Permit 4 CITY OF TIGARD BUILDING PERMIT
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13 : COMMUNITY DEVELOPMENT Permit #: BUP2012 -00214
T (GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11!15/2012
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9585 SW WASHINGTON SQUARE RD OFFICE •
Project: AT&T Holiday Kiosk Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108
Project Description: Set -up kiosk in courtyard in front of Sears.
Contractor: WESTERN CONSTRUCTION SERVICES INC Owner: PPR WASHINGTON SQUARE LLC
2300 E.3RD LOOP SUITE 110 PO BOX 847
VANCOUVER, WA 98661 CARLSBAD, CA 92018
PHONE: 360 - 699 -5317 PHONE:
FAX: 360 - 694 -7818
Specifics: FEES
Description Date Amount
• Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee - Additions, Alterations, 11/14/2012 $286.64
Demolition
Occupancy Grp: M Occupancy Load: 12% State Surcharge - Building 11/14/2012 $34.40
Dwelling Units: 0 Plan Review 11/14/2012 $186.32
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $14,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $507.36
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors:
Smoke Detectors: Yes 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 .• • the 180
days. AT TION: on law requires you to follow the rules adopted by the Oregon Utility Notification Cen - . Thos= les = • in OAR
952-001 010 through OAR 52 -0I ' 09'. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 •87 or 1.8r% 2. • 4.
Issue y: t i Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the 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.
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Building Permit ApplicatioIAECB D
Commercial l=oll OF USE O \ '1.V
City of Tigard OCT. 2 9 2012 Received
tY g / / FI CE Pennit No.: PhDs' :
Tigard, OR 972 � Date /By: iew A9 R j
:� • 13125 SW Hall Blvd., Ti C g r, T Plan Review r f r r Other Permit:
Phone: 503.718.2439 Fax: 503.598.1 : t Date/By: l 1 l 1
Fl t ; A It I) Inspection Line: 503.639.4175 Date Ready y: � orris: Ed See Page 2 for
Internet: www.tigard Notified /Method: ,A Supplemental , Information
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TYPE OF WORK REQUIRED DA : I- 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: Mall kiosk equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
9 585' JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: WS Mall - )59Kouthwest Washington Square Road New dwelling area: square feet
City/State /ZIP: Portland, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: I Project name: AT &T Holiday Mall Set - Up Covered porch area: square feet
Cross street/directions to job site: Located inside of Washington Square Mall Deck area: square feet
Specific Location - SEARS COURT ' 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.
20x20 footprint featuring 5 sepearte pieces - see attached floor plan Valuation $ I & ,Z- . °°
Existing building area: square feet
New building area: 4- square feet
(El PROPERTY OWNER I ❑ TENANT Number of stories:
Name: Macerich Type of construction: 2113
Address: 9585 SW Washington Square Road Occupancy groups: IAA
City/State /ZIP: Portland, OR, 97223 Existing:
Phone: (503 )639 -8865 Fax: ( ) New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: Mosaic (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name: Ryan MacBride
FLS plan review fee (if applicable):
Address: 750 N Orleans St, Ste 500
City /State /ZIP: Chicago, IL 60654 Total fees due upon application:
•�} Amount received:
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Phone: (312) 216-5262 ` mot: ` I Fax: : (312) 526-3476
n fL�y ^ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E -mail: ya+l
rl .•,OCrdC. 0.-4O61Z l'L • t"aM Commercial and residential prescriptive installation of
CONTRACTOR \ roof -top mounted PhotoVoltaic Solar Panel System.
Business name: (,()t rit I:OI�9i- utT/O,o l" iv es A jt . Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 5 01 Racit n A3 E. 331f L .r-f, /f Solar Installation Specialty Code checklist.
h / i414,0uJt2 1,..)4- Twit Permit fee (includes plan revie
City/State/ZIP: $180.00
State /ZIP: 4
t and administrative fees):
Phone: (109) 3 ie -r ray 3j, .(�sq. Fax: ( )
1 State surcharge (12% of permit fee): $21.60
CCB 1ic.: (,P 3717 //F lY
Total fee due upon application: $201.60
Authorized signature This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Ryan MacBride 4IyrifG4 460oloti' I Date: 10/29/2012 * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Pennits \BUP -COM PermitApp.doc 02/24/2011 440 -4613T(I I /02 /COM /WEB)
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Bu ild in D ivisi o n
Accessibility: Barrier`Removal 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] $ •
1
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: $
(0 Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and .
alarms: $
TOTAL (shall equal line [2]r of Valuation Computation): $
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I: \Building \Permits \BUP -CO\I PcrmitApp.doc (13/03/2011