Permit •
CITY TIGARD BUILDING PERMIT
' a COMMUNITY DEVELOPMENT DATE ISSUED: 4 2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 102AA -00602
SITE ADDRESS: 11960 SW PACIFIC HWY ZONING: CBD
SUBDIVISION: TIGARD HIGHWAY TRACTS LOT: 010 JURISDICTION: TIG
PROJECT: KAUFMAN STREAMBORN & CO
Project Description: TI - interior walls
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: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 64 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 30,000.00
Owner: Contractor:
AMAN ENTERPRISES, INC MASTERCRAFT WOODWORKING
PO BOX 19089 10300 SE 97TH CT
PORTLAND, OR 97280 , PORTLAND, OR 97266 -7219
Contact #: PRI 503 - 481 - 1462
Phone:
Reg #: LIC 125172
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/24/2007 $320.80
[TAX] 8% State Surcha 4/24/2007 $25.66
[BUPPLN] Pln Rv 4/24/2007 $208.52
[FLS] FLS PIn Rv 4/24/2007 $128.32
Total $683.30
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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 - -s or dire qu- : • s t. • UNC by calling 503.246.6699 or 1.800.332.2344.
. (44i.
Issu - d By: it 0_41/4,/j , / / 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.
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1
Building Permit Application
Commercial FOR OFFICE USE ONLY
City of Tigard e e e a , /�,���� %! Permit No.: � j' � f
• 13125 SW Hall Blvd., Ti d 2 I DPl atB an Review
C Phone: 503.639.4171 Fax: 503 59 60 Date/By: Other Permit:
T I G n K D Inspection Line: 503.639.4175 Date Ready/By: m' El See Page 2 for
Internet: www.tigard- or.gov APR 2 4 2007 Notified/Method: t Supplemental Information
11 0D I A jiUMW REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction R1 m , to b1� } i• les1 Permit fees' are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar of all
O. Addition/alteration /replacement ❑ Other: - • uipment, materials, labor, overhead, and . profit for the
CATEGORY OF CONSTRUCTION we indicated on this application.
❑ 1- and 2- family dwelling XCommercialJindustrial Valuation. $
❑ Accessory building ❑ Multi- family Number of bedre s:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: // 760 S PCCf 1,. New dwelling area: square feet
City/State /ZIP: ` l Garage /carport ar.: se are feet
Suite/bldg. /apt. no.: Project name: /4 .1 V M 6, 4 4 Covered pore. area: squ. feet
Cross street/directions to job site: 4 CO , Deck are square fee
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I 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 rCafz off-re r h ,3yF Valuation: $ 30,000
Existing building area: square feet 2
New building area: square feet3,3 O
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
•' 1 Cc‘• `W
Name: a\T Avec1T .c- r �t�3 t° ; ��� ����� , Type of construction: 4/ O c t {/Ci��i
Address: / 9211 S ` � ‘k 9'- �� 9yy n kA \ Occupancy groups:
City/State/ZIP/Lt. am- 9 - 70 6 fx „A ,(") - e'i`ok\_ Existing: zy
Phone: ( 5505 ) ' / 8 9 _ 2i S) ( )' 2 9 t .G [)• 99 New:
❑ APPLICANT CONTACT PERSON NOTICE
Business name: x."(,.0a c N ' s � )0 ( t1 All contractors and subcontractors are required to be
Contact name: �� e \ S � licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: k `� Mrrt,„('z jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State /ZIP:
NC Q Q °� apply:
Phone: (rte) 6(.4- ( (co II Faax:: ). = '] Q 2,S
E- mail: ` ` * ', G \ � t
CONTRACFOR
I
Business name: M cio /r /r /Cr�� ((/OOa4wO/1 ril y BUILDING PERMIT FEES*
Address: D0 SF 21h G T / (Please refer to fee schedule)
C O < A ^/ Structural plan review fee (or deposit):
City /State /ZIP: eio! , H Vet/ . p/ q 7086
/ V � ` FLS plan review fee (if applicable):
(��
Phone: ) L� B/ ! Fax: ($ 7 / ) 4/ y7 "0,2 /
CCB lie.: 05--/201 Total fees due upon application:
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: 14/ G�L i ci a ,C5/ ^ Date: y4� / 7 • Fee methodology set by Tri -County Building Industry
! Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 2/23 /07 440 -4613T(1 I /02 /COM/WEB)
el
° 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 02/23/07
CITY OF TIGARD b q P
BUILDING DIVISION PERMIT #: apt) 7 -oo a a. -7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I I ..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
T
SITE ADDRESS: 11 6v Q CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: Ka D, ,
DESCRIPTION: �' �, , ,�, /
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: O / — 0 7 Pour Time:
Code # spection Description Confirm # Contact # Message
o1-” 053737 - of SO3 - qk1 -( 1 f(0 ;
Corrections / omments /Instructions:
t'Ne/t" . V 3/ ) ( ) k s S• - S
f )1 9 j 1 . - '
r
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /,, Date: W/ Phone #: (503) 718- Z42
CITY OF TIGARD _ .
