Permit CITY OF TIGARD BUILDING PERMIT
W Permit #: BUP2011 -00264
;,, COMMUNITY DEVELOPMENT
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/01/2012
Tj ", , Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9612 SW WASHINGTON SQUARE RD G02
Project: Claires Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108
Project Description: TI
Contractor: AIC SERVICES INC Owner: PPR WASHINGTON SQUARE LLC
PO BOX 73397 BY THOMSON PROPERTY TAX SERVICES
PUYALLUP, WA 98373 ATTN HILARY RAYMOND
2235 FARADY AVE, STE 0
CARLSBAD, CA 92008
PHONE: 253 - 848 -5948 PHONE:
FAX: 253 - 848 -0457
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 02/01/2012 $1,008.06
Class of Work: ALT Demolition
Dwelling Units: 0 Plan Review 12/15/2011 $655.24
Stories: 1 Height: 0 ft Plan Review - Fire Life Safety 12/15/2011 $403.22
Bedrooms: 0 Bathrooms: 0 DC Provision Review, COM TI - Ping 02/01/2012 $160.00
Value: $87,000 DC Provision Review, COM TI - LRP 02/01/2012 $24.00
12% State Surcharge - Building 02/01/2012 $120.97
Info Process /Archiving - Lg $2.00 (over 02/01/2012 $38.00
Floor Areas: 11x17)
Info Process /Archiving - Sm $0.50 (up to 02/01/2012 $12.00
Total Area: 0 11x17)
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,421.49
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors:
Smoke Detectors: Yes 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 accordan = 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: Ore. •n law equires you to follow the rules adopted by the Oregon Utility Noti' - '•n Center. Those rules are set forth in OAR
952 -111 -0010 through OAR 9' 101 -11 • • • You may obtain a c opy of the rules or direct questions to OUNC by cal' g 503..32.1987 or 1.800.33 23• <.
0 i / i
Is ued By: / !/ Permittee Signature: I ii
- - - - 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 : e pro ect.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial FO R 01 1 1('1: USE ONLY
City of Tigard � , • Date /B :. .. � 9 ' �i7 . . -0./4w
13125 SW HaII Blvd ;
111,
, Tigard, OR 7 Z Imo C Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Plan Review �, Other Permit:
l' 1 i; n R D Inspection Line: 503.639.4175 DEC 15 2011 Date Ready'': rani: El See Page 2 for
Internet: www.tigatd- or.gov Miffed/Method: / IT j1 �� ''. Supplemental Information
:'s ,F - :... }.. _ _
CITY OF T + �.�� w�� 2�b
, � y4 ,gz. } + 7`7:.-q. p * . r.-. . t., e�+� D, ' „; q' " g " :
` . , ii - .,-t.° ;; ; s.�M,. irilF i iiiiW :a :. „ -.. ,
v. a.. Rc: i 'k g `.'v, r #s 9 .t: , ;r TY,P E b ` t 'pv
`I—.L ioN , ;.` ; ` '• . :: z 4. :er ; ' * ,R ,
EQUI <
1�'A, DWE LL " 1NG', .,
❑ 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
i >Y .. ", ,. :-, ..' . : Fw ° work indicated n
'' �� '' ' :• & ., OF -' 7. a, °y`` o this application.
G
. x,.. -�'d .� �3aeo ss°^„x � ., rw ?"w.�w.�s � �s w -fro,- .. . ����, "'�, .R'�,
El 1 - and 2- family dwelling ® Commercial /industrial Valuation: $0
❑ Accessory building ❑ Multi - family Number of bedrooms: 0
❑ Master builder ❑ Other: Number of bathrooms: 0
,- R �" ` Total number of floors: 0
1 � ' lY ',, at 9 ,. &.. INFO RM A TION A
ND C ATI9 N , , ,,
) Job site addres ashington Square Rd. New dwelling area: - square feet
a City/State/ZIP: Tigard, OR 97223 Garage/carport area: - square feet
Suite/bldg. /apt. no.: G2 Project name: Claires Covered porch area: - square feet
I Cross street/directions to job site: Deck area: - square feet
Other structure area: - square feet
I1 REQUIREDDAA J IST
T " � GON1141ERtaAUUSE'GHE cKL
bdivision: Washington Square Mall 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 rofit for the
wzxa`- �zY :� `.� •',4-rl �� r,� 'n - rky: r. ararxxn�,.,_q, - ,..;s+�,.aaa eo > -. :: P
; ek e # s� , r r. DESC[t1P'F10N,' WORK ".�� �`f' �% `*` � " y , � work indicated on this application.
;X:E` , ;,.�';. -a�-,, s'c,�i., S '�^�.. 'Y'.,vd - >i.vr_ __..n r�,a+� .u.. a. r sue, ..zt.�a�r.4,�„+�i.. .��..+.� ',�§ ad,gta °a.
