Permit CITY OF TIGARD BUILDING PERMIT
8 . • COMMUNITY DEVELOPMENT Permit #: BUP2009 -00065
Date Issued: 05/22/2009
T t GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S1260000300
Jurisdiction: TIGARD
Site address: 9751 SW WASHINGTON SQUARE DR D01,
Subdivision: Lot: 0
Project: Signature Day Spa
Project Description: TI - This permit replaces BUP2009- 00030.
Owner: FEES
PPR WASHINGTON SQUARE LLC Description Date Amount
BY THOMPSON PROPERTY TAX SERVUCES, Permit Fee - COM 04/13/2009 $687.70
2235 FARADAY AVE STE #0 Tax - 12% State Surcharge 04 /13/2009 $82.52
PHONE: Plan Review 04 /13/2009 $447.01
Plan Review - Fire Life Safety 04 /13/2009 $275.08
Contractor: Metro Const. Excise Tax - Commercial 05/22/2009 $150 00
BID ALL CONSTRUCTION Use
18428 SE PINE ST STE 102
PORTLAND, or 97233
PHONE: 503 - 665 -6100
FAX:
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 1 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $125,000
Floor Areas:
Total Area: 0
Accessory Struct. 0
Basement 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,642.31
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet: No
Fire Alarm: Yes Protected Corndors. No
Smoke Detectors: No Manual Pull Stations: Yes
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 throug OAR 952- 001 -0100 You may obtain a copy of the rules or direct questions to OUNC by calling 503 246 6699 or 1 800 332 2344
Issued By: I P Signature:
\ Cat d Ir )01 .� Q!, _ �
Call 503.639.4175 by 7:00 a.m. for an Inspection that business day.
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.
Buil& Permit Applicatio giF
"REC EIVED z07 6 -
Commercial FOR OFFICE USE ONLY
1 2009
City of Tigard A PR Received J a4 . / d 1 permit No ! , �,
14 t7 q 13125 SW Hall Blvd , Tigard, OR 9722 'DGARD Plan Re �� ��j j �� / u 2�C� CL2
Phone 503 639.4171 Fax. 503 598. OF IVISION Da teB _1'� Other Permit
TI G A R D Inspection Line' 503 4175 BUILDING D Date Rea.y /By. �a ®See Page 2 for
Internet www ttgard- or.gov Noufied/Method " V� ♦ Supplemental Information
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
l it Addition /alteration/replacement ❑ Other equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1- and 2- family dwelling Commercial /industrial
Valuation: S
❑ 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: ' New dwelling area: square feet
City /State /ZIP: 1 Gr ..� Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: lexid p c yI oil/ / f„-) , Deck area: square feet
/ 4( �_ iC,I II , 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.
Valuation: S / �� D
� - '.,rn# , iv? ()VV 1 .; , =iT1 =mot i N ) M A I cqx
Existing building area 1' .e square feet
p-ei) - -21t!b (A (�C ivc.
t New building area: square feet
❑ PROPERTY OWNER jgJ TENANT Number of stories:
Name: 1J1 &( LL , .--V1/4) Type of construction:
Address: ]cj 5 ( 6 CI -, S Occupancy groups:
City /State /ZIP. �C A- I \ / d 4. .74-30- Existing:
Phone: ( 9D 7 7 ) i ' U ' --4r11 1 Fax• ( ) �a• - New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: 1FL LIE (aATr.,,-„1'" R-- All contractors and subcontractors are required to be
Contact name: -� t t7 _ licensed with the Oregon Construction Contractors Board
I1 �en - •-, - --,"`� under ORS 701 and may be required to be licensed in the
Address: /406 S� i ( - jurisdiction in which work is being performed. If the
City /State /ZIP. De applicant is exempt from licensing, the following reasons �
� � 11r�'�7 cX� 7 apply: .1
Phone: (S 3I{ f - W i F a x : ',
E -mail: 1 - 4 c21I��A G r ,, q/icy� • 1
CONTRACTOR / \I■3
Business name: , / 6n � !-, c ' BUILDING PERMIT FEES*
6 0 6 / /f l I e - (Please refer to fee schedule)
Address: A ��6 —
City /State /Z[P
Structural plan review fee (or deposit):
�j,�.� I
I FLS plan review fee (if applicable):
Phone: (53) ) , ' - ? : D / D / Fax: ( )
CCB lie.: t --.4 CT b Total fees due upon application: 0
Amount received 141, 1 { I A , 31
Authorized signature This permit application expires if a permit is not obtained
� J / „� Date: �� within 180 days after it has been accepted as complete.
Print name:
1 / 1 v M -4 'yCz LI 3 * Fee methodology set by Tri- County Building Industry
Service Board
1• \Building \Permits \BUP - COM PermttApp doe 2/23/07 440- 461 3T(II /02 /COM/WEB)