Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT
Permit #: BUP2010 -00139
zx?3 Date Issued: 06/22/2010
TiGAltD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 1Si35BA00100
Jurisdiction: Tigard
Site address: 10205 SW WASHINGTON SQUARE RD
Subdivision: WASHINGTON SQUARE TOO Lot: 0
Project: Thirsty Lion
Project Description: Interior demo to prep space for TI
Owner: FEES
PPR SQUARE TOO LLC Description Date Amount
BY THOMSON PROPERTY TAX SERVICES, Permit Fee - Additions, Alterations, 06/22/2010 $210.59
2235 FARADAY AVE STE #0 Demolition
PHONE: 12% State Surcharge - Building 06/22/2010 $25.27
Contractor:
SHORE CONSTRUCTION INC
2206 SE WASHINGTON
MILWAUKIE, OR 97222
PHONE: 503 - 314 -7380
FAX:
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $8,400
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $235.86
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 ' • - • • • - 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. TTENTION: Oreg• law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -601 -0010 through OAR t5 -• • 016%. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6.'9 or 1. 00.332.2344.
1 1 r
Iss -d By: / 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 of the project.
Approved plans are required on the job site at the time of each inspection.
r ' 1ji)ding Permit Application
Commercial RECEIV' FOR OFFICE USE ONLY
. City of Tigard Date /B a i. te / t' Permit No. . (,(paolb't�.ID /3
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503 639.4171 Fax: 503.598.1960 JUN 2 2 r
u Other Permit:
T I G ARD Inspection Line: 503.639 Date Ready /By. lures. ® See Page 2 for
Internet. www.tigard- or.gov CITY OF TIGAR onfied/Method Supplemental Information
BUILDING DIVISION_
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
❑ 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 ❑ Commercial /industrial
Valuation: $
❑ 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: 10.05 (,O 1 New dwelling area: square feet
City /State /ZIP: 'Tt4,.0.47.O Garage /carport area: square feet
Suite /bldg. /apt. no.: Project name: -1- 141 , as 7 Lkdti.I Covered porch area: square feet
Cross street /directions to job site: Deck area: square feet
Other structure area: square feet
F
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
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 snap /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
i
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: r‘,4 ge.02.441.4.. Type of construction: i
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax::( )
E -mail:
CONTRACTOR
Business name: S Lt.e„Qo__ ea,a f I-.1C , BUILDING PERMIT FEES*
(Please refer to fee schedule)
Address: Zz' C S EL Ix.J I{•t A-1Z-C7 / � , r�
'^^ ee or eposit): 5
City /State /ZIP: OA ■ Lw - vkt
Phone:(3) 3fy-f330 Fax:( ) �` ✓
FI c ): 2.6. a7
Total fees due upon application: 5 -. n
CCB lie.: 1 ZO3Z°/ 4t111I
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: ' (r fl.. .3 S (-4--? ? Date: 4 2 IZ IZOIQ * Fee methodology set by Tri- County Building Industry
Service Board.
1: \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11 /02 /COM /WEB)
1 — 71
Building Division
Accessibility: Barrier Removal Improvement Plan
TIG'ARD•
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): $
I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08