Permit CITY OF TIGARD j BUILDING PERMIT
_,:;- COMMUNITY DEVELOPMENT 11,62 f TA.i Permit#: BUP2011-00196
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/14/2011
TFGARL� 9 T C'e�P�er Parcel: 1S1260000300
5e2,Pr7 Jurisdiction: Tigard
Site address: 9530 SW WASHINGTON SQUARE RD H10
Project: Apple Subdivision: Lot:
Project Description: Satellite breakroom for Apple Store employees
Contractor: OAKSTONE CONSTRUCTION INC Owner: PPR WASHINGTON SQUARE LLC
4065 YOSEMITE PL BY THOMSON PROPERTY TAX SERVICES
PLACERVILLE, CA 95667 ATTN HILARY RAYMOND
2235 FARADY AVE, STE 0
CARLSBAD,CA 92008
PHONE: 530-642-8858 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 09/14/2011 $160.00
Occupancy Grp: M Occupancy Load: 89 DC Provision Review,COM TI-LRP 09/14/2011 $24.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 09/14/2011 $925.23
Demolition
Stories: 1 Height: 0 ft 12%,State Surcharge-Building 09/14/2011 $111.03
Bedrooms: 0 Bathrooms: 0 Plan Review 09/14/2011 $601.40
Value: $175,223 Plan Review-Fire Life Safety 09/14/2011 $370.09
Info Process/Archiving-Lg Sheet(over 09/14/2011 $16.00
11x17)
Floor Areas: Building Permit-COM 05/24/2012 $639.76
Total Area: 0 12%State Surcharge-Building 05/24/2012 $76.77
Plan Review-Building 05/24/2012 $415.84
Accessory Struct: 0 FLS Plan Review 05/24/2012 $255.91
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,596.03
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 through 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 By:G\... Permittee Signet re:
Call 503.839.4175 by 7:00 a.m.for the next available ins. on 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.
•
•
q CITY OF TIGARD �` ` " ` BUILDING PERMIT
` I: COMMUNITY DEVELOPMENT ® ®® Permit#: BUP2011 -00196
T I GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/14/2011
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9530 SW WASHINGTON SQUARE RD H10
Project: Apple Subdivision: Lot:
Project Description: TI
Contractor: OAKSTONE CONSTRUCTION INC Owner: PPR WASHINGTON SQUARE LLC
4065 YOSEMITE PL BY THOMSON PROPERTY TAX SERVICES
PLACERVILLE, CA 95667 ATTN HILARY RAYMOND
2235 FARADY AVE, STE 0
CARLSBAD, CA 92008
PHONE: 530 - 642 -8858 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 09/14/2011 $160.00 •
Class of Work: ALT DC Provision Review, COM TI - LRP 09/14/2011 $24.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 09/14/2011 $925.23
Stories: 1 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 09/14/2011 $111.03
Value: $175,223 Plan Review 09/14/2011 $601.40
Plan Review - Fire Life Safety 09/14/2011 $370.09
Info Process /Archiving - Lg Sheet (over 09/14/2011 $16.00
Floor Areas: 11x17)
Building Permit - COM 05/24/2012 $639.76
Total Area: 0 12% State Surcharge - Building 05/24/2012 $76.77
Accessory Struct: 0 Plan Review - Building 05/24/2012 $415.84
Basement: 0 FLS Plan Review 05/24/2012 $255.91
Carport: 0
Covered Porch: 0
Deck: 0
Garage: - 0
Mezzanine: 0
Total $3,596.03
•
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. A • = Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-1: -0010 through 0 952 -00 . 190. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Is. ued By: /i, f / Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available Ins 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.
This form is recognized by most Building Departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review • ... - . u e revi i i -
This form and the information it provides helps the review pro - and response t s yo .1 i - ct.
III C>< of Ti and 0.0._
_ Building Division t111 � � � '�
TIGARD `, s 4 � �_
TRANSMITTAL LET ' . R of ` f+: '
TO:_ DATE 'I' _ .
DEPT: BUILDING DIVISION
g1� 0
FROM: .D� -r1� MAR 2 2 2012
COMPANY: W ` . v t .( C . . c 2 _ ) C ' OF i ` :'
PHONE: 94q-6g9-5 3 'ly°' " ?C D,t A'
RE: ` ,, , e, s f b - Lt-Pcbli — 6 0 /
rte • 4 ' - s (Permit umber)
. g 15Q 61-o 1,01-S14 . ,
(Project name or subdivision name and lot num er)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS:
•
FOR 9FIICE USE ONLY
Routed to Permi echnician: Date: 4 1- - /C? (l"l� Initials:
Fees Due: es El No Fee Description: Amount
$ _
$ _
$
Special
Instructions: , _
Reprint Permit (per PE): 7 0 No ❑ Don
Applicant Notified: a e: f/ do //, s xLe.."- f...2-o_�,c.e_ Initials:
1:\Buildirig\ Forms \TransmittalLetter - Revisions.doc 02/08t201I
q CITY OF TIGARD BUILDING PERMIT
II ' COMMUNITY DEVELOPMENT Permit #: BUP2011 -00196
Date Issued: 09/14/2011
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.718.2439 Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9530 SW WASHINGTON SQUARE RD H10
Project: Apple Subdivision: Lot:
Project Description: Ti
Contractor: OAKSTONE CONSTRUCTION INC Owner: PPR WASHINGTON SQUARE LLC
4065 YOSEMITE PL BY THOMSON PROPERTY TAX SERVICES
PLACERVILLE, CA 95667 ATTN HILARY RAYMOND
2235 FARADY AVE, STE 0
CARLSBAD, CA 92008
PHONE 530 - 642 -8858 PHONE
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 09/14/2011 $160.00
Class of Work: ALT DC Provision Review, COM TI - LRP 09/14/2011 $24.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 09/14/2011 $925.23
Stories: 1 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 09/14/2011 $111 03
Value: $75,223 Plan Review 09/14/2011 $601.40
Plan Review - Fire Life Safety 09/14/2011 $370.09
Info Process /Archiving - Lg Sheet (over 09/14/2011 $16 00
Floor Areas: 11x17)
Total Area 0
Accessory Struct. 0
Basement. 0
Carport 0
Covered Porch 0
Deck. 0
Garage 0
Mezzanine. 0
Total $2,207 75
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 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 TTENTION & on law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952- 01 -0010 through OAR • 2 -.; -∎ 8 90 You may obtain a copy of the rules or direct questions to OUNC by calling 503 23 1987 or 1 800 33 2344
Iss ed By: / ..- , �;,`�� „ , I � Permittee Signature: a /
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.
. a uilding Permit Application
Commercial RECEIVED FOR OFFICE USE ONLY
it City of Tigard Received
14 2011 DateB ( . ;✓ Penult No ) ! 94
13125 SW Hall Blvd., Tigard, OR 97223 SEP Plan Review — 7 0
I • Phone 503.718 2439 Fax 503 598 1960 Date/B *w % ( Other Permit
TI G A RD Inspection Line. 503.639.4175 CITY OF TIGARD Date Ready/I3 . tuns ® See Page 2 for
Internet: www tigard- or.gov BUILDING DIVISION Notified/Method Supplemental Information
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 (rotnded 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 ❑ Commercial/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: ,. 3Q , (A.) OA S , - LI .P A JLz ; , _ New dwelling area: square feet
City /State /ZIP: • I 5,q 1.61 6 Garage /carport area: square feet
Suite/bldg./apt. no.: #w Project name:
/ -1 pp/C.— 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: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rotnded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
' // � DESCRIPTION � OF WORK f / work indicated on this application.
