Permit II � CITY OF TIGARD BUILDING PERMIT
:
ffi COMMUNITY DEVELOPMENT Permit #: BUP2011 -00033
1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/13/2011
TIGARD 13125 151260000300
Jurisdiction: TIGARD
Site address: 9502 SW WASHINGTON SQUARE RD J03
Project: Wetzels Pretzels Subdivision: WASHINGTON SQUARE MALL Lot: 0
Project Description: TI
Contractor: PARADIGM CONSTRUCTION LLC Owner: PPR WASHINGTON SQUARE LLC
10260 SW GREENBURG RD SUITE 400 2235 FARADAY AVE STE #0
PORTLAND, OR 97223 CARLSBAD, CA 92008
PHONE: 503 - 452 -6922 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 05/13/2011 $509.05
Class of Work: ALT Demolition
Dwelling Units: 0 • 12% State Surcharge - Building 05/13/2011 $61.09
Stories: 1 Height: 0 ft Plan Review 02/15/2011 $330.88
Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 02/15/2011 $203.62
Value: $30,000 DC Provision Review, COM TI - Ping 05/13/2011 $64.00
DC Provision Review, COM TI - LRP 05/13/2011 $9.00
Info Process /Archiving - Lg Sheet (over 05/13/2011 $40.00
Floor Areas: 11x17)
Info Process /Archiving - Sm Sheet (up to 05/13/2011 $2.00
Total Area: 0 11x17)
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,219.64
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 ac • . - ith 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. • - NTION: Orego law r-•uires you to follow the rules adopted by the Oregon Utility Notification Center. Thos rules are set forth in OAR
952-1%1-0010 through OAR 95.-0: OF •0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 .1987 or 1.800 :32.2344.
Is ued By: ` � Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available insddate.
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 D FOR OFFICE USE ONLY
City of Tigard JC 4I Received
Date/By: r "f / / i10 Pe No.: ; , 0 4.
il
IN
13125 SW Hall Blvd., Tigard, OR 9 23 Plan Revie'' t
Phone: 503.639.4171 Fax: 503.598.19� 1 Q g 2� D ateB : Other Permit:
C �
.
T I G A K D Inspection Line: 503.639.4175 Date Ready/By: 3 Juris. ® See Page 2 for
Internet: www.tigard- or.gov ,rIGpap Notified/Method: l * r 1 J_4 Supplemental Information
CAIN CS? DNISION 4646_ 2
TYPE OFOI� R UIRED DATA: 1- AND 2- FAMILY DWELLING
14 New construction ❑ Demolition Pe tit 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 Comm�ercial/industrial Valuation: $
' '
❑ 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 ,9 703 New dwelling area: square feet
City /State /ZIP: 750■./ D2 Garage /carport area: square feet
sIdg. /apt. no.: '7;03 Project name: :eh n 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: 4/4/S3447$41 /r4// 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.
'
7e ,2M r//1` j` li M27 - Valuation: $ �(jJUO►D
pie,ze/ • / Existing building area: a 7 square feet
'�/ � New building area: 67y square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: /V4/17 • A Coe Toro Type of constructio fay ect
Address: //V// ".// 7 0 . ' 4 47 f3/ Occupancy groups: �
City /State/Z1P: M G ? ?xi ` 6 OVV/ /)/.) ,1Z *yea ff y Existing: /44.7 _
Phone: ( 750 Fax: (fir 0f ) % A s ' � 'r / New: F IGI76,/
APPLICANT S' CONTACT PERSON NOTICE
Business name: /9// filev/?0/7 p All contractors and subcontractors are required to be
Contact name: �ld�,6s licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: s'/ 3, 4 /, jurisdiction in which work is being performed. If the
City /State /ZIP: / ee /i �t ( 1 94, 7 applicant is exempt from licensing, the following reasons
/� apply:
Phone: (J, ) 74Z .. 7d02 1 Fax:: ( )
E - mail: A/ A/J 7f j d g41/,404/
CONTRACTOR .
Business name: Pj9 --D er,i „,,,„„,o, BUILDING PERMIT FEES*
Address: /pa aQ ttGd. h( , L04 , ., 'it L/00 (Please refer to fee schedule) ,
Structural plan review fee (or deposit):
City /State /ZIP: �C/
-,2r� *� 02 g 1 2 - 3
Phone: (1 . 563) �sJ 2 .-(0 9 9., 9.. Fax: ( ) FLS plan review fee (if applicable):
CCB lie.: / 7,6 II f tb ?)' Total fees due upon application:
Amount received:
Authorized signa: This permit application expires if a permit is not obtained
/ / , within 180 days after it has been accepted as complete.
Print name: 34 � .W Date:, /,/f/ * Fee methodology set by Tri- County Building Industry
Service Board.
1:\Building\Permits \BUP -COM PermitApp.doc 10/01/09 440- 4613T(11/02/COM /WEB)
Building Division
Development Code Provision Review
TlcAltD Commercial Projects - No Associated Land Use Case
Building Permit No: 5r Ii—Ccab ❑ Expedited Review
Plan Submittal Date: ,// 5 /i
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 1 76). r Z @ tigard- or.gov)
AC MU/1; Permitted Use YesX No ❑
t x Land Use Required: Yes ❑ No X (explain below)
Notes: I[ �.A ! •1 ' id,/, / _,L4,,,
.. , /Q
tp< Approved ❑Not Approved Date: (l/ ll
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
Routed back to Building Division Date: /
I: \CURPLN