Permit CITY OF TIGARD BUILDING PERMIT
g-..- COMMUNITY DEVELOPMENT Permit #: BUP2013 00111
T [GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/09/2013
Parcel: 1S135BA00102
Jurisdiction: TIGARD
Site address: 10124 SW WASHINGTON SQUARE RD
Project: Hannah Pet Society Subdivision: OAKBURG Lot: 9
Project Description: Permit for temporary occupancy for office and vet clinic
Contractor: A// Owner: PPR SQUARE TOO LLC
PO BOX 847
CARLSBAD, CA 92018
PHONE: PHONE
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee - Additions, Alterations, 05/09/2013 $70 22
Demolition
Occupancy Grp: B Occupancy Load: 53 12% State Surcharge - Building 05/09/2013 $8 43
Dwelling Units: 0 Plan Review 05/09/2013 $45 64
Stories: 1 Height: 0 ft Plan Review - Fire Life Safety 05/09/2013 $28 09
Bedrooms: 0 Bathrooms: 0 Misc Administration Fee 05/09/2013 $90 00
Value: $1,000
Floor Areas:
Total Area: 0
Accessory Struct 0
Basement 0
Carport: 0
Covered Porch 0
Deck: 0
Garage: 0
Mezzanine. 0
Total $242.38
Required: Required Items and Reports (Conditions)
Fire Sprinkler Yes 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 . - _ • • • R 952 -001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 Zia/ 232 1987 or 1.800 332 2344
Issue. By: •� i�L �� Permittee Signature: 1) _
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.
Building Permit ApplicatiRECEIVED
Commercial MAY 0 9 2013 FOR OFFICE USE ONLY
2
City of Tigard �y OF TIGARD Date/By. J 9 (J ( )O Permit No.: dp r
Received
r ek/� ///
° 13125 SW Hall Blvd., Tigard,OR �LIVG DI VISION Plan Review
0 Phone: 503 -718 -2439 Fax: 503 .: Date/By Other Permit.
T 1 G A RD Inspection Line: 503 -639-4175 Date Ready/By Jung ® See Page 2 for
Internet: www.tigard - gov Notified/Method. Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
ID New construction El 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
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $
❑ Accessory building 1:1 Multi-family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: / 0 / Z (1 .S W 1,✓43A. d )f.71 — i / New dwelling area: square feet
City /State /ZIP: P c r , / . /Lt...,, J / r 9 g . 97 . 3 . . . / A Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: yQ,, n ti4_ ,42j1 -. D 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 (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ / B O D
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: H /i f. 2 t Cf -F Type of construction:
Occupancy groups:
City ate /ZIP: Existing:
Phone: (..) ) Fax: ( )
New:
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
/ /, (Please refer to fee schedule)
Business name: �l'h /7 Ch L L 1 a Structural plan review fee (or deposit):
Contact name: / Ci L A jd vg
�� p ,� (p FLS plan review fee (if applicable):
de
Address: . L- 7 / g Z 0 5 f eG. "4l/i 4 �/ � c I ✓ce
� Total fees due upon application:
City /State /ZIP:
avr, co v ut� 14,4 cpc Y�
( ) Amount received:
Phone:
(36o ) g(6 — F 0 Fax:
E - mail: I PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
W , L , N �✓t�J l�1 a h n G c0 c,:1--e 0\--s....._
Commercial and residential prescriptive installation of
NI/CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
Permit fee (includes plan review
City/State /ZIP: and administrative fees): $180.00
Phone: ( ) Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: 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: `v(� Date: * Fee methodology set by Tri -County Building Industry
Service Board
I•\Building\Permits\BUP _COM_PermitApp.doc Rev 12/ 11/2012 440.4613T(11/02/COM/WEB)
Building Division
Accessibility: Barrier Removal Improvement Plan
TI D:
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): $
1: \ Building \ Perm ts \BUP_COM_PerrtutApp.doc Rev. 12/11/2012
RECEIVED
toltY 0 2013
CITY OF TIGARD
BUILDING DIVISION
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CITY OF TIGARD
Approved [ ]
Conditionally Approved [ ]
See Letter to: Follow [ ]
Attached [ ]
Permit Number: 1. 4 .013 —np /J/
Address: /021 .
By: PIA \/ Date: .r..±1 i-g- /3
OFFICE COPY