0e_l romivi re✓na 'd rernole L,i�(G2 1'
. Valuation: S '! ��, l�
61"
rO QI'✓1 Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: f'l Atte, r f.c/1,-- Type of construction:
Address: 410 l Ge) 1 01; gg B1 id. Suci k i o Occupancy groups:
City /State /ZIP: S'cfh k ryi O n i co_ e--174 Existing.
i
Phone: (6t a 9, 3 _6'!75,7 Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule
Structural plan review fee (or deposit):
Contact name:
FLS plan review fee (if applicable):
Address:
City /State /ZIP: Total fees due upon application:
Phone: ( ) Fax:: ( ) Amount received:
E - mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
. roof -top mounted PhotoVoltaic Solar Panel System.
Business name: OA. /. 5 %one_ e_on , i Submit two (2) sets of roof plan with connection details
° F 'E'Y and fire department access, along with the 2010 Oregon
Address: q&4 1/45e Vic)6e, Solar Installation Specialty Code checklist.
City /State /ZIP: 72 f iq Lid (UI ((Y C P Permit fee (includes plan review $180.00
and administrative fees):
Phone: ( J [ ) �� _ 'g S 1 Fax: ( 3O) (0 4(9 _ F ti 7 State surcharge (12% of permit fee): $21.60
CCB lie.: ` t iblr r5g 6 3
/� Total fee due upon application: $201.60
Authorized signature: 67 ' 4py," This permit application expires if a permit is not obtained
/fly within 180 days after it has been accepted as complete.
Print name: Dioe / 4 L A / 4 LA/4 c Date: q / / `, * Fee methodology set by Tri-County Building Industry
Service Board
I:\Building\Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(1I/02/COM /WEB) •
"r
' 1
111 `
: ...
Building Division
Accessibility: Barrier Removal Improvement Plan
T'IGARD
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): $
I• \Building \ Permits \BUP -COM PernutApp doc 03/03/2011
Building Division
Development Code Provision Review
TIG`.ARD Commercial Projects - No Associated Land Use Case
Building Permit No: bu P AO/ / — 00/94f 0 ,Expedited Review
Plan Submittal Date: 9// @//
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.
Planing Review (contact IL at 503 - 718 -a•ZVk or Asee @tigard - or.gov)
le Zoning 'U Permitted Use Yes LA No ❑
Ltd" Land Use Required: Yes ❑ No 12 (explain below)
Notes: /6 fl .e ?7 c�
Lid" Approved ❑ Not Approved Date: r l //
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN
4 B uilding Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List
Project Description: I
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: � � Occu.anc G xou.: T •.e of Construction: f ir
*Type of Use: Mil Occu. Load. li , Oreg. on S.ecial Code: 7_0 46
SPECIFICS
Number of Stories: I Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms. Number of Bedrooms:
BUILDING SQ FT - SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport: Mezzanine:
SETBACKS
Sideyard Setback — Left Sideyard Setback — Front
Sideyard Setback — Right Sideyard Setback — Back
CONSTRUCTION
Exterior Walls: Openings Protected. Firewall Separation:
N. S: N. S: Occupancy Separation:
E: W: E: W: Access. Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: (T4-? Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ '7 J_2- FEES DUE
$ 41) a Ori DC Prov Rvw, COM TI — Ping
$ _ i sik DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ . ,` , Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ 1 . 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ MEV Plan Review, Structural
$5,000 - $74,999 $64 00 $9.00 $ Plan Review, Fire Life Safety
$75,000 - $149,999 $160.00 $24.00 $ I m Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $256.00 $38.00 $ Info Proc /Arch, Sm (up to 11x17 $0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
Planning Staff: $ Hourly Rate State Surcharge
$ Misc. Admen Fee
Permit Coordinator: $ Other:
$ Other:
Building Staff: $ Other:
Date /Time: $ ZZW, 75TOTAL FEES DUE
*OPTIONS:
TYPE OF USE. COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; END = foundation; DEM = demo;
END = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies);
REP = repair.
I: \Building \Forms \OTC -BUP docx 01/13/2011