Permit CITY OF TIGARD BUILDING PERMIT
IS • COMMUNITY DEVELOPMENT Permit #: BUP2012 -00049
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/27/2012
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9611 SW WASHINGTON SQUARE RD L03
Project: Jos A Bank Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108
Project Description: Exterior awnings with signs(see SGN2012 -00023 thru 28).
Contractor: RAMSAY SIGNS INC Owner: PPR WASHINGTON SQUARE LLC
9160 SE 74TH AVE BY THOMSON PROPERTY TAX SERVICES
PORTLAND, OR 97206 ATTN HILARY RAYMOND
2235 FARADY AVE, STE 0
CARLSBAD, CA 92008
PHONE: 503 - 777 -4555 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 03/27/2012 $149.75
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 03/27/2012 $17.97
Stories: 0 Height: 0 ft Plan Review 03/27/2012 $97.34
Bedrooms: 0 Bathrooms: 0 Info Process /Archiving - Sm $0.50 (up to 03/27/2012 $19.50
Value: $4,900 11x17)
Misc Administration Fee 03/27/2012 $12.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0 .
Mezzanine: 0
Total $296.56
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Required: Required Items and Reports (Conditions)
Fire Sprinkler: 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 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 B rmittee Signature
Call 503 :3'.,7:O0 a.m. for the next available Inspection date.
This permit card shall be kep n 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.
it .
Building Permit Application c4t1/4)g0/ -aoaa 3 44._ tib /..g � - g
pr Commercial RECEIVED FOR OFFICE USE ONLY
of Tigard DD ace�ed 2 �� Permit No.: Z(PpIO /O� �•
iI ° 13125 SW Hall Blvd., Tigard, OR 972??� 01't Plan Review �1, ':' a er Permit:
Phone: 503.718.2439 Fax: 503.5914110 15 Date/B : AW ' _ __
TI G n R u Inspection Line: 503.639.4175 Date Ready R Juris: ® See Page 2 for
Internet: www.tigard - or.gov cm/ OF % A� Notified/Me od: pl MAMA IA Supplemental Information
BUILDING =DIVISION ( f A
TYPE OF WORK / REQUIRE ATA: 1- AND 2- FAMILY DWELLING
X New construction ❑Demolition Permit fees* are ased 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.
dwelling Valuation: $
❑ 1- and 2-family g ®C ommerciaVindustrial
❑ 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: t((n i i Ala • LAM, H l Y 5Te, to 93) aD New dwelling area: square feet
City /State /ZIP: '7' A 0,.b Project Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: lb S A 2foxs 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: I Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
. I Valuation: $ 4Sodb
1 0.ISTALL AWttV►r►1Q$ _ $1�tM.1
�1 Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stones:
Name: Type of constructon:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:
Structural plan review fee (or deposit):
Contact name:
FLS plan review fee (if applicable):
Address:
Total fees due upon application:
City /State /ZIP: 1�
Phone: ( ) I F :: ( ) Amount received: —tom
' I TOVOLTAIC SOLAR PANEL SYSTEM FEES*
E -mail:
CONTRACTOR Commerc . . d residential prescriptive installati e • .
roof -top moun 'hotoVoltaic Solar Panel em.
Business name: ,GA r1ItS 4114 S N . Submit two (2) sets . oof plan with co ection details
a and fire department acce. alon: I the 2010 Oregon
Address: 4 t S . E . TH AV a _ Solar Installation Specialty 6. %e checklist.
City /State /ZIP: a QUA to 11 . 0 a , cli a to Permit fee (incl p lan r Pew $180.00
an d .. inistrative fees
Phone: (5 7 77 '„I Ss I Fax: (S ) 777'132.21- State su • • ge (12% of permit fee): $21.60
.t
CCB lic.: ( -
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not o . fined
within 180 days after it has been accepted as complete.
Print name: eQ y ',(toU,je Date: OSJ2oiZ ' Fee methodology set by Tri -County Building Industry
Service Board
I:\BuildingWerrnits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11 /02 /COM/WEB)
ThR.1 ®RA K , sA ysi; % • Goya
Buildin Division
i p a g
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification t6 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 %) ' '
. ..•.1.: . .
.i •; : . , -
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $ ttqf
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): $
1
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I: \Building \Permits \BUP -COM PermitApp.doc 03/03/2011 • •
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