Permit (55) CITY OF TIGARD BUILDING PERMIT
11 ,` , COMMUNITY DEVELOPMENT Permit#: BUP2019-00049
T GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/26/2019
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9585 SW WASHINGTON SQUARE RD
Project: Yi Fang Subdivision: None Lot: None
Project Description: Building new Kiosk to be located at Y16,close to AT&T.
Contractor: POLYTECH HEATING LLC Owner: PPR WASHINGTON SQUARE LLC
11300 SE CASCADE VIEW DR PO BOX 847
HAPPY VALLEY, OR 97086 CARLSBAD, CA 92018
PHONE: 503-888-7999 PHONE: 206-778-5184
FAX: 503-788-2688
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 03/26/2019 $332.27
Demolition
Occupancy Grp: B Occupancy Load: 8 12%State Surcharge-Building 03/26/2019 $39.87
Dwelling Units: 0 Plan Review 03/05/2019 $215.98
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 03/26/2019 $8.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $17,000 DC Provision Review,COM TI-Ping 03/26/2019 $98.00
Plan Review-Fire Life Safety 03/26/2019 $132.91
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $827.03
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. 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: Permittee Signature:
t�7
en3.639.4175 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 FOR 01 11(1. I S I.0\1 1
City of Tigard Deceiv111 ed 3/S—l y /� �aq--( L�y
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
111 Phone: 503-718-2439 Fax: 503-598-1960 M AR 0 4 2019 Date/By: 3—)��r Related Permit:
T 1 G A R D Inspection Line: 503-639-4175 Date Ready/By: /j,�Jur s: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD ..- otified/Method: _Air/ A,L Supplemental Information
BUILDING DIVISIONIii.
TYPE OF WORK REQU D DATA:1-AND 2-FAMILY DWELLING
El New construction El 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 H Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: Giszq sv, bl)6,44K Q,4 New dwelling area: square feet
City/State/ZIP: 1.1� �Q Ctlz Garage/carport area: square feet
Suite/bldg./apt.#: Y 6 Project name: �' 1'w��.� �rte�, Tett
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: l 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.9
3,4(.4 NG/ k,'OS 1
Valuation: $ , 00>
1
Existing building area: square feet
New building area: 2a0 square feet
0 PROPERTY OWNER ,® TENANT Number of stories: (
Name: FaVecrkporet LLC L ),C'i,1 i ) Type of construction: k;.26t,
Address: (12-A 3 Sig ReKkCill,214.1„ Occupancy groups: (
City/State/ZIP: ( , Jn, co& Existing:
Phone:(4,1 )"11g•-•c(V 4Fax:( ) New:
APPLICANTt0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: Fep.e&t (Please refer la fee schedule)
Structural plan review fee(or deposit):
Contact name: qq :
J FLS plan review fee(if applicable):
Address:
112sW 136..tL►.
Total fees due upon application:
City/State/ZIP: 136.,,,,,,T.7h 2)2c)-' L _
Phone: Amount received:
(2.017$ —SIgy Fax::( )
E-mail: PHOTOVOLTAIC'SOLAR PANEL SYSTEM FEES*
ha'a u''r pef, rj-1.t,/ ,sof)
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: PO L-tet% I1ji LLC, Submit two(2)sets of roof plan with connection details
'^ and fire department access,along with the 2010 Oregon
Address: it 300 S`„ CotSC V l O _ Solar Installation Specialty Code checklist.
City/State/ZIP: t,ri Jke� t , CO 0 g` Or Permit fee(includes plan review $180.00
! (� and administrative feesL
Phone:(12 ) ,/re „S 1 gt.(. / /Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 162238 162 l t l
1 � 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: - '''i'l I1th Date: 3/L!1 !. /( I * Fee methodology set by Tri-County Building Industry
J Service Board.
I:\Building\Pemvts\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
TIGARD 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 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 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_PerniitApp.doc Rev.11/5/2018
Y
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
1,1 Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 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
0 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.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.11/5/2018
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
II q Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 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 2
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
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
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
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.11/5/2018
City of Tigard
N COMMUNITY DEVELOPMENT DEPARTMENT
III ■
TICARD Building Permit Review — Commercial - No Land Use
Building Permit #: Doe ei7
Site Address: � s :S vV vva.chniDifj Suite/Bldg#:
Project Name: .-G'�vv- Tegt,
(Name of commeial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: new oc-
Existing Business Activity: f~"`A' 14ALic
Proposed Business Activity: ► .ilii 1 ci Li
Verify site address/suite#exists and active in permit system.
i River Terrace Neighborhood: ❑ Yes No
Zoning: Mac,,
Permitted Use: Yes ❑ No ❑ Spec Space
Et Confirm no land use required.
Business License:
Exists: ❑ Yes ,-No,applicant notified to obtain business license
Notes: {ll) 160/0 VCi 1f t4(tu "for
Approved by Planning: , Date: bI 4 In
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 3/c'f7(�f
Site Plans:
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: I Planning [rmit Coordinator Building
l
Workflow Sign-off: I, Sign-off for Planning(include notes from/planning review)
Route Application Documents: G Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ,./Le:d ' Date: A /�`//
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
0 Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:zSD
R iNotice 3: Date Sent to Applicant: ��
C Fees Entered: Wash Co Trans Dev Tax: 0 Yes L7 N/A
Tigard Trans SDC: El Yes l NN/A
Parks SDC: ❑ Yes t1KA
OK to Issue Permit te:APP Y roved b Permit Coordinator: Witr) 3/9-A-
I:\Building\Forms\BldgPemvtRvw_COM NoLandUse_070915.docx
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
9585 SW WASHINGTON SQUARE RD, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Building BUP2019-00049
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor