Permit CITY OF TIGARD BUILDING PERMIT
gi
C , COMMUNITY DEVELOPMENT Permit #: BUP2012 -00245
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/05/2012
Parcel: 1 S135DCO3700
Jurisdiction: Tigard
Site address: 11730 SW 95TH AVE
Project: Winters Salvage Subdivision: FIRDALE- UNRECORDED Lot: 9
Project Description: Replacement of existing 8' fence.
Contractor: OWNER Owner: WINTERS, JOHN W
11590 SW 95TH AVE
TIGARD, OR 97223
PHONE: PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: SF
Class of Work: OTR Type of Const: Permit Fee - Additions, Alterations, 12/05/2012 $77.00
Demolition
Occupancy Grp: Occupancy Load: 12% State Surcharge - Building 12/05/2012 $9.24
Dwelling Units: 0 Plan Review 12/05/2012 $50.05
Stories: 0 Height: 0 ft Info Process /Archiving - Sm $0.50 (up to 12/05/2012 $1.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $1,200
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $137.29
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
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 actor. - • 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. •. • TION: Oregon - requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are -.et forth in OAR
952-0 through OAR 952 -00 0090. ou may obtain a copy of the rules or direct questions to OUNC by calling 503 232.1987 ar 1.81 •.332.2344.
Is. ued By: i� ',Al Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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 RECEIVED FOR OFFICE USE ONE)
City of Tigard Date/By: /2 7 /2— Permit No.: — u �7� — �Q��`. ..—
13125 SW Hall Blvd., Tigard, OR 97223 0 5 , 2012 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 DDate/By: Other Permit:
C
T l ` R D Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
G Internet: www.tigard or.gov CITY OFTIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
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
® "ationlal+P..:n^ /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
and 2- family dwelling ' mmercial/industrial
Valuation: $
El Accessory building ID Multi-family Number of bedrooms:
El builder then Number of bathrooms:
JOB SITE INFORMATION AND ATION Total number of floors:
Job site address: l ' Li l t . 0 S -4 95't4 Av.... New dwelling area: square feet
`��
City /State /ZIP: , (..)0-- ji 2Z3 Garage /carport area: square feet
Suite/bldg. /apt. no.: ` Project name: 1,L4aji C4 Ldp 4 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
DESCRIPTION OF WORK work indicated on this application. I 2_c C as
�_ �� � Valuation: $ V
1 1 _ Existing building area square feet
1"dt.- �' TS r
,.,/ J New building area: square feet
L7 PROPERTY OWNER ❑ TENANT Number of stories:
Name: V OLAN 'V
' , } 1 S Type of construction:
("'1
Address: I 9 ,( . C .& 1 4 At 04- Occupancy groups:
City /State /ZIP: 4
T) � on_ `'t 2_2 3 Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:
Structural plan review fee (or deposit):
Contact name:
FLS plan review fee (if applicable):
Address:
City /State /ZIP: Total fees due upon application:
Phone: ( ) Fax: : ( ) Amount received: //37..
E - mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof - top .0 ounted Photo Voltaic Solar P.. _ ' stem.
Business name: O lA 0 /0 e Submit two ( : of roof p1. I t connection details
! and fire department a = -. .long with the 2010 Oregon
Address: '� W 1 /1 _ Solar Installatis • pedalo) o, • ecklist.
City /State /ZIP: O k 0 i 1 P• • it fee (includes plan revie , $180.00
T and administrative fees):
Phone: ( ) Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: Total fee due upon application: $201.60
Authorized signature:
(L.'"Iat This permit application expires if a permit is not obtained
s within 180 days after it has been accepted as complete.
Print name: ita j; t_7 Date: Z ' / * Fee methodology set by Tri -County Building Industry
� ' Service Board.
l:\Building\Permits\BUP -COM PermitApp.doc 02/2 011 440- 4613T(11 /02 /COM/WEB)
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 03/03/2011