Permit INp
CITY OF TIGARD BUILDING PERMIT
I COMMUNITY DEVELOPMENT Permit#: BUP2015-00069
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/25/2015
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9650 SW WASHINGTON SQUARE RD G15
Project: Iviwa Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Storage racking.
Contractor: R MILLER INC Owner: PPR WASHINGTON SQUARE LLC
18321 98TH AVE NE, STE 1 PO BOX 847
BOTHELL,WA 98011 CARLSBAD, CA 92018
PHONE: 425-775-3822 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 03/24/2015 $408.32
Demolition
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Building 03/24/2015 $49.00
Dwelling Units: 0 Plan Review 03/23/2015 $265.41
Stories: 0 Height: 0 It Info Process/Archiving-Lg$2.00(over 03/24/2015 $2.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $22,000 Info Process/Archiving-Sm$0.50(up to 03/24/2015 $12.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $737.23
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. A •.• Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 1-0010 through•• r 952-00 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Is ued By: . �� Permittee Signature: - aria
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 Application
Commercial RECEIVED FOR OFFICE. USE ONLY
City of Tigard R 2 3 2015 DaateByy:: 3 3 AS 4 i' , Permit N, u/- '3 'iW 4 9
13125 SW Hall Blvd.,Tigard,OR 9 Plan Re !�
I Phone: 503-718-2439 Fax: sc s�F TIGARD Date/By: ■4 ct i Other Perm 1 /c7 ' F�0a.5-J,
TIGARD, Inspection Line: 503-639-417 Date Ready luris: VI See Page 2 for
Internet: www.tigard-or.gov UILDING DIVISION Notified/Method:�/ �S Supplemental Information
4j/E-72- _-
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees* are based on the value of the work performed.
Indicate the value(romded to the nearest dollar)of all
Addition/alter Lion/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ '-7 /SAIL
❑ 1-and 2-family dwelling ,.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: !94,5-0 5 Ltd Lofisii 1t'V �pV ft New dwelling area: square feet
City/State/ZIP: /62 s) L�'1?2- 6 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: ///t////`/,1 14Z7 iG A Covered porch area square feet
Cross street/directions to job site: it i 'G s S'epu ham' /(i Deck area: square feet
�`+� Other structure area: ware feet
REQUIRED DA A:COMMERCIAL- 7 E CHECKLIST
Subdivision: Lot no.: Permit fees*are base a ue of the work performed.
Indicate the value(romded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
-)-Tef goD /�,t-/�`, ), Valuation: $ ark�l
1' �j7 !�1•� Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to f a schedule)
Business name: Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP: `
Phone:( ) Fax::( ) Amount received: , e,-3--- y/
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: M 1 Lig. ',L. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: le 2( Gj ► Ai V ,.r / Solar Installation Specialty Code checklist.
1 ` Permit fee(includes plan review
City/State/ZIP: / L �� �8 �� and administrative fees): $180.00
Phone:(/25) 1'76 Ze 2 Z Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: ad4/ , /� ai 6-72_1v--,02.___
n,q Total fee due upon appication: $201.60
Authorized signature: ...rift P/""� This permit application expires if a permit is not obtained
�����/ within 180 days after it has been accepted as complete.
Print name: i(:/L �jA 14 Date: 5 fr f� * Fee methodology set by Tri-County Building Industry
A' J Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/11/2012 4404613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
a
" 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 arc 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
• City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
" Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
T 1 G A R D 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# ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ applicant name ❑ 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_PemmitApp.doc Rev.12/02/2013
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
1 " Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
T I G A R D 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:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/02/2013