Permit if CITY OF TIGARD BUILDING PERMIT
II COMMUNITY DEVELOPMENT Permit #: BUP2011 -00171
Date Issued: 08/24/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9597 SW WASHINGTON SQUARE RD B13
Project: Lush Subdivision: Lot:
Project Description: TI
Contractor: DIAMOND SPECIALTY & MFG INC Owner: PPR WASHINGTON SQUARE LLC
22825 NW DOGWOOD ST BY THOMSON PROPERTY TAX SERVICES
HILLSBORO, OR 97124 ATTN HILARY RAYMOND
CARLSBAD, CA 92008
PHONE: 503 - 640 -4699 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 08/24/2011 $1,030.65
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 08/24/2011 $123.68
Stories: 2 Height: 0 ft Plan Review 08/03/2011 $669.92
Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 08/03/2011 $412.26
Value: $90,000 Info Process /Archiving - Lg Sheet (over 08/24/2011 $22.00
11x17)
Info Process /Archiving - Sm Sheet (up to 08/24/2011 $4.50
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,263.01
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors:
Smoke Detectors: Yes Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTE _ •. _ - .on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 -s s 0 through OAR • -001 -1 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued :y: / Permittee Signature: ' Agent/ T %1c2
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial �EI "�+,$J � I FOR OFFICE USE ONLY
Cl of Tigard L Received �'r Permit No.: l -
`J g CVJ Date �, /71,_ ,r 7
. f ° 13125 SW Hall Blvd., Tigard, OR 97
g ^ tto
III
„ Phone: 503.718.2439 Fax: 503.598 60 � % 4� D /B Re y: view ��� Other Permit:
TIGARD Inspection Line: 503.639 n Date Ready /By. Ei See Page 2 for
Internet: www.tigard- or.gov N V �(`, O , a Notified /Method: ; 1. Supplemental Information
' ' TYPE OE WO � \)\ , REQUIRED DATA 1- AND 2 - FAMILY DWELLING
❑ New construction ❑ CS`emolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
® Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATE OF CONSTRUCTION. work indicated on this application.
❑ I - and 2- family dwelling ® Commercial /industrial Valuation: $ C7 > OCDO
El Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder I=1 Other:
Number of bathrooms:
.
B SITE 1NFORNIATION -_AND LOCATION � � • = Total number of floors:
Job site address:: j58 Washington Square Rd. Space B13 New dwelling area: square feet
City /State /ZIP: Portland, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 6,3 Project name: LUSH 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 no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
' DESCRIPTION: OF indicated on this application.
Tenant Improvement of an existing space
Valuation: $
Existing building area: square feet
New building area: square feet
❑; PROPERTY OWNER. ® TENANT = = R Number of stories:
Name: Lush fresh Handmade Cosmetics Type of construction: Il -N
Address: 8920 Shaugnessy St. Occupancy groups:
City /State /ZIP: vancouver, Canada V6P -3Y5 Existing: M
Phone: (604)263 -6601 Fax: ( ) New: M
u
.... ® APPLICANT , .' ® CONTACT PERSON ' - _" BUILDING ; PERMIT; FEES *'
Business name: Western Design Group ( Please <refer ?n' fec sc heitrrle j
Structural plan review fee (or deposit): 66q•q),
Contact name: Kevin Kincaid
FLS plan review fee (if applicable): 40, r
Address: 4612 NE Minnehaha Street
City /State /Z1P: Vancouver, WA 98661 Total fees due upon application: 1 1 �$ �/
Amount received:
Phone: (360) 737-0990 Fax: : (360) 694 -7818
E -mail kkincaid @westerndesigngroup .net • PHOTO SOLAR PANEL SYSTEM FEES*
- Commercial and residential prescriptive installation of
. •, CONTRACTOR • , roof -top mounted PhotoVoltaic Solar Panel System.
Business name: 1 T7 tilt/6 ,07J 14e /,,�L y y M /da l � � Submit two (2) sets of roof plan with connection details
J I 1 and fire department access, along with the 2010 Oregon
Address: 2 � � / � ae 5f Solar Installation Specialty Code checklist.
City /State /ZIP:ez fj� 0a � �7��Y Permit fee (includes plan review $180.00
_ and administrative fees):
•
Phone: ( ,5031 (01,1 /4 ?Q Fax: ( ) State surcharge (12% of permit fee): $21.60
76 CCB lie.: � 3 1A/1/ // Total fee due upon application: S201.60
Authorized signature: 7>l< ` This permit application expires if a permit is not obtained
����ll � . � I" ' within 180 days after it has been accepted as complete.
Print name: Kevin Kincaid Date: 8/3/2011 * Fee methodology set by Td- County Building Industry
Service Board.
I: \Building \Permits \BUP -COM PenmitApp.doc 02/24/2011 440- 4613T(11/02/COM /WEB)