Permit 4,
C ITY OF TrOARD BUILDING PERMIT
PERMIT #: BUP2008 -00110
COMMUNITY DEVELOPMENT DATE ISSUED: 4/10/2008
- r I G A R D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 DD -00101
SITE ADDRESS: 06975 SW SANDBURG ST 200 ZONING: C -P
SUBDIVISION: TIME SQUARE LOT: JURISDICTION: TIG
PROJECT: TIMES SQUARE
Project Description: TI.
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: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 24 BASEMENT: sf AREA SEP. RATED:
STOR: 3 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 15,000.00
Owner: Contractor:
AMERICAN PROPERTY MANAGEMENT OWNER
2510 NE MULTNOMAH
PORTLAND, OR 97232
Phone: 503 - 284 - 6133
Contact #:
Reg #:
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/10/2008 $155.45
[TAX] 12% State Surch 4/10/2008 $18.65
[BUPPLN] Pin Rv 4/10/2008 $101.04
[FLS] FLS Pin Rv 4/10/2008 $62.18
Total $337.32
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 rules or direct ' uestions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued : y: — ` Permittee Signature: "rt,e,/*
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.
Building Perm Applicat
Commercial FOR OFFICE USE ONLY
City of Tigard Date/B : ��� Permit No.: at ` ; -- (x) /6
!�' r r>
• 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.639.4171 Fax: 503.598. �%� A DateB : ���1��
III Plan Revie =`7 v
0 Other Permit:
T i G R I) Inspection Line: 503.639 ea Date Ready/By: runs: 0 See Page 2 for
Internet: www.tigard- or.gov -,),‘k ..,c• �,® Notified/Method: Supplemental Information
P OF N �\�e�
. TYPE OF WOI ``, ,.. > REQUIRED DATA: 1- AND 2- FAMILY DWELLING
rdl
❑ New construction ❑ ition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement Q Other: i 1 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: $
❑ 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: ,,qJ 75 Sw . „ ivre Rd New dwelling area: square feet
City/State /ZIP: riT r Cie- 9 7X?" 3 Garage/carport area: square feet
6/bldg./apt. no.: 0 -) Project name: Serewt .1, b. ( J /Ie Covered porch area: square feet
Cross street/directions to job site: 7? mil AUC Deck area: square feet
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.
Valuation: $ AC) 01) 6 , "
:• la �4 �c�c a S shlc Existing building area: 34 a square feet
New building area: a 3 b square feet
V PROPERTY OWNER I ❑ TENANT Number of stories: 3 /
Name: a M-crr ( ° n. it, / 11 4N ,,,,,, e' l Type of construction: Sp r,�, Ic el
Address: a S/ 0 • N j / yf„ / /p- & Occupancy groups:
City/State /ZIP: jr 4- , 0 v e 9 7a 3 2 Existing: B
Phone: ( 5 .20 4/.. 6 f 13 Fax: ( 5o3) ?o 8 / - /6 (, 7 New: 13
lif APPLICANT Cg" CONTACT PERSON NOTICE
Business name: /6f744)r- le4,,,, Prop,„ /4 1 rit All contractors and subcontractors are required to be
Contact name: la 'lc_ Auk (Pc_ licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: d 5 / O NE /4u /4,,,�.a 4_ jurisdiction in which work is being performed. If the
r01 applicant is exempt from licensing, the following reasons
City/State /ZIP:
6,12 9 7 . 2 3� apply:
Phone: (5C)3) 3'(09 - a7 (Cdi) Fax: : (5)3 ) a81/ - /667
E -mail:
CONTRACTOR
Business name: a f i v rr 'co,ti Prop rID / _ 7 _1}- BUILDING PERMIT FEES*
Address: c , 5 / c> NC- /✓)„ I .6-o, ,, (Please refer to fee schedule)
City/State /ZIP: 'p r 4- ) a g_ 9 7,232_ Structural plan review fee (or deposit): id ` ,
FLS plan review fee (if applicable): (p)., , I
Phone: ( 5)3) 58y - ( Fax: ( 503) el/ - /647
CCB lic.� J^ r - ) Total fees due upon application: 3 37 3
��J Amount received: 33 la_
Authorized signature: `,r/Q''t `` This permit application expires if a permit is not obtained
�
/w � within 180 days after it has been accepted as complete.
/'
/ 4
Print name: 21 {_ "4/ I Date: d ob e • Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building\Perrnits\BUP -COM PermitApp.doc 2 /23/07 440- 4613T(11/02 /COM/WEB)
° Building Division
:IN
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 10/30/07
CITY OF TIGARD
BUILDING. DIVISION PERMIT #: BUP2008.00110
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/10/2001)
Phone: (503) 639 -4171 i w-��
Inspection Requests (24 Hrs.): (503) 639 -4175 y F: _..
INSPECTION WORKSHEET FOR DATE: 5/19/2448 TIME: 7 :00AM PAGE: 15
SITE ADDRESS: 06975 SW SANDBURG ST 200 CLASS OF WORK:
SUBDIVISION: TIME SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TIMES SQUARE
DESCRIPTION: TI.
OWNER: AMERICAN PROPERTY MANAGEMENT, PHONE #: 603.2846133
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 5/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Me
299 Final inspection 070079-03 503.969 -2703 Y . " V N/
J
Corrections/ Comments/ Instructions:
te AS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
Mb—
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: � /1 Dg Phone #: (503) 718 -
r
1
CITY OF TIGARD . ._
BUILDING DIVISION PERMIT #: BUP2008.00110
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/10/2008
Phone: (503) 639 -4171 ,, , I
Inspection Requests (24 Hrs.): (503) 639 -4175 —_, __..
INSPECTION WORKSHEET FOR DATE: 4/14/2008 TIME: 7:00AM PAGE: 18
7 Z'
SITE ADDRESS: 06975 SW SANDBURG ST 200 CLASS OF WORK:
SUBDIVISION: TIME SQUARE. LOT #: TYPE OF USE:
PROJECT NAME: TIMES SQUARE
DESCRIPTION: TI.
OWNER: AMERICAN PROPERTY MANAGEMENT, PHONE #: 503 - 284 - 6133
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 4/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 068303-01 503 - 969 -2703 N
Corrections /Comments /Instructions: p
ic-K--- ie Go v - L HI 7
?R q
❑ PASS I;'_ /'AR IAL ' • • e e • • ❑ CANCEL ❑ NO ACCESS
❑ FAIL II CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / ■� Date: ! Phone #: (503) 718 -
�a