Permit . .
-. ol v CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00395
COMMUNITY DEVELOPMENT DATE ISSUED: 12/29/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT OFFICE ZONING: MUC
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: CLEARWIRE
Project Description: Install temporary kiosk.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2N : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: 20 ft RGHT: 20 ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: 20 ft REAR: 20 ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 25,000.00
Owner: Contractor:
WASHINGTON SQUARE LLC ROCKHOUSE WOODWORKING
BY THE MACERICH COMPANY 30841 SR 14
9585 SW WASHINGTON SQUARE RD SKAMANIA, WA 98648
TIGARD, OR 97223
Phone: Contact #: PRI 509 - 427 - 3656
FAX 509 - 427 - 3656
Reg #: LIC 153169
FEES
Description Date Amount
REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 12/22/200€ $226.95
[TAX] 12% State Surch 12/22/200€ $27.23
[BUPPLN] Pln Rv 12/22/200€ $147.52
[FLS] FLS Pln Rv 12/22/200€ $90.78
Total $492.48
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 than 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 9: /001 -01 00. You may obtain a copy
of these s or du • questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issue By: / �/ i Permittee Signature: 4 -
Call 503.639.4175 by 7:00 a.m. for an inspectio tb usiness day.
This permit card shall be kept in a conspicuous place on the jo • site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
I.
0. B>Ilyldin Perm Applicat
Commercial C019 FOR OFFICE USE ONLY q " G
R e ceived / e m O ,. Permit No • , / "oo g 0 ; /
City of Tigard �� Plan Rer Date /B . 9
^ � h one SW Hall Blvd., Tigard, OR 972 % �,�
te
Al C G Other Permit
Phone 503.639 4171 Fax 503 598 1960 G� DateB 1r'e, a n6
TI G n IZ D Inspection Line: 503 639 Date Rea y :y: fur El See Page 2 for
Internet: www tigard or.gov ��G G O W Notified/Method � �j Supplemental Information
TYPE OF WOW' 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 / alteration /replacement ['.Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application
Valuation: $ � OCX) $
❑ 1- and 2- family dwelling ommercial /industrial Q`< -
❑ 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: 755. iA/, ( f Jts, , tn� ten, $ v/}, t New dwelling area: square feet
City /State /ZIP: ec(I1 0 (. 7 2 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: o Project name: C I i.. A.r (,.J t.r..e. Covered porch area: square feet
Cross street/directions to job site: -� _ � Deck area: square feet
•/ a ■rr�G � q
e 1 a II�� / Aobk� Other structure area: square feet _
/-- /44 0i 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 indicated on this application.
„Z /15 i ( r ei A 14 i A N/y4 -1` Valuation: $
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I TANTENANT Number of stories:
Name C ki.c T W \ fr 'e Type of construction:
Address: 61 001 C . 011 T- "' "' - ` � I }may Oc upancy oups: (4 (' 4 L 4A
City /State /ZIP: � A- W 4 y �
q ® � ^ xtstin
Phone: (V., 7 S 7th 6306 i - Fa -F -1G t2A 0 e6-l5 t ( New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: , oCK (+oJ5 E W O o4 war ( � , A.-3 All contractors and subcontractors are required to be
Contact name: 'rp� h 1(7 i t r (��t, C cE '- lit lic nsed with the Oregon Construction Contractors Board
e ` ! der ORS 701 and may be required to be licensed in the
Address: '3 o g L.+ 1 5 (Z , IL A . • , • . • _ . s . 'sdiction in which work is being performed. If the
City /State/ZIP: 5/<4.IN1R.,,\AA (� y R lit i (, applicant istexempt from licensing, the following reasons
/ apply:
Phone: (5 � y �7 36, ) s-6 Fax:: (5 a q l) (...1X-1 3< s b
E-mail: 5 /-$ 4..A i% g O i'- e ® VL 42.1 1
CONTRACTOR `/
Business name: idC e� 5.e w o oct n, j O T e 1 ✓L, BUILDING PERMIT FEES*
Address: j 8 / .5 .1`l (if (Please refer to fee schedule)
City /State /ZIP: 5. t''( A VI (A. U.J/ , Ci g 6 y g Structural plan review fee (or deposit): —
�/ FLS plan review fee (if applicable):
Phone: (�) 1 Z 7 3 6 Sti ; O ' I, Fax: (5n9) 9 56 7 36
CCB lic.: 1 3 / e / / /2 // /o Total fees due upon application:
`�
This permit application Amount eapires receiif ved: a
Authorized signature: /•, permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 3 : i h K 5 f n Ki (4 I Date: /2/ 0 e p • Fee methodology set by Tn -County Building Industry
Service Board.
I•\Building \Permits \BUP -COM PermitApp doc 2 /23/07 440- 4613T(I I /02/COM/WEB)
7 Building Division
e
Accessibility: Barrier Removal Improvement Plan
TIGARD
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
I
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: $ I
(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 -COI PcrmitApp.doc 06 /25/08
CITY OF TIGARD --
BUILDING DIVISION PERMIT #: Q(JP20()S- 003!3.
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/200E3
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 .�, ---.
INSPECTION WORKSHEET FOR DATE: 1/2/2009 TIME: 7:01AM PAGE: 18
SITE ADDRESS: 09565 Shy WASHINGTON SQUARE RD MGMT OFFIC CLASS OF WORK:
SUBDIVISION: WASHINGTON SOUARE LOT #: TYPE OF USE:
PROJECT NAME: CI.EARWIRE
DESCRIPTION: Install temporary kosk.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ROCKHOUSE WOODWORKING PHONE #: 503427 -36f;6
Inspection Request Scheduled For: Date: 1/2/70()9 Pour Time:
Code # Inspection Description Confirm # Contact # Message
99 Final inspection 079250-01 509-427-3656 N
Corrections /Comments /Instructions:
(= l/_.— -- oo (08. j
L tom- r _`.. w' -- o G , i r
E 0 1 V / IV 6-,-1 I i '\//9--/
❑ PASS a PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
( =FAI i r CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: IM Date: / D 7 Phone #: (503) 718 -Z6 / y