Permit (11) CITY OF TIGARD BUILDING PERMIT
11„,..., ”
I . COMMUNITY DEVELOPMENT Permit#: BUP2016-00211
T[£ ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/27/2016
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9624 SW WASHINGTON SQUARE RD G07
Project: Amazon Books Subdivision: None Lot: None
Project Description: Interior demo prior to TI
Contractor: ICE BUILDERS Owner: PPR WASHINGTON SQUARE LLC
421 E CERRITOS AVE PO BOX 847
ANAHEIM, CA 97805 CARLSBAD, CA 92018
PHONE: 541-459-5253 PHONE:
FAX: 714-333-9756
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 06/27/2016 $301.85
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 06/27/2016 $36.22
Dwelling Units: 0 Info Process/Archiving-Lg$2.00(over 06/27/2016 $2.00
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0
Value: $15,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $340.07
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 do : .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
ys. ATTENTION: • -.on 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..2-lo -,.•0. You may obtain a coppyy�of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: P L� ' �1.!/„ Permittee Signature: _,�
—1\-•---. '
Call 503.639.4175 by 7:00 a.m.for th ext available i spection 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.
BUildin2 Permit Application .., ,,,,,,„
- 1'.-i
Commercial 11, .,,,'.-7',. =1 , .' ' =, -
City of Tigard Received Co A/ /6
Permit No.: 6u. de)its-Z.)6 63,./ I
.71 111 13125 SW Hall Blvd.,Tigard,OR 9740 N 2 7 ?fl 16 Date/By:
Plan Review
' . Phone: 503-718-2439 Fax: 503-598-1960 Date/By: Other Permit:
. ,
I I L \R LI Inspection Line: 503-639-4175 _, ,,:,',7 ..,. 1,,,,4 - Date Ready/By: Juris El See Page 2 for
Internet: www.tigard-or.gov ' ' Notified/Method: Supplemental Information
,
TYPE Or WOW REQUIRED DATA:!-AND 2-FAMILY DWELLING
. - WQRK
0 New construction demolition Permit fees*are based on the value of the work performed.
Indicate the value(rotrided to the nearest dollar)of all
El Addition/alteration/replacement []Other: equipment,materials,labor,overhead,and the profit for the
'6ATF(ORZF OF CONiTROCTION ' work indicated on this application.
/S; 0
0 1-and 2-family dwelling ecommercialfindustrial Valuation: $ r3 0
-
0 Accessory building El Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
94.a.c/ JOB SITE INFORMATION AND LOCATION - Total number of floors:
,
Job site address: 4.-6-(---
. ., RI) 6-07 New dwelling area: square feet
City/State/ZIP: p.etin.,..4 , 0,c 1.72.2.5 / Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 4 2.4,,V a.. -6.1-0,c-_-.-. Covered porch area: square feet
Cross street/diredions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATAIICOMMERCLAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rouided to the nearest dollar)of all
Tax map/parcel no.:
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
, .
PAA...0 .5/1 4,c.o. 1 iv.4//5, e, X f....-.4 f i•/0 c,r/I c..* Valuation: $
Existing building area square feet
New building area: square feet
0 PROPERTY OWNER ( TENANT Number of stories:
Name:
A fe.4 240A..) Type of construction:
Address: /200 /74 C(Ve Sy•ke. /200 Occupancy groups:
City/State/ZIP: S e-i Hi& Iv i A 14,4-19 Existing:
Phone:( ) Fax:( )
New:
Eig APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please Wet to fee sckethrte)
Business name: aA..1 C oN s C._. _4-1 0%old Structural plan review fee(or deposit):
Contact name: 444e1c I1 I,. (t 4.4.,att.
FLS plan review fee(if applicable):
Address: 5410 .0(4) AA caolliN livir_ 5...•kr— /50
City/State/ZIP: 1 1 31
Total fees due upon application:
64/4"..p( 0 4. 9
Amount received:
Phone:(714) C//2. .. 351 4 Fax::( )
E-mail: iti el a k clever e (A.7 . covv‘ PHOTOVOLTAIC SOLAR PANEL SYSTEM PEES*
CONTR4TOR ,.
Commercial and residential prescriptive installation of
roof-top mo. ted Photo Voltaic Solar Panel Syste••.
Business name: ‘ist...7 ev,A(,v,(it , , )/ I c f. 4i4/(...p f" /A)/.... Submit two(2 ets of roof plan with connec . details
i and fire departme access,along with 010 Oregon
Address: 5 kl tb Sv ivi,, ,, ,, A". A....e sv.,TZ- 150 Solar Installation Sp ialty Code che ist.
City/State/ZIP: Peo,4-I A-‘...4 Oic. on 211 Permit fee(inch'.-s plan r- iew
$180.00
and adminis II .1. e fees):
Phone:(50y 2.2.V " '-ti 12" Fax:( )
State surcharge(12%o scrim -e): $21.60
CCB lic.: ffeinct.4 1,..a5 • 67i0 ir
Total fee due ,pon application: $201.60
...
Authorized signature: —
This permit appli tion expires if a permi is not obtained
within 180 days after it has been accepted as complete.
Print name: th4co4 45e..•.,C4) Date: 0 7 * Fee methodology set by Tri-County Building Industry
Service Board.
IABuilding\Permits\BIJP_COM_PermitApp.doc Rev.12/11/2012 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
p Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T I 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.12/02/2013
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
T t G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with:
A. ❑ map&tax lot# El project name ❑ site address ❑ suite number
El zoning El applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations,plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit-based on valuation of project.
4. ADDITIONAL INFORMATION AS FOLLOWS:
A. Fire Department Building Survey with (1) additional full set of architecture
drawings.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/02/2013
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
" Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov
' etfSubm *$ #d ri s
Includes ne g >litons ant( i1 erations:)„, Itequired`at
Submittal
Demolition Permit 3
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval,the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington
County, and Tualatin Valley Fire&Rescue),if applicable.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/02/2013