Permit CITY OF TIGARD BUILDING PERMIT
Ai: i 0 COMMUNITY DEVELOPMENT Permit #: BUP2010 00010
r{ ''` '`' ' 13125 SW Hall Blvd., Ti and OR 97223 503.639.4171 Date Issued: 02/23/2010
x &� - g Parcel: 1S126CC00100
Jurisdiction: TIGARD
Site address: 9700 SW WASHINGTON SQUARE RD
Subdivision: Lot: 0
Project: Nordstrom Ebar
Project Description: Replace front and back counter tops, and modify cash register height to 34" A.F.F max.
Owner: FEES
PPR WASHINGTON SQUARE LLC Description Date Amount
C/O NORDSTROM, ATTN: TAX DEPT, PO BOX Permit Fee - Additions, Alterations, 02/23/2010 $225.80
2229 Demolition
PHONE: Plan Review 01/12/2010 $146.77
12% State Surcharge - Building 02/23/2010 $27.10
Plan Review - Fire Life Safety 02/23/2010 $90.32
Contractor:
R & H CONSTRUCTION CO
1530 SW TAYLOR ST
PORTLAND, OR 97205 -1819
PHONE: 503 - 228 -7177
FAX: 503- 224 -3638
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: • 2 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $10,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $489.99
Required:, Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: Yes
Smoke Detectors: Manual Pull Stations: Yes
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 issuanc- • 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 u e are set forth in OAR
952- 001 -0010 thro 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling : • 6. :' or 1.800.332.2344.
Issued By: c t( J jitll 011 Permittee Signature: / .
��� .••JJJ Cl Call 503.639.4175 by 7:00 a.m. for an inspection that busine�� .
This permit card shall be kept in a conspicuous place on the job site until c.. pietion of the project.
Approved plans are required on the job site at the time of each inspection.
1
` Building Permit Application
II
Commercial �CE l 4 4 =r oIvor1 l o * �
'A... �.. i
City of Tigard J AN 1 2 2010 D ateB e � ... _�, Permit No.: '= Z .an a
f,,- 13125 SW Hall Blvd., Tigard, OR 97223 Plan R. . /
° a Phone: 503.639.4171 Fax: 503.598.190 ITY O I'I GARD DateB : � , 10 Other Permit:
Fls. 1
..1:•/ mit Inspection Line: 503.639.4175 13 UILDI Date Reap : ® See Page 2 for
Internet: www.tigard- or.gov NGDIVIS Notified/Methoi 1.11 0 ,. 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
Addition/; teratro. replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
'CATEGORY OF CONSTRUCTION work indicated on this application. V
❑ 1- and 2- family dwelling gCommercial/industrial Valuation: $ v OD. 1 22
❑ 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: 9 1 CIO ()O ^al - kor∎ ` c , New dwelling area: square feet
City /State /ZIP: �v �J Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: IV Q( - - n £ r 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: 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.
f �, A1 t7 f i„_� ^ - A CpU Va Valuation: $
MO Ot∎ ift /�J� 72 Existing building area: square feet
/c.4 06 s4 3 4i-4 ^ • , ut� New building area: square feet
IN ❑ PROPERTY OWNER A.
. � /� QV OF 6 TENANT . Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: A I" 4 "{ E3 i All contractors and subcontractors are required to be
Contact name: b 1A. o &N 0 Sd u0 licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: ' 41 4 jurisdiction in which work is being performed. If the
City /State /ZIP: SeittnAST j' L g, 0 r applicant is exempt from licensing, the following reasons
_ apply:
Phone: (2/ 3 �3 -sy S3 Fax: : ( )
E -mail:
CONTRACTOR
Business name: 2, L oina.sk r,A p _ k BUILDING PERMIT FEES*
Address: ` c r- (Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State /'ZIP:
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: Total fees due upon application:
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
r / Rp) t within 180 days after it has been accepted as complete.
Print name: U (XP RA) Date: ' ?/ 1 * Fee methodology set by Tri -County Building Industry
III Service Board.
L\Building\Permits\BUP -COM PermitApp.doc 2 /23/07 440- 4613T(11/02 /COM/WEB)
I' Building Division
. 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 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): $
•
I: \Buil ding \Permits \BUP -COM PermitApp.doc 06 /25/08