Permit (5) 'r1 ,1 a CITY OF TIGARD BUILDING PERMIT
�• PERMIT #: BUP2008 -00096
COMMUNITY DEVELOPMENT DATE ISSUED: 4/2/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 102 BA - 0 0600
SITE ADDRESS: 09710 SW TIGARD ST ZONING: I - P
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT: 059 JURISDICTION: TIG
PROJECT: WILLAMETTE ELECTRIC
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: 2N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 25 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:N
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 20,000.00
Owner: Contractor:
MULL, GREGORY S AND MALIBU PACIFIC
MULL, GEORGE E 735 NE JACKSON SCHOOL ROAD
19350 SW POMONA DR HILLSBORO, OR 97124
BEAVERTON, OR 97007
Phone: Contact #: PRI 503 - 693 -9797
FAX 503 - 693 -9796
Reg #: LIC 059045
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/2/2008 $191.20
[TAX] 12% State Surch 4/2/2008 $22.94
[BUPPLN] Pln Rv 4/2/2008 $124.28
[FLS] FLS PIn Rv 4/2/2008 $76.48
Total $414.90
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 rule • ect que ions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued :y: k i Al‘ , Permittee Signature: Alm=op-
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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 FOR OFFICE USE ONLY
City of Tigard DateB ,, 9g. Permit No.: . u ko CJ -0■30Y,
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie
Phone: 503.639.4171 Fax: 503.598.1960 Date/B : Other Permit:
T I G A RD Inspection Line: 503.639 Date Ready/By: ® See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental Information
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
21 Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit fo e
CATEGORY OF CONSTRUCTION work indicated on this application.
ID 1- and 2- family dwelling Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedro, s:
❑ Master builder ❑ Other: Number of bathroo
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 97i 0 Sw r, ,, J s f New dwelling are. • square feet
City /State /ZIP: n 9 a•J , OIL 9 7 Z Z 3 Garage /c. r. area: square feet
Suite/bldg. /apt. no.: Project name: w II a. pr e /4 6/ c f, r c . T:., Cove I .orch 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.
5, /: t e x/ 3 I y o fcsc e r Valuation: S A eoo
Existing building area: square feet
New building area: square feet
PROPERTY OWNER 0 TENANT Number of stories:
Name: I �ApQ/L 7 a 1....L, Type of construction:
Address: ( 9da) D} -( & "DA_ . Occupancy groups:
City /State /ZIP ft ,Qto N 1 0(Z. 97007 Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E -mail:
CONTRACTOR
Business name: 1---t &L r ?U P SI ( Le— BUILDING PERMIT FEES*
Address: 735' N t, e. w G ' Y [� (�� (Please refer to fee schedule)
�( Structural plan review fee (or deposit):
City /State /ZIP: 11 1 (4_5,aOQO I o2 f / ? f {
Phone: FLS plan review fee (if applicable):
( ) Fax: ( )
CCB lic.: 590 e 5_ Total fees due upon application:
Amount received: ! 90
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: p F J \ Date: I t — Z – 'l it J * Fee methodology set by Tri -County Building Industry
Service Board.
1: \Building\Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(I1/02 /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] $ Z 4)j v "
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ S u
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: r $ . °
f•N f rm A 3 C 5)42, , :a h /s t. . 1' yz , (� -. I S f
(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: $
S U u J
TOTAL (shall equal line [2] of Valuation Computation): $
I:\ Building \Permits \BUP -COM PcrmitApp.doc 10/30/07
I
CITY OF TIGARD r . WWY-
BUILDING DIVISION PERMIT #: BUP200$ 00096
A, (7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4 /2 /?0i1$
Phone: (503) 639 -4171 , ' I
Inspection Requests (24 Hrs.): (503) 639 -4175 'I � ..
