Permit •
•
• CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit BUP2009 -00039
Date Issued: 03/11/2009
- 13125 SW Hall Blvd . Tigard OR 97223 503 639.4171
Parcel: 1S1260000300
Jurisdiction: TIGARD
Site address: 9585 SW WASHINGTON SQUARE RD MGMT OFF
Subdivision: Lot: 0
Project: 'non
Project Description: Install kiosk
Owner: FEES
PPR WASHINGTON SQUARE LLC Description Date Amount
BY THOMPSON PROPERTY TAX SERVUCES, Permit Fee - COM 03/11/2009 $310.80
2235 FARADAY AVE STE #0 Tax - 12% State Surcharge 03/11/2009 $37.30
PHONE. Plan Review 03/11/2009 $202.02
Plan Review - Fire Life Safety 03/11/2009 $124 32
Contractor.
J MAC INC
PO BOX 3312
OREGON CITY, OR 97045
PHONE 503- 267 -8955
FAX.
Specifics:
Type of Use: COM
Class of Work. ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms 0 Bathrooms: 0
Value• $40,000
Floor Areas•
Total Area 0
0
Basement 0
Carport 0
Covered Porch 0
Deck 0
Garage 0
0
Total $674.44
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 works 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 1 rougl ,OAR 952- 001 -0100 You may obtain a copy of the rules or direct questions to OUNC by calling 503 246 6699 or 1 800 332.234
Issued By:
la G Ct `— k Permittee Signature:
Call 503.639.4175 by 7 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 ,
z . ..
Commercial RECEIIVE FOR OFF ICE USE ONLY Cl of Ti and Receive ! : /v A •�� Permit No
9 ttit� • 209 ax�39
:14 • 131 SW Hall lvd , Tigard, OR 97223 MAR 0 9 2009 PlaneRevi '1 _ rte
C Phone: 503 Fax: 503 598 1960 Date/B ' `, Other Permit:
T G A R D Inspection Line 503.639 CITY OF Date R - •rrr- See Page 2 for
Internet: www.Ugard or TIGARD Nonfied/Method• J 0 10 ( ® Supplemental Information
BUILDING DIVISION
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
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
dwelling Valuation: $
❑ 1- and 2-family g ❑ Commercial industrial
❑ 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: / S 4J / iii...aT1.5 New dwelling area: square feet
City /State/ZIP: Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: I/U0 AT IL C 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.
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.
Valuation: $ L(O 000
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: .7J,4 A go V A r r) 5 / CI. 1..... AA Type of construction:
Address: '). " 6 Li 0 h 4 V2 Occupancy groups:
City /State /ZIP: , ..-&, l t r0 r al 4-d l q Existing:
Phone: (505) � l/ S 0q0)-6 Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/ State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E -mail:
CONTRACTOR
Business name: J __ /V7 ( _ C BUILDING PERMIT FEES*
Address: 0 , Q 0 X I (Please refer to fee schedule)
g_ N /Fax: � r (T4 / 7o y S r Structural plan review fee (or deposit):
City /State /ZIP:
Phone: (t 3) ( ( ) FLS plan review fee (if applicable):
S Total fees due upon application:
CCB lic.: g't—c'/ 310-
Amount received:
Authorized sill • lure: This permit application expires if a permit is not obtained
24,1 within 180 days after it has been accepted as complete.
Print n c_ F Date: . 3/9/0 ? * Fee methodology set by Tn -County Building Industry
Service Board.
1.\Building \Permits : P -COM PermitApp.doc 23/07 440- 4613T(1I /02 /COM/WEB)
. .., ,,, .,
III
a 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] $
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): $
1. \Building \Permits \BUP -COM PermitApp doc 10/30/07
L •
IS Building Division
Over- The - Counter (OTC) Building Permit
T I G A R D Check List
Description of Project: I C
GENERAL INFORMATION
Class of Work:* fv_ - Floor Areas (sq. ft.): Exterior Wall Construction:
Type of Use:* Cs3yt( First floor: N: S:
Type of Construction: 615 Second floor: E: W:
Occupancy Group: N Third floor: Openings Protected Y /N ?:
Occupancy Load: I Total sq ft.: N: S:
Stones: _ Note: Combine total floor area for E: E:
Height: all floors above third floor and Roof Construction:
Floor Load: add to the third floor s . ft. Fire Retardant:
Basement: Basement: Area Separation Rated:
Mezzanine: Garage: Occu. Separation Rated:
- •---- - - - - -. REQUIRED ITEMS __�_..._._
----- -- - - - --
Fire sprinkler: jerj Handicap access:
Smoke detector: Protected corridors:
Fire alarm: YES Parking spaces ( #):
Notes: •
Total Valuation: $ 40 CCO
INSPECTIONS FEES DUE
Footing /foundation Firewall $ ' , Permit Fee
Post /beam structural Smoke detector $ 3 � . %jQ State Surcharge
Shear wall Misc. inspection $ 2.C2 CZ_ Plan Review Fee
Masonry Approach /sidewalk $ 124 . 3Z FLS Plan Review Fee
Framing $ Additional Permit Fee
Insulation Sprinkler rough -in $ Additional Plan Review Fee
Gyp board Fire alarm $ Metro Construction Excise Tax
Suspended ceiling Sprinkler final $ School Construction Excise Tax
Final inspection $ Misc. Fee
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Other:
$ x,,74 44 —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; OTR = other (use for fences, decks, retaining walls, signs, awnings
or canopies); REP = repair.
1: \Buulding \ Forms \OTC - BUP.doc 08/19/08