Permit n CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2011 -00027
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03(31!2011
Parcel: 151260000300
Jurisdiction: TIGARD
Site address: 9633 SW WASHINGTON SQUARE RD FC04
Project: Braganza Tea Subdivision: WASHINGTON SQUARE MALL Lot: 0
Project Description: TI
Contractor: RESCUE CARPENTER INC Owner: PPR WASHINGTON SQUARE LLC
4366 RACCOON AVE NE 2235 FARADAY AVE STE #0
SALEM, OR 97305 CARLSBAD, CA 92008
•
PHONE: 503 -409 -9183 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 03/31/2011 $271.43
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 03/31/2011 $32.57
Stories: 0 Height: 0 ft Plan Review 02/03/2011 $176.43
Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 02/03/2011 $108.57
Value: $13,000 DC Provision Review, COM TI - Ping 03/31/2011 $64.00
DC Provision Review, COM TI - LRP 03/31/2011 $9.00
Info Process /Archiving - Lg Sheet (over 03/31/2011 $10.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $672.00
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes 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 '• - or•ance .• 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 •TTENTION: Oregon I- r =- its • to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 - 001 -0010 through OAR 952 -00 0090. obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
I sued By: . 952-00
Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspection 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.
Building Permit Application
Commercial COV FOR OFFICE USE ONLY
City of Tigard 0 Date /ed i WIM i i` _......L._.
III 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
I Phone: 503.718.2439 Fax: 503.598.1960 F \:-_\) ...,,, Date/By: ("V. K 5 -/s-/f Other Permit:
II GA K D Inspection Line: 503.639.4175 c TAUNT". , mate Ready/By: ? / 15 1 11 O k : 61 See Page 2 for
Internet: www.tigard- or.gov Ol ,1`Se Notif 1 ` Supplemental Information
TYPE OF WOR 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.
❑ 1- and 2- family dwelling g Commercial/industrial Valuation: $
111 Accessory building ❑ Multi - family Number of bedrooms:
1:1 Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: q ( 3 3 (... L61611 'r 0 0 New dwelling area: square feet
City/State/ZIP:--176 . Q q Garage /carport area: square feet
Suite/bldg. /apt. no.: Fe -01 Project name: C'a J as e� Covered porch area: square feet
Cross street/directions to job site: p A J e Deck area: square feet
O r) c v.Ar k v ln.)" S ck.u../0.- i\A.0,1 SL 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.
L Valuation: $ k s d O O
SV�C N sk,A6 acl ,t.i-raw, 4.0 txASt,, Auto- sltruekadwa
— 71%e. .— c4A1.- '' GOriI1(a' equip/4 tkt arl cat 6 vi Existing building area: square feet
• t m/lea coy P� t+�}r� p\wr+I+r".) New building area: square feet
C 03o∎ 1- S1� t-V k+ tVs.AiIM ,nki'S1o.>}\t% •PL1PJA4
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: >N 0 . L - . ` Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: r- Gl1KtIl 'C„ Cy All contractors and subcontractors are required to be
Contact name: Et 1},o� licensed with the Oregon Construction Contractors Board
2 under ORS 701 and may be required to be licensed in the
Address: 2. 00 NE �ti drtiw Rd 4.t 613 jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State /ZIP:
art Le AdOX w e ft ct8661 apply:
Phone: ( 360 ) 0 11 Z _ 1,14,C1 ' I Fax: : ( )
E -mail: %raya rl7l• heo.Q `N►nivkai1\ . tv,,
CONTRACTOR
Business name: (1. eY' e C.afriA °,( TN L BUILDING PERMIT FEES*
Address: lb 6 6 R a,(ceo k kit_ M E (Please refer vim schedule)
1` Structural plan review fee (or deposit):
City/State /ZIP: 50460, p , ( Cti 1, 0 5
Phone: (Sp3) t{ $ . CI t 8.5 }I Fax: ( N IR) FLS plan review fee (if applicable):
Total fees due upon application: /;
5 `cV"---
CCBlie.: i 1D a 440 1110//9
Amount received: 441—
Authorized signature:
} <2
This permit application expires if a perm t is not obtained
within 180 days after it has been accepted as complete.
Print name: G t c „ n Date: 2..! 3 1 * Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 09 /09/10 440- 4613T(11 /02 /COM/WEB)
1* iii
114 • Building Division
Accessibility: Barrier Removal Improvement Plan
TIGGARD
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,
to • .hones and drinking fountains are readily accessible to individuals with disabilities unless
suc alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Altera . o ns made to the path of travel to an altered area may be deemed disproportionate to
the over., alteration when the cost exceeds twenty -five per -cent (25 %).
VALUATION: Total of all re ovation, alteration or modification being done,
excluding pain . : and wallpapering: [1] $
MULTIPLIER (2 ' o barrier removal requirement): x .25
TOTAL BUDGET FO ' BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible ele •nts to provide under this section, priority shall be given
to those elements that will provide . 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 unis,
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, . $
(g) When possible, additional accessible elements such as storage and r
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
i
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I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08
1101 a " Building Division
Development Code Provision Review
T c n Ei Commercial Projects - No Associated Land Use Case
Building Permit No: t' �tJ //— OUc ❑ Expedited Review
Plan Submittal Date: d / 3 , /
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 ap , roved.
Planing Review (contac e; , 4 at 503 -718 qr/ 4@tigard-or.gov)
r
Zoning Permitted Use Yes 0 No ❑
Land Use Required: Yes ❑ No V (explain below)
Notes: 2 j 1 L) 1 ' Z ,
0 11/1 k.__
Approved ❑ Not Approved Date: iq 4 //
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes: A
MEM
►VIII
IR
Routed back to Building Division Date:
I: \CURPLN