Interior tenant improvement Valuation: $$87,000.00
Existing building area: 1253 square feet
New building area: 0 square feet
t k;�>r�'', `^^�,: � -- w�7 ;° =-csn . e •a :� ^$:' tip'.. : ,. RA T �,. T °.i Krri ^'� �;.. , c,� z: � , ca.,. �- , >. -� '��; i'.� ;�, t . ,
a x g „: ® P R O PER TY OV s "l 7 a � r ®1,$ ENAI ` Number of stories: 1
Name: Macerich Type of construction: 2B
Address: 401 Wilshire Blvd STe 700 Occupancy groups:
City/ State/ZIP; Santa Monica, CA 90401 Existing: Mercantile
Phone: (608)319.2096x8 Fax: (608)319.2011 New: Mercantile
3$.,:.;' , t ``.+ . ._ :-: 2 ."; lt:pl . ° a��p ; . c+ r '1 2 : ' 6.d . .:.o.x+r,y a .xrr;i: <....a...e:a:, m, .c
- fix? " , ; ' ® APPLIC , r , ,,< /^ t,I`CONTACT1P ' �s+: :;: ,,.
-0 , �. ... ,.. . , �;� � ;���� "��� > ~_ . Ne � RSON 1s � � h ° >, , BWLDING�PERMIT`EEES *;�' �� �i � r ��
Business name: State Permits
,.,, 4? ' � yfieare a ler'ro'fee etieduIIJ ft .� �V .. ^ ,„.
Structural plan review fee (or deposit):
Co tact name: Amy Shymanskl
Address: 319 Elaines Ct
FLS plan review fee (if applicable):
Total fees due upon application:
' ity/State/ZIP: Dodgeville, WI 53533 '/
' Phone: (608) 319.2096x8 Fax: (608) 319.2011 Amount received: U 7� '
E -mai P1#OTOV `:,j ° ° 4 u ^ , '4; tf,t*s:s >�+., a.,s.,..,.,s.
am t 8.com OL AIC�SOI:AR°PANEL SYSTEM FEES y .�? *
Y� - csaC. „N �s^au� e.o • .+*e� ..Yn.,�v , em , :.,_r � 1+rt�eb`a� -.r
.. -% ~ °N _ +,~ ,,r`: w -, ; ,, ., , ,,,a:t_0. :_,* 9 1„- , - ;_. v,:, ,_, ,,, ` ,?, :,�3 ; y: . : !..v: „ < „ Commercial and residential prescriptive installation of
C . CONTRACTOR . x ,'
' �= txw� x” '�`.x .;.�� ;,:' 5 ., ,ri . t.L& t �'^!. 1 �5, "' Y x s .�v, "s r . � �' d � v "
- �� �'� �- :aA....:,�, roof -top mounted Photovoltaic Solar Panel System.
Business name: TBD Arc S l /e S ���� Submit two (2) so of roof plan with connecti ils
Address: �� . n and fire departmen - cress, along with 10 Oregon
s g - / Solar Installation Spe ', Ity Cod klist.
City/ State/ZIP: rJ /t - r L{/y 7 - 7 , Permit fee (includ- .. a1'n review $180.00
GG and nistra; a fees):
Phone: (ZS31 _ L -- /g= ,c)9---7 States ar 12% of ermit
�!�' I Fax: T (2 ) ge ( P �T $21.60
CCB lic.: J/ , q /
Total fee due upon application: $201.60
Authorized sign: 1 ,- This permit application expires if a permit is not obtained
• ' - L�i/ within 180 days after it has been accepted as complete.
, 1 FAIi'L� ' Da e: / • Fee methodology set by Tri-County Building Industry
Service Board.
/ I:\Building\Permits\B ' PemitApp.doc 02/24/201I 440- 4613T(11 /02/COM/WEB)
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 responses and revisions.
This form and the information it provides helps the review process and response to your project.
1 , 1 City: of Tigard
= Building Division -
TIGARD
TRANSMITTAL LETTER •
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
JAN 2 5 2012
FROM: CITY OF TIGARD
BUILDING DIVISION
COMPANY:
PHONE: bd - 5/ ? O ZD '
RE: 96/d W eD
(Site Address) (Permit Number)
.-
'roject name or su..tvision name an. of 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 OJ 'FICE/USE ONLY
Routed to Permit Technici Date: j, 2 / (.Z Initials:
Fees Due: ❑ Yes No Fee Description: Amoun Due:
$
Special
Instructions:
• Reprint Permit (per PE): Yes IE1 No Done
Applicant Notified: Date: Initials:
1: \Building\ Forms \TransmittalLetter - Revisions.doc 02/08/2011
II
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] $ 87,000
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: ]2] $ 21,750
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: $ /f 0100
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ — �—
(_ Q 5
(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): $ _gg ,6
I: \Building \Per is \BUP -CO\t PermitApp.doc 03/03/2011
5` -
Building Division
Development Code Provision Review
T[GARD Commercial Projects - No Associated Land Use Case
Building Permit No: ()- t-k- 1 AO / I -d0 9260 d ❑ Expedited Review
Plan Submittal Date: PI/ l S11 /
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 l eft only if approved.
Planning Review (contact /441 at 503-718- or s tcl @tig ard- or.gov)
❑ Zoning Al/ Permitted Use Yes No ❑
❑ Land Use Required: Yes ❑ No (explain below)
Notes: /(.1/4 c 4u a i`fn PSC
12l Approved ❑ Not Approved Date: /
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
Routed back to Building Division Date:
L \CURPLN