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Permit (69) Building Permit Application E X '1 /.;7//0 e4/---- 9(it_ 14 4 t Commercial FOR OFFICE USE ONLY City of Tigard RecDate/Byd : 1 j / /13 Permit No.: /� n,,y0_, o is?) 13125 SW Hall Blvd.,Tigard,500R3-59 Plan Review I 'J I V W Phone: 503-718-2439 Fax: - Date/By: Other Permit: Inspection Line: 503-639-4175ft Date Ready/By: luris: H See Page 2 for TIGARD p 9 1 � ` r� 13 Internet: www.tigard-or.gov �OY i�� Notified/Method: It Supplemental Information TYPE OF WO)$ Of it s O4 REQUIRED DATA:1-AND 2-FAMILY DWELLING New construction 0!t ,,+, �"' Permit fees*are based on the value of the work performed. Indicate the value(rotnded to the nearest dollar)of all ❑Addition/alteration/replacement 0 ;then equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: / 0 Accessory building ElMulti-familyNumber of bedrooms: / ElMaster builder 0 Other: Number of bathrooms: Al 4-PB SITE INFORMATION AND LOCATION Total number of floors: Job site address: S W . 4je2,46 N'f 1.,21 �/ S ,,'1..4 5t New dwelling area: square feet City/State/ZIP: 11�; ) Gi I 4 (( Garage/carport area: square feet Suite/bldg./apt.no.: ' Project name: (ij L ,:;--„,e4..4Covered 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(rotnded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. G ' s�t,e 1 ti�. Valuation: $ Cercet �1`t Chi —LExisting building area square feet New building area: square feet PROPERTY OWNER 0 TENANT Number of stories: Name: Atf 11AUf-VVIIPAll5Type of construction: Address: '3-3 3 ,4,,,v `''f '14tf Occupancy groups: City/State/ZIP: // 17 2.©7 Existing: Phone:( ) Fax:( ) / New: Al APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Structural plan review fee(or deposit): Contact name: ��� � CJ �-=,��' FLS plan review fee(if applicable): Address: C�i�� �. 121.)2.x-) Total fees due upon application: City/State/ZIP: az n isz Phone:( ,+ ) 3 / ( `��� Fax: : ) Amount received74'i D ?, }.) E-mail: f AU4 fl j 4 I A1J- Cc's"I PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* 1 1� Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: 'V s 4.4 C jrtyk.l 4-i cy Submit two(2)sets of roof plan with connection details t and fire department access,along with the 2010 Oregon Address: `23 G,; -V-4 44 1/4- /10 Solar Installation Specialty Code checklist. City/State/ZIP: VApc- 2 �/I/A Permit fee(includes plan review $180.00 I and administrative fees): Phone:'X11 --,'r9 Lo J Fax:( ) State surcharge(12%of permit fee): $21.60 • CB lic.: Total fee due upon application: $201.60 Authorized signa -.....+... This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: m '� ' 4, kt4L Date: L VC.,7/ 1'3 * Fee methodology set by Tri-County Building Industry -.roll.-.roll. Service Board. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/11/2012 440-4613T(11/02/COM/WEB) 1111 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 $ 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 Rev.12/11/2012