Permit CITY OF TIGARD BUILDING PERMIT
1111 s COMMUNITY DEVELOPMENT Permit #: BUP2012 -00272
T E O AR O 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/27/2012
Parcel: 2S102BD00500
Jurisdiction: Tigard
Site address: 12705 SW PACIFIC HWY
Project: Genie Cafe Subdivision:RTH TIGARDVILLE ADDITION, AMENC Lot: 50
Project Description: Build a "facade wall" across the front of the porch
Contractor: ACCURATE CONCRETE Owner: ADRANGI, FARID
16047 S BEAVERGLEN DR 4289 ORCHARD WAY
OREGON CITY, OR 97045 LAKE OSWEGO, OR 97035
PHONE: 503 - 780 -2909 PHONE: 503 - 719 -2174
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg Permit Fee - Additions, Alterations, 12/27/2012 $134.54
Demolition
Occupancy Grp: R -2 Occupancy Load: 12% State Surcharge - Building 12/27/2012 $16.14
Dwelling Units: 0 Plan Review 12/27/2012 $87,45
Stories: 0 Height: 0 ft Info Process /Archiving - Sm $0.50 (up to 12/27/2012 $4.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $3,200
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $242.13
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 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. 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 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
By: � ���JJJ "'
Issued B �. /I . f4 , /� mot" Signature: ` Permittee naure: itt Si t �^ ,
„' [I,� �" � v r - /J `°.}r'
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 R E C E I V E D FOR OFFICE USE L S E O I 1
City of Tigard
V p w I...., Permit No,�,�ap� �� �7�-
Er
• 13125 SW Hall Blvd., Tigazd,OR 97223 4 Phone: 503.718.2439 Fax: 503.598.1960 2012 Plan Review
pate/g !rl �� Other Permit:
TIGARD Inspection Line: 503.639 L111 0h11Gr�iW D: Ry B : -twit r_ See Page 2for
Internet: www.tigard- or.gov 1 1 lJT 1 niW Noti y� - od: r_ l Supplemental Information
_ Rr7ILDING DIVISION -'q' ' 41 r /
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
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 ICJ Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
! .1 O.> JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: .V..I . To.c.ik t}w y
New dwelling area: square feet
City /State /ZIP: -- nJ q�p() VC-- Garage/carport area: square feet
Suite/bldg. /apt. no.: I Project name: N f c 04141 VJgt Covered porch area square feet
Cross street/directions to job site: J j,,51' V Q,5-k o4 , 4 O r -. �
ta' �j Deck area: square feet
e l I\ b, r_ .., `'f r� nf\ is F o w t 1' ?k`r l 1 v.t. Other structure area: square feet
l 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
1 DESCRIPTIION OF WORK work indicated on this ,plication.
1 6 1 IA. ' a ` ef4. u+( w , AcroIS "I'LL ) zoo
$ 3 ) 2 oo
•C•fgr DE 1:"=" rG� - — A i s c1( elk, , d V1S v-4 Existing building area Cy square feet
) 0. pY - 3lle r.44 New building area: $- square feet
] PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: f. - Mrah I Type of construction: rr : 6 N s pit.
Address: Occ Occupancy groups:
r�( LA' y P y� s P:
City /State /ZIP: L.al' -t OSWe.yii D Z Existing:
Phone: (5a3 ) -- 7 ter— Z [ 7 L Fax: ( ) New:
X APPLICANT A CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: A s`LU.dr6 tre..r c Structural plan review fee (or deposit):
Contact name: - ton B f I - -zeAtat h.52—.
FLS plan review fee (if applicable):
Address:
162 `L ' s+ .
City /State /ZIP: Total fees due upon application:
w �� erg6
q 7 2 Fax:: (--7-- Amount received:
Phone: (5 3 ) 7 $
E -mail: no �aw.riivert..hdi wa(d k9-1-104a; ' - � � PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
J J Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: A cow at a �Y\r.Y P✓ �P Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: I Co d .7 s- geikv tc 9lch 1 >f . Solar Installation Specialty Code checklist.
1
Permit fee (includes plan review
City /State /ZIP: O' 0 h C \ * \f D1 it 7 D � an a fees) $180.00
Phone: ( 503) 7 5, 0 _ 21 . 04 Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: 6 7 I 0 7 4111A` -1 Total fee due upon appication: $201.60
Authorized signature: ii y ,-, This permit application expires if a permit is not obtained
i i p )c»i$— within 180 days after it has been accepted as complete.
Print name: ,/ew 1. \5 Date: IL- ts _ I Z * Fee methodology set by Tri -County Building Industry
Service Board.
1:\Building\Permits\BUP -COM PermitApp.doc 02/24/2011 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