Permit y v CITY OF TIGARD BUILDING PERMIT
e COMMUNITY DEVELOPMENT Permit #: BUP2013 -00150
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/20/2013
Parcel: 1 S135BA00102
Jurisdiction: Tigard
Site address: 10124 SW WASHINGTON SQUARE RD
Project: Spec Space Subdivision: OAKBURG Lot: 9
Project Description: Construct demising wall, separating space into two smaller spaces.
Contractor: BNK CONSTRUCTION INC Owner: PPR SQUARE TOO LLC
45 82ND DR, SUITE 53B PO BOX 847
GLADSTONE, OR 97027 CARLSBAD, CA 92018
PHONE: 503 - 557 -0866 PHONE:
FAX: 503 - 557 -1085
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review, COM TI - Ping 06/20/2013 $67.00
Occupancy Grp: A -2 Occupancy Load: DC Provision Review, COM TI - LRP 06/20/2013 $10.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 06/20/2013 $210.59
Demolition
Stories: 1 Height: 0 ft 12% State Surcharge - Building 06/20/2013 $25.27
Bedrooms: 0 Bathrooms: 0 Plan Review 06/20/2013 $136.88
Value: $8,300 Plan Review - Fire Life Safety 06/20/2013 $84.24
Info Process /Archiving - Lg $2.00 (over 06/20/2013 $8.00
11x17)
Floor Areas: COT Address Fee 06/20/2013 $50.00
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $591.98
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENT • : e -.on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0• • through OAR 2 -0• • • •0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issue • By: _�' �/ I Permittee Signature: k CIS\
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept In a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Perm Applicatio c D
Commercial / FOROFFICH USE ONLY
City of Tigard "� ® DateB W m� Permit No.: / e ,� -� l
13125 SW Hall Blvd., Tigard, OR '' OCT GA pp s Plan Review .;�
Er
Phone: 503.718.2439 Fax: 503„$' C OF 11111111AAL Date/B I►'r r r Other Permit:
'1' I Gr \R D . Inspection Line: 503.639.4175 tS MG DIVISION Date Ready/By: Jura: WI See Page 2 for
Internet: www.tigard - or.gov Notified/Method: 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
® Addition/alteration/replacement ❑ Other: 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: $
ID Accessory building 1=1 Multi-family Number of bedrooms:
I=1 Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND, LOCATION Total number of floors:
Job site address: 10124 SW Washington Square Road - Suite A06 New dwelling area: square feet
City /State /ZIP: 97223 Garage /carport area: square feet
Suite/bldg./apt. no.: A06 Project name: , i'LC L Covered porch area: square feet
Cross street/directions to job site: 1 Block West Of Intersection Of Deck area: square feet
Washington Square Road and SW Greenburg Road Other structure area: square feet
• REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: Permit fccs* 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.
Construct new demising wall, separating existing space into two smaller spaces, Valuation: $$8,300.00
install new electrical panels, patch & repair clg grid where new demising wall Existing building area: 5,494 square feet
constructed New building area: 5,494 square feet
. ® PROPERTY OWNER El TENANT Number of stories: 1
Name: Macerich Type of construction: H -B Sprinklers
Address: 11411 N. Tatum Blvd Occupancy groups:
City /State /ZIP: Phoenix, AZ 85028 Existing: B
Phone: (602)953.6338 Fax:( ) New: B
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: Dugas Design Group, LLC (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name: Andrew Dugas
FLS plan review fee (if applicable):
Address: 100 E. 19 Street - Suite 300
City /State /ZIP: 98663 Total fees due upon application:
Amount received:
Phone: (360) 518.8243 Fax:: ( )
E -mail: dugasdesign @hotmail.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: BnK Construction Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 45 82" Drive - Suite 53B Solar Installation Specialty Code checklist.
City /State/ZIP: Gladstone, OR 97027 Permit fee (includes p lan review $180.00
and administrative fees):
Phone: (503) 557.0866 Fax: (503) 557.1085 State surcharge (12% of permit fee): $21.60
CCB lic.: 107555
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: Andrew Dugas Date: 06.19.2013 * Fee methodology set by Tri- County Building Industry
Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(I 1/02 /COM/WEB)
a Building Division
Over- The - Counter (OTC) Building Permit
• T I GA R D Check List
Project Description: 11
APPLICATION SPECIFIC INFORMATION ,
GENERAL INFORMATION .
*Class of Work: t1/4.-(3 Occupancy Group: Pir Type of Construction: 2k
*Type of Use: COM Occupancy Load: Oregon Specialty Code: 22(O
SPECIFICS
Number of Stories: 1 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: '' Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ X00 , CCD FEES DUE •
$ (?g, CC) DC Prov Rvw, COM TI — Ping
$ . W DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ 2 ,` Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ 'b.27 12% State Surcharge
f
Up to $4,999 $0.00 $0.00 $ Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ -r Plan Review, Fire Life Safety
$75,000 - $149,999 $167.00 $25.00 $ I. 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: $ 579 . 61r Other: -.. tat.
$ Other:
Building Staff: $ Other:
Date /Time:
$ 6 FEES DUE
1 7 — q/ • 9 8"
*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; 0Th = other (use for fences, decks, retaining walls, signs, awnings or canopies);
REP = repair.
I: \Building \Forms \OTC - BUP.docx 07/01/2012
4 Building Division
° . Development Code Provision Review
T I GARD Commercial Projects - No Associated Land Use Case
Building Permit No: " Expedited Review
Project Name: P € C .P,° L
Site Address: IO 1 LO 4al'1 Nrcr00 14 , Suite /Bldg #:
Plans Routed: �
Original Plan Submittal Date: Co Igo I Routed By: C
1St Revision Submittal Date: Routed By:
2 Revision Submittal Date: Routed By:
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 only 'f approved.
Planning Review (contact at (503) 718-A 44or Ay @tigard- or.gov)
Proposal: o r /
/ r - i - 4 z
Zoning //MC°
Permitted Use Yes INo ❑
Land Use Required: Yes ❑ No L —�
Notes:
ka Approved ❑ Not Approved ❑ DCPR Not Required — No DCPR Fees Due
Date Routed to Building: 6' / F
I: \CURPLN\Masters\Development Code Provision Revievu\DCPR_COM NoLandUse.doc Rev. 01/16/13