Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2012 00152
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/27/2012
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9432 SW WASHINGTON SQUARE RD K02
Project: Hannah Society Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108
Project Description: TI
Contractor: KODIAK PLUMBING Owner: PPR WASHINGTON SQUARE LLC
12030 SE MT SCOTT BLVD BY THOMSON PROPERTY TAX SERVICES
PORTLAND, OR 97266 2235 FARADY AVE, STE 0
CARLSBAD, CA 92008
PHONE: 503 - 740 -9159 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee - Additions. Alterations, 08/27/2012 $377.90
Demolition
Occupancy Grp: B Occupancy Load: 23 12% State Surcharge - Building 08/27/2012 $45.35
Dwelling Units: 0 Plan Review 08/01/2012 $245.64
Stories: 0 Height: 0 ft Plan Review - Fire Life Safety 08/01/2012 $151.16
Bedrooms: 0 Bathrooms: 0 DC Provision Review, COM TI - Ping 08/27/2012 $67.00
Value: $20,000 DC Provision Review, COM TI - LRP 08/27/2012 $10.00
Info Process /Archiving - Lg $2.00 (over 08/27/2012 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $903.05
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors:
Smoke Detectors: Yes Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198 - 1.800.332. .
Issued By: /, Permittee Signature:
1 1 1.0 111111 r
Call 503.639.4175 by 7:00 a.m. for the next available Inspection date.
This permit card shall be kept in a conspicuous place on the Job site until completion of the project.
Approved plans are required on the Job site at the time of each inspection.
Fi uilding Permit Application
Commercial usu oN11
RE%)rc .: Received G City of Tigard Date/By: er vZ. � PertmtNg / D c Zd /� ...e9,045-:2_ II ° 13125 SW Hall Blvd., Tigard,OR 97,$ 0 1 2012 Plan Review * r� F1,42)
Phone: 503.718.2439 Fax: 503.598.1 Date/By: 4110/ � -AI ��erPermit:
I' I G A IL U Inspection Line: 503.639 CITY �/ OF q p Date Ready/By: / , tuns: HI See Page 2 for
Internet: www.tigard- or.gov lJ1 E ll� �� 'P4ilD y.ti ed/Method: " Supplemen I oformation
! - : ? nNS ii Vii !fii(1IV I2! P - : , MtF M ' . L i -, OA7!
TYPE OF WORK ' Q ,J1' ED DATA: 1- AND 2 -FAM Y 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
c glAddition/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 0, Commercial/industrial
Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
g yni■ JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 2 n ,S` �i New dwelling area: square feet
---
City /State /ZIP: s ' � �
� � 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: �l� J ' Prroject name: Covered porch area square feet
'f �I !
Cross street/directions to job site: Soira 4-1 v Deck area: square feet
cSk., ly+A (''rn ` I + SLZ GP��}90-c T d Other structure area: square feet
/V\ J 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. (`� (�
/ea/ diOf 0 \fe INk � y e - $ Valuation: � °
i � \ 1 b�l Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER f" TENANT Number of stories:
Name: Type of construction:
h u lit / `The P�f O (A.:,47.,
Address: I t/ to) O s Ave__ Occupancy groups:
;Z n
City /State /ZIP: 1 i . d LJ 1 � �� (Q Existing:
Phone: ( �7 ) ' (i :' f7
— -o o II Fax: ( ) New:
pa APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: S, yyw `
I s l .p ,e,n t � 3 I ,, i/ '» -S (Please refer (or deposit): osit): schedule)
y C �J l � ` t ! so Structural plan review fee (or deposit): s
l
Contact name: .r , 1 r
FLS plan review fee (if applicable): /0/, Flo
Address: ) 3 Aik IF , , f
City /State /ZIP: pr,..r_Fi4. !\� 91-0R3G� Total fees due upon application:
l V Amount received: _376 ` p
Phone: ($.3) --qt 1 -5S1-55.2) I Fax::( -0 ,) ��o� — /96,
o 'Z
E -mail: A ff .ya , r � .i- � 0-; 0- PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
L v Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photovoltaic Solar Panel System.
