Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT
Permit #: BUP2009 -00225
R ARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/12/2010
Parcel: 1 S126CC00100
Jurisdiction: TIGARD
Site address: 9700 SW WASHINGTON SQUARE RD
Subdivision: Lot: 0
Project: Nordstrom Cafe
Project Description: TI cafe dining room.
Owner: FEES
PPR WASHINGTON SQUARE LLC Description Date Amount
CIO NORDSTROM, ATTN: TAX DEPT, PO BOX Permit Fee - Additions, Alterations, 01/12/2010 $2,011.95
2229 Demolition
PHONE: 12% State Surcharge - Building 01/12/2010 $241.43
Plan Review 12/15/2009 $1,307.77
Plan Review - Fire Life Safety 12/15/2009 $804.78
Contractor: Metro Const. Excise Tax - Commercial 01/12/2010 $300.00
R & H CONSTRUCTION CO Use
1530 SW TAYLOR ST
PORTLAND, OR 97205 -1819
PHONE: 503 - 228 -7177
FAX: 503- 224 -3638
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 2 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $250,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,665.93
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: Yes
Smoke Detectors: Manual Pull Stations: Yes
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 0 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by ca ing or 00.332.2344.
Issued By: ( (`Q J V� i n Permittee Signature:
� Call 503.639.4175 by 7:00 a.m. for an inspection that business
This permit card shall be kept in a conspicuous place on the job site until compl ion of the project.
Approved plans are required on the job site at the time of each inspection.
�' ' `•
Building Permit Application
Commercial EivE. i a, r uFF I C E.US E {O1il' '" r
ri
Received
City Tigard Permit No.:,
tY Date/13 : , 1 b go, Q Q. 40 , , x --mom'
° 13125'SW'Hall Blvd., Tigard, OR -97223 DEC LUU Plan Revf-
C Phone: 503.639.4171 Fax: 503.598. Date/B • GieLWIC rdl Other Permit:
T 1 G A It D Inspection Line: 503.639.4175 CITY OF TIGARD Date Real: y: i El See Paget for
BUILDING DIVISIO - —
Internet: www.tigard-or.gov N. led . hod: 1 die Supplemental Information .
:
s ' F r ' TYRE OF WORIC ' RE() IRED 1 ANI) r AMILY DWELLING ; ', s
❑ 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
• - t . - work indicated on this application.
�,F• ( v I .. , C OF, CONSTRUCTION '
Valuation: $
❑ 1- and 2- family dwelling ❑ Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
' - ,JOB SITE 'INFORMATION, LOCATION : ' — . --
i Total number of floors:
Job site address: 9 lad 5 W t S'QuMe 7 • New dwelling area: square feet
City /State /ZIP: 77 6 fri co I ox 9 7 17, & Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Af 9 / i s7J_ofrt GlIFV" Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED;DATA COMMERCIALUSE 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 map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF, WORK , I . - . ' work indicated on this application.
//4/77P-4 0/2 P /A/ /.S� C IN bsIAIAJ6 /w Valuation: $ Zb 0 / 71 DD. Op
L,/1/ GLVA /I /te'�^/ Ggy2P'l'/ Se•WAXv, p, Existing building area: square feet
.0V r ,I. Ci 6bVerS V✓ i M t ,. AA �Q./' ' �e New building area: square feet
w E 1PROPERTY, OWNER r /, _ TENANT ? : " "' Number of stories:
Name: /V7r Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
F n ",.d ❑ APPEICANT4 _. i CO PERSON _ `1 * .
, - , -. 4 - ... �, !�'. - � � NOTICE
Business name: A/O/ - s)' .4 4 /pJC • All contractors and subcontractors are required to be
Contact name: Dcwo O j 6 licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: / i'r) i C A VW 'oo jurisdiction in which work is being performed. If the
q �. y � , ' applicant is exempt from licensing, the following reasons
City /State /ZIP:
� „' 110 "r-" IPA- r.,�,'�1 i ��-q apply:
Phone: qtb) 3 03 — $ I Fax: : '2 �c 303 33 1
Email di &iGari . 1 • 0 S hv rin @ r s� a VII • � 0 1
- ° ,4Vs:t / v � `CO OR NTRACT V
Business name: L � r S(4 �i N ; ' BUILDING PERMIT FEES* -;_.;,,,,f,..; „ ' - i
..., _, .4 :3(PIense refer'to 'fee_sehedr le) a . �`. °-
Address:
Structural plan review fee (or deposit):
City /State /ZIP:
FLS plan review fee (if applicable):
Phone: ( ) Fax: ( ) ^ . 55
CCB lic.: z 1 4 7\ 11 Total fees due upon application: I oI
Amount received:
Authorized signatur : This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: ' )tiNGAttJ` O‘AQ l"`7777�” le v Date: i4 j ll D * Fee methodology set by Tri- County Building Industry
Service Board.
I : \Building \Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02 /COM/WEB)
is
Building D
Accessibility: Barrier Removal Improvement Plan
TIGARD
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 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.shaThbe 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