Permit a CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00335
COMMUNITY DEVELOPMENT, G DATE ISSUED: 10/7/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135BD-00300
SITE ADDRESS: 09735 SW SHADY LN 303 ZONING: C - G
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: DR FREEDLAND
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: 9 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING:
VALUE: $ 38,000.00
Owner: Contractor:
HAZEL INTERNATIONAL, INC AND S & M TRANSACTIONS INC
HIGASHIYAMA HIGHLANDS CO, LTD 2950 NW 29TH AVE
BY NORRIS + STEVENS REALTORS PORTLAND, OR 97210
PORTLAND, OR 97204
Contact #: PRI 503- 542 -4442
Phone: FAX 503 - 542 -4441
Reg #: LIC 100757
FEES
REQUIRED ITEMS AND REPORTS
Description Date Amount
[BUILD] Permit Fee 10/7/2008 $299.62
[TAX] 12% State Surch• 10/7/2008 $35.95
[BUPPLN] Pln Rv 10/7/2008 $194.75
•
[FLS] FLS Pln Rv 10/7/2008 $119.85
Total $650.17
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 questions to OUNC by
calling 503. -. • ••• or 1.801 332.2344.
Issued :y: L ` Permittee Signatu
0 11111111 :■
Call 503.639.4175 by 7:00 a.m. for an inspecti : at business day.
This permit card shall be kept in a conspicuous place on the job site until comp) - 'o - the project.
Approved plans are requited on the job site at the time of each inspe ion.
•
i /,
Building Permit Application •
Commercial FOR OFFICE USE ONLY
REC E IVED
City of Tigard Received DateB : ! • D 8 Permit No.: ,dt,eP S _ 5"
q 13125 SW Hall Blvd., Tigard, OR 972 'r 0 7 2003 Plan Revi �. �,J �,
• Phone: 503.639.4171 Fax: 503.598. Date/B Other Permit:
Ti G A R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Rea. '•. to / See Page 2 for
Internet: www.tigard or.gov Notified/Method: / / o, Supplemental Information
6UI.LDING ENVISION
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
Additi teration/ eplacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El `
1- and 2- family dwelling (ommercial/industrial Valuation: $ / 069
❑ 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: 9 7 75 5 51,„) ` 3o-3 New dwelling area: square feet
City /State /ZIP: --r 1, A.,r,A / d 12 Garage /carport area: square feet
Suite/bldg. /apt. no.: V Project name: 1 f t ��( >° ekJ lt-yxi Covered porch area: square feet
Cross street/directions to job site: n Deck area: square feet
11o , .2 I:7 d- 6 ( .e2 rt_� q r(� ,. 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
DESCRIPTION OF WORK work indicated on this application.
,, J Valuation: $
` T e s t a _ 1 y v t 3 J f s rnt C tM S9v� ' 11,'k of i r tog. JA ,
t Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: `) e . F( _ P 46_,,,,-A Type of construction:
Address: 1 -7 35- 51,0 11 11A-144- — 3 5 Occupancy groups:
City /State /ZIP: --r- Gs o( t ® / Existing:
Existing:
Phone: (�j b5 ) 6� Lr ( p,.`] 3 Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: 1- -x "1)_,.. 0' r , (i,P vvtO a gl l All contractors and subcontractors are required to be
Contact name: h 1� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 0 951) N W ,a9 t 2 , . jurisdiction in which work is being performed. If the
City /State /ZIP: ' .1.) ( k-, Cuv d 9 7 ar'
applicant is exempt from licensing, the following reasons
apply:
Phone: (513 ) j o Z _t y.2 ' a
Fax:: (5 ) 51,i o 'Z - `/ 7 ` LJ I
E -mail: N9 lame f P l o aiih., Co
CONTRACTOR
Business name: BUILDING PERMIT FEES*
Address: \:..1 Co'� W (Please refer to fee schedule)
5 . 0' Qt ; ��� Structural plan review fee (or deposit):
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: /(9Q 757 Total fees due upon application:
Amount received:
Authorized signatur- .- / This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:104ti ��V Date: )0_ 7 - * Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02 /COM/WEB)
■
° Building Division
C
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 -CO,M PermitApp.doc 06/25/08
CITY OF TIGARD ,
BUILDING DIVISION r PERMIT #: BUP2008- 00435
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/712008
Phone: (503) 639 -4171 ii lln
Inspection Requests (24 Hrs.): (503) 639 -4175 `:..
INSPECTION WORKSHEET FOR DATE: 10/31/2008 TIME: 7:00AM PAGE: 20
SITE ADDRESS: 09735 SW SHADY LN 303 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: DR FREEDLAND
DESCRIPTION: TI
OWNER: HAZEL INTERNATIONAL., INC AND, PHONE #:
CONTRACTOR: , & M TRANSACTIONS INC PHONE #: 503512- 4412
Inspection Request Scheduled For: Date 10/31/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 077475 -01 503 519-1206 N
Corrections /Comments /Instructi•ns: p e...4.-
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. / PARTIAL APPROVAL Ill CANCEL ❑ NO ACCESS
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'd ;; �3 sr±�> % ALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
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Inspector: � _ Date: lC) /3((ve Phone #: (503) 718- �_
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CITY OF TIGARD
1 BUILDING DIVISION PERMIT #: l3iJP100800335
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 101 7/2t 108
' Phone: (503) 639 -4171 �o� ;i11
Inspection Requests (24 Hrs.): (503) 639 -4175 ...'
INSPECTION WORKSHEET FOR DATE: 1W1412008 TIME: 7 PAGE: 6
SITE ADDRESS: 09735 SW SHADY LN 303 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: DR FREEDLAND
DESCRIPTION: TI
OWNER: HAZEL INTERNATIONAL, INC AND, PHONE #:
CONTRACTOR: S & M TRANSACTIONS INC PHONE #: 503-541-4442
Inspection Request Scheduled For: Date: 10114f2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
215 V/ Framing 076691 -01 503. 519.1206 N
Corrections/Comments/Instructions:
e }2c r d o_ke /S O c? o Q #
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2) 34A t; I. e.. e_ e c`, n � % L., // 0 V ,,,./ C o -- .V.e,--
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c £/4 i : Ca. I (.H4 If Cr ✓.e' -- Qc SS /3Dc,'r Cer t3)
6 k c Covey
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Z S Date: / G /Gr- 7 Phone #: (503) 718- 21/2
CITY OF TIGARD
BUILDING DIVISION .' l PERMIT #: Bl1P20p0.00335
13125 SW Hall Blvd., Tigard, OR 97223 I ' DATE ISSUED: I0/7 /200E1
Phone: (503) 639-4171 ll� ;�i
Inspection Requests (24 Hrs.): (503) 639 -4175 _
INSPECTION WORKSHEET FOR DATE: 10/13/2008 TIME: 7 :00AM PAGE: 21
SITE ADDRESS: 09735 SW SFIADY I N 303 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: OR FREED[, AND
DESCRIPTION: TI
OWNER: FIAZE°L INTERNATIONAL, INC AND, PHONE #:
CONTRACTOR: S !, M TRANSACHONS INC PHONE #: 503 - 542.4442
Inspection Request Scheduled For: Date: 10/1312008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 076613.01 503. 519 -1206 N
Corrections/ omments /Instructions:
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❑ PASS A PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
g FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i1 Date: b / 13/' & Phone #: (503) 718- 2� Lj/
1