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Permit . . -. ol v CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2008 -00395 COMMUNITY DEVELOPMENT DATE ISSUED: 12/29/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT OFFICE ZONING: MUC SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG PROJECT: CLEARWIRE Project Description: Install temporary kiosk. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 2N : sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: 20 ft RGHT: 20 ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: 20 ft REAR: 20 ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 25,000.00 Owner: Contractor: WASHINGTON SQUARE LLC ROCKHOUSE WOODWORKING BY THE MACERICH COMPANY 30841 SR 14 9585 SW WASHINGTON SQUARE RD SKAMANIA, WA 98648 TIGARD, OR 97223 Phone: Contact #: PRI 509 - 427 - 3656 FAX 509 - 427 - 3656 Reg #: LIC 153169 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 12/22/200€ $226.95 [TAX] 12% State Surch 12/22/200€ $27.23 [BUPPLN] Pln Rv 12/22/200€ $147.52 [FLS] FLS Pln Rv 12/22/200€ $90.78 Total $492.48 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 than 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 9: /001 -01 00. You may obtain a copy of these s or du • questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issue By: / �/ i Permittee Signature: 4 - Call 503.639.4175 by 7:00 a.m. for an inspectio tb usiness day. This permit card shall be kept in a conspicuous place on the jo • site until completion of the project. Approved plans are required on the job site at the time of each inspection. I. 0. B>Ilyldin Perm Applicat Commercial C019 FOR OFFICE USE ONLY q " G R e ceived / e m O ,. Permit No • , / "oo g 0 ; / City of Tigard �� Plan Rer Date /B . 9 ^ � h one SW Hall Blvd., Tigard, OR 972 % �,� te Al C G Other Permit Phone 503.639 4171 Fax 503 598 1960 G� DateB 1r'e, a n6 TI G n IZ D Inspection Line: 503 639 Date Rea y :y: fur El See Page 2 for Internet: www tigard or.gov ��G G O W Notified/Method � �j Supplemental Information TYPE OF WOW' 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 Valuation: $ � OCX) $ ❑ 1- and 2- family dwelling ommercial /industrial Q`< - ❑ 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: 755. iA/, ( f Jts, , tn� ten, $ v/}, t New dwelling area: square feet City /State /ZIP: ec(I1 0 (. 7 2 3 Garage /carport area: square feet Suite/bldg. /apt. no.: o Project name: C I i.. A.r (,.J t.r..e. Covered porch area: square feet Cross street/directions to job site: -� _ � Deck area: square feet •/ a ■rr�G � q e 1 a II�� / Aobk� Other structure area: square feet _ /-- /44 0i 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 indicated on this application. „Z /15 i ( r ei A 14 i A N/y4 -1` Valuation: $ Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER I TANTENANT Number of stories: Name C ki.c T W \ fr 'e Type of construction: Address: 61 001 C . 011 T- "' "' - ` � I }may Oc upancy oups: (4 (' 4 L 4A City /State /ZIP: � A- W 4 y � q ® � ^ xtstin Phone: (V., 7 S 7th 6306 i - Fa -F -1G t2A 0 e6-l5 t ( New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: , oCK (+oJ5 E W O o4 war ( � , A.-3 All contractors and subcontractors are required to be Contact name: 'rp� h 1(7 i t r (��t, C cE '- lit lic nsed with the Oregon Construction Contractors Board e ` ! der ORS 701 and may be required to be licensed in the Address: '3 o g L.+ 1 5 (Z , IL A . • , • . • _ . s . 'sdiction in which work is being performed. If the City /State/ZIP: 5/<4.IN1R.,,\AA (� y R lit i (, applicant istexempt from licensing, the following reasons / apply: Phone: (5 � y �7 36, ) s-6 Fax:: (5 a q l) (...1X-1 3< s b E-mail: 5 /-$ 4..A i% g O i'- e ® VL 42.1 1 CONTRACTOR `/ Business name: idC e� 5.e w o oct n, j O T e 1 ✓L, BUILDING PERMIT FEES* Address: j 8 / .5 .1`l (if (Please refer to fee schedule) City /State /ZIP: 5. t''( A VI (A. U.J/ , Ci g 6 y g Structural plan review fee (or deposit): — �/ FLS plan review fee (if applicable): Phone: (�) 1 Z 7 3 6 Sti ; O ' I, Fax: (5n9) 9 56 7 36 CCB lic.: 1 3 / e / / /2 // /o Total fees due upon application: `� This permit application Amount eapires receiif ved: a Authorized signature: /•, permit is not obtained within 180 days after it has been accepted as complete. Print name: 3 : i h K 5 f n Ki (4 I Date: /2/ 0 e p • Fee methodology set by Tn -County Building Industry Service Board. I•\Building \Permits \BUP -COM PermitApp doc 2 /23/07 440- 4613T(I I /02/COM/WEB) 7 Building Division e 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 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 I 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: $ I (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 -COI PcrmitApp.doc 06 /25/08 CITY OF TIGARD -- BUILDING DIVISION PERMIT #: Q(JP20()S- 003!3. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/200E3 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 .�, ---. INSPECTION WORKSHEET FOR DATE: 1/2/2009 TIME: 7:01AM PAGE: 18 SITE ADDRESS: 09565 Shy WASHINGTON SQUARE RD MGMT OFFIC CLASS OF WORK: SUBDIVISION: WASHINGTON SOUARE LOT #: TYPE OF USE: PROJECT NAME: CI.EARWIRE DESCRIPTION: Install temporary kosk. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: ROCKHOUSE WOODWORKING PHONE #: 503427 -36f;6 Inspection Request Scheduled For: Date: 1/2/70()9 Pour Time: Code # Inspection Description Confirm # Contact # Message 99 Final inspection 079250-01 509-427-3656 N Corrections /Comments /Instructions: (= l/_.— -- oo (08. j L tom- r _`.. w' -- o G , i r E 0 1 V / IV 6-,-1 I i '\//9--/ ❑ PASS a PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ( =FAI i r CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: IM Date: / D 7 Phone #: (503) 718 -Z6 / y