Permit CITY OF TIGARD
BUILDING PERMIT
II COMMUNITY DEVELOPMENT '�� Permit#: BUP2014-00052
T t G A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/06/2014
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9650 SW WASHINGTON SQUARE RD G15
Project: Young Art Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Occupancy permit for new tenant.3/6/14,reprinted to add ASI info.
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: OTR Type of Const: IIB Permit Fee-Additions,Alterations, 03/06/2014 $60.05
Demolition
Occupancy Grp: B Occupancy Load: 18 12%State Surcharge-Building 03/06/2014 $7.21
Dwelling Units: 0 Plan Review 03/06/2014 $39.03
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 03/06/2014 $24.02
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 03/06/2014 $0.50
Value: $640 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $130.81
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 accorda, .- ,ith 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. ATTE •N: Oregon . requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0• 0 through OAR 952-00 '090 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issue By: / 4- �� ,���'• Permittee Signature: et'f
Call 503.839.4175 by 7:110 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.
CITY OF TIGARD BUILDING PERMIT
III
COMMUNITY DEVELOPMENT Permit#: BUP2014-00052
T l G A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/06/2014
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9650 SW WASHINGTON SQUARE RD G15
Project: Young Art Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Occupancy permit for new tenant.
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: OTR Type of Const: Permit Fee-Additions,Alterations, 03/06/2014 $60.05
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 03/06/2014 $7.21
Dwelling Units: 0 Plan Review 03/06/2014 $39.03
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 03/06/2014 $24.02
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 03/06/2014 $0.50
Value: $640 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $130.81
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-.• . • •h 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.
Issu-• By: k / / Permittee Signature:
Call 603.639.4175 by 7:00 a.m.for the next available in pection 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 I Olt()I.! I( I. l Sl'. O\I 1
City of Tigard ° ���, Received !o /"I Permit No.: 0 ‘90/9..-41‘)5—j__
IN •
13125 SW Hall Blvd.,Tigard, ��� \ Plan Revie
Phone: 503-718-2439 Fax: 5 5 �rl9(iU Date/By: Other Permit
zo,� yl3 � i
r I c A R n Inspection Line: 503-6394175 *A P� 6 Date Ready 1a�r S See Page 2 for
Internet: www.tigard-or.gov \v` �QD Notified/method: Supplemental information
• TYPE OF
' : Q j n REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 76■emolition 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.
❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: $
❑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: 9,(5-0 Sic/ / I4JA,.. 7 s /7� New dwelling area: square feet
City/State/ZIP: /JQr-lja.d a/2. 223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name ` Covered porch area square feet
� °SSA s
Cross street/directions to job site: Deck area: square feet
Ms/�d� AM'- 41/f APeS}d_42. Other structure area: square feet
ripf-41-. tli"1 _ 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.
'� y Valuation: S -6y e
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: Type of construction:
i7LLC t_�C.�7Cp 1z✓
Address: i?G- OW %2 992_ Occupancy groups:
City/State/ZIP: J ')roU s'y N, , 4, ff• f Existing:
Phone:3/a) ga y
-93'7 Fax:( ) New:
❑ APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: f_'/ Q/S f- Cap 1.1.C a(6� ( *irtlaav�psckerlf}
Structural plan review fee(or deposit):
Contact name: trYt y y+�-� = G.-7S 4101)-7�4/!�'co
.- Q,7"4 t.ij—FLS plan review fee(if applicable):
Address: �0 . c/- 'err r 72 y92_
City/State/ZIP: /���v r ('J J4. ',ZS Total fees due upon application:
!� `"( ) Amount received:
Phone:(Sp3) 352 -S9‘S I Fax..( )
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
C CTOR Commercial and residential prescriptive installation of
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.
City/State/ZIP: Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: Total fee due upon appication: $201.60
Authorized signature. ,..0,0"" This permit application expires if a permit is not obtained
- within 180 days after it has been accepted as complete.
Print name: 9„,,,4_,....c..., �QnC�y, _. Date: l y * Fee methodology set by Tri County Building Industry
3/`S� Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/11/2012 440-46131(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
■ Accessibility: Barrier Removal Improvement Plan
■
Commercial & Multi-Family - Additions or Alterations
1 1(A R1) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
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 percent(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_PermitApp.doc Rev.12/02/2013
f
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
INs ' Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
1 I G n It l) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional,drawn to scale and labeled with:
A. ❑ map& tax lot# El project name El site address El suite number
El zoning El applicant name El phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations,plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit- based on valuation of project.
4. ADDITIONAL INFORMATION AS FOLLOWS:
A. Fire Department Building Survey with (1) additional full set of architecture
drawings.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/02/2013
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
111 ' Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal # of Plans
(Includes new,additions and alterations.) Required at
Submittal
Demolition Permit 3
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington
County, and Tualatin Valley Fire &Rescue),if applicable.
I:\Boil ding\Permits\BUP_COM_PermitApp.doc Rev.12/02/2013
Building Permit Number: ---r Pa0( LI-OC)O 45->
Building Permit Review
Commercial Project —No Associated Land Use Case
TIGARD
Site Address: (Q 50 cS (nl 1nJQ,s►, n 5 -► cS R�) ,
L Verify site address is valid.
Project Name : Li pun1
Planning Review f r '
Proposal: 11W -knet + 1 Ad;d £ . rvl ct-i
e.f S e— S 1f f4p.44-
171 Zoning: M
Permitted Use rg Yes ❑ No ❑ Spec Space
it Land Use Required ❑ Yes r.p No
Notes:
Approved by: 6,471141 Date: - I
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑ _
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Building Permit Submittal
Original Plan Submittal: Date: if By: 6::)e-b
Site Plans: # //-
Building Plans: # '3
Create Case Record#: rater case#above for Building Permit Number.
Workflow Routing: Planning ❑ Engiting ❑ Permit C,dinator C�$uilding
Workflow Sign-off: ign-off for Planning staff,including notes from planning review(page 1)
Route Application Documents: ❑wilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: Date:
Notes:
[:\Building\Forms\BldgPermitRvw_COM_NoLandUse_123013.docx
" Building Division
Over-The-Counter (OTC) Building Permit
ricinKD Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Occupancy Group: Type of Construction:
Type of Use**: Occupancy Load: Oregon Specialty Code: 2[)(O
SPECIFICS
Number of Stories: Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport: Mezzanine:
SETBACKS
Sideyard Setback—Left Sideyard Setback—Front
Sideyard Setback—Right Sideyard Setback—Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: tefj Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ icA0 Q> FEES DUE
$ DC Prov Rvw,COM TI—Ping
$ DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ ),0S Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ `] 2( 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ ?-)q,C5.2 Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ 2.4 OZ.. Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $278.00 $41.00 $ Info Proc/Arch,Sm (up to 11x17$0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
Planning Staff: $ Hourly Rate State Surcharge
$ Misc.Admin Fee
Permit Coordinator: $ Other:
$ Other:
Building Staff: $ Other:
Date/Time: $ lBI TOTAL FEES DUE
*TYPE OF USE: COM=commercial;CMS=commercial manufactured structure.
**CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
OTR=other(use for fences,decks,retaining walls,signs,awnings or canopies).
I:\Building\Forms\OTC-BUP.docx 07/01/2013
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Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9650 SW WASHINGTON SQUARE RD G15,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
2014-03-07 00:00:00
BUP2014-00052
PASS - C of O
Violation Summary:
Inspector Contractor