Permit CITY OF TIGARD BUILDING PERMIT
INs Permit#: BUP2022-00207
COMMUNITY DEVELOPMENT
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/8/2022
Parcel: 1 S1260000300
Jurisdiction: Tigard
Site address: 9610 SW WASHINGTON SQUARE RD GO1
Project: Lush Subdivision: None Lot: None
Project Description: TI for new tenant: Demolition,new partitions,doors,and finishes.
Contractor: NICK KARAYEL Owner: PPR WASHINGTON SQUARE LLC
11055 PORTLAND ROAD, NE BY MACERICH RET
BROOKS, OR 97305 PO BOX 4085
SANTA MONICA, CA 90411
PHONE: 971-218-4653 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 10/11/2022 $2.917.95
Occupancy Grp: M Occupancy Load: 33 Demolition
12%State Surcharge-Building 10/11/2022 $350.15
Dwelling Units: 0 Plan Review 08/15/2022 $1,896.67
Stories: 0 Height: 0 ft DC Provision Review, COM TI-Ping 10/11/2022 $434.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/11/2022 $1,167.18
Value: $400,000 Info Process/Archiving-Lg$2.00(over 10/11/2022 $18.00
11x17)
Floor Areas: Info Process/Archiving-Sm$0.50(up to 10/11/2022 $9.00
11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $6,792.95
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. I 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 suspe for more
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notif inn Ce ter Thos' rules are t orth 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#03 32'.1 or . 32.234
Issued By: � Permlftee Signature: 4
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.
111 City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 6l7I0h -exj,?-r'7
Site Address: q&io Sw L"),E3hIugTtiJ23• ice. Suite/Bldg#: (,pi
Project Name: L IJS
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T.T.
Existing Business Activity: cj4L&S
Proposedop' Business Activity: sit Le).-
e Verify site address/suite#exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes gl No
.1� 7�raning: MUC
P ''tied Use: ,s 0 No ❑ Spec Space
!'J Confirm no land use required.
mess License>
Exists: _ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: ate: (b
Revisions(after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: •'7/-7/¢)-
Site Plans: # ^/�}
Building Plans:
Building Permit#: building permit#above.
Workflow Routing: _��Pla^nning r C'��I�uilding
Workflow Sign-off: `�E S�tgn- f for Planning(include notes from planning review)
Route Application Documents: L'•••liutlding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: irjy/
1:1Building\Fotms\BldgPennitRvw_COM_NoLandUse_11 1819.docx
' 't Coordinator Review
❑ Condi i:•s "Met"prior to issuance of building permit
E Approved,N• 'eleased: 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:
L SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes • N/A
Tigard Trans SDC: ❑ Yes • /A
Parks SDC: ❑ Yes El N
❑ OK to Issue Permit
Approved by Permit Coordinator: D. •:
I:1Building\Fonns\BldgPermitRvw_COM_NoLandUse_111819.docx