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Permit 1N °'''' CITY OF TIGARD i BUILDING PERMIT j= COMMUNITY DEVELOPMENT Permit #: BUP2010 00058 Tj dARD, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/18/2010 Parcel: 1S1260000300 Jurisdiction: TIGARD Site address: 9508 SW WASHINGTON SQUARE RD J01 Subdivision: Lot: 0 Project: Clearwire Project Description: TI. Owner: FEES PPR WASHINGTON SQUARE LLC Description Date Amount 2235 FARADAY AVE STE #O Permit Fee - Additions, Alterations, 03/18/2010 $377.90 CARLSBAD, CA 92008 Demolition PHONE: 12% State Surcharge - Building 03/18/2010 $45.35 Plan Review 03/18/2010 $245.64 Plan Review - Fire Life Safety 03/18/2010 $151.16 Contractor: MARKET CONTRACTORS LTD 10250 NE MARX ST PORTLAND, OR 97220 PHONE: 503 - 255 -0977 FAX: 503 - 255 -4979 Specifics: Type of Use: COM Class of Work: ALT Dwelling Units: 0 Stories: 1 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $20,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $820.05 Required: Required Items and Reports (Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Yes Protected Corridors: No 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 mor- • - 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 th oug OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.80%.33 .234,,/ r Issued By: GI 26 It StAyr. Permittee Signature: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion o e project. Approved plans are required on the job site at the time of each inspectio . Building Permit Application t "� ��� . � w � 1 � i° !�T i 4r ,iii �r", la � , �'I� r ° Commercia i to p °' t`,,: � ,a t of I ic u � I t � i� �; ������ ��,��.31k't�421�d�'��. �I�tiWaw, I y rI i y6�i�L�' :��[ �� '�:1 i . F I�.1 i ;i � .. � . o 'i .:. .i � �i � �r , I Wru t . w Cl of Tigard RE Re ceived '('�. `�A City A Permit No. 711 `J g DateB • . � . � 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ',' to Other Permit: 0 Phone: 503.639.4171 Fax: 503 . 5 98.196 ,. Date/B : a wg A k II( v11L1) IVIAR .1 . Inspection Line: 503.639.4175 - 0 L � f I l l} Date Ready : •. • ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information 1 TY �C�I TYP .OI'� 4�I OF �1CJ DIVI IGAR ION 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 dition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ ❑ 1- and 2- family dwelling ommercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: . . e5 JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 5t ' • 00 W / 11' -.- & Vd- 4 J I New dwelling area: square feet City /State /ZIP: J / Alt", , sa/ 1 7 ZZ3 Garage /carport area: square feet Suite/bldg. /apt. no.: all Project name: CL,E42 w /,ems 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: I Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indted on this application. l C � .tsA"7'�/'7 Ars v0./ /a�� Z/4 be r7*— l Valuation.�� T� o- r 11PAO e 4 C. Existing building area: square feet New building area: square feet ❑ :PROPERTY OWNER " ❑ TENANT Number of stories: Name: t/4ts/f // ?a .Sa m e Type of construction: Address: Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: . ❑ APPLICANT . . . . . • CONTACT PERSON , E ,. • . • NOTIC Business name: like4. 1 6 p - f6 2-j All contractors and subcontractors are required to be Contact name: ' �� tZ�.- / O T� licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: /0 Z 5 /(/ // /A K S 7 jurisdiction in which work is being performed. If the City /State /ZIP: B r L,O 0 , ®�( 7 7 Zc) applicant is exempt from licensing, the following reasons apply: Phone: (rp,3) aOl' 7/10 I Fax: : 0} ) n�,t'oZ -- t 1 3.0 r E -mail: Roy Got. /P / /fi/ 7 Tie, ¢CJO/CS, 6'091 CONTRACTOR Business name: /� 1, % f � �T��e�Q BUILDING PERMIT FEES* Address: ' ( 5 Ci (Please refer to fee schedule) City /State /ZIP: Structural plan review fee (or deposit): Phone: (. ) I Fax: ( ) FLS plan review fee (if applicable): CCB lic.: ( p O / Z tj � ��\ /�` /Ld� Amount received: 1, O Authorized signature: J � / � J This permit application expires if a permit is n o t .� within 180 days after it has been accepted as complete. - Print name: �l . o A / T,#--- Date: 1 —/S -0/0 * Fee methodology set by Tri- County Building Industry ( Service Board. I:\Building\Permits \BUP -COM PermitApp.doc 10/01/09 440- 4613T(II /02 /COM/WEB) I li Building Division 9: : Accessibility: Barrier Removal Improvement Plan 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] $ 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): $ 1:\ Building \ Permits \BUP -CO\I PcrmitApp.doc 06 /25/08