Permit CITY OF TIGARD BUILDING PERMIT
1111 .
COMMUNITY DEVELOPMENT Permit#: BUP2016-00059
T1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/03/2016
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9755 SW WASHINGTON SQUARE RD D03
Project: T-Mobile Subdivision: None Lot: None
Project Description: TI-updating space
Contractor: BUEHNER CONSTRUCTION INC Owner: PPR WASHINGTON SQUARE LLC
2212 SW TEMPLE 40 PO BOX 847
SALT LAKE CITY, UT 84115 CARLSBAD, CA 92018
PHONE: 801-486-1888 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 03/03/2016 $453.95
Demolition
Occupancy Grp: M Occupancy Load: 22 12%State Surcharge-Building 03/03/2016 $54.47
Dwelling Units: 0 Plan Review 02/18/2016 $295.07
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 03/03/2016 $88.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 03/03/2016 $181.58
Value: $25,000 Info Process/Archiving-Lg$2.00(over 03/03/2016 $26.00
11x17)
Floor Areas:
Total Area: 815
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,099.07
Required: Required Items and Reports(Conditions)
Fire Sprinkler: 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 . •rdance 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. TENTION, o egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-$01-0010 through OA' •52-00 -$090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Iss ed By: / /� , 4 Permittee Signature:
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.
Pili
wilding Permit Application MN,
Commercial j J EtTEGly l) 1.012 (H.I It 1: I Nt. OvI 't
11 City of Tigard Datee/B ived: p2 i d p 'f kPermitNo.: P�� �—000 5-713125 SW Hall Blvd.,Tigard,OR 97223 Plan Revi
Phone: 503-718-2439 Fax: 503-5�8{I 0 8 2016 RecDate/By: 2. _ (6 Related Permit:
1 i 1 Inspection Line: 503-639-4175 Date Ready/By: Jung ® see Page 2 for
Internet: www.tigard-or.gov ,Y,7,a)"`. �,�'`N�y Notified/Method: 3/ 16 — Supplemental Information
CITY OF GARO „,/
mosimmimmilimatii
0 New construction 0 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: equipment,materials,labor,overhead,and the profit for he
work indicated on this application.
❑ 1-and 2-family dwelling ommercial/industrial Valuation: $
❑Accessory building Multi-family Number of bedrooms: zz
El Master builder ❑Other: Number of bathrooms:
Total number of floo .
Job site address: 49 75( W u/A , co.,Axe-, "11.-j New dwelling .• a: square feet
City/State/ZIP: Garage/ .. .rt area: square feet
Suite/bldg./apt.#: D.03 Project name:71. 41/4„. Cover-. porch area: square feet
Cross street/directions to job site: it-ck area: square feet
Other structure area: square feet
•
Subdivision: 1 Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
r work indicated on this application.
'PT , tG(3'f'1 t)& )vt.r P.N Valuation:,.5 0 00 $
C- Existing building area B 1.5- square feet
New building area: ----- square feet
Number of stories: I
Name: T_ A•A„;,,'a i LZ Type of construction: v-l3
Address: 1 - `LJ f 3 - Sr. Occupancy groups:
City/State/ZIP: 1 3 Ca..... L,C V LA)W/I . CI (bp 06 Existing:
Phone:( ) Fax:( )
New: `.------
Business name: srex- 3 mo, (TJ Structural plan review fee(or deposit):
Contact name: ao?..elgo t)vvit µ.JS 7
I_ 1 FLS plan review fee(if applicable):
Address: 1%133 ( N�/ 45't —►0 6�
City/State/ZIP: D tZ� Total fees due upon application:
Phone:( rp) 9 to S V Fax::( ) Amount received: Q 'c17
E-mail: it-reit-4 t M/ Ty . G rvv
Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel Syste .
Business name: Submit two : sets of roof plan with c..•- on details
D � �ti q�otJ`y(2u�f10tJ and fire departm••t access, •- • the 2010 Oregon
Address: a a' aW ii-fPG. Vo Solar Installation S.- Code checklist.
Pe.. • ee(include • . review
City/State/ZIP: o4iyLf Lkt. eijS! G(T• , rc/115.- and administrativ s : $180.00
Phone:(30/ ) q9-6,-l QQ C Fax:( ) State surcharge(12%of permit fee): \ $21.60
CCB Lic.: J�7 .,9_s 9/,t WO Total fee due upon application: $201.60
Authorized signature: / This permit application expires if a permit is not obtained
r within 180 days after it has been accepted as complete.
Print name: ” / IT _ Date: 2//'' Ii k * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
r ,
1111111
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
■
Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
(. A I`l) 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): $
414 L_rpcivi .
I:\Building\Pemuts\BUP_COM_PemmitApp.doc Rev.12/18/2014
City of Tigard
III COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: i (0— OxX)J" /
Site Address: qi S S E WGS(n,v,6ito(-) Scomituite/Bldg#:
Project Name: T- m o la,b.
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: TZ 'e )((Sh o v-- '{ e4 161 rl
Existing Business Activity: / (itL' C.I Z./(
Proposed Business Activity: CA0 VY)Ill jry_xL Ft uk.,
Verify site address/suite# exists and active in permit system.
«<</1 River Terra e Neighborhood: ❑ Yes CVNo
Zoning: IV)VC/
Permitted Use: ❑ Yes ❑ No ❑ Spec Space
71 Confirm no land use required.
7 Business License:
Exists: 7
Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: .41/O 4/1;IZ 64 i31k Date: 2// 6/ / (p
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: pZ7/$//<41
Site Plans: # "--
Building Plans: #
Building Permit#: O'$nter building permit# above.
Workflow Routing: n—Planning rmit Coordinator I<Bul.lding
Workflow Sign-off: 1Sign-off for Planning(include notes from planning review)
Route Application Documents: Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ,.aPG-o4-4- -( Date: "---- e'7,6
L•\Building\Forms\BldgPermitRvw_CO M_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:
1,„„SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 9014 N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes 2,N/A
OK to Issue Permit
Approved by Permit Coordinator: lelf Date:
I:\Building\Fonns\B IdgPennit Rvw_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
9755 SW WASHINGTON SQUARE RD D03,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2016-00059
Jeff Grove
Violation Summary:
Inspector Contractor