Permit 1CITY OF TIGARD BUILDING PERMIT
11 $ COMMUNITY DEVELOPMENT Permit#: BUP201500207
Date Issued: 07/28/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9585 SW WASHINGTON SQUARE RD KK42
Project: Comcast Xfinity Dish Network Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Install new kiosk,located in hallway between Ann Taylor&Express.
Contractor: SANDCASTLE CONSTRUCTION LLC Owner: PPR WASHINGTON SQUARE LLC
4904 E PORTLAND RD STE 1B PO BOX 847
NEWBERG, OR 97132-6992 CARLSBAD, CA 92018
PHONE: 503-980-5900 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions.Alterations, 07/27/2015 $225.80
Demolition
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Building 07/27/2015 $27.10
Dwelling Units: 0 Plan Review 07/13/2015 $146.77
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 07/27/2015 $88.00
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 07/27/2015 $12.50
Value: $9,500 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $500.17
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 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 o kLt a mlea e�djrect questions to OUNC by calling 503.232)987 or 1.800.332.2344.
Issued By: — Permittee Signature:
Call 175 by 7:00 a.m.for the next available inspecfl6n 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.
tr-� .
t. Building Permit Application
Commercial FOR OFFI( F. 1 SE 0\l.1
Received
City of Tigard Nt Vt Dateiv _l� _ Permit No.:` -/ /� ,�• 13125 S W Hall Blvd.,Tigard,OR 9 plan gevie
I Phone: 503-718-2439 Fax: 503-540 pate/g Rev:ii n= Related Permit:
T I G A R D Inspection Line: 503-639-4175 G Date Read':y: ® See Page 2 for
Internet: www.tigard-or.gov i%20 5 Noti a od: //v'T Supplemental Information
TYPE OF WORK v�i�t n* / l T' 'D DATA:1-AND 2-FAMILY DWELLING
New construction ❑)e���jRipgt C/01V,� Permit fees*are based on the value of the work performed.
a` Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑ fit' equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling 14 Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms: -Gr-
❑Master builder 0 Other: Number of bathrooms: _Q-
JOB SITE INFORMATION AND LOCATION Total number of floors: .Job site address: S��j S�J 0�1���1afTp� New dwelling area: SO 0 square feet gait
City/State/ZIP: a;.� L^„t d Q,__ 9. 2-2 Garage/carport area: -e— square feet
Suite/bldg./apt.#: 1(y,"1 Project name: Ciwtorsc c.:%4<1 :"...1)kSW Covered porch area ..4S- square feet
Cross street/directions to(j�ob site: Deck area: ..G- square feet
1 0'�*'`- IL\C-tkk1 ( > '1 t 6c(PAAktQ-S . Other structure area: -6_ square feet
A ExT `Z- '1ç J E- (o Jr t}tS - REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Indicate the value(rowded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
1v e:t 4 t1 i< 'rte W kkvtc-t-a., S$J►Lk-
AU Valuation: $ q OC) ��
t-t._ Existing building area -e- square feet
New building area: 9 d D square feet
❑ PROPERTY OWNER I Ea TENANT Number of stories: i
Name: t J(._--1--r SJk t-E-14-A-s-L Type of construction:
Address: 1 ov /A _ �SZ.s'1SCtk Z. S-r VL{) Occupancy groups:
City/State/ZIP: 0 Q_ 19-t3 2. - 1) Existing:
Phone:(�>;) <Ell, Sant_ Fax:( ) New:
'��JJ❑ APPLICANT 011 CONTACT PERSON BUILDING PERMIT FEES*
le (Phase refer to la echo s:el
Business name:-3L0 T)C €1.4.-C*-c
0`� tructural plan review fee(or deposit):
Contact name: • S-Tt„�, (,�1 0'1 A.Z0 ty
�J- � ` �1 � FLS plan review fee(if applicable):
Address: [ 0
01 Ldp /' i
t Total fees due upon application: l tta 7 7
City/State/ZIP: A -tpc 6 L i3Z �03 1 x . -
Phone:(Sdv ql _S((0 Z Fax::( ) 1 I t/, I i Amount received:
E-mail: �E S q"C-et-t�Cr(= &VA.(I.ce PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
LJE—��
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Spec C. --L Cans-texicr(6 Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: �t4, q o��,_A� LY 16 Solar Installation Specialty Code checklist.
City/State/ZIP: A 6,41C L. 0 �!3 2 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(9,9 else _ °l(D d) Fax:( )
State surcharge(12%of permit fee): $21.60
CCB Lic.: I��5 3 f/� _
Total fee due upon application: $201.60
Authorized signatur •• This permit application expires if a permit is not obtained
` Ii within 180 days after it has been accepted as complete.
rr Date: D � * Fee methodology set by Tri-County Building Industry
Print name: 4 Stk+4 Cyr°LL 111 Service Board.
I:\Building\Permits\BUP_COM_PennitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
! J
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T 1 G A R U 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
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 percent(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): $
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
r . ,
City of Tigard
■
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R p Building Permit Review — Commercial - No Land Use
Building Permit #: &Paoo s.-c ,i
Site Address: q5 gS S ) k)ar li. ,%. X d Suite/Bldg#: K lL(0-.
Project Name: adt-i Lt 4-6 r Ki inl,Ti/ ` D..shi vccrwe4g,
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: New ki os(L i v J:c e- • (n. . N (
Existing Business Activity: in c'vu-
Proposed Business Activity: r e-4-u,;-Q
❑ Verify site address/suite# exists and active in permit system.
Z.-River Terrace Neighborhood: ❑ Yes k'�Io
'Zoning: t.k _.t✓
ermitted Use: Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: ❑ Yes ] No,applicant notified to obtain business license
Notes: NJ() (p.,nci, ult. a Q-d kg.
Approved by Planning: CAnc.+�. 0— C_G4;.v'--- Date: 7- / 3 - (S
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 7 / I . i , /,„
Site Plans: # /
Building Plans: #
Building Permit#: me ilding permit ove.
Workflow Routing: �pillslan � [3�I'ermit Coordinator ding
Workflow Sign-off: (��Sign-off for Planning(include notes from planning review)
Route Application Documents: ( adding•. original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: , Date: ?AA--
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
.
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved, NOT Released: Date:
Notes:
Revisions(after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
�a K to Issue Permit
Approved by Permit Coordinator: Date: -7/4/3/-S-
I:\BuildingTonns\BIdgPermitRvw_COM_NoLandUse_070915.docx
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9585 SW WASHINGTON SQUARE RD KK42,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2015-00207
Chip Barnett
Violation Summary:
Inspector Contractor