Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2014-00170
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/05/2014
T f[;'�R.D 9 Parcel: 1 51260000300
Jurisdiction: Tigard
Site address: 9585 SW WASHINGTON SQUARE RD
Project: Washington Square Mall Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Christmas decor and set-up on main level,below food court.
Contractor: OWNER Owner: PPR WASHINGTON SQUARE LLC
PPR WASHINGTON SQUARE LLC PO BOX 847
P.O. BOX 847 CARLSBAD, CA 92018
CARLSBAD, CA 92018
PHONE: 503-639-8865 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 08/05/2014 $917.70
Demolition
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Building 08/05/2014 $110.12
Dwelling Units: 0 Plan Review 08/05/2014 $596.51
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 08/05/2014 $367.08
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 08/05/2014 $29.00
Value: $75,000 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,020.41
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
952-001-0010 through OAR 952-001-0090. You may ob in a copy o • les or direct questions to OUNC by calling 503.23 987 or 1.800.332.2344.
Issued By: •ermittee Signature: t
. '.3.639.4175 b 7:00 a.m.for the next available inspection pecUon 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 FOR OFFICE USE ONLY
City of Tigard chc:\4IO Date/By. e; 1`{ / ' 'f.
/ Permit No.,
Er
13125 SW Hall Blvd.,Tigard,OR * Plan Review
Phone: 503-718-2439 Fax: 503- 8 'E tt 11 0(1°'�Q
Date/By: `''�,' 2� (', laced Permit:
TIGARD Inspection Line: 503-639-4175 ,Ul Date Re:. ! Juns: PS See Page 2 for
• Internet: www.tigard-or.gov flak%) t Notified/Method:•7it-9 /y •f/ Supplemental Information
TYPE OF. REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction • Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rotnded 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. 4
Valuation: $ �p���p 75 oO a❑ 1-and 2-family dwelling �Commercial/industrial
/
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15"9.5- $ W 6:■5J ow .9 , 4 d New dwelling area: square feet
City/State/ZIP: 7,f4-rct Garage/carport area: square feet
Suite/bldg./apt.#: Q Project name: by A-Sb t 5 cN �..._ Covered porch area square feet
Cross street/directions to job site: G ree,.+ ,r-i 1R.d Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Indicate the value(romded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
( DESCRIPTION OF WORK work indicated on this application.
C-�te t SiY1^l►S .l.e .2›!Z anJ d ,SE� Valuation: $
Existing building area square feet
New building area: square feet
tg PROPERTY OWNER ❑ TENANT Number of stories:
Name: e P R. W Itsk iii L.) S rdt.„.� L`. Type of construction:
Address: q S 8 s- s w w 1, i� CI). , Ed Occupancy groups:
City/State/ZIP: �f, , .,iJ Existing:
Phone:(c03) G 3 4 }g g(y Fax:(50$) (. Z O 1 2 (D
New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Mt. W A-C\ •
S s-t„/ri-C--- Structural plan review fee(or deposit):
Contact name: R.01 e,,,,,-- p if f
FLS plan review fee(if applicable):
Address: 1 c s,„„J (n!,ei s i rti.)eia v/ g /t s
City/State/ZIP: ,--r 2 :i's-r Total fees due upon application:
Phone:((1 ) 3 i$t.S Fax: :( ) Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: 2o9e,-. OTT ® r .ce01C1 C4!An-
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: c Lv 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 Lic.: Total fee due upon application: $201.60
Authorized signature: 6201 rx 1)'-\'‘.-- Glt—' This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Rfl 4 er- O 4+ Date: 7 f i ii * Fee methodology set by Tri-County Building Industry
7 Service Board
1:1Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
,74 g Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T I G A R D 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_Per itApp.doc Rev.04/21/2014