Permit IL's)
CITY OF TIGARD BUILDING PERMIT
° COMMUNITY DEVELOPMENT Permit #: BUP2009 -00105
T t G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/09/2009
Parcel: 1S135DD05102
Jurisdiction: Tigard
Site address: 11993 SW PACIFIC HWY •
Subdivision: Lot: 0
Project: 1st Choice Auto Services
Project Description: TI
Owner: FEES
GLADSTONE, HELENE D FAMILY TRUST Description Date Amount
BY JEFF PAINE, 9155 SW 69TH AVE Permit Fee - COM 06/09/2009 $76.80
TIGARD, OR 97223 12% State Surcharge - Building 06/09/2009 $9.22
PHONE: Plan Review 06/09/2009 $49.92
Plan Review - Fire Life Safety 06/09/2009 $30.72
Contractor:
CLOOt
PHONE:
FAX:
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 1 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $3,580
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $166.66
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. ATTE. • '. • = eon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 .010 through 0 • t 95 101-0 10. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issu , d By: , / � 01A4/tiaki x
Perm Signature: y _ e.. D — (
Call 503.639.4175 by 7:00 a.m. for an Inspection that business day.
((( r /
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
Commercial rot( OFFICE IISF_ °NIA
CI of Ti and RECEIVED Received j ( I� °/4/41.10 /„/
'J g Receiv ` Permit No.: !(fJ
1111
a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
11 P hone: 503.639.4171 Fax: 503.598.1960 Date/B : ,, Other Permit:
JUN 0 9 200 r� � �
F IM Inspection Line: 503.639.4175 Date Ready/By: kris: 0 See Page 2 for
IGA
Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: Supplemental Information
TYPE OF W AVLD1NG DIVISION REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction it Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
MI Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling [71 Commercial/industrial
13 Accessory building 13 Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: //44'3 Say poccpc /ewe New dwelling area: square feet
City/State /ZIP: T �„,,,,, , a tL q-77.2 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: I Project name: all: a 14,113 SerQy:CE 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: - 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
DESCRH'TION OF WORK work indicated on this application
•
j� L-% La PA,t 4t ciA) WAr1) i n St�trsJ 120 t Valuation: S r3J �
be,•4,o Noel LtrAta 13.64.4:45 ilitAe.iA I WWII bri NI V.I.Fat of a4..ld.� Existing building area: square feet
New building area: square feet
V PROPERTY OWNER ❑ TENANT Number of stories:
Name: K 2 3 -. , R vIes. ,4 7 1, 4 LC. Type of construction: 5b
Address: ? si,-7i SG 13Y% /0/E st, a Zo,a Occupancy groups:
City /State /ZIP: C s • 012- Q 70J S' Existing:
•
Phone: (9)3 ) 8bc _ v3 70 Fax: (1)3 ) 657. - Sbs7 New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E -mail:
CONTRACTOR
Business name: s�L.r ' Dt,t.71J R. BUILDING PERMIT FEES*
Address: (Please refer to fee schedules
Structural plan review fee (or deposit):
City/State /ZIP:
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: Total fees due upon application:
Amount received:
Authorized signature: p ^ This permit application expires if a permit is not obtained
b within 180 days after it has been accepted as complete.
Print name: lent s'� "p J v>�5 I Date: ( _ y -O'j • Fee methodology set by Tri -County Building Industry
� Service Board.
I: \BuildingWermits\BUP -COM PermitApp.doc 2/23 /07 440- 4613T(I 1/02 /COM/WEB)
MEOW
71 Q
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
mi Building Division
Over - The - Counter (OTC) Building Permit
T I G A R D Check List
Description of Project: - 17
GENERAL INFORMATION
Class of Work:* A(.f Floor Areas (sq. ft.): Exterior Wall Construction:
Type of Use:* CCM First floor: N: S:
Type of Construction:1 Second floor: E: W:
Occupancy Group: Third floor: Openings Protected Y /N ?:
Occupancy Load: Total sq ft.: N: S:
Stories: ( Note: Combine total floor area for E: $ E:
Height: _ all floors above third floor and Roof Construction:
Floor Load: add to the third floor s . ft. Fire Retardant:
Basement: Basement: Area Separation Rated:
Mezzanine: Garage: Occu. Separation Rated:
REQUIRED ITEMS
Fire sprinkler: 00 Handicap access:
Smoke detector: Protected corridors: KY)
Fire alarm: Parking spaces ( #):
Notes:
Total Valuation: $ 3 O
INSPECTIONS FEES DUE
Footing /foundation Firewall $ `j , tO Permit Fee
Post /beam structural Smoke detector $ 2 State Surcharge
Shear wall Misc. inspection $ , Plan Review Fee
Masonry Approach /sidewalk $ 2 •,7 Z FLS Plan Review Fee
Framing $ Additional Permit Fee
Insulation Sprinkler rough -in $ Additional Plan Review Fee
Gyp board Fire alarm $ Metro Construction Excise Tax
Suspended ceiling Sprinkler final $ School Construction Excise Tax
Final inspection $ Misc. Fee
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ / Other:
$ / 4- (C + r,C Total Fees Due
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings
or canopies); REP = repair.
1: \Building \Forms \OTC - BUP.doc 08/19/08