Permit q CITY OF TIGARD BUILDING PERMIT
74 :. COMMUNITY DEVELOPMENT Permit #: BUP2010 00173
• :T:I GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/11/2010
Parcel: 1 S 135 BA00100
Jurisdiction: Tigard
Site address: 10205 SW WASHINGTON SQUARE RD
Subdivision: WASHINGTON SQUARE TOO Lot: 0
Project: Thirsty Lion
Project Description: TI
Owner: FEES
PPR SQUARE TOO LLC Description Date Amount
BY THOMSON PROPERTY TAX SERVICES, Permit Fee - Additions, Alterations, 08/11/2010 $2,857.55
2235 FARADAY AVE STE #0 Demolition
PHONE: Plan Review 08/11/2010 $1,857.41
Plan Review- Fire Life Safety 07/29/2010 $1,143.02
12% State Surcharge - Building 08/11/2010 $342.91
Contractor: Metro Const. Excise Tax - Commercial 08/11/2010 $468.00
SHORE CONSTRUCTION INC Use
2206 SE WASHINGTON CDC Building Review, COM 08/11/2010 $128.00
MILWAUKIE, OR 97222 CDC Planning Review, COM 08/11/2010 $128.00
PHONE: 503- 314 -7380 CDC Planning Review, COM - LRP 08/11/2010 $38.00
FAX:
Specifics:
•
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 1 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $390,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $6,962.89
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: No Protected Corridors:
Smoke Detectors: No Manual Pull Stations: No
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. A 10 • Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -0 1 -0010 throug OAR 95 !II-0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.66' • 0 1.80. 2344.
Issu By: 1 ` i / /�i� P 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 of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
.>a �j
Commercial ��� I � ed 1 t)R c il 1 1< t � � I � ti l o� ��L� _
• � Recei
City of Tigard ``, Permit No. / ,„ • 1 4.
V 13125 SW Hall Blvd., Tigard, OR 97223
DateB : i ) L
� S-' 1 . 1 "' ry 1 Q Plan Review
C Phone: 503.639.4171 Fax: 503.598.1960 ` 1 1 � O Date/By: O 11, (t> Other Permit.
;1' 1 c, A I: I) Inspection Line: 503.639.4175 Jv rtt ( Date Ready/By: r�� ® See Page 2 for
Internet: www.tigard- or.gov Q 0 t..,t Y olotified/Method: (0 J I 1 t) I cLG�r Supplemental Information
TYP OF WO cries . C . , , REQUIRED DATA: 1- AND 2- FAMILY, DWELLING .
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
,.,,� 1.,.. Indicate the value (rounded to the nearest dollar) of all
L
❑ Addition /alteration/replacement uther: equipment, materials, labor, overhead, and the profit for the
. CATEGORY OF CONSTRU N work indicated on this application —
12 1- and 2- family dwelling Commercial/industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION - number of floors:
51 .
Job site address: 1 OZ-05 S (,� (�,� 7 - New dwelling area: square feet
City /State /ZIP: , j t coat-2.10. o 2_, q 1 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project namerT1{-12.67 L\C,,_. �U g 1 dE.11 Covered porch area: square feet
Cross street/directions to job site: (l t Deck area: square feet
6 e.01--'go 211 1 (?-31.46 er1,1" .t 7 -A.,) SCL P 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 indicated on this application.
I ' Valuation: $ 3 U I COO
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER T Number of stories:
Name: e..A1Je s_p-i -�-�.1 V-3 OA 1/.31- 1 i Type of construction:
Address: 7Z.f f Si Cj ' , ujl 202 Occupancy groups:
City /State /ZlPP: � 2- --- L�d__'Q ZI L- I Existing:
Phone: (5( 2 3 7? 7-(... 9 4- Fax: (. ) New:
❑ APPLICANT ONTACT PERSON , NOTICE.
Business name: 5 ( ¢ e .„- fi e-" 1 1 O AD + t--'C All contractors and subcontractors are required to be
Contact name: 'j1-(- � 4. 5 E ) licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 2zoc, SF W 1/ E{- I,1-TZ*--.) jurisdiction in which work is being performed. If the
City /State /ZIP: V 4 V -{ t'Z ZZ applicant is exempt from licensing, the following reasons
apply:
Phone: (sr,3) 314- I 3E50 Fax: : ( )
E -mail: SH.e...ert.zo It -{3r Cam- K4 A-1 L._ o C '
. 'CONTRACTOR ,. ..
Business name: 65.74,..c�2i rt01._ . ! !_ I BUILDING PERMIT FEES*
Address: S �� ►q.• /�I (Please refer w fee schedule)
City /State /ZIP: • ` Structural plan review fee (or deposit):
FLS plan review fee (if applicable):
Phone:( ) Fax:( )
CCB lic.: , Zo 3 Za Total fees due upon application:
t Amount received: 6 , 93
Authorized signature: This permit application expires if a permit i s not obtained
t ' J � within 180 days after it has been accepted as complete.
Print name: - 1-t'(�,L� .--- Date: 9 Zi /7_0 KD * Fee methodology set by Tri- County Building Industry
Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(11 /02 /COM/WEB)
IN
Building Division
Accessibility: Barrier Removal Improvement Plan
jIGARIY
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): $
R s 61 E:4 LS— R 14.
I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08