Permit (42) IF CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2015-0032613125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/22/2015
Parcel: 1 S 1260000300
Jurisdiction: TIGARD
Site address: 9585 SW WASHINGTON SQUARE RD Y05
Project: AT&T Kiosk Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: New prefabricated retail kiosk
Contractor: ORDELL CONSTUCTION LLC Owner: PPR WASHINGTON SQUARE LLC
29771 E ENID RD PO BOX 847
EUGENE, OR 97402 CARLSBAD, CA 92018
PHONE: 541-747-8734 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 12/22/2015 $509.05
Demolition
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Building 12/22/2015 $61.09
Dwelling Units: 0 Plan Review 11/17/2015 $330.88
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 11/17/2015 $203.62
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 12/22/2015 $12.00
Value: $30,000 11x17)
Info Process/Archiving-Sm$0.50(up to 12/22/2015 $12.50
11x17)
Floor Areas:
Total Area: 150
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,129.14
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 ac dance 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. ENTION. Or law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
9 -001-0010th rough OAR 9 001- 0. You may obtain a copy of the rules or direct questions to OUNC by calli 503.2 1987 or 1.800.332.2344.
t
Issued By: Permittee Signature:
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.
Buildinlz Permit Application RECEIVE
Commercial FOR OFFICE USE ONLY
?
City of Tigard y
Received
B Permit No.: �p(s-a�3ollp
a 13125 SW Hall Blvd.,Tigard,OR 97223 NOV g 2 201 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : �' Other Permit:
Inspection Line: 503.639.4175 CITY 0 jk;A 0 Date Ready/By: / orris: 0 See Page 2 for
Notified/Method: [�� t� Supplemental Information
Internet: %v -or.gov �DT�a��RT��°�pi��fl t
TYPE OF WORK jL l� V A REQUIRED DATA:I-AND 2-FAMILY DWELLING
ew construction C]'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.
Valuation: S
❑ I-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: g5,8r sw w e sLi ,� . New dwelling area: square feet
City/State/ZIP: Ta, O R 97a,23 Garage/carport area: square feet
Suite/bldg./apt.no.: Y 0!;— Project name:W a k Covered porch area: square feet
Cross street/directions to job site: 2 w Deck area: square feet
K t.a k- t'S c„ t Other structure area: square feet
lAe Nor-,416,,, Av._(,or . Ae -4 �i I1Ktvtn sono REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: �ro�rG'SS Lot no.: g6z'7 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.: F236S-87, 9236596 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: S-30,000
Existing building area: 1 S'o square feet
New building area: ISO square feet
03"PROPERTY OWNER ❑ TENANT Number of stories: I C r,0.3 k
Name: HR4 T Type of construction:
Address: y t71 w t' S 70 Occupancy groups:
City/State/ZIP: $�,,,�-},, m on i Gc -IoLiol Existing:
Phone:(31 0)3 9 t-(• ( 000 Fax:( ) rA 1A New: I�
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Please refer to fee schedit
Business name: F w�u S Structural plan review fee(or deposit):
Contact name: fA..r. S•a \SQ
FLS plan review fee(if applicable):
Address: 330 6vt O l oCe j S'(� f-. e_ S(
Total fees due upon application:
City/State/ZIP: (� ��- q 0A9.2-
Amount received:
Phone:(6-6 4 2 16 Ur2 qq Fax::(SIZ)Z 16. T o2 q.1 NEL SYSTEM FEES*
PHOTOVOLTAIC SOLAR PANEL
E-mail: rM.s c�� i_iC"N.'GL a co"I
Commercial and residential prescriptive installation of
CONTRACTOR roof-t mounted Photovoltaic Solar Panel System.
Business name: 6Q tk& rJs (O� Submit thv 2)sets of roof plan with connection d
and fire dep nt access,along with the Oregon
Address: 9,9771 l Tj ��
Solar Installation cia! Codec ist.
City/State/ZIP: Std f_ /L �7� Permit fee(includalpLatrreview $180.00
and a ' tstr 've fees):
Phone: ) W7-e,�7 3 Fax:.( ) State su ge(12%of permit e): $21.60
CCB lic.: /'7 7 I-?J `Y '71C t Total fee due upon application: $201.60
Authorized signatu This permit application expires if a permit not obtained
within 180 days after it has been accepted as complete.
name: Ar Date: 1 I 04. Zp Fee methodology set by Tri-County Building Industry
Print
�CtP, Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 4404613T(I 1/02/COM/WEB)
City of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
C
Building Permit Review — Commercial - No Land Use
4
Building Permit #: p��S_o d 394
Site Address: q5-b 5 cYO 1'�l <&. Suite/Bldg#:
Project Name: A �� I` �;pS�-
(Naive of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: NP.t.'o ki OSk- wa . SC,�c,cct,c 1Mcc��_
Existing Business Active : 11a c�,. � M4-rU
Proposed Business Activity: n e u-) vt+a-;,t k',os {�
;�&'Verif), site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes .i—N0
'Zoning:
Permitted Use: . Yes ❑ No ❑ Spec Space
Confirm no land use required.
,Business License: ��
Exists: El Yes Ir No, applicant notified to obtain business license
Notes:
Approved by Planning: (��Y (�;�c�'L2-� Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: l I I(Q I
Site Plans: # ,3
Building Plans: #
Building Permit#: titer building permit# above.
\Vorkflow Routing: Z2"�Planning 11 ermit Coordinator ❑ding
Workflow Sign-off: 2--sign-off for Planning(include notes from planning review)
Route Application Documents: wilding: original permit application, site plans, building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Techni ian: Date: l/ /7 /5
I:\Building\Fonns\BldgPennitRvw,_COM_No Land 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 Tai: ❑ Yes N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: El YesN/A
OK to Issue Permit
/Approved by Permit Coordinator: /&/&fA�Date: !!!
1:\Building\Forms\BldgPennitRvw_COM_NoLandUse_070915.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
9585 SW WASHINGTON SQUARE RD Y05,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2015-00326
Chip Barnett
Violation Summary:
Inspector Contractor