Permit „ CITY OF TIGARD BUILDING PERMIT
1 s COMMUNITY DEVELOPMENT Permit#: BUP2014-00202
1
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/28/2014
Parcel: 1 S 135BA00102
Jurisdiction: Tigard
Site address: 10154 SW WASHINGTON SQUARE RD
Project: Spirit Halloween Subdivision: OAKBURG Lot: 9
Project Description: Temporary change of occupancy through 11/15/14.
Contractor: N/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 T Permit Fee-Additions,Alterations, 08/28/2014 $134.54
ype of Const: Demolition
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Building 08/28/2014 $16.14
Dwelling Units: 0 Plan Review 08/28/2014 $87.45
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 08/28/2014 $53.82
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 08/28/2014 $0.50
Value: $3,150 11x17)
Floor Areas:
Total Area 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $292.45
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 a•dice ble 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, •r if ork is su pended for more the 180
days. ATT • • a -gon law requires you to follow the rules adopted by the Oregon Utility Notificati• Cent:. Those rule. are set forth in OAR
952-001 .110 through OA- •52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 13.232.198 • 1 800 332 23 4
Iss d By: ./
G Permittee Signature: Y ( -
Call 503.639.4175 by 7:00 a.m.for the next available insp• tion.ate.
This permit card shall be kept in a conspicuous place on the job site until c• pletion o e project.
Approved plans are required on the job site at the time of each inspectio
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t Building Permit Application /Q,'Q0 0 TG /974°7- /2e //y
Commercial FOR OFFICE USE ONLY
Received Q�
City of Tigard DateBy: q t• /4 Permit No..LLt e p 2
" 13125 SW Hall Blvd.,Tigard,OR 97ECE1VED Review
1 a Plan
Phone: 503-718-2439 Fax: 503-598-19601; 7, 2 O 2014 Date/By: Related Permit:
TIGARD Inspection Line: 503-639-4175 4 O Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov t•;1 I ID Notified/Method: Supplemental Information \s-
TYPE OF AU) /OMSION REQUIRED DATA:1-AND 2-FAMILY DWELLING C`^
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rouded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the W
CATEGORY OF CONSTRUCTION work indicated on this application.
SKValuation: $ 3
❑ 1-and 2-family dwelling ❑Commercial/industrial
1 6 O
11 Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ID Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /Q/S / 5„; U..)ado k,.y„i-t-„, etixe,A,L., New dwelling area: square feet
City/State/ZIP: .I Garage/carport area: square feet
Suite/bldg./apt.#: Project name: )Pt/Lt"r 1'�f1t /v(,t)fc.4-A.) 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: I Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 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.
�— bValuation: $
Existing building area square feet
ft. New building area: square feet
❑ PROPERTY OWNER I TENANT Number of stories:
Name: Cep r - »}-4q DJ.Ce Type of construction:
Address: 10' ‘y $6,j 1.,)a&I;rs ion SCI. led Occupancy groups:
11,....a City/State/ZIP11,....a uO , 11 2.2.1 Existing:
Phone:6 3)3 8 3- (77 7 Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
— Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
City/State/ZIP: Total fees due upon application: g
Phone:( ) Fes;;( ) Amount received: f29 . '11 .-
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
O CTOR Comm- ial and residential prescriptive installation •f
roof-top m: nted PhotoVoltaic Solar Panel S
Business name: ft Submit two( ets of roof plan with ection details
�J and fire departmen : ess,alo,: • nth the 2010 Oregon
Address: Solar Installation Specie/' -.. • i ecklist.
City/State/ZIP: Permit fee ' udes plan review $180.00
• d administrative fees):
Phone:( ) Fax:( ) St: e surcharge(12%of permit fee): 1.60
CCB Lic.: Total fee due upon application: $201.60
Authorized signature:L—-T /^ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 3e ft....' 6 it:dx. Date: 8/�8/iii * Fee methodology set by Tri-County Building Industry g
/ Service Bo ` Cam/
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) ft-0V A /p�_/��ZS/pz9y/J
�v 6-e/7
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
.114 " Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T 1 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 .uildings and related
facilities shall be made to insure that the path of travel to the alt' ed area and the restroom,
telephones and drinking fountains are readily accessible to in.' 'duals with disabilities unless
such alterations are disproportionate to the overall alterati s .s in terms of cost and scope.
(2) Alterations made to the path of travel to an altered . a may be deemed disproportionate to
the overall alteration when the cost exceeds twen .ve percent(25%).
VALUATION: Total of all renovation,alteration or modi. ation being done,
excluding painting and wallpapering [1] $
MULTIPLIER(25%barrie e.. •val li m>.t): x .25
TOTAL BUDGET • •R B: ' ' ERR •V \ • [2] $
ELEMENTS: In choosing which ac ssible . ements • provide under this section,priority shall be given
to those elements will pro •e the gr.•test access. Elements shall be provided in the
following order:
(a) Parking $
(b) An acces •. e entrance: $
(c) An ac -ssible route to the altered area: $
(d) At east one accessible restroom for each sex or a single unisex
stroom: $
(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
I:\Building\Pem its\BUP_COM_PennitApp.doc Rev.04/21/2014
City of Tigard
11111 II
• COMMUNITY DEVELOPMENT DEPARTMENT
T l G Building Permit Review — Commercial - No Land Use
ARD
Building Permit #: t 3( fiaO t 4-cO .o'7---
Site Address: 101 511 SW Greenbu,f. Suite/Bldg#:
Project Name: Sp i 64- l-kat`oieein
(Naine of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: -tSVI1 pc(af oc,Cu,p29 -For seasoner\ nzA-G6 soles
Existing Business Activity: Scales- QcIsrAied Y 1, (va xnk)
Pro osed Business Activity: Spllp,S`OYI W11Y/t f'eita.I l
L V rify site address suite #exists and active in permit system.
Lid / p y
LIB onin : v
� g M, C �
ermitted Use: Yes ❑ No ❑ Spec Space
Di Confirm no land use required. 11
Notes: 1)0 LA/0(k prb�JCS°E
1 /
Approved by Planning: / g Leh! •J,, Date: g 12$(ti_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 Submits
Original Submittal Date: /.2f6 a
Site Plans: # 3
Building Plans: #
Building Permit#: L�7E�nter building permit#above.
Workflow Routing: Llanning ❑ Permit Coordinator wilding
Workflow Sign off: .0 g -off for Planning(include notes from planning review)
Route Application Documents: ding: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: c Date: 7.1-,E0,1
I:\BuildingWormslBIdgPermitRvw_COM_NoLandUse_0715 14.docx
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_071514.docx