BUILDING DIVISION PERMIT #: BUP2007 -00227
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/24/2007
Phone: (503) 639 -4171 odh I fin
Inspection Requests (24 Hrs.): (503) 639 -4175 "' ..
INSPECTION WORKSHEET FOR DATE: 8/3/2007 TIME: 7:03AM PAGE: 17
SITE ADDRESS: 11960 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: TIGARD HIGHWAY TRACTS LOT #: 010 TYPE OF USE:
PROJECT NAME: KAUFMAN STREAMBORN & CO
DESCRIPTION: TI - interior walls
OWNER: AMAN ENTERPRISES, INC, PHONE #:
CONTRACTOR: MASTERCRAFT WOODWORKING PHONE #: 503-481 -1462
Inspection Request Scheduled For: Date: 8/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Me
299 Final inspection 053391 -01 503 -481 -1462 ( Y rti
Corrections /Comments /Instructions:
Rxpv 1 A 1 . 4 002 ,itatik
o �--- �� czzo t--t o08 1 0 , - S
2 .i ( _ 4 iAigt,i kc,•M
oCGU`>1.01 . 1 1�- -- 02 to/ L 4 1 0q1/6
Vic' i e � " if v IC>j&) F6
H L I S as Al KCDO C , / 00 g ,1 . ,
❑ PASS 7 PARTIAL APPROVAL
❑ CANCEL ❑ NO ACCESS
FAIL /4 ALL FOR INSPECTION ❑ ADDITIONAL EES ASSESSED
Inspector: Date: 8 v Phone #: (503) 718 - a"
k
CITY OF TIGARD,
BUILDING DIVISION PERMIT #: BUP2007 -00227
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/24/2007
Phone: (503) 639 -4171 �y I�
Inspection Requests (24 Hrs.): (503) 639 -4175 p.
INSPECTION WORKSHEET FOR DATE: 8/2/2007 TIME: 7:00AM PAGE: 14
SITE ADDRESS: 11960 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: TIGARD HIGHWAY TRACTS LOT #: 010 TYPE OF USE:
PROJECT NAME: KAUFMAN STREAMBORN & CO
DESCRIPTION: TI - interior walls
OWNER: AMAN ENTERPRISES, INC, PHONE #:
CONTRACTOR: MASTERCRAFT WOODWORKING PHONE #: 503-481 -1462
Inspection Request Scheduled For: Date: 8/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 053284 -01 503-481 -1462 N
Corrections/Comments/Instructions:
PASS I. 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
� FAIL 4 ' A LL FOR INSPECTION ❑ ADDITION L FEES ASSESSED
Inspector: �� Date: `r' 6 Phone #: (503) 718 - ZX
MI
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00227 iliko 1 13125 SW Hall Blvd., Tigard, OA 97223 DATE ISSUED: 4/24/2007
Phone: (503) 639 -4171 ��i I r�
Inspection Requests (24 Hrs.): (503) 639 -4175 F'I��
INSPECTION WORKSHEET FOR DATE: 6/28/2007 TIME: 7:01AM PAGE: 26
SITE ADDRESS: 11960 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: TIGARD HIGHWAY TRACTS LOT #: 010 TYPE OF USE:
PROJECT NAME: KAUFMAN STREAMBORN & CO
DESCRIPTION: TI - interior walls
OWNER: AMAN ENTERPRISES, INC, PHONE #:
CONTRACTOR: MASTERCRAFT WOODWORKING PHONE #: 503 - 461 - 1462
Inspection Request Scheduled For: Date: 6/28/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 051134 -01 503-481 -1462 N
Corrections /Comments /Instructions:
i n/L� ?eiZ__?2C)V
/9
El PASS 42 . °ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL 1-:- ' • . - - TION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: CD 2 Phone #: (503) 718 -