Permit BUILDING PERMIT
' � CITY OF TIGARD
COMMUNITY DEVELOPMENT Permit #: BUP2010 -00084
Date Issued: 04/27/2010
T [ GAA D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 1S135BA01802
Jurisdiction: Tigard
Site address: 10101 SW WASHINGTON SQUARE RD
Subdivision: WASHINGTON SQUARE TOO Lot: 0
Project: Bank of America
Project Description: TI
Owner: FEES
PPR SQUARE TOO LLC Description Date Amount
BY BANK OF AMERICA, NC1- 001- 03 -81, 101 N Permit Fee - Additions, Alterations, 04/27/2010 $453.95
TRYON ST Demolition
PHONE: 12% State Surcharge - Building 04/27/2010 $54.47
Plan Review 04/27/2010 $295.07
Plan Review - Fire Life Safety 04/27/2010 $181.58
Contractor:
ELLE COMMERCIAL CONSTRUCTION INC
25822 S MOEHNKE CT
BEAVERCREEK, OR 97004
PHONE: 503 -632 -1490
FAX:
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $25,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $985.07
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: Yes Protected Corridors: Yes
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 sus ded for more the 180
days. ATT • ': •reg• - . requ' -s you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are et fo h in OAR
952 -0' -4010 through OAR 952-1.1-01; You may obtain a copy of the rules or direct questions to OUNC by calling 503.24 . 699 0 1.800. 2.2344.
ed By: 0,04fit/LAVAT Permittee Signature: X
CaII 503.639.4175 by 7:00 a.m. for an inspection that business d .
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.
ding Permit Application
RECEIVED , .„, „ „, ; I:012'0 w 4I I ,
o mmercial t ., ,� ,, r : 1 IC; 1 51 O I �, . � r ,
F7F .,.ri fSiY6 �- a,. ,"* ;. &4 l -3.. ,,,I.i; xZi �-u .._ ;, =g
City of Tigard Received y / 1 114 n Date/13 0 A Permit No.: 4 t,t
13125 SW Hall Blvd., Tigard, OR 9722/WR :2 7 2010
Plan Review�� Ian + �a
0 r (0 Other Permit:
Ph one: 50 3.639.4171 Fax: 503.598.1960 DateB
1 1 d A i D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready :y: ffin ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION 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
R Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
dwelling Valuation: $
❑ 1- and 2-family g ®C ommercial /industrial
El Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION • Total number of floors:
Job site address: / 01 01 Stv 'vast, Ipibiv 1/4 __c4Mr& litea d New dwelling area: square feet
City /State /ZIP: T 5 40 0 n l ci 7 Z 2-3 Garage /carport area: square feet
Suite/bldg. /apt. no.: + 1 Project name: k Q m ee CA Covered porch area: square feet
Cross street/directions to job site: r 4u ' /� 6-( Arie y �,a Deck area: square feet
I N ($4Jh i /t . S J 4 is / ! 4 t /1 a o. ea Other structure area: square feet
DfF L F f G re(�N 10 "Y) k REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: . equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK, work indicated on this application. /�
Otani SE eCC U (IN ri 1 NOD' rep( l/ri 1'itriv Valuation: $ 2S/ DOV
/ E xisting building area: ? square feet
CONS f �vcfi Z O { boay�t�fio�. wall ��
New building area: 0 square feet
❑ PROPERTY OWNER . ❑ TENANT Number of stories: INIC U — 6
Name: Type of construction: A so q c(ei tJ r , 46
Address: / O /C24 S &> w A evs ^ ST vu v` 0 d Occupancy groups: 4 4.4. a c C-s di'} Ili 6
City /State /ZIP: 77 4 r r< ! I2-'L3 Existing:
Phone: ( ) Fax: ( ) New:
- APPLICANT ' ❑ CONTACT P .. NOTICE
Business name: P Coil or1 M cOeCl4 / Co, ,5-f YUCT /d !� /l(.<C. All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
(� t I V /V O N under ORS 701 and may be required to be licensed in the
Address: ',SS 22 .S' floe l4 N 1/ e (' f jurisdiction in which work is being performed. If the
City /State /ZIP: D / Z- 00 applicant is exempt from licensing, the following reasons
�eQ UC /G 7 U % apply:
Phone: (50 3) G3 2 1 0 FaA-"'r )
E -mail: C /L' g y BOG f O AI 1 f N E. CO 1
CONTRACTOR
Business name: l.- 1 1, M M Irc; , /&c , BUILDING PERMIT FEES*
Address: s 2Z / 1 1 Gon�t' f �r�c lost/ 1 3 I e k N h.z Gt+ (Please rev' to feeschedulee)
City /State /ZIP: s V erC? eek dg 9 7 00 4/ Structural plan review fee (or deposit):
(J 3 2 9 / FLS plan review fee (if applicable):
Phone: f Fax: ( )
Total fees due upon application: Amount received: �
CCB lic.: 7 S' 5(/i t / 9$� O /
.46_ Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Date: * Fee methodology set by Tri -County Building Industry
Service Board.
1: \Building\Permits \BUP -COM PermitApp.doc 10/01/09 440- 4613T(11 /02 /COM/WEB)
1114 T . .
1
a
Building Division
' Accessibility: Barrier Removal Improvement Plan
T<1GAIt6
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, ee��
excluding painting and wallpapering: [1] $ 2.5 O(90
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): $
f eci...y ' r ( - E --
L\ Building \ Permits \BUP -COM PermitApp.doc 06 /25/08
O
® Building Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List
Description of Project: 1
GENERAL INFORMATION
Class of Work:* L Floor Areas (sq. ft.): Exterior Wall Construction:
Type of Use:* 4 *'. \ First floor: ' N: S:
Type of Construction: 5 o p. Second floor: E: W:
Occupancy Group: r Third floor: - Openings Protected Y /N ?:
Occupancy Load: f - Total sq ft.: N: S:
Stories: �j Note: Combine total floor area for E: E:
Height: all floors above third floor and Roof Construction:
Floor Load: add to the third floor s . ft. Fire Retardant:
Basement: Basement: Area Separation Rated:
Mezzanine: Garage: Occu. Separation Rated:
REQUIRED ITEMS
Fire sprinkler: OD Handicap access:
Smoke detector: Protected corridors: Kb
Fire alarm: C _ Parking Parking spaces ( #):
Notes:
Total Valuation: $ Z
INSPECTIONS FEES DUE
Footing /foundation Firewall $ r Permit Fee
Post /beam structural Smoke detector $ . - , 7 State Surcharge
'�
Shear wall Misc. inspection $ 5, 0j Plan Review Fee
• Masonry Approach /sidewalk $ f t , 1 FLS Plan Review Fee
Framing $ Additional Permit Fee
Insulation Sprinkler rough -in $ Additional Plan Review Fee
Gyp board Fire alarm $ Metro Construction Excise Tax
Suspended ceiling Sprinkler final $ School Construction Excise Tax
Final inspection $ Misc. Fee
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Other:
$ 1 D7 Total Fees Due
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD addition; ALT = alteration; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection- system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings
or canopies); REP = repair.
1: \Building \ Forms \OTC - BUP.doc 08/19/08