Permit .
CITY OF TIGARD BUILDING PERMIT
.... r1
COMMUNITY DEVELOPMENT Permit #: BUP2012 -00188
Date
Issued: 10/09/2012
.TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718.2439 Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9402 SW WASHINGTON SQUARE RD P01
Project: Dick's Sporting Goods Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108
Project Description: Adding to existing walls some height and some length
Contractor: TODD HESS BUILDING CO Owner: PPR WASHINGTON SQUARE LLC
9414 SW BARBUR BLVD SUITE 150 PO BOX 847
PORTLAND, OR 97219 CARLSBAD, CA 92018
PHONE:
PHONE: 503 - 220 -5953
FAX 503 - 222 -2670
FEES
Specifics: Date Amount
Description
Type of Use: COM DC Provision Review, COM TI - Ping 10/09/2012 $167.00
Class of Work: ALT Type of Const: IIB DC Provision Review, COM TI - LRP 10/09/2012 $25 00
Occupancy Grp: M Occupancy Load: Permit Fee - Additions, Alterations, 10/09/2012 $955.35
Dwelling Units: 0 Demolition
Stories: 2 Height: 0 ft 12% State Surcharge - Building 10/09/2012 $114.64
Bedrooms: 0 Bathrooms: 0 Plan Review 10/09/2012 $620.98
Value: $80,000 Plan Review - Fire Life Safety 10/09/2012 $382.14
Info Process /Archiving - Sm $0 50 (up to 10/09/2012 $19 50
11x17)
Floor Areas:
Total Area 0
Accessory Struct 0
Basement: 0
Carport 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,284.61
Required Items and Reports (Conditions)
Required:
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 23 or 1 800 332 2344
Alt
Issued By: ► / / p Permittee Signature: �t�
Call 503.639.4175 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.
Building Permit Application
Commercial FOR OFFICE USE ONLY
City of Tigard Received C f /9 f ._ ,, it NoitgUJ O/a -- 40/d ' O
Re
P lan
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revi
111 11 ° Review ! • Other Permit:
Phone: 503.718.2439 Fax. 503.598.1960 Date/B . i lie
Inspection Line: 503.639.4175 Date Ready y �� �/ RI See Page 2 for
T I G A K D Internet: www.tigard -or gov Notified/Method. rile- 6 Supplemental Information
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
V ,Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ '90 000
❑ l- and 2- family dwelling KCommercial/industrial
Number of bedrooms:
❑ Accessory building ❑ Multi - family
❑ Master builder ❑ Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9qo Z s W W4 ok ' � New dwelling area: square feet
`
City/State /ZIP: �►d t�'�'�Q Garage /carport area: square feet
Suite/bldg. /apt. no.: 4 Project name: \ 1.1046 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: 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 work indicated on this application.
��� d , , Valuation: $
4 (l 40 � VA ,U S Existing building area square feet
5� 1 ` k S ell
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: ��,1 4, d Structural plan review fee (or deposit):
Contact name: Mk ,_,
M ` ,1� °C. FLS plan review fee (if applicable):
Address: C NNC{ LdM ` 1114 k 0v- (56 Total fees due upon application:
City/State /ZIP: 1> elf_ 9721
Amount received:
Phone:( ) Fax ::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E -mail:
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Submit two (2) sets of roof plan with connection details
Business name: and fire department access, along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
Permit fee (includes plan review $180.00
City /State /ZIP: and administrative fees):
Phone: ( ) Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: ‘ & t7 ' 417// 3 Total fee due upon application: $201.60
This permit application expires if a permit is not obtained
Authorized signature: within 180 days after it has been accepted as complete.
Print name: Date: * Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 02/ 24/2011 440- 4613T(11/02 /COM/WEB)
Building 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] $ (7) 000
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 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
Development Code Provision Review
T [ G A R D Commercial Projects - No Associated Land Use Case
Building Permit No: ,a!,c/'o fat —DO fc H Expedited Review
Plan Submittal Date: /Q / 9 / /� -- / C TC.--
To the Applicant:
➢ If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
➢ If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left . ly if approv - d.
Planning Review ( contac i ��!,, at 503 -718- 29')Y or @tigard- or.gov)
I�Zonin W) U 4— Permitted Use Yes.--B No ❑
/ ❑ Land Use Required: Yes ❑ No 2 (explain below)
Notes: / ( //1 (('t W06 — Nz5 [. t LIE" 55
p ..-Afproved ❑ Not Approved Date: /c) — —' 1 7 --
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN
II . ° Building Division
T l c n D Over- The - Counter (OTC) Building Permit
f Check List
Project Description: l
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: C Occupancy Group: Type of Construction: Z'.tj
*Type of Use: Occupancy Load: Oregon Specialty Code: Id
SPECIFICS
Number of Stories: Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT - SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport: Mezzanine:
SETBACKS
Sideyard Setback — Left Sideyard Setback — Front
Sideyard Setback — Right Sideyard Setback — Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access. Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: V6-7 Fire Alarms: L 7 Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ Y',.� > FEES DUE
IS/ $ 67. CO DC Prov Rvw, COM TI — Ping
$ lj % DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ j'5 , Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ OM 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ • •, Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ z, , j • Plan Review, Fire Life Safety
$75,000 - $149,999 $167.00 $25.00 $ Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $268.00 $39.00 $ Info Proc /Arch, Sm (up to 11x17 $0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
Planning Staff: $ Hourly Rate State Surcharge
$ Misc. Admin Fee
Permit Coordinator: $ Other:
$
•
Other:
Building Staff: $ Other:
Date /Time: TOTAL FEES DUE
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW = new; O"IR = other (use for fences, decks, retaining walls, signs, awnings or canopies);
REP = repair.
I: \Building \Forms \OTC -BUP docx 07/01/2012