Permit (3) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2019-00330
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/18/2019
TIGARD g Parcel: 1 S126BC01500
Jurisdiction: Tigard
Site address: 9000 SW WASHINGTON SQUARE RD
Project: Embassy Suites Subdivision: None Lot: None
Project Description: Replacing existing awning.
Contractor: PIKE AWNING CO Owner: WASHINGTON SQUARE PROP INVESTMEN
7300 SW LANDMARK LN BY PARKVIEW INTERNATIONAL
PORTLAND, OR 97224 ATTN MUELLER, PAULA&HARRINGTON
152 W 57TH ST 58TH FL
NEW YORK, NY 10019
PHONE: 503-624-5600 PHONE:
FAX: 503-968-5440
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 12/18/2019 $301.85
Demolition
Occupancy Grp: U Occupancy Load: 0 12%State Surcharge-Building 12/18/2019 $36.22
Dwelling Units: Plan Review 12/09/2019 $196.20
Stories: Height: ft Info Process/Archiving-Sm$0.50(up to 12/18/2019 $5.00
Bedrooms: Bathrooms: 11x17)
Value: $14,500
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $539.27
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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 o follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 95 -001-0090. You m.y obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 4/ i Permittee Signature: l 04 �
�✓ J
Call 503.639.4176 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 (wricE I Sl.0y1.1
RE( Date/Be: Permit No.: _ '1
City of TigardrIVRd /. a�'
- 2�19" 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503-718-2439 Fax: 503-598-19@EC9 Date/By: p,-j1- )4 Related Permit: t; II— 7+ i
Inspection Line: 503-639-4175 L�l Date Ready/By: r zy e. .loris: El See Page 2 for
TIGARD ST `y D Notified/methodrz /O C J te�3 Supplemental lnformation
Internet: www.tigard-or.gov ;�!1 (J i t�i / /
TYPE OF WORK I REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
IIgl Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
I CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: 1
I 0 1-and 2-family dwelling %Commercial/industrial
Number of bedrooms:
0 Accessory building 0 Multi-family 1
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
IJob site address: q000 66,) (. A; 46so u,4r6.. rd. New dwelling area: square feet •
ICity/State/ZIP: a„ fJi , 9-172.2. 5 Garage/carport area: square feet
Suite/bldg./apt.#: I Project name: Emb 4,s6 .01'../.6. , Covered porch area: square feet 1
Cross street/directions to job site: / Deck area: square feet
•
I 640 5C h o its 1 rr di1-44-11 ()
I Rid Other structure area: square feet
1 I REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 1 Lot#: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#: equipment,materials,labor,overhead,and the profit for the
1 DESCRIPTION OF WORK work indicated on this application.
/�
� �-,, 57)e) oa
G p(A(�. CaCi 5-�%A�16 4-LAr/..-1 6-f 4 /AT( 44-1 Valuation: $ /4('
/s f 614.J 6n0fr A-ti.t C E. A Low Jit! Existing building area: square feet
r New building area: square feet 1
VI PROPERTY OWNER I 0 TENANT Number of stories: 1
IName: M 6 4 5 sY •o , S Type of construction:
I Address: (360c, SW WA614,1,144 4t)As . QU4,rte rd. Occupancy groups:
I City/State/ZIP: 64,—d ,04., 97413 Existing:
Phone:(6Z 3) 62,44—LI 6,6 O Fax( ) New: I
tgl APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedal:1
Business name: pi/,(e... ,440,,,,i;„.46., ep. •
Structural plan review fee(or deposit):
Contact name: .1)A.r1 SAegri.
FLS plan review fee(if applicable):
Address: 1 0 64i [,#4-416(ryl C LAm,E. Total fees due upon application: ge„ 1
City/State/ZIP: Pori-t4 Aid. O . ' 72.L''
/ Amount received:
Phone:(5b3) WADS POD I Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: Rte/ p;/kf_A-fedi!I,4Ei. 7,Qh'1 .
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: p,tK E Aiii, (;)l.D4 Op, Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 7 3oc 6 'J L.q.,jdatA-r-K -xis6 Solar Installation Specialty Code checklist. •
City/State/ZIP: Permit fee(includes plan review $180.00
tY POr 4-{gNCi one 8722 and administrative fees):
Phone:(5753) a 214-57,20,0 I Fax:( ) State surcharge(12%of permit fee): 1 $21.60
CCB Lie.: 32.3(G y _ I Total fee due upon application: I $201.60
This permit application expires if a permit is not obtained
Authorized signature: t�n4within 180 days after it has been accepted as complete.
Print name:
13/1.14 .6p64,—;/„.1-L-7 1 Date: La /C1 I * Fee methodology set by Tri-County Building Industry
3 ` Service Board.
I:\Building\Permits\BUP_COM PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
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