Permit CITY OF TIGARD BUILDING PERMIT
11111 _ COMMUNITY DEVELOPMENT Permit#: BUP2013 00241
TtGA.RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/09/2013
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9771 SW WASHINGTON SQUARE RD DO8
Project: Harry&David Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Temporary occupancy for seasonal store.
Contractor: BLUESTONE&HOCKLEY REALTY INC Owner: PPR WASHINGTON SQUARE LLC
9320 SW BARBUR BLVD STE 300 PO BOX 847
PORTLAND, OR 97219 CARLSBAD,CA 92018
PHONE: 503-222-3800 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 09/30/2013 $134.54
Demolition
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Building 10/09/2013 $16.14
Dwelling Units: 0 Plan Review 10/09/2013 $87.45
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 10/09/2013 $2.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $3,500 Plan Review-Fire Life Safety 10/09/2013 $53.82
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $294.45
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 or 1.800.332.2344.
MOW
Issued By: Perrnittee Signature:
C X175 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
�" Received et City of Tigard tl 4 VI\ 1 - Dat : I') i. - . .13125 SW Hall Blvd.,Tigard,OR 9'2.t' Plan Review 1 +/�
VI 3® 013 ll./�� Other Permit:
Phone: 503.718.2439 Fax: 503.59:.1'60 2 PlanR : v
TI G A It D Inspection Line: 503.639.4175 S�` Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov ��(4��® Notified/Method: Supplemental Information
TYPE OF W�Q�ptNG�\��iv15`�� REQUIRED DATA: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 0 Other: 1 1 4y 1 "rt,�,}- equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION ``'''������ work indicated on this application.
❑ 1-and 2-family dwelling Commercial/industrial Valuation: $
ID Accessory building ❑Multi-family Number of bedrooms:
E:1 Master builder ID Other:
Number of bathrooms:
1_pp SITE INFORMATION AND LOCATION Total number of floors:
Job site address; l Sid IN4�,n AP �`L�a� ki New dwelling area: square feet
City/State/ZIP: fe /ar I a 9�7'; �/ Garage/carport area: square feet
Suite/bldg./apt.no.: A Q 3 I Project name: r /Jen e/ '46�i1 Covered porch area: square feet
Cross street/directions to job site: �"VA, Deck area: square feet
INAA /1int->!� S9�re. /1(4/f 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.
.5 � de •iprd Pril, / si . s " 4-414tx O
Valuation: $ 30
Existing building area: 25-4, square feet
New building area: n w square feet
PROPERTY OWNER I ❑ TENANT Number of stories: On 6
Name: V a(AIn` fb S //I Type of construction: n /a _/7 on d
Address: /Cry vi ],t J`�6J/L#15/02,-% j/4 Occupancy groups: I
City/State/ZIP: PD,- i),i n g ) 7d-,33 Existing:./ Tlxf'vrc. utji-d/4l P'_
Phone:(?j 3)e 3 g�p Fax:( ) New: CA 11
cc APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: /�
(Please refer to fee schedule)
l�al �'�f 4 - Q,WL /,,,/..C... d d=h"/9O✓Q Structural plan review fee(or deposit):
Contact name: i��.t'se. / S AR -
Address: FLS plan review fee(if applicable):
so0 s , f'w4L N�
�
j J Al 0 R G/ Total fees due upon application:
City/State/ZIP: ,
Phone:( /) r6('—, j(( ,x:; -J .Q■;A( •Z 5 . r Amount received:
E-mail: d Ka/lc* C h r- 4Nal avi ' . PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
ONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: Submit two(2)sets of roof plan with connection details
- and fire department access,along with the 2010 Oregon
Address: k.".--CW' Solar Installation Specialty Code checklist.
City/State/ZIP: (&,--(-. ./ Permit fee(includes plan review
$180.00
' `�+^' and administrative fees):
\
Phone:( ) Fax:( ) V.(' v State surcharge(12%of permit fee): $21.60
CCB lic.: 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: /4,6‹.. Date: ghiiiIi * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB)