lie.:
Amount received: 8.6 I
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: Deb: I 'Zinn
* Fee methodology set by Tri -County Building Industry
Service Board.
l: \Building \Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(I I /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 m 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] $ f 5-roo
MULTIPLIER (25% barrier removal requirement): x • .25
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TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ •
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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:
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4.. _` (a) Parki $ A00
o PIA ? t NVAN C6NC _Wog&
oo
01sA (b) An accessible entrance: • $ 7-6,25 L 10LATldJ O U acto ' T r
(c) An accessible route to the altered area: $
M.o01ftamlo 1 •
(d) At least one accessible restroom for each sex or a single unisex •
restroom: $
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(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): $ 25
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1: \ Building\ Permits \ BUP-COM PcrmitApp.doc 10/30/07