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Permit Nn CITY OF TIGARD BUILDING PERMIT I. COMMUNITY DEVELOPMENT Permit#: BUP2021-00103 Ti R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/19/2021 t;pry Parcel: 1 S 1260000300 Jurisdiction: Tigard Site address: 9681 SW WASHINGTON SQUARE RD C06 Project: Fabletics Subdivision: None Lot: None Project Description: Installation of stockroom shelving rolling rack system Contractor: COMMERCIAL CONTRACTORS INC Owner: PPR WASHINGTON SQUARE LLC 16745 COMSTOCK ST BY MACERICH RET GRAND HAVEN, MI 49417 PO BOX 4085 SANTA MONICA, CA 90411 PHONE: 616-850-1289 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 05/19/2021 $225.80 Demolition Occupancy Grp: M Occupancy Load: 0 12%State Surcharge-Building 05/19/2021 $27.10 Dwelling Units: 0 Plan Review 04/29/2021 $146.77 Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 05/19/2021 $90.32 Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 05/19/2021 $4.00 Value: $10,000 11x17) Info Process/Archiving-Sm$0.50(up to 05/19/2021 $3.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $496.99 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 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. Issued By: Haay WM/De/Wege Permittee Signature: 01/1/A pp 7. _tin t.Luu. 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 Permit Application 41 - 21 Commercial RECEIVED FOR OFFICE USE ONLY PIP City of Tigard rpp32' Received 04 29 2UZ1 VUf°2 00103 ���� t`i 4t9�. Date/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503-718-2439 Fax: 503-598-1M OF TIGARD ,a Related Permit: Date/By: S ��,- TIGARD Inspection Line: 503-639-4175 �+ Dat Ready/By: Juris• ® See Page 2 for co Internet: www.tigard-or.gov 3UILDING DIVISION otitied/Metho / Supplemental Information TYPE OF WORK REQUIRED DATA: 1-AND 2-FAMILY DWELLING ❑New construction ❑ Demolition Permit tees*arc based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ®Other: SIAELVINCrf IZ Cf iNG equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I-and 2-family dwelling lim Commercial/i dustrial Valuation: $ ElAccessory building El Multi-familyNumber of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: Giea k 5 J wasN(r((„roi.( Vl � ii.440 New dwelling area: square feet City/State/ZIP: -rt Gil . aR 223 Garage/carport area: square feet Suite/bldg./apt.#: C 06 Project name: FetsaLertcS Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot#: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel#: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. 1 tts. (sA rt l`�10 P 5S'ccl412©0n1 51-4EcVinKr Valuation: $ V Q w � R�'`'�� u Cr l .Act'.s-/c an Existing budding area: 30Q( square feet 1 N2w fli ngare 1 00 square feet ❑ PROPERTY OWNER W. TENANT Number of stories: i Name: PA(3LE nCS Type of construction: I t 6 Address: 2100 Apo U_f) SCREE.C. Occupancy groups: City/State/ZIP: EL SEGVNOO 1 GA .goz'ts Existing: (fl Phone:( 70:8 GrIZ 4082- Fax:( ) New: Nl Pat APPLICANT 11 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee.schedule) Business name: �L0E12 -Tones yr Structural plan review fee(or deposit): 44 Contact name: -1 i M SG i-i er4 Address: (l2d E , 53o ! st . ski It -it, FLS plan review fee(if applicable): ssy 2a Total fees due upon application: i City/state/ZIP: ( Qlr1(6G mil, m AI - Amount received: Phone:(Qsz 34S•604.1 G Fax: :(Q$"a. ` SLA .4-CK . PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: -z pa5- @.. e, etr,;firms.cop— Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: Submit two(2)sets of roof plan with connection details Ca mp^le-xt e�hL Gv,r�t'ctaeco2s , i�-1G. and tire department access,along with the 2010 Oregon Address: I(o--icvs- 0Q(ls l d C C -c - Solar Installation Specialty Code checklist. City/State/ZIP: Permit fee(includes plan review ��'�� �� ` �� �� and administrative fees): $180.00 Phone:(�j 1,(�) 'Q ,,ZB�j Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lic.: W e6 op` Total tee due upon application: $201.60 Authorized signature: ,- V _ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: (m $ct-4.E/^(V Date: 412:5 c-„,` * 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)