Permit CITY OF TIGARD BUILDING PERMIT
g ..q COMMUNITY DEVELOPMENT Permit #: BUP2009 -00125 • TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/24/2009
Parcel: 2S101 00O3900
Jurisdiction: Tigard
Site address: 7150 SW SANDBURG ST
Subdivision: Lot: 0
Project: Progressive Insurance
•
Project Description: TI
Owner: FEES
PROGRESSIVE CASUALTY Description Date Amount
INSURANCE COMPANY, REAL ESTATE Permit Fee - COM 07/08/2009 $549.10
NOTIFICATIONS, PO BOX 89429 12% State Surcharge - Building 07/08/2009 $65.89
PHONE: Plan Review 07/08/2009 $356 92
Plan Review - Fire Life Safety 07/08/2009 $219.64
Contractor:
JOSEPH HUGHES CONSTRUCTION INC
11125 SW BARBUR BLVD
PORTLAND, OR 97219
PHONE: 503 - 624 -7100
FAX:
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 2 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $87,500
Floor Areas:
Total Area: 0
Accessory Struct 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck' 0
Garage: 0
Mezzanine' 0
Total $1,191.55
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm Protected Corridors: Yes
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
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This permit' ued sub/- o the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law All work will
be done accordance with app •ved • • This permit will expire if work is not started within 180 days of issuance, or if wo • 's suspended for • • - he 180
days. ENTION Oregon law re . res yo to follow the rules adopted by the Oregon Utility Notification Center. Those I' - e set f• in • • R
952- 01 -0010 through OAR 952 .0 01 • • • may obtain a copy of the rules or direct questions to OUNC by calling 50 • . •699 •80•.332 23 4. •
Iss d By: / A Permittee Signature: L
Call 503.839.4175 by 7:00 a.m. for an Inspection that bu- In =ss da
This permit card shall be kept in a conspicuous place on the Job site until c. pi . on of the project.
Approved plans are required on the Job site at the time of each In ; : Lion.
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i Bu.kiding Permit Application
Commercial FOR OFFICE USE ONLY City of Tigard RECEIVED RDeacteived ( n " Q 199 ap� S u Per. 0 . /I /Ot 1
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revs �/
Phone: 503.639.4171 Fax: 503.598.19 DateB ri�f� _ r Other Permit:
I' I c; A It D Inspection Line 503.639 J�JL 0 8 2009 Date Re!*' runs El See Page 2 for
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Internet: www.tigard or.gov Notified/Method: Supplemental Information
CITY OF TIGARD
TYPE dilUitiliffsIG DIVISION 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
Addition/alteration /replacement ❑ Other: 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: $ 87 5igo. o O
El Accessory building El Multi-family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: New dwell area square feet
'7 /�o Sot) �4 v .
City /State /ZIP: 7�4,i) / QS' 9722.3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project namere, ��csvv"� 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 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.
/. ‘—' ire# — ‘0AWR ,lje faD — CI) Ale-K.) Valuation: $
0/ ( 0 ) •VE) �Ii 14 /A.v 4) ,P� , Existing building area: square feet
/ New building area: square feet
ti PROPERTY OWNER I C TENANT Number of stories:
Name: PAb9iteiSSWE Type • of construction:
Address: 77Sb J 46 dX6i Occupancy groups:
City /State /ZIP: '—/-7y � , D2' 97 2 3 Existing:
Phone: ( ) 7 Fax: ( ) New:
to APPLICANT [CONTACT PERSON NOTICE
Business name: 4K/jf ,,t-! �O/SS4t/ All rj./ t All contractors and subcontractors are required to be
Contact name: /� licensed with the Oregon Construction Contractors Board
✓ , r A under ORS 701 and may be required to be licensed in the
.SK A
Address: (0720 72o ) /X/A�4t
Q1 4jL j 5 /� APO jurisdiction in which work is being performed. If the
City/State /ZIP: 7 0Jr7�C/ o 97z/ applicant is exempt rm licensing, the following reasons
apply:
Phone: Z • 71o0 I Fax: :.3) Z 77 /c )
E- mail r i /f $ t o a ,,, a tom. Cam
V CONTRACTOR
Business name: 7120gr celak,..- n eel-0i BUILDING PERMIT FEES*
Address: (Please refer ro/ee schedule)
City/State /ZIP: Structural plan review fee (or deposit):
Phone: ( ) I Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: Total fees due upon application:
- / 1 � Amount received: �� � 9 / . S
Authorized si a ( This permit application expires if a permits not obtained
within 180 days after it has been accepted as complete.
Print name:
(.5 1, 3�4) Date: �• 8 • Q
* Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building\Permits\BUP -COM PernitApp.doc 2 /23/07 440 -4613T(I1 /02 /COM/WEB)
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71
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
1
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
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IN Building Division
Over-The-Counter (OTC) Building Permit
TIGARD
Check List
Description of Project: Ti
GENERAL INFORMATION
Class of Work.* k r - , Floor Areas (sq. ft.). . . Exterior Wall Construction:
Type of Use:* First floor: N: S:
Type of Construction: .. Second floor: , -, • E. W:
Occupancy Group: ' Third floor: ' ' ::5 Openings Protected Y/N
Occupancy Load:
LA , 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 s9. ft. • .: - .'- Fire Retardant:
Basement. Basement: - '• - . Area Separation Rated:
Mezzanine: -, Garage: - . . Occu. Separation Rated:
, . --' ,0 ITEM , : . ,. : - . : :
• . , ... • - .
Fire sprinkler: j .. 2 > ,' Y. ..., - Handicap access:
--''. • w
Smoke detector: .:_-,-, - •- Protected corridors:
Fire alarm: . . _ Parking spaces (#):
Notes:
Total Valuation: $ 67 "5
/
.NSPZ,CTIONS ' '-' : .':..:•';,: ,
PEPS:DUE' -'-;
_ , .. .. . , _ , . . . . . .
Footing/foundation Firewall $ Permit Fee
Post/beam structural Smoke detector $ State Surcharge
Shear wall Misc inspection $ Plan Review Fee
Masonry Approach/sidewalk $ 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:
$ Total Fees Due
. Kintinal•S:
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t 41 et osb*A21151Y 'aliti6i.ti' ALT == :iltorition; = fotiticiiiiii;tir=larTitilc
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T: \ Builciing\ Forms \ OTC-BUP.doc 08/19/08