Permit CITY OF TIGARD BUILDING PERMIT
1111
COMMUNITY DEVELOPMENT Permit#: BUP2022-00281
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/9/2022
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9467 SW WASHINGTON SQUARE RD All
Project: Spec Space Subdivision: None
Lot: None
Project Description: Landlord work prior to TI:Demolition of demising walls to spaces A10,All,and Al2 to form(1)space. NEW
ADDRESS MUST BE CREATED PRIOR TO T.I.OCCUPANCY.
Contractor: AJS CONSTRUCTION LLC Owner: PPR WASHINGTON SQUARE LLC
12345 SE FULLER RD 102 BY MACERICH RET
MILWAUKIE, OR 97222 PO BOX 4085
SANTA MONICA, CA 90411
PHONE: 503-381-4778 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 11/09/2022 $2.00
Occupancy Grp: Occupancy Load: 11x17)
DC Provision Review, COM TI-Ping 11/09/2022 $110.00
Dwelling Units: 0
Stories: 0 Height: 0 ft Permit Fee-Additions,Alterations, 11/09/2022 $210.59
Demolition
Bedrooms: 0 Bathrooms: 0 12%State Surcharge-Building 11/09/2022 $25.27
Value: $8,500 Plan Review 11/09/2022 $136.88
Plan Review-Fire Life Safety 11/09/2022 $84.24
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $568.98
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 tsy the rules or direct questions to OUNC by Ailing 503.232.1987 0 .800.334'I
.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspec ion'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 RECENt71
` FOR OFFICE USE ONLI'
q Received gyp-/�
City of Tigard a Date/Rev /l tq i 21- /8� Permit No: gal . Gb" . f
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
ElII
12 Phone: 503-718-2439 Fax: 503-598-1960 Date/By: ,%/1 Related Permit
TIGARD
Inspection Line: 503-639-4175 C1 i 1 �. "`--- Date Ready/BY:�� / i R Juris 63 See Page 2 for
g: Internet: www.tigard-or.gov n1. f f0 0Iy ` r':' Notified/Method/ N/� frjGf_ Supplemental Information_
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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 the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling [XICommercial/industrial Valuation: S
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
1147 JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address •01W Washington Square Rd. New dwelling area: square feet
city/State/ZIP: Portland OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#:A10/11/11 Project name: Vanilla Shell 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.
Remove all interior Partition Walls, Casework, Flooring &Ceiling Valuation: $ 8,500
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: Macerich Type of construction:
Address: 11411 N Tatum Blvd Occupancy groups:
City/State/Z1P: Phoenix,AZ 85028 Existing:
Phone:(602 ) 953-6377 Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: NW Precision Desgn Structural plan review fee(or deposit):
Contact name: Darin Bouska
FLS plan review fee(if applicable):
Address: 17407 SW Inkster Dr
Total fees due upon application:
City/State/ZIP:Sherwood OR 97140
Phone:(503 ) 680-6444 Fax::( ) Amount received:
E-mail: Darin@NW-Precision.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photovoltaic Solar Panel System.
Business name: AJS Construction, LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:12345 SE FULLER RD#102 Solar Installation Specialty Code checklist.
City/State/ZIP:MILWAUKIE OR 97222 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503 ) 381-4778 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.:204466 Total fee due upon application: $201.60
Authorized signature: DA........
This permit application expires if a permit is not obtained
�L�'�L�'��'�� within 180 days after it has been accepted as complete.
Print name: Darin Bouska Date: 11/4/22 * Fee methodology set by Tri-County Building Industry
Service Board.
L1Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(l1/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
i IN C
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: ,B4j0,20 i _ CX yt8/
Site Address: cr103 fin\ waSWYTov\ v ) Suite/Bldg#: A1O 1 Il , a--
Project Name: UUOl4 IMM 4/6tiff J1AMA - klaingilq (W((
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: ifrArnthre Gull tvkAYIvi Iof\ ukbtAt5 i ColisoNolic,, --VBvr1y'J c/eAV:1 ,
3 SOC -S to \\ UVAY.NtsQ.r a \ . CAN.C.
Existing Business Activity: gel '\,p
Proposed Business Activity: Y'v N1,
oei Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ Yes .„,Er-No
..17l Zoning: MU G
Permitted Use: ❑ Yes ❑ No ,0 Spec Space
Ar Confirm no land use required.
gBusiness License:
Exists: ❑ Yes ,ENo,applicant was provided a business license application
Notes: po ,,xt&f W IAA*.
Approved by Planning: Date: tl (q(7.2
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: ij f 47/4
Site Plans: #
Building Plans: #
Building Permit#: rater building permit# above.
Workflow Routing: manning ❑ Permit Coordinator El'Tuilding
Workflow Sign-off: -off for Planning(include notes from planning review)
Route Application Documents: ding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes: 67-2_
By Permit Technician: r>.----) Date: `f/`f
Y
I:A3uilding\FormslBldgPermitRvw_COM_NotandUse_09072022.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of permit
❑ Approved,NOT Released: Date:
❑ ENG Revisions Required: Date:
Notes:
❑ SDC Exemption ❑ Applied for ❑ Received 0 Does not apply
❑ Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A ❑ Deferred
Tigard Trans SDC: 0 Yes ❑ N/A ❑ Deferred
Parks SDC: 0 Yes ❑ N/A ❑ Deferred
LIDA Fee: ❑ Yes ❑ N/A
❑ OK to Issue/Approved by Permit Coordinator: Date:
Revisions (after Building Submittal only) Reviewer Date.
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
l:\Building\Forms\BldgPennitRvw_COM_NoLandUse_08l 62022.docx