Permit 1N °'''' CITY OF TIGARD i BUILDING PERMIT
j= COMMUNITY DEVELOPMENT Permit #: BUP2010 00058
Tj dARD, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/18/2010
Parcel: 1S1260000300
Jurisdiction: TIGARD
Site address: 9508 SW WASHINGTON SQUARE RD J01
Subdivision: Lot: 0
Project: Clearwire
Project Description: TI.
Owner: FEES
PPR WASHINGTON SQUARE LLC Description Date Amount
2235 FARADAY AVE STE #O Permit Fee - Additions, Alterations, 03/18/2010 $377.90
CARLSBAD, CA 92008 Demolition
PHONE: 12% State Surcharge - Building 03/18/2010 $45.35
Plan Review 03/18/2010 $245.64
Plan Review - Fire Life Safety 03/18/2010 $151.16
Contractor:
MARKET CONTRACTORS LTD
10250 NE MARX ST
PORTLAND, OR 97220
PHONE: 503 - 255 -0977
FAX: 503 - 255 -4979
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 1 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $20,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $820.05
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: No
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 mor- • - 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 th oug OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.80%.33 .234,,/ r
Issued By: GI 26 It StAyr. Permittee Signature:
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 o e project.
Approved plans are required on the job site at the time of each inspectio .
Building Permit Application
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Cl of Tigard RE Re ceived '('�. `�A
City A Permit No.
711 `J g DateB • . � . �
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ',' to
Other Permit:
0
Phone: 503.639.4171 Fax: 503 . 5 98.196 ,. Date/B : a wg A k
II( v11L1) IVIAR .1 .
Inspection Line: 503.639.4175 - 0 L � f I l l} Date Ready : •. • ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
1 TY �C�I
TYP .OI'� 4�I OF �1CJ DIVI IGAR ION 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
dition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling ommercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
. . e5 JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 5t ' • 00 W / 11' -.- & Vd- 4 J I New dwelling area: square feet
City /State /ZIP: J / Alt", , sa/ 1 7 ZZ3 Garage /carport area: square feet
Suite/bldg. /apt. no.: all Project name: CL,E42 w /,ems 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: 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
DESCRIPTION OF WORK work indted on this application.
l C � .tsA"7'�/'7 Ars v0./ /a�� Z/4 be r7*— l Valuation.�� T� o-
r 11PAO e 4 C. Existing building area: square feet
New building area: square feet
❑ :PROPERTY OWNER " ❑ TENANT Number of stories:
Name: t/4ts/f // ?a .Sa m e Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
. ❑ APPLICANT . . . . . • CONTACT PERSON , E
,. • . • NOTIC
Business name: like4. 1 6 p - f6 2-j All contractors and subcontractors are required to be
Contact name: ' �� tZ�.- / O T� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: /0 Z 5 /(/ // /A K S 7 jurisdiction in which work is being performed. If the
City /State /ZIP: B r L,O 0 , ®�( 7 7 Zc) applicant is exempt from licensing, the following reasons
apply:
Phone: (rp,3) aOl' 7/10 I Fax: : 0} ) n�,t'oZ
-- t 1 3.0 r
E -mail: Roy Got. /P / /fi/ 7 Tie, ¢CJO/CS, 6'091
CONTRACTOR
Business name: /� 1, % f � �T��e�Q BUILDING PERMIT FEES*
Address: ' ( 5 Ci (Please refer to fee schedule)
City /State /ZIP: Structural plan review fee (or deposit):
Phone: (. ) I Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: ( p O
/ Z tj �
��\ /�` /Ld� Amount received: 1, O
Authorized signature: J � / � J This permit application expires if a permit is n o t
.� within 180 days after it has been accepted as complete. -
Print name: �l .
o
A / T,#--- Date: 1 —/S -0/0 * Fee methodology set by Tri- County Building Industry
( Service Board.
I:\Building\Permits \BUP -COM PermitApp.doc 10/01/09 440- 4613T(II /02 /COM/WEB)
I li Building Division
9: :
Accessibility: Barrier Removal Improvement Plan
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): $
1:\ Building \ Permits \BUP -CO\I PcrmitApp.doc 06 /25/08