Permit CITY OF TIGARD BUILDING PERMIT
311 ' ' COMMUNITY DEVELOPMENT Permit#: BUP2015-00322
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/19/2015
TIGARD Parcel: 151260000300
Jurisdiction: TIGARD
Site address: 9374 SW WASHINGTON SQUARE RD R05
Project: Papyrus Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Temporary holiday kiosk.
Contractor: TENANT Owner: PPR WASHINGTON SQUARE LLC
SCHURMAN RETAIL GROUP PO BOX 847
500 CHADBOURNE RD CARLSBAD, CA 92018
FAIRFIELD, CA 94534
PHONE: 707-428-0200 PHONE'
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 11/12/2015 $119.33
Demolition
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Building 11/12/2015 $14.32
Dwelling Units: 0 Plan Review 11/12/2015 $77.56
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 11/12/2015 $47.73
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 11/19/2015 $4.00
Value: $2,150 11x17)
Floor-Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $262 94
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 do're 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 ATTENILQN• Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- -0010 throug t4•R 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
I sued By: � _� Permittee Signature: /
C) 774(LT--
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 a f
Commercial HEGE�V E FOR OFFICE USE ONLY
City of Tigard Received
- .� `' 1 �� 2Q�� Date/B : ♦t/ Permit Na.: A. ./f 9I -.
13125 SW Hall Blvd.,Tigard,OR 97223 V ^�n Plan Reviei �_
Phone: 503.718.2439 Fax: 503.598.1960 f` V [ Other Permit
llateB
TIGARD Inspection Line: 503.639.4175 Y Of Tv N Date Ready: : t funs: 0 See Paget for
Internet: www.tigard-or_gov Gt qr 0t\JlSpO Notified/Method: iii •
{ y; 1�1�, t ul(1y le Supplemental information
l t Jill , �- 7-` .
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(rounded to the nearest dollar)of all i
❑Addition/alteration/replacement 9 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
CI 1-and 2-family dwelling ❑Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder Ef Other: Number of bathrooms:
JOB SITE;INFORMATION AND•LOCATION: '. Total number of floors:
lob site address: '?S. q 5(t) klaSH IN f1 T-DN .SQuAFzC r2D. New dwelling area: square feet
City/State/ZIP: fl(,-t P -D , 0 R (7 7.7-2-3 Garage/carport
g arport area: square feet
Suite/bldgiapt.no.: Project name: PAPYR1.5 ;.ai HDu1)Ay 1-\1 Si< Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
iREQUIRED1DAr.WP, 'IWIMERCIAL'U§E CHECKLISP
Subdivision: Lot no.: Permit fees*are based on the value of the work performed
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: ( p
z. equipment,materials,labor,overhead,and the profit for the
n D CRIPn'42:01,-
ION OF WORK ,t-' ;x) '`,
�s�yt�`?- ���S�,�,•,,,p ,�.- LL ,�;�`?'a� �,' j _ work indicated on this application.
t .M PopARV 1-(oLt uA`l K■o.W, SET UP �a M4'l.k,
Valuation: $ �Zld�O
t CO MivtO 0 At2ti'As Existing building area: square feet
New building area: square feet
❑'PROPERTY OWNER i❑-TENANT Number of stories:
i
Name: S`Ft u'f2MA(J oZer1T\l (. P u4� Type of construction:
Address: S-OC C HAD 30U pot., ROAD Occupancy groups:
4 City/State/ZIP: ` .k. -t--(c-up t CA co iii Existing:
3 Phone:(�t7 ) o:2-00 Fax:( )
New:
® sAPPLICANT - 21 .CON'1'ACI I'Lit SON 2 * r
kax r —___— a:-.21::::. -',.:f>3 to IIII.b G IRMbTEES y�crtK�ia}rw
Business name: SGHV latAAP Real L C-, R�J})
4.a as .(Please referfojeasehedule} yr, ....�
Structural plan review fee(or deposit):
Contact name: GaRt S DEL R25t,.(0
Y\? Address: $-CO C K AOe L•21,1. 'Z 0-Pc 0 FLS plan review fee(if applicable):
City/State/ZIP: F-At R Ft FI.(� r C A Gigs-3g
Total fees due upon application:
Phone:(7p".4) i-12 Q .0.;2-005 Fax::( )
Amount received:
E-mail: cc(e,1 ro-c(trl o C") S r s'eiz`(t t • AR PANEL SY PEES"=
4 PHOTO'YOLTAIC SOL STEM
/� Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: ,(j/4_ 44 i1/41 R-r� 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,
'.4;ti
City/State/ZIP: Permit fee(includes plan review
and administrative fees): $180.00
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB tic.:
Total fee due upon application: $201.60
Authorized signature: (j�f,,�_ /„ y! $ ( I 12 /i This permit application expires if a permit is not obtained
" `�l}�w� ��— / within 180 days after it has been accepted as complete.
Print name: M QI `•.e'z et b vi Ka.•I5 r t S Date: l t /I Z/(5 * Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD'
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 per-cent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering. [1] $ 2t!
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 $ A)74-
(b) An accessible entrance: $ N�a
(c) An accessible route to the altered area: $ /V(4.
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ N jq
(e) Accessible telephones: $ /V/A.
(f) Accessible drinking fountains:and, $ N/A,
(g) When possible,additional accessible elements such as storage and
alarms: $ ail/A
TOTAL(shall equal line [2] of Valuation Computation): $ N
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
111 • City of Tigard
Ill COMMUNITY DEVELOPMENT DEPARTMENT
T I G A It D Building Permit Review — Commercial - No Land Use
Building Permit #: l� °dols 5---00 .Q
Site Address: ' Suite/Bldg#:
Project Name: 7VV 7eia M// �r
(Name of ctuniercial business occupyini the space. If•acant,enter Spec Space.)
Planning Review � r
Proposal: NPR lts 7-eilifay-4-, I/ ?1,4/1 JVN//
Existing Business Activity: Pe 4;f
Proposed Business Activity: Re sl-r,„
*Verify site address/suite#exists and active in permit system.
River Terrace Nei hborhood: ❑ Yes No
Zoning. / /
RPermitted Use: X Yes ❑ No ❑ Spec Space
IRConfirm no land use required.
❑ Business License:
Exists: ICI Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: �� Date: //74 - 'cf
Revisions (after Building Sub. tttai only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: ////a i s
Site Plans: # /✓
Building Plans: # 3
Building Permit#: 0 building permit#above.
Workflow Routing: [gyp g ❑ Permit Coordinator 8—B I g
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: J
By Permit Technician: i���" Date: /17/0?As-
-
I
I:\Building\Forms\BIdgPermitRvw_COM_NoLandUse_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:
I:A Building\Forms\BIdgPennitRvw_COM_NoLandUse_0709I5.docx
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9374 SW WASHINGTON SQUARE RD R05,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2015-00322
Chip Barnett
Violation Summary:
Inspector Contractor