Business name: Z �/` Submit two (2) sets of roof plan with connection details
�� nt � t ��� e - and fire department access, along with the 2010 Oregon
Sli Address: l�i
/ .4. 14 . 0 la I v , Solar Installation Specialty Code checklist.
City/State /ZIP: / ! 64.4- 64.4- 0R . g7D8G Permit fee (includes plan review $180.00
+ • 6/ and administrative fees):
Phone: (513) Bat:
—7 � ,/ " �/ J!1 I (� 7:�G�6f�i vK.d Li ir /
e State surcharge (12% of permit fee): $21.60
CCB tic.: ( a f 6 Total fee due upon application: $201.60
Authorized signature: .• This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: hc.....r in , WI f `�—c.. ) Date: g/' 1 * Fee methodology set by Tri -County Building Industry .
Service Board.
1:\Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440 -4613T(I 1/02 /COM/WEB)
IP
71 0
u 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] $
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 PerrnitApp.doc 03/03/2011
, r�' RFC 12805 S.E. Foster Road
Symons Engineering Consultants. Ina Portland. OR 97236
05031 760 -1353
Fax 762 - 1962
TRANSMITTAL
TO: Community Development DATE August 1. 2012
FIRM: City of Tigard VIA: Delivery
13125 SW Hall Blvd
Tigard. OR 97223
FROM: Larry Shirts
PROJECT: Hannah Society Washington Sqr. Mall TI #1 PROJECT No: 12 -22
COPIES DATE DESCRIPTION REMARKS
3 Sets 8/1/12 T — Title Sheet Issued for Permit
(24x36) Al — Demo Plan, Floor Plan, Ceiling "
Demo Plan & Reflected Ceiling Plan
A2 — Interior Elevations, Section "
& Section
l Ea. 8/1/12 Building Permit Application
1 Ea. 7/31/12 Check #1121 "
CC: Kodiak Plumbing — 4 Sets of Plans & Transmittal
F. • 112 - 2 2 j G',y , l.doe
il, e Building Division
Development Code Provision Review
TI G A R D Commercial Projects - No Associated Land Use Case
Building Permit No: Za/'oZO /A - DO /-5.2 ❑ Expedited Review
Plan Submittal Date: ef/i/ / a--
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 503-714 II VV or kl -- 4 @tigard- or.gov)
Zoning / i L Permitted Use Yes Er No ❑
2 and Use Required: Yes ❑ No [< (explain below)
Notes: 17/ p 7--
yI D lil L ,....,, 5
/Approved ❑ Approved d -- /Z Not Date:
r
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
0 ( 1
Routed back to Building Division Date:
L• \CURPLN
CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2012 00152
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/27/2012
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9432 SW WASHINGTON SQUARE RD K02
Project: Hannah Society Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108
Project Description: TI
Contractor: KODIAK PLUMBING Owner: PPR WASHINGTON SQUARE LLC
12030 SE MT SCOTT BLVD BY THOMSON PROPERTY TAX SERVICES
PORTLAND, OR 97266 2235 FARADY AVE, STE 0
CARLSBAD, CA 92008
PHONE: 503 - 740 -9159 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee - Additions. Alterations, 08/27/2012 $377.90
Demolition
Occupancy Grp: B Occupancy Load: 23 12% State Surcharge - Building 08/27/2012 $45.35
Dwelling Units: 0 Plan Review 08/01/2012 $245.64
Stories: 0 Height: 0 ft Plan Review - Fire Life Safety 08/01/2012 $151.16
Bedrooms: 0 Bathrooms: 0 DC Provision Review, COM TI - Ping 08/27/2012 $67.00
Value: $20,000 DC Provision Review, COM TI - LRP 08/27/2012 $10.00
Info Process /Archiving - Lg $2.00 (over 08/27/2012 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $903.05
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 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 503.232.198 - 1.800.332. .
Issued By: /, Permittee Signature:
1 1 1.0 111111 r
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.