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Permit CITY OF TIGARD BUILDING PERMIT ' 2 , COMMUNITY DEVELOPMENT Permit #: BUP2011 -00015 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/15/2011 Parcel: 151260000300 Jurisdiction: TIGARD Site address: 9534 SW WASHINGTON SQUARE RD H -12A Project: AT & T Subdivision: WASHINGTON SQUARE MALL Lot: 0 Project Description: TI Contractor: C B BOVENKAMP INC Owner: PPR WASHINGTON SQUARE LLC 9002 SW 152ND STREET 2235 FARADAY AVE STE #0 MIAMI, FL 33157 CARLSBAD, CA 92008 PHONE: 305 - 233 -4438 PHONE: FAX: 305 - 254 -1098 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee - Additions, Alterations, 03/15/2011 $1,226.75 Class of Work: ALT Demolition Dwelling Units: 0 Plan Review 01/25/2011 $797.39 Stories: 0 Height: 0 ft Plan Review - Fire Life Safety 01/25/2011 $490.70 Bedrooms: 0 Bathrooms: 0 DC Provision Review, COM TI - Ping 03/15/2011 $160.00 Value: $120,000 DC Provision Review, COM TI - LRP 03/15/2011 $24.00 Info Process /Archiving - Lg Sheet (over 03/15/2011 $66.00 11x17) Floor Areas: Info Process /Archiving - Sm Sheet (up to 03/15/2011 $3.00 11x17) Total Area: 0 Metro Const. Excise Tax - Residential 03/15/2011 $144.00 Accessory Struct: 0 Use Basement: 0 12% State Surcharge - Building 03/15/2011 $147.21 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $3,059.05 Required: Required Items and Reports (Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Yes 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 adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 throu h OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued B 0 '0 Permittee Signature: (C 1, Call 503.639.4175 by 7:00 a.m. for the next available insp @ction date. 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. T Building Permit Application Commercial RECEIVED FOR OFFICE USE ONLY City of Tigard Date /By: 5� J� Permit No.: p� / r/�[ S • 13125 SW Hall Blvd., Tigard, OR 97223 \ N 2 5 2011 011 Pr Plan Review Other Permit: Phone: 503.718.2439 Fax: 503.598.1960 Date/BY: � �� -2' S '�� I [ GARD Inspection Line: 503.639 CITY OF TIGARD Date Ready Suns: ® See Page 2 for Internet: www.tigard- or.gov 71 TIT e�t1Ne) 1?.ISryc'1(�AT Not oZ��/ 0, Supplemental Information _-1J 6 Alke 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 . ,jzf 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 ,Commercial/industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: ' 5314r JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 5‘,,,...) W (A5 �-TT O t-- IA 1 a A New dwelling area: square feet City/State /ZIP: T 0 Garage /carport area: square feet Suite/bldg. /apt. no.: I Project name: 4- 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: ..tt n I Lot no.: Permit fees* are based on the value of the work performed. x!( Tax map /parcel no.: (v i 00 _� 3C0 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. Valuation: $ �e � T rt ( � T) kN (19 1a� / moo i Existin building area: square feet � PPt� � V� p, 0--N a s - ) A9 �`��© SQ, V.A.Pel-4.-- New building area: 43 square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: V.ARCi j . l C-41 Cc Type of construction: 2 -2 Address: Occupancy groups: City/State /ZIP: Existing: g Phone: ( ) Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: "FIN 5TCq- eE(U..- 1 * LS All contractors and subcontractors are required to be Contact name: V x ��� Ch —( 1.. licensed with the Oregon Construction Contractors Board � under ORS 701 and may be required to be licensed in the p Address: f v - T7t>4_ 47_5 ( a- jurisdiction in which work is being performed. If the City /State /ZIP: (p �( p,�� 0 i{ 9 - � Z applicant is exempt from licensing, the following reasons apply: Phone: (65 ) Ies8c - ,s c .4 I Fax: : 3) a94, - g (o3C E -mail: l i 8-- (7-IA f Pi1.-o-t. ITS. CO CONTRACTOR Business name: e' ) C r) o tJ II p 1 N C BUILDING PERMIT FEES* Address: % QQ 2 .54,0 C 15a ,4 .T724 t r (Please refer to fee schedule) City /State /ZIP: )--1, 1 J .. 3� 15 7 Structural plan review fee (or deposit): Phone:A ) a 53 - q y 3g Fax: ) ) A6-7/-/e? p FLS plan review fee (if applicable): CCB lic.: 15778 7 y(�$1�� Total fees due upon application: t Amount received: `f gag. " Authorized signature: i L This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: µ �t� f t✓ Date: (�Z�/ ( * Fee methodology set by Tri -County Building Industry Service Board. I:\Building\Pennits\BUP -COM PerrnitApp.doc 09/09/10 440- 4613T(11 /02 /COM/WEB) V 11111 • Building Division 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 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): $ 4 u— R CC- e 5$ 1 L� SPP&re,-. I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08 a Building Division Development Code Provision Review T 1 G A R D Commercial Projects - No Associated Land Use Case Building Permit No: 1 — 000/5 ❑ Expedited Review // Plan Submittal Date: WAR ( . ' d,a -...o) p .moo C' lit --•-• `T-1- -o To the Applicant: > If the proposed use is not permitted within the zone, please contact the Building Division to cancel the permit application. Building Permit Technicians (503) 718 -2439. > If a land use is required and for all other questions, please contact the staff person listed above the Planning Review section. Staff: please check items along left only if approved. Planning Review (contact at 503-718-AN N or 4@tigard- or.gov) CI< Zoning hil Lit C. - Permitted Use Yes ❑ No ❑ Itg, Land Use Required: Yes ❑ No ' (explain below) Notes: N e a , ii p, 4 L i JIIMI1W r Approved ❑ Not Approved Date: /---,1 6 - 21))/ Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov) Notes: Routed back to Building Division Date: / . J I: \CURPLN