Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2009 -00066
T t GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/29/2009
Parcel: 1 S126CD00300
Jurisdiction:
Site address: 9500 SW WASHINGTON SQUARE RD
Subdivision: Lot: 0
Project: JC PENNY
Project Description: Structural support for transformer placement in ceiling.
Owner: FEES
PPR WASHINGTON SQUARE LLC Description Date Amount
BY J C PENNEY 0288 -1, TAX SERVICES, PO Permit Fee - COM 04/29/2009 $76.80
BOX 10001 Tax - 12% State Surcharge 04 /29/2009 $9.22
PHONE: Plan Review 04/14/2009 $49.92
Plan Review - Fire Life Safety 04/14/2009 $30.72
Contractor:
E C COMPANY
PO BOX 10286
PORTLAND, OR 97296
PHONE 503 - 220 -5377
FAX: 503 - 295 -3012
Specifics:
Type of Use: COM
Class of Work: ALT
• Dwelling Units: 0
Stories: 2 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $3,500
Floor Areas:
Total Area 0
Accessory Struct. 0
Basement: 0
Carport 0
Covered Porch: 0
Deck. 0
Garage 0
Mezzanine. 0
Total $166.66
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm Yes Protected Corridors.
Smoke Detectors: Manual Pull Stations: Yes
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes and all other applicable law All work
will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
the 180 days. ATTENTION. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952- 001 -0010 thr• gh •AR 952-001-0100 You may o•tain = • •y of the rules or direct questions to OUNC by calling 503.246 6699 or 1 800 33 .2344
Issued By: AI ! I .. . r • ( 1 .. Permittee Signature: r
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the Job site until completion of the project.
Approved plans are required on the Job site at the time of each Inspection.
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04/13/2009 11:25 15032953012 E C COMPANY PAGE 02
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Building Permit Application
Commercial I I ,I< < >t i. I s►: t I.I.,
City of Tigard
BECP\iE D , s ` u, Review so t No . 1 AD O —0(
• 13125 SW Hall Blvd., Tigard, OR �) A, i other permit.
' Phone: 503.639.4171 Fax: 503,598.1960 Date/B !� 1 See Pagel for
Inspection Lino; 503.639.4175 APR 14 2009 Date i ymy
I + + r f ) Noti$ed/Method. supplemcntst lmtormsdon
haternet• www.tigard-or -goo
Q New construction ❑ I7eznotitioa Permit fees' are based on the value of the performed-
•rted-
Indicate the value (rounded to the nearest dollar) of all
C, ddition/altc ratitm/replacernent ❑ Other: equipment, materials, labor, overhead, and the profit for the
'..".7' ;,, 6t` work indicated on this application.
$
❑ 1- and 2- family dwelling taCornmerciaUndustrial valuation:
Number of bedrooms:
❑ Accessory building [] Multi- family - - -
C] Master builder ❑ Other: Number of bathrooms:
Total number of floors
� / j � I
Job site address: I � er � � A . , I . r , A / t New dwelling area: square feet
Ciry /State/ZIP: r o i T 521 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: '%F%� j' t .,.)c{ Ui (k' Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Y Other structure area: square feet
- - .. , � - 1 , r • , n.'„ •,' 1�.�. - , -mot; r
'. 1'F^DA 4tC1 ,:t. i r l Rl. I
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Subdivision: J 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
�g{, , ,-1, ,v;,ti , � 1Q equipment, materials, labor, overhead, and the profit for the
2 , 'h`•`,' ::-'r' • , ., Af , ':J;s - ,, �' . r !�'�`' :/• '`' Iuc7:' - ' : ' :; work indicated on this : , .lication.
", valuation: s 3501
".LA. '...e.: .,. •_ u � A.-A. -- .. L AI LA, -
• ,C V WLAC LA m 9, }../r% CA
(� Existing building area square feet
X 94 a, . -�� New building area square feet ''
''` 1'f' 2! &' '," ': ;'. i',,•. ' :1.--;-:. '' 0.nit•a4I+PI< ' cb Number of stories: •
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
'l ,,, , � ` :,',',.' , ',Q!, 04INTJ ct'PLR9,9N. • , ., 'ri.TlltL, •• „• ,w:,•r
Business name: ,” gi at. ' • _ r All contractors and subcontractors are required to be
Contact name: .`ra � licensed with the Oregon Construction Contractors Board
'26 �x l C3A.£f �f'' under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/State/ZIP: ' ko,v o G= G p fly ant is exempt from licensing, the following reasons
Phone: (5b 3,4 I ..3" I Fax:: (546 ails -3 L a.
E-mail:
Business name: y _ rt.A { '
Address: , . ,'fx , ' '' n p
City /State/ZIP: Structural plan review fee (or deposit): , . "
Phone: (— ) f Fax: ( ) FLS plan review fee (if applicable): ' 1-
CCB lic.: Total fees due upon application: E3 0_ ( 4,
_ Amount received:
Authorized ,
This permit application expires B a permit is not obtained
_
Print name : — r'if� n lim within 180 days alter it has been accepted as complete.
Oft,' � . , .1 Dat li J A / • Fee methodology set by Tri -County Building Industry
Service Board.