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Permit CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2013-00262 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/04/2013 Parcel: 151260000300 Jurisdiction: Tigard Site address: 9585 SW WASHINGTON SQUARE RD Y12 Project: Nintendo Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S Project Description: Install a temporary holiday kiosk,from 11/24/13-12/22/13. Located in main hallway in front of Macy's Contractor: Owner: PPR WASHINGTON SQUARE 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: Hourly Building Rate 10/28/2013 $90.00 Occupancy Grp: Occupancy Load: Hourly Building 12%Surcharge 10/28/2013 $10.80 Dwelling Units: 0 Stories: 0 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $0 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $100.80 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. AT N: Oreg law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0 -0010 through OAR 952- 1-0090. You may obtain a copy of the rules or direct questions to OUNC_,1 m ,g - 3.232.1987 or 1.800.332.2344. (sued By: l �'Jm/ 4 ,� Permittee • '•nature: ) 4 /4 r L. Call 503.639.4175 by 7:00 a.m.for the next available Inspe •on 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 Application Commercial RECEIVED 2FOR OFFICE.USE ONLY Received City of Tigard RECEIVED A�J Date/B /0 ag /J Permit No.: Ø. 4,a4a 13125 SW Hall Blvd.,Tigard,OR 97223 n 2 8 Plan Review C ' Phone: 503.718.2439 Fax: 503.598.19691 C T 2 O 2013 0�3 Date/B : Other Permit: T I G A It D Inspection Line: 503.639.4175 Date Ready/By: Juris: El See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information TYPE OP WARING DIVISION REQUIRED DATA:1-AND 2-FAMILY 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 ❑Addition/alteration/replacement Other."riau T equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling Valuation: $ ❑Commercial/industrial ❑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: q Sc 5\13 IDAstel -rp1.\ . i Gibe- I!-1) New dwelling area: square feet City/State/ZIP: yOTtn-Lo ri_sz, t opt- Q 7 7 a Garage/carport area: square feet Suite/bldg./apt.no.: )//2-- Project name: Ni P bb�. (isA-4 -U- 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: $ Nt i` P.VD V.L1'E$ I ift >t✓ e .(-4•E10(*.. -i>E11.c-c7•�� . N� '�i-�SI. csV4t.:cS o Existing building area: square feet '1e,✓ gc-( )E0-..-- .W----V--p New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: (DASH-)p frd NI (1 MI6 i44,11tC1--- . ) Type of construction: Address: G C lAS A.-aokz Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: r4 ar T lot. CD 0 'gam &-. 13 � �b-� viewerejertojeeosit):schedule) M Structural plan review fee(or deposit): Contact name: 1�4,0f4,k vt,y,M w FLS plan review fee(if applicable): Address: 'M- D SAS ' 2 Total fees due upon application: City/State/ZIP: //---- I.\\ y� f all Amount received: Phone:(414--) --(-g - -G l(',G Fax: :(Lf1 ) ire,- IZ39- E-mail: /4 M t71 e-L.l.di q 7- •�uco PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* / Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: l" `ff 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. City/State/ZIP: Permit fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) — State surcharge(12%of permit fee): $21.60 CCB tic.: Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained '! tip-2_3p within 180 days after it has been accepted as complete. Print name: �� rtz-1. "Lt ric e1. .Date: 3 * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) IN . ill o Buildin g 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%). I 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: $ i . (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\Permits\BUP-COM PermitApp.doc 03/03/2011 Product Fire Retardant Tests ULTR A FLE X FR Tests Page 1 of 2 Product NFPA701 NFPA701 Title 19 CSFM ASTM E84 UBC 26-6 UBC 26-7 City of LA Test 111 Test U2 Research Report - PVC Front-lit Media BIORex N/A PASSED PASSED APPROVED NT NT NT NT Ultima Supreme N/A PASSED NC N/A NT NT NT NT Normandy Pro N/A PASSED PASSED APPROVED PASSED TESTED CC1 NT Normandy Eclipse N/A PASSED PASSED APPROVED_ NT NT NT NT letFlex N/A PASSED PASSED APPROVED PASSED TESTED CC1 NT SuperPrint Plus N/A PASSED PASSED CBT NC NT NT NT SuperPrint Plus Eclipse N/A PASSED PASSED APPROVED NT NT NE NT Normandy lite N/A PASSED PASSED APPROVED CLASS A TESTED CC1 NT UltraBanner N/A PASSED PASSED APPROVED CLASS A TESTED CC1 NT SuperPrint Banner N/A PASSED PASSED CBT NT NT NT NT SuperPrint Economy N/A PASSED PASSED APPROVED NE NT NT NT Billboard 420' N/A PASSED PASSED APPROVED NT NT NT NT Billboard 420'Eclipse N/A PASSED PASSED CBT NT NI NT NT PVC Back-lit Media Ultraton IV N/A PASSED PASSED APPROVED NT NT NT NT Vulite Supreme N/A PASSED NC N/A NT NT NT NT Vulite Pro N/A PASSED PASSED - APPROVED NT NT NT NT PVC Blockout Media UltraBlockout Banner N/A PASSED PASSED APPROVED CLASS A TESTED CCI NT Pro Pole Banner Pro—18oz N/A PASSED PASSED CBT NT NT NT NT SuperSmooth BO NOT FR NOT FR NOT FR NOT FR NOT FR NOT FR NOT FR NT SuperSmooth PET PASSED NT NT NT NT NT NT NT DSS 12oz Blockout PVC Mesh Media UltraMesh 100 N/A PASSED PASSED APPROVED NT NT NT NT UltraMesh Supreme N/A PASSED PASSED APPROVED CLASS A TESTED CC1 APPROVED UltraMesh Plus N/A PASSED PASSED APPROVED CLASS A NT NT NT Strip Mesh Plus N/A PASSED PASSED APPROVED CLASS A NT NT NT Key N/A Not applicable Class A/B/C These are the 3 levels of Criteria for the ASTM E84 NC Not compliant CC1/CC2 These are the 2 Criteria for the UBC tests NT Not tested Passed The product passes the test Criteria CDT Currently being tested Tested There is no Pass/Fail Criteria U LT AFLEX u,trafea Headquarters Ullraflea Eu,ope Ltd Ultranea JJeatco 1578 Sussex Turnpike,Bu'd ng 4 Und 2 Hen/nick Rd Irtdustnal Park Mena 318-8 Col Granjas 1■1exic0 u'IrafeXX COT RandotpA,NJ 07669 Great Grensden Mexico City.08400 Updated 08/2011 P 973-827-8808 F 973621.8506 Bedrordshre,England SG19313J P.452 5531-823-632 F.452 5558.037-809 P.444 1787 877100 F.H4 1767 677190