Permit CITY OF TIGARD BUILDING PERMIT
1111