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Permit CITY OF TIGARD BUILDING PERMIT 4 COMMUNITY DEVELOPMENT Permit #: BUP2011 -00119 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/23/2011 Parcel: 1S1260000300 Jurisdiction: Tigard Site address: 9627 SW WASHINGTON SQUARE RD FCO2 Project: Sonic Subdivision: WASHINGTON SQUARE MALL Lot: Project Description: TI Contractor: MCOBEAN CONSTRUCTION LLC Owner: PPR WASHINGTON SQUARE LLC PO BOX 16662 BY THOMSON PROPERTY TAX SERVICES PORTLAND, OR 97292 ATTN HILARY RAYMOND CARLSBAD, CA 92008 PHONE: 503 - 936 -5119 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee - Additions, Alterations, 06/23/2011 $1,347.55 Class of Work: ALT Demolition Dwelling Units: 0 12% State Surcharge - Building 06/23/2011 $161.71 Stories: 2 Height: 0 ft Plan Review 06/10/2011 $875.91 Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 06/10/2011 $539.02 Value: $140,000 Info Process /Archiving - Lg Sheet (over 06/23/2011 $24.00 11x17) Metro Const. Excise Tax - Commercial 06/23/2011 $168.00 Floor Areas: Use Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $3,116.19 Required: Required Items and Reports (Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Yes 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 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 OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 1.800.332.2344. Issued By: -i Permittee Signature: apr all • •.4175 by 7:00 a.m. for the next available inspection date. 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. 4^ Building Permit Application Commercial FOR OFFICE USE ONLY ) ye City of Tigard � j ,' � Received Date : / r� PermitNo.: Q���a'� �W t t �� 'I 13125 SW Hall Blvd., Tigard, OR 3 �V Plan Review {f 2 Phone: 503.718.2439 Fax: 50 7 : 0 fO'�\ Date/B : wick) 23 Other Permit: T I G A It D Inspection Line: 503.639.4175 `\ '\-t) �� \` Date Ready/By � , tuns. El See Page 2 for Internet: www.tigard -oGgov V � GQ+ l Q ` Notified/Method: /" --& Supplemental Information TYPE OF W �.6 , y ` � � REQUIRED DATA: 1 -AND 2- FAMILY DWELLING ❑ New construction `r� ition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all K Addition/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 `Commercial /industrial �� ��r� 1:1 Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: q‘, JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: i s 49 ' ) U - 4 # New dwelling area: square feet City /State /ZIP: Z ©Z g7Z-23 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Sb p,i k. G 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 indicated on this application. f ��xrr - I � 4y � levC Valuation: $ /�. ��- Existing building area '730 square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Z Name: A6 Pp..0, e .- ri , s Type of construction: 21:: Address: Occupancy groups: City /State /ZIP: Existing: I\ Phone: ( ) Fax: ( ) New: k2-- Er APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: 144 a .5- 72,.., n7)YV )..4.z._. Structural plan review fee (or deposit): 8 7 S, q Contact name: K C09671NA.) FLS plan review fee (if applicable): 5 3 c , pa Address: 4 • Q j p i s l 6 6j 6 Z Total fees due upon application: 11 L1 ti. City /State /ZIP: `�o1 ywn 0'� � �� t i_ l - Phone: 6-03) 13 6 i Fax:: ( ) Amount received: ALI (Lt. E -mail: V1� s0 e GmA fG ,�-0 PHOTOVOLTAIC SOLAR PANELS M FEES* Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Business namc: r Y lC47' -0 [�� <' r4 7 /. .CT/oH Submit two (2) sets of roof plan with connection details and fire department access, along with the 2010 Oregon / Address: 2 O, ? L b 6 d2_ Solar Installation Specialty Code checklist. Permit fee (includes plan revie City/State /ZIP: r rJO RT -►� ®,� "I n act-z. ! Z $180.00 � and administrative fees Phone: (S '3) c%14, - S/ I I Fax: ( LANK w U &60/Alt r(. State surcharge (12% of permit fee): $21.60 CCB lie.: p 10I / Total fee due upon application: $201.60 Authorized signatur // This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ir7//< _ s Date: G Y/ �� i /, F * Fee methodology set by Tri- County Building Industry Service Board. I: \Building\Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(I I /02 /COM /WEB) 1114 B uilding Division 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 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 03/03/2011 Building Division Plan Submittal Requirements TI G ARD Commercial & Multi- Family - New, Additions or Alterations 1. SITE PLAN (fully dimensional, drawn to scale) labeled with: A. ❑ map & tax lot # ❑ project name ❑ site address ❑ suite number ❑ zoning ❑ applicant name ❑ phone number B. North arrow. C. Scale (architectural or engineering only). D. Street names. E. Setbacks. F. Parking, including disabled access. G. Finished floor elevations. 2. EROSION CONTROL PLANS AND DETAILS. 3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of plans required based on submittal type (no redlines or tape -ons accepted). All details listed below shall be incorporated into the plans: A. Scale (architectural or engineering only). B. Foundation plan. C. Floor plan(s). D. Cross sections. E. Reflective ceiling plan. F. Seismic bracing detail for suspended ceiling. G. Roof plan. H. Exterior elevations. I. Structural calculations, plans, details and specifications. J. Accessibility barrier removal worksheet. K. Deposit - based on valuation of project. 4. EXTRA SET OF THE FOLLOWING: A. Two (2) copies of site plan to include vicinity map. B. One (1) copy of erosion control plan with details. C. Fire Department Building Survey, and full set of architecture drawings. I: \Building \Permits \BUP -COM PermitApp.doc 03/03/2011 • Building Division Plan Submittal Requirement Matrix T I G A R D Commercial & Multi- Family - New, Additions or Alterations Type of Submittal # of Plans (Includes new, additions and alterations.) Required at Submittal Demolition Permit 3 (site plan required showing location and square footage of all buildings to be demolished) Site Work 3 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 3 Fire Protection System 3 Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue), if applicable. I:\ Building \Permits \BUP -COM PennitApp.doc 03 /03/2011