Permit :1y o CITY OF TIGARD BUILDING PERMIT
1111 I COMMUNITY DEVELOPMENT Permit#: BUP2014-00040
TIGA.RO 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/27/2014
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9508 SW WASHINGTON SQUARE RD J01
Project: Fuego Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Change of tenant. Install fixtures and temporary partitions.
Contractor: DORMAN CONSTRUCTION INC Owner: PPR WASHINGTON SQUARE LLC
303 S 5TH ST#135 PO BOX 847
SPRINGFIELD, OR 97477 CARLSBAD,CA 92018
PHONE: 541-984-0012 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 03/27/2014 $0.50
11x17)
Occupancy Grp: Occupancy Load: Permit Fee-Additions,Alterations, 03/27/2014 $134.54
Dwelling Units: 0 Demolition
Stories: 0 Height: 0 ft 12%State Surcharge-Building 03/27/2014 $16.14
Bedrooms: 0 Bathrooms: 0 Plan Review 03/27/2014 $87.45
Value: $3,066 Plan Review-Fire Life Safety 03/27/2014 $53.82
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $292.45
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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
952-001-001 rough OA- 2-001-0090. 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: I /+ eL L Permittee Signatur .
Call 503.639.4175 by 7:00 a.m.for the next available Inspection ate.
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 Applicat1ECEIVEP -
Commercial FOR OFFICE USE ONLY
City of Tigard FEB 2 0 2014 tei>3Y r,2 6, 1u( Permit No.. Aitivp0/ 'e t;/0
13125 SW Hall Blvd.,Tigard,0 223 Plan Review �/
1 p �a�� 1 Other Permit:
Phone: 503.718.2439 Fax: S 11*F TIGARD Date/By:
��_/�,
TIGARD Inspection Line: 503.639.417A Date Ready/By: --/y`'v+Il twu: fd See Page 2 for
Internet: www.tigard-or.gov DUILDING DIVISION. Notified/method:2 iis(� Supplemental Information
:; `'y
:< . 'TYPE OF WORK :. REQU D ATA 1-'AND 2-FAMII.,Y.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
E rAddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OP CONSTItUc!1UN .. work indicated on this application.
ID 1-and 2-family dwelling Er/Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
I:Master builder ❑Other: Number of bathrooms:
,;JOB SITE INFORMATION AND I OCATION .' Total number of floors:
"
be
Job site address: ...../..s515 'j■ (/U'rt 511,4 .�n 5'[ (h tI New dwelling area: square feet
City/State/ZIP: PO, i f<t. 0 Gt A l 'y 1.2 V.3 Garage/carport area: square feet '
Suite/bldg./apt.no.: jp 1 Project name: /..-‘,(E 60 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: I 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
jS 1� equipment,materials,labor,overhead,and the profit for the
' IIF„SCRIPTION0i FORK ' work indicated on this application.
(f 1, ( Valuation: ".5 06 $
I A •i U✓.i 5 1,G4-u re i 4- rtm9/J I a t pelt r 4,',,,, S
I Existing building area: 1-76 '7 square feet
,� New building area: /1 6 P7 square feet
'CI PROPERTY OWNER 1 ( tENANVT' Number of stories:
Name: !Az t •f r. r / G Type of construction:
Address: ?/11 /3,,, it.,,,,, I•N" Occupancy groups:
City/State/ZIP: At 1 41A r A /7i`J t( V Existing:
Phone:( 5-0.)_14/. tl i r•-/5- Fax:(-y'v,,,) •I 71 - v.,G s" New:
❑,APPLICAN l` r CONTACT''PERSON, 1 rEES";:
13UlLDING YERi<Il '
- (Pknre refit to fee.achedule) '
Business name: 14 L� �, Structural plan review fee(or deposit):
Contact name: ' �� J i'vl —
Address: C'C hs r a rt / ,- FLS plan review fee(if applicable):
City/State/ZIP: 9r, .1//Au( .Cl P el 17 9- Total fees due upon application: per,
Amount received: --C/
Phone:66.f ) Sqy t/G 111/ I Fax::( )
E-mail: pi o iJ rC egQ '3- ?3.2—D h,90 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
a Corn - ial and residential prescriptive installation of
COYTRACrQIt � roof-top mou -• 'hotoVoltaic Solar Panel System.
