Permit CITY OF TIGARD BUILDING PERMIT
11 COMMUNITY DEVELOPMENT Permit#: BUP2014-00078
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2014
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9508 SW WASHINGTON SQUARE RD J01
Project: Pandora Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: TI for new tenant.
Contractor: SHRADER&MARTINEZ CONSTR INC Owner: PPR WASHINGTON SQUARE LLC
160 DRY CREEK RD PO BOX 847
SEDONA,AZ 86336 CARLSBAD, CA 92018
PHONE: 503-282-7554 PHONE:
FAX: 928-282-5009
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 04/28/2014 $1.709.95
Demolition
Occupancy Grp: M Occupancy Load: 23 12%State Surcharge-Building 04/28/2014 $205.19
Dwelling Units: 0 Plan Review 04/03/2014 $1,111.47
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 04/03/2014 $683.98
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 04/28/2014 $278.00
Value: $200,000 DC Provision Review,COM TI-LRP 04/28/2014 $41.00
Info Process/Archiving-Lg$2.00(over 04/28/2014 $30.00
11x17)
Floor Areas: Info Process/Archiving-Sm$0.50(up to 04/28/2014 $5.00
11x17)
Total Area: 0 Metro Const.Excise Tax-Commercial 04/28/2014 $240.00
Accessory Struct: 0 Use
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,304.59
Required:. Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet: 1 Special Inspection(see plans)
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. NTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 01-0010 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: /,'\ !��/.� { 1[ Permittee Signature: A •
UMW SIVA
•
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 FOR OFFICE USE ONLY
City of Tigard RDeate/B : Permit No.:>< y_-N 13125 SWHalI R 'J ��Blvd.,Tigard,O 97 0\t\ f Plan Retie,ia
Phone: 503.718.2439 Fax: 503.598. Date/I3 : 1�*' Other Permit:
Inspection Line: 503.639.4175 �� Date Rea.. r : la See Page 2 for
TIGARD B
Internet www.tigard-or.gov PQ� (� Notified/Method: . Al — F Supplemental Information
ngArit N msPdk■ rk 4a.,
TYPE OF WORKcO ^,��� REQUIRED-DDATA: I-AND 2-FAMILY DWELLING
❑New construction ❑De V Permit fees*are based on the value of the work performed.
V" Indicate the value(rowded 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.
El I-and 2-family dwelling ®Commercial/industrial Valuation: $
III Accessory building ❑Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
r Jo SITE INFORMATION AND LOCATION Total number of floors:
Job site address .Washington Square Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:JOl Project name:Pandora Covered porch area: square feet
Cross street/directions to job site:SW Scholls Ferry Rd and Highway 217 Deck area: square feet
Washington Sqaure Mall,North End near interior Macy's entrance 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.:1S1260000300 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.
TENANT IMPROVEMENT TO CONSTRUCT 800 SQUARE FEET OF RETAIL Valuation: $51.1.5110.1); eZE) Cksc�
t
SPACE.WORK INCLUDES NON-STRUCTURAL PARTITIONS,CASEWORK AND Existing building area 800 square feet
FINISHES CONSISTENT WITH TYPICAL TI SCOPE. New building area: 800 square feet
❑ PROPERTY OWNER ® TENANT Number of stories: I
Name:Ben Bridge Jeweler/Pandora Type of construction: JIB
Address:2901 Third Ave,Suite 200 Occupancy groups:
City/State/ZIP:Seattle,WA 98121 Existing: M
Phone:(206)239-6841 Fax:(206)448-7459
New: M
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:The Klinkam Compnay (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Craig Klinkam
Address:2820 40th Ave W FLS plan review fee(if applicable):
Total fees due upon application
City/State/ZIP:Seattle,WA 98199 to 7�
Phone:(206)624-9735 Fax: :(206)283-2446
Amount received:
E-mail:craig@klinkam.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of ,
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Shrader Martinez Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:160 Dry Creek Road Solar Installation Specialty Code checklist.
City/State/ZIP:Sedona,AZ 86336
Permit fee(includes plan review
$180.00
and administrative fees):
Phone:(928)282-7554 Fax:(928)852-3728 State surcharge(12%of permit fee): $21.60
CCB lic.:#59767 �.
Total fee due upon application: $201.60
Authorized signature: _ CQ-- This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print named- %Co �� ihj l<iM Date:q /3 Jft.J * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 4404613T(I l/02/COM/WEB)
•
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Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE(ORS) 447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per-cent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $ 125,000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 31,250
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $ 0
(b) An accessible entrance: $ 31,250
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $ 31,250
L\Building\Permits\BUY-CODs Permit\pp.doc (13/03/2011
. .
Building Permit Number: a,/✓20l4/ _ Oc, )}P
1111 e Building Permit Review
Commercial Project -No Associated Land Use Case
TIGARD
Ndr
JY
Site Address: S 1.Ai uJashirva tovN & u&.re Rd .
D Verify site address is valid.
Project Name : tea„ grid Sewed tor 1 RUftdc '--
Planning Review
Proposal: II l K t yf Stein SQate, in Wki 51M r/I�I'427V1 S4 )U4 _-
❑ Zoning: PAOL
❑ Permitted Use eyes ❑ No ❑ Spec Space
❑ Land Use Required ❑ Yes if LL o
Notes: 140.0 {�.hn +ard" oXitttr S
Approved by: 1 0_ (=MSS Date: +1 3
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: By: .''
Site Plans: #
Building Plans: # 3
Create Case Record #: Onter case# above for Building Permit Number.
Workflow Routing: allanning ❑ Engineering ❑ Permit Coordinator L7 Building
Workflow Sign-off: -off for Planning staff,including notes from planning review (page 1)
Route Application Documents: Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Reviewed By: Date:
Notes:
I:ABuil ding\Fonns\BldgPennitRvw_COM_NoLandUse_123013.docx
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 - C of O
June 13, 2014 at 8:16:42 AM
BUP2014-00078
Chip Barnett
Violation Summary:
Inspector Contractor