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Permit q CITY OF TIGARD BUILDING PERMIT 74 :. COMMUNITY DEVELOPMENT Permit #: BUP2010 00173 • :T:I GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/11/2010 Parcel: 1 S 135 BA00100 Jurisdiction: Tigard Site address: 10205 SW WASHINGTON SQUARE RD Subdivision: WASHINGTON SQUARE TOO Lot: 0 Project: Thirsty Lion Project Description: TI Owner: FEES PPR SQUARE TOO LLC Description Date Amount BY THOMSON PROPERTY TAX SERVICES, Permit Fee - Additions, Alterations, 08/11/2010 $2,857.55 2235 FARADAY AVE STE #0 Demolition PHONE: Plan Review 08/11/2010 $1,857.41 Plan Review- Fire Life Safety 07/29/2010 $1,143.02 12% State Surcharge - Building 08/11/2010 $342.91 Contractor: Metro Const. Excise Tax - Commercial 08/11/2010 $468.00 SHORE CONSTRUCTION INC Use 2206 SE WASHINGTON CDC Building Review, COM 08/11/2010 $128.00 MILWAUKIE, OR 97222 CDC Planning Review, COM 08/11/2010 $128.00 PHONE: 503- 314 -7380 CDC Planning Review, COM - LRP 08/11/2010 $38.00 FAX: Specifics: • Type of Use: COM Class of Work: ALT Dwelling Units: 0 Stories: 1 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $390,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $6,962.89 Required: Required Items and Reports (Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: No Protected Corridors: Smoke Detectors: No Manual Pull Stations: No 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. A 10 • Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -0 1 -0010 throug OAR 95 !II-0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.66' • 0 1.80. 2344. Issu By: 1 ` i / /�i� P 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. Building Permit Application .>a �j Commercial ��� I � ed 1 t)R c il 1 1< t � � I � ti l o� ��L� _ • � Recei City of Tigard ``, Permit No. / ,„ • 1 4. V 13125 SW Hall Blvd., Tigard, OR 97223 DateB : i ) L � S-' 1 . 1 "' ry 1 Q Plan Review C Phone: 503.639.4171 Fax: 503.598.1960 ` 1 1 � O Date/By: O 11, (t> Other Permit. ;1' 1 c, A I: I) Inspection Line: 503.639.4175 Jv rtt ( Date Ready/By: r�� ® See Page 2 for Internet: www.tigard- or.gov Q 0 t..,t Y olotified/Method: (0 J I 1 t) I cLG�r Supplemental Information TYP OF WO cries . C . , , REQUIRED DATA: 1- AND 2- FAMILY, DWELLING . ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. ,.,,� 1.,.. Indicate the value (rounded to the nearest dollar) of all L ❑ Addition /alteration/replacement uther: equipment, materials, labor, overhead, and the profit for the . CATEGORY OF CONSTRU N work indicated on this application — 12 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 - number of floors: 51 . Job site address: 1 OZ-05 S (,� (�,� 7 - New dwelling area: square feet City /State /ZIP: , j t coat-2.10. o 2_, q 1 Garage /carport area: square feet Suite/bldg. /apt. no.: Project namerT1{-12.67 L\C,,_. �U g 1 dE.11 Covered porch area: square feet Cross street/directions to job site: (l t Deck area: square feet 6 e.01--'go 211 1 (?-31.46 er1,1" .t 7 -A.,) SCL P 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 indicated on this application. I ' Valuation: $ 3 U I COO Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER T Number of stories: Name: e..A1Je s_p-i -�-�.1 V-3 OA 1/.31- 1 i Type of construction: Address: 7Z.f f Si Cj ' , ujl 202 Occupancy groups: City /State /ZlPP: � 2- --- L�d__'Q ZI L- I Existing: Phone: (5( 2 3 7? 7-(... 9 4- Fax: (. ) New: ❑ APPLICANT ONTACT PERSON , NOTICE. Business name: 5 ( ¢ e .„- fi e-" 1 1 O AD + t--'C All contractors and subcontractors are required to be Contact name: 'j1-(- � 4. 5 E ) licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 2zoc, SF W 1/ E{- I,1-TZ*--.) jurisdiction in which work is being performed. If the City /State /ZIP: V 4 V -{ t'Z ZZ applicant is exempt from licensing, the following reasons apply: Phone: (sr,3) 314- I 3E50 Fax: : ( ) E -mail: SH.e...ert.zo It -{3r Cam- K4 A-1 L._ o C ' . 'CONTRACTOR ,. .. Business name: 65.74,..c�2i rt01._ . ! !_ I BUILDING PERMIT FEES* Address: S �� ►q.• /�I (Please refer w fee schedule) City /State /ZIP: • ` Structural plan review fee (or deposit): FLS plan review fee (if applicable): Phone:( ) Fax:( ) CCB lic.: , Zo 3 Za Total fees due upon application: t Amount received: 6 , 93 Authorized signature: This permit application expires if a permit i s not obtained t ' J � within 180 days after it has been accepted as complete. Print name: - 1-t'(�,L� .--- Date: 9 Zi /7_0 KD * Fee methodology set by Tri- County Building Industry Service Board. I:\Building\Permits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(11 /02 /COM/WEB) IN Building Division Accessibility: Barrier Removal Improvement Plan jIGARIY 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): $ R s 61 E:4 LS— R 14. I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08