Business name: j Submit two(2)sets o dun with conneclio i : ails
0 /n�ctn �vY1 ? �l k `�r�nan�r �4 j' �'';II) and fire department access,a . :with , : 0 Oregon
Address: •-3�,3 ,y ,l l-/1 1,1 f /3 f Solar Installation Specialty Code st.
—
j Permit fee(includ• • n review
City/State/ZIP: 5 is rr t) � tlGl +��1 7 �7' and ad $180.00
istrative fees):
Phone:(5q, ) q44- 00i). I Fax:( )
State sure . : (12%of pern»t fee): S 60
CCB lie.: Le g$r)I f/31/1,1 otal fee due upon application: $201.60
•
Authorized signature: This permit application expires If a permit is not obtained
within 180 days after it has been accepted as complete.
IPrint name:` /L� 7�Z� .I Date:J-/,� / tI I * Fee methodology set by Tri-County Building Industry
���fff"' U Service Board.
I:\Btiilding\Pennits\BUP-C ermitApp.doe 02/24/2011 440.4613T(11/02/COM/WEB)
..
mil
INVOICE
-,....... Remit To: Dorman Construction, Inc.
303 South 5th St., Suite 135
Springfield, OR 97477
D,O,RMAN
CONSTRUCTION (541) 984-0012 CCB#68801
INC (541) 984-0013 FAX
To: Fuego Holdings Invoice ID 132396-01
6411 Sureison Road Invoice Date 11-11-2013
Austin, TX 78744 Due Date 11-21-2013
' Tacoma, WA 98409 Payment Appi# 1
Dorman Project# 13-2396 Washington Square Mall
Customer ID FUETAC01
Job Costs for Period Ending: 10-31-2013 .
Interior Finish work in the Washington Square Mall, Portland OR
Total Job Costs To Date 2,787.32
Overhead'and Profit 10% 278.73
Total Amount Due .. - 3,066.05
: R'
1 f r 1!
•
•
•
Amount Due $3,066.05 1
•
Building Permit Number: f&u NSol Li-060
111 111
Building Permit Review
Commercial Project — No Associated Land Use Case
TIGARD
Si e Address: Cl9 SW WaishInc tin £ w 12
MVerify site address is valid. U
Project Name :
U
Planning Review / ,,1
Proposal: 1 A' tole v&muetf2� [fit -eX i S� rai Cl Vac,' .
Evzoning: MUG
[ 'yermitted Use L/ Yes ❑ No ❑ Spec Space
[/Land Use Required ❑ Yes Ele"Ko
Notes:
Approved by: Vrij q QUA " Date: 2-11.-14 I I-i
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Building Permit Submittal
Original Plan Submittal: Date: o2/d'IC(/`/ By:Cl�� j
Site Plans: # /J//)
Building Plans: # 3
Create Case Record#: Ei Enter case#above for Building Permit Number. —/
Workflow Routing: 0/ Planning ❑ En ering ❑ Permi oordinator E Building
Workflow Sign-off: Sign-off for Planning staff,including notes from planning review(page 1)
Route Application Documents: [✓J"Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: Date:
Notes:
I:1Bui l ding\Forms\BIdgPermitRvw_COM_NoLandUse_123013.docx
FEB 2 e 2014
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OFFICE COPY
• CITY OF TIGARD
REVIEWED FOR • Approved
Conditionally Approved K
CODE COMPLIANCE
For work as described in:
COL
L PERMIT N0. �v�Z��=-fib yd
See Letter to:Follow ( );
• a+t..ch ( ):
Job Addr oa Sw P/4$�_0.1GI Sq.
[y:- ____ ___Date: .. Z i
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9508 SW WASHINGTON SQUARE RD J01,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
June 13, 2014 at 8:16:09 AM
BUP2014-00040
Chip Barnett
Violation Summary:
Inspector Contractor