Permit rg`6, BUILDING PERMIT
1 CITY OF TIGARD
.. ? '' rl
-- ° ,'�. COMMUNITY DEVELOPMENT Permit #: BUP2010 00142
,i"' Date Issued: 06/22/2010
T 1 GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
lx Parcel: 1 S1260000300
Jurisdiction: TIGARD
Site address: 9771 SW WASHINGTON SQUARE DR D08
Subdivision: Lot: 0
Project: CCS
Project Description: Demo for TI.
Owner: FEES
PPR WASHINGTON SQUARE LLC Description Date Amount
2235 FARADAY AVE STE #O Permit Fee - Additions, Alterations, 06/22/2010 $149.75
CARLSBAD, CA 92008 Demolition
PHONE: 12% State Surcharge - Building 06/22/2010 $17.97
Contractor:
PHONE:
FAX:
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $4,800
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $167.72
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
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 ado•ted b the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through � OA: . 2- 001 -0100. You ma - n a copy . s or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: %J r� Permittee Signature: `
CaII - 075 by 7:00 a.m. for an inspection that buss s day.
This permit card shall be kept in a conspicuous place on the job site . t 1 completion of the project.
Approved plans are required on the job site at the time of each inspection.
N,
Building Permit Application
Commercial 0) FOR OFFICE USE ONLY
City of Tigard V) Receive /B d i s h r Permit No f l�, t
-vo1 -
7 • ° 1 3125 SW Hall Blvd., Tigard, OR 972 � %' Plan Review
Phone: 503,639.4171 Fax: 503.598.1960 ,\\\ D b g� Date /B Other Permit. > )U"°CV4.4
TIGARD Inspection Line: 503.639.4175 JV c �l� 0�� Date Ready /By. ® Page 2 for
Internet: www.tigard- or.gov , OT Notified/Method. , Supplemental Information
TYPE OF WORV REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction jgDemolition 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: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling X Commercial /industrial Valuation: $ u
❑ Accessory building ID Multi-family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: f5 5 5Gv w #_z i SQU�� New dwelling area: square feet
City /State /ZIP: - ip / ce ‘ 7722 _ � Garage /carport area: square feet
Suite/bldg. /apt. no.: b_ $5 Project name: CcS 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.
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.
ir::) O /� ` Ts Valuation: 8
( ) Existing building area: square feet
New building area: square feet
El PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP:
Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name:�� ID,�Jsr�, ��C -�tyj� All contractors and subcontractors are required to be
!t ( �W � �` NN licensed with the Oregon Construction Contractors Board
Contact name: r
/r �J� under ORS 701 and may be required to be licensed in the
Address: / En0 1-1-0 12_1 _.(it., J )?..._TvLs- jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State /ZIP: S-t— L/ iX 4v5 b 31 /..7 -ZO4 6
apply:
Phone: (bbi ) 5--4. Fax:: ( )
E -mail:
CONTRACTOR
Business name: Nb kr> 0(v R ETA T 1 cONcre ac.„ BUILDING PERMIT FEES*
Address: f coo t /� r -
(Please refer to fee schedule)
/ 0 �� y Structural plan review fee (or deposit): / L ig , 75
City /State /ZIP: S Tv fc.v .- v�x� — i 14./. 537 ?_2_066 Fax: ( ) FLS plan review fee (if applicable):
Phone: (
ace) 6s8 -6 0
Total fees due upon application: / 7 1 t - 7
CCB lie.: C 1 4 I t+ f l)
Amount received: // -7. _7?
Authorized signature: This permit application expires if a pe mit is not obtained
within 180 days after it has been accepted as complete.
Print n- �! r<'�i1T'�,,• -t Date: , ■ r V * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \•ermits \BUP -COM PermitApp.doc 2/23/07 440-4613T(1 1 /02/COM/WEB)
ft: ; � { Building Division
5,,,r Accessibility: Barrier Removal Improvement Plan
T41;-.GAwRD
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): $
I: \Building\Permits \BUP -COM PermitApp.doc 06/25/08
t ii M�, � a� Building Division
�y, , " Plan Submittal Requirements
aJGARD!
e . , ,r-A- Commercial & Multi - Family - New, Additions or Alterations
1. SITE PLAN (fully dimensional, drawn to scale) labeled with:
A. ❑ map & tax lot # ❑ project name ❑ site address ❑ suite number
❑ 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.
4. EXTRA SET OF THE FOLLOWING:
A. Two (2) copies of site plan to include vicinity map.
B. One (1) copy of erosion control plan with details.
C. Fire Department Building Survey, and full set of architecture drawings.
I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08
11 q Building Division
TIGARD Plan Submittal Requirement Matrix
Commercial & Multi Family - New, Additions or Alterations
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
• Building 2
Fire Protection System 2
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
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)
I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08