INSPECTION WORKSHEET FOR DATE: 4/10/2008 TIME: 7 :02AM PAGE: 26
SITE ADDRESS: 09710 SW TIGARL) ST CLASS OF WORK:
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT #: 059 TYPE OF USE:
PROJECT NAME: !'NiI.LAMETTE ELECTRIC
DESCRIPTION: 11
OWNER: MULL, GREGORY S AND, PHONE #:
CONTRACTOR: MALIBU PACIFIC PHONE #: 503 - 693
Inspection Request Scheduled For:
ji Date: 4110/2008 Pour Time:
Code # Inspection Descrjk Confirm # Contact # Message
77b Framing 069169.01 503.624 -3631 N
Corrections /Co ents /Instructions:
.‘ (/■/-(_ SCAr S - ° 1-7 '1A/ . S , e°) '
el,, rte-. ‘
\.\ "cN „
% e e - Lc. , c w (-Y
1) 0 Cr t s S L/LQ__,S .
I1.4 dtta wN•A Cs) :.LV,C.20 a q , oo 1%41 (14)-G1
9 vn I A 6 k- w Q �'3 (�/L- ) Cpk� - c�n�' )
III PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED LiA 0 Ar
Inspector: Date: Phone #: (503) 718-
CITY OF TIGARD - r. 1 v
BUILDING DIVISION )I PERMIT #: 8!11 -00096
13125 SW Hall Blvd., Tigard, OR 97223 1 DATE ISSUED: 4/212006
Phone: (503) 639-4171 I I 1 i
Inspection Requests (24 Hrs.): (503) 639 -4175 'IL
INSPECTION WORKSHEET FOR DATE: 5/28/2008 TIME: 7:00AM PAGE: 5
SITE ADDRESS: 09710 SW TIGARD ST CLASS OF WORK:
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT #: 059 TYPE OF USE:
PROJECT NAME: WILLAMETTE ELECTRIC
DESCRIPTION: TI
OWNER: MULL, GREGORY S AND, PHONE #:
CONTRACTOR: MALIBU PACIFIC PHONE #: 50 3-6939797
Inspection Request Scheduled For: Date: 5/28/2006 Pour Time:
,ijr Code # / Inspection Descrip Confirm # Contact # Message
275 Framing 070452 -01 503 624 -3631 N
Corrections /C ��ents/ structions: ,,
.(L ' 7
cELC 7/ 0 - 0 c ► `4
N 6 0 `l, 11 L 7 �- s5,,-v.-5` ,
( Q�
111 PASS IAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: `. �` &...... Date: f / *(6 P hone #: (503) 71 S- Z"(
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 13UP201)8 000'1G
40)008
Phone: (503) 639 -4171 -k4 1li
Inspection Requests (24 Hrs.): (503) 639 -4175 __.,
INSPECTION WORKSHEET FOR DATE: 7/31/2008 TIME: 7:00AM PAGE: 6
SITE ADDRESS: ST
CLASS OF WORK:
09710 SW TIGARD
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT #: 059 TYPE OF USE:
PROJECT NAME: WILLAMETTE: ELECTRIC
DESCRIPTION: TI
OWNER: PHONE #:
MULL, GREGORY S AND,
CONTRACTOR: MALIBU PACIFIC PHONE #: 503693 -3797
Inspection Request Scheduled For: Date 7/31/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 073543.02 503624 -3631 N F
Corrections/Comments/Instructions:
t ' —C_, Z bo p'"1,4-z_ pAss�
R o v t t7. AA?? 0 0./ L�. S fi-:1 o f PC_A-7 J S
•
allig=1111111
❑ PASS / PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7AI /G$ Phone #: (503) 718- Z-6
y
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: B UP2008 00036
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/:1/2008
Phone: (503) 639- 4171;,t i -
Inspection Requests (24 Hrs.): (503) 639 -4175 I L . i
INSPECTION WORKSHEET FOR DATE: 8 , 2008 TIME: 7 :00AM PAGE: 1
SITE ADDRESS: 09710 SW TIGARD ST CLASS OF WORK:
SUBDIVISION: NO.TIGAF2DVILLE ADDITION AMEND. LOT #: 059 TYPE OF USE:
PROJECT NAME: WILLAMETTE ELECTRIC
DESCRIPTION: TI
OWNER: MULL, GREGORY S AND, PHONE #:
CONTRACTOR: MALIBU PACIFIC PHONE #: 5036939797
Inspection Request Scheduled For: Date 8/13!2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 074145 -01 503 -624 -3631 N
Corrections /Comments/ Instructions:
r
"A PASS VA PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ' J CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /' t 8 Phone #: (503) 44,/