Permit ' ':: q CITY OF TIGARD BUILDING PERMIT
• "l '< COMMUNITY DEVELOPMENT Permit #: BUP2011 -00262
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/05/2012
:TIGARD ,, Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9532 SW WASHINGTON SQUARE RD H11
Project: The Body Shop Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108
Project Description: TI
Contractor: BE AREBE ENTERPRISES INC Owner: PPR WASHINGTON SQUARE LLC
5699 SE INTERNATIONAL WAY STE E BY THOMSON PROPERTY TAX SERVICES
MILWAUKIE, OR 97222 ATTN HILARY RAYMOND
2235 FARADY AVE, STE 0
CARLSBAD, CA 92008
PHONE: 503 -652 -8825 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 01/05/2012 $1,136.15
Class of Work: ALT Demolition
Dwelling Units: 0 Plan Review 12/09/2011 $359.53
Stories: 1 Height: 0 ft Plan Review - Fire Life Safety 12/09/2011 $221.25
Bedrooms: 0 Bathrooms: 0 Plan Review 01/05/2012 $378.97
Value: $105,000 Plan Review - Fire Life Safety 01/05/2012 $233.21
DC Provision Review, COM TI - Ping 01/05/2012 $160.00
DC Provision Review, COM TI - LRP 01/05/2012 $24.00
Floor Areas: 12% State Surcharge - Building 01/05/2012 $136.34
Info Process /Archiving - Lg $2.00 (over 01/05/2012 $40.00
Total Area: 0 11x17)
Accessory Struct: 0 Info Process /Archiving - Sm $0.50 (up to 01/05/2012 $10.50
Basement: 0 1107)
Carport: 0 Metro Const. Excise Tax - Commercial 01/05/2012 $126.00
Covered Porch: 0 Use
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,825.95
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. 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: /' Permittee Signature: / i "1:-/ --
007.• .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 - R FOR OFFICE USE ONLY
`J g
Cl of Tigard Received Ja
DateB : ! J Permit N o.: % 4 ,4t/ i
13125 SW Hall Blvd., Tigard, OR 97223 C Plan Review ► �7
_ ' Phone: 503.718.2439 Fax: 503.598.1960 9 20�' DateB : / ` i e t Other Permit:
T I G A RD Inspection Line: 503.639.4175 Date Ready :y. Juris: ® See Page 2 for
Internet: www.tigard or.gov C ITY OF TIG Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9532 SW WASHINGTON SQUARE RD STORE 1352 SPACE H11 New dwelling area: square feet
City/State /ZIP: TIGARD, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 1111 Project name: THE BODY SHOP 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 WORK work indicated on this application.
INTERIOR TI REMODEL Valuation: $$34,000.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: THE MACERICH COMPANY Type of construction:
Address: 401 WILSHIRE BLVD. SUITE 700 Occupancy groups:
City /State /ZIP: SANTA ANA CA 90401 Existing:
Phone: (602)953 -6750 Fax: (602)953 -6449 New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: ARCHITECURAL GROUP INTERANT'L (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name:
Address: 15 WEST SWEVENTH STREET FLS plan review fee (if applicable):
City/State /ZIP: COVINGTON KY 41011 Total fees due upon application: �g
Amount received: i'6 • 7%
Phone: (859) 261 -5400 Fax: : (859) 261 -5530
E -mail: gwichmann @agi- us.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted P otoVoltaic Solar Panel System.
Business name: TO BID 6c,t -Ot r.� t� ,�� X r /� ` Submit two (2) sets roof plan with connection details
— ,, , ' S ��/µ and fire department ac. along wit. • 010 Oregon
Address: ylj. 513 iv y ' &b( ,,,,4_,, L Solar Installation Speci, . s Code ecklis .
1� G71 Permit fee (includes evie
City/State /ZIP: (�� µ � l CJ � $180.00
and administr. ve fees
Phone: ( ) ) (o ��- — �� Fax: ($O ) 6,5—e i f State surcharge (12% of . ermit fee): $21.60
CCB lie.: ( �
$201.60
Total fee due upon applicatio
Authorized signature: This permit application expires if a permit is not obtained
, �j ` ,, within 180 days after it has been accepted as complete.
Print name: MIKE MONTG MERY 503 -515 ri 95 1., te: 12/09/11 * Fee methodology set by Tri- County Building Industry
Service Board.
L:\Building\Permits\BUP -COM PermitApp.doc 02/24/2011 : l - 4613T(I 1 /02 /COM/WEB)
- 6 .7 ) (5
114 Building Division
'7'53? ���'
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: 7u 1'aa / ( -4C 6 _ ❑ Expedited Review
Plan Submittal Date: f?/? / /1
To the Applicant:
➢ If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
➢ If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approved.
Planning Review (contact \ okra ( at 503 - 718 -» /) 6 7 or j o t @tigard- or.gov)
❑ Zoning A/C/ / Permitted Use Yes ❑ No El
El Land Use Required: Yes ❑ No ,< (explain below)
Notes: /Y0 (,44, ,t .Li f/SC, (le/14d 'Y 410
El Approved ❑ Not Approved Date: age 9 da
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert@tigard - or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN