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Permit _ ., CITY OF TIGARD BUILDING PERMIT It • COMMUNITY DEVELOPMENT Permit#: BUP2015-00300 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/09/2015 Parcel: 1S1260000300 Jurisdiction: TIGARD Site address: 9585 SW WASHINGTON SQUARE RD YO1 Project: T-Mobile Kiosk Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S Project Description: Replace existing T-Mobile kiosk with new version. Contractor: WOODBURN CONSTRUCTION CO Owner: PPR WASHINGTON SQUARE LLC PO BOX 129 PO BOX 847 WOODBURN, OR 97071 CARLSBAD, CA 92018 PHONE: 503-981-9504 PHONE. FAX: 503-981-9504 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 11/09/2015 $619.25 Demolition Occupancy Grp: M Occupancy Load: 12%State Surcharge-Building 11/09/2015 $74.31 Dwelling Units: 0 Plan Review 10/21/2015 S402.51 Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 10/21/2015 $247.70 Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 11/09/2015 $14.00 Value: $40,000 11x17) Floor Areas: Total Area: 0 Accessory Struct' 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,357.77 Required: Required Items and Reports(Conditions) Fire Sprinkler Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 0 This perm t 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 obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332 2344. Issued By: •- s ittee Signature: _ .639.4175 by 7:00 a.m.for the next available ins.. tion date. This permit card shall be kept in a conspicuous place on the job site un completion of the project. Approved plans are required on the job site at the time of each inspection. * 1EIVEP Building Permit Application Commercial OCT 15 2015 1.01(01 1.1( 1. 1 til,()NIA City of Tigard CITY OFTIGAkl) Dat01 i0 .2i IS ��,!- Pe�,,,��No /� 13125 SW Hall Blvd.,Tigard,OR 97) �T Plan Review �, III Phone: 503.718.2439 Fax: 503.598`�DING DIVISION DateB : �O® ('S Other Permit T I n It D Inspection Line: 503.639.4175 Date Ready c y; Juris 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: /L 2_7/(5/7 Supplemental Information TYPE OF WORK REQUIRED DA A: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: 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: p-'s7....Lcticeikwez-f- ask�vl�� u,�,,(. a New dwelling area: square feet City/State/ZIP: t4 �L ��27.3 Q_, "► Garage/carport area: square few i � Suite/bldg./apt.nap d Project name: J 4-k-77 bele 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.: ff a (Q a 3 3 Z$•37 7 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the // DESCRIPTION OF WORK /�� . /' j� work indicated on this application. f S T' N /"l,O LI 1 e K eAl w, Valuation: S �Ul 1..1C). , ,_ y JO &t � Existing building area: J square feet /V��IJ�� `J New building area: square feet ❑ PROPERTY OW ER ANT Number of stories: Name: /1//,Ju,l..t e_ ._.. 5 e efLi.p y t) / n . Type of construction: Address: S _S,.W 4-S k'i //`1 �(, Aluz , Occupancy groups: City/State/ IP: t 1401000 d t 77 Existing: Phone)L�d , 3 C....1/ F ax: i-V),,c)7.3 Sc? New: �IrPVt1CANT ©�dei 1 CT PERSON BUILDING PERMIT FEES* Business name: (Please refer to fee schedule) �p Structural plan review fee(or deposit): Contact name: ILL. ,- �� ^� _ � FLS plan review fee(if applicable): Address: /�j ,v City/State/ZIP ,.,i 7Q/(„S6 3� 7a Total fees due upon application: / ES D7 7 ` Amount received: Phone:�� 3 ' 6• J J b/ rFax: : ) sy • 3 !J y E-mail: .s Lit- ,L-S ta)t.k S fl, /`r`_ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES Commercial and residential prescriptive installation of . C CTOft' roof-top mounted PhotoVoltaic Solar Panel System. Business name: ' I' , Submit two(2)sets of roof plan with connection details W o o t 'n Ct>1>t r wt, '-, L-e'YIP:4y and fire department access,along with the 2010 Oregon Address: ‘,917 C.LA.f. ( r, Solar Installation Specialty Code checklist. City/State/ZIP: ( 0�. 9/p/j Permit fee(includes plan review $180.00 �Jt��t ^r, , and administrative fees): Phone:(Lid 1�)q g f-y..5- , F.x:(S Clj ) 7 9 I-23gzi. State surcharge(12%of permit fee): $21.60 CCB lic.: Z Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained _ within 180 days after it has been accepted as complete. Print name: " M ,IN ` KIIIMFAMW , �b Is * Fee methodology set by Tri-County Building Industry Service Board. I:1Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-461 3T(I 1/02/COM/WEB) City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Commercial - No Land Use Building Permit #: Site Address: b _ �C), � �/ h 7n uite Bld #: YL) Project Name: 7 //l e:,,h,% (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: ✓2e��ce eX/c&A: 7--- ✓ „,z),44, ,iI,,,,,tie ,:,0 - /u ✓ ramie Existing Business Activity: Tea 61,- �,7e, c,Q /--:€3,x4// Proposed Business Activity: /� /1 i/ [IQ Verify site address/suite#exists and active in permit syysstee . , 'ver Terrace Neighborhood: ❑ Yes L1Y No �Toning: A k e ermitted Use: I ' Yes ❑ No ❑ Spec Space Q�J C firm no land use required. Business License: Exists: ' Yes ❑ No,applicant notified to obtain business license Notes: Approved by Planning: % Date: ✓('/;://c-- Revisions (after Building Submittal only) Reviewer Dace Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: /1//57/_5- Site Plans: # c,./... Building Plans: # 02. Building Permit#: ❑ Enter building permit#above. Workflow Routing: ❑ Planning ❑ Permit Coordinator ❑ Building Workflow Sign-off: ❑ Sign-off for Planning(include notes from planning review) Route Application Documents: ❑ Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: I:\Building\Forms\BldgPermitRvw_COM_NoLand Use_070915.docx Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved, NOT Released: Date: 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: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: 1:\Building\Fonns\BIdgPennitRvw_COM_NoLandUse_0709I 5.docx