Permit (107) CITY OF TIGARD BUILDING PERMIT
11 •a COMMUNITY DEVELOPMENT Permit#: BUP2023-00140
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/28/2023
Parcel: 1 S126CA00700
Jurisdiction: Tigard
Site address: 9350 SW WASHINGTON SQUARE RD
Project: Rich's for the Home Subdivision: None Lot: None
Project Description: Racking.
Contractor: PETERSEN RENOVATIONS INC Owner: PPR WASHINGTON SQUARE, LLC
1105 CEDAR BY J C PENNEY 0288-1
FOREST GROVE, OR 97116 ATTN: TAX SERVICES
PO BOX 10001
DALLAS, TX 75301
PHONE: 503-858-2420 PHONE:
FAX:
Specifics: FEES
Type of Use: COM Description Date Amount
Class of Work: ALT Type of Const: IB Permit Fee-Additions,Alterations, 08/28/2023 $119.33
Occupancy Grp: U Occupancy Load: 0 Demolition
Dwelling Units: 0 12%State Surcharge-Building 08/28/2023 $14.32
Stories: 0 Plan Review 08/07/2023 $77.56
Height: 0 ft Info Process/Archiving-Sm$0.50(up to 08/28/2023 $12.00
Bedrooms: 0 Bathrooms: 0
11x17)
Value: $2,200
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $223.21
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet: 1 Special Inspection(see plans)
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 952-001-0090. You may obtain a copy o r direct questions to OUNC by calling 3 2. or 1.800.332 2344.
Issued By: Permittee Signature:
Ca . 9.4175 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.
Bt><ildina Permit Application
Commercial RECEIVED FOR OFFICE I SE ON1.1
City of Tigard Date/ReceiBy:ved W Ii I1A v PtO Permit No.: ?I7 io lS. MO
111 •
I3125 2023 SW Hall Blvd.,Tigard,OR 97223 AUG 7Plan Review
II Phone: 503-718-2439 Fax: 503-598-1960J .az .. Related Permit:
Date/By:
T 1 G A R D Internet:
tanwLine:
w: 503 63 gov 75 CITY OF TIGARD Note Read ethod:• I lam` I ® See Page 2 for
BUILDING DIVISION i. l23 ' Supplemental Information
TYPE OF WORK REQU D DATA:1-AND 2-FAMILY DWELLING
0 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: 1-teat,.,-1-60 J
i s play
lQ)/ equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION ` work indicated on this application.
0 1-and 2-family dwelling Vi Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:q 3.5o S W a 4 hi�G I O y� St. y•e_ g d. New dwelling area: square feet
City/State/ZIP: W JT
T 1[l(k wC�I 9 7� ?� Garage/carport area: square feet
Suite/bldg./apt.#: J Project name: 6 0.v, �c�.�q.�,�
� t Covered porch area: square feet
Cross street/diteutions to job site: ;t,f..) -6,
t?_ -
Deck area: square feet
S \Ai Palm h(l C1 12 GI Q.lild S IA! 1t n 7 I(,t.VYI Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 1 Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 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.
Ayi( UL p>r A (�I Vl N a k - 17 t h�C.it f Valuation: $ t�1 p Q
0 l 5 r I ay Existing building area: square feet
/ New building area: square feet
0 PROPERTY OWNER ,itl TENANT Number of stories:
Name: g i C Lt.15 T D" +11,P. H(DVVl L Type of construction:k{'6Ghnr1 n 4 Qa GES
Address: Q 2 J 5 D s W �a 6 6 in fV J
( 6 y� Cc I I V P Occupancy groups:
City/State/ZIP:T1 cLt d 1 l 2. 7 72 3
` Existing:
Phone:(5 Zy) lD y - D`j 6 oZ Fax:( )
New:
0 APPLICANT
0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: 9fi (Please refer to fee schedule
i t tS n r "t bLe_ rl vn L
Contact name: 1,-(,... avl�to e!/ / P tk j Hay pi. Structural plan review fee(or deposit): 1
l
Address: q s b S W aA ( � b i l Scb uct r� p d FLS plan review fee(if applicable):
City/State/ZIP:"I` are( 547 7 223
T� Total fees due upon application:
Phone:(S'-03 / 92 t/ , 4� 2 2 Fax::( ) Amount received:
0
E-mail:r I ki r e1 0.ty y b e 11 ei3 r I el 5 1_ o rn e, e...6
•E rn PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR V t Commercial and residential prescriptive installation of
/ roof-top mounted PhotoVoltaic Solar Panel System.
Business name: (-f/7 ,,, FesrOi/a siovts Submit two(2)sets of roof plan with connection details
Address: /oj � r and fire department access,along with the 2010 Oregon
Solar Installation Specially Code checklist.
City/State/ZIP: p L- e yi.„ 0/2- p.7//ts Permit fee(includes plan review $180.00
7 and administrative fees):
Phone:(9g) ss-g- 2i[[LZ,f) Fax:( )
State surcharge(12%of permit fee): $21.60
CCB Lie.: 2,2.5.-eq i
�� Total
mit fee due upon applpines if a pe $201.60aine
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Wi t Grp iL Date: g 7/47,7 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits1BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I1/02/COM/WEB)
J
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
IIAccessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T I G n R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
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 percent(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: $
(fl 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.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
IIIIIII Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
T l G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled the
A. 1E1 map& tax lot# ® project name ® site address uite number
0 zoning . applicant name ® phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations,plans,details and specifications.
J. Accessibility barrier removal worksheet.
K Deposit -based on valuation of project.
•
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Plan Submittal Requirements Matrix
•
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal # of Plans
(Includes new,additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval,the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor,City of Tigard,Washington
County, and Tualatin Valley Fire &Rescue),if applicable.
I:\Building\Pemuts\BUP_COM_PermitApp.doc Rev.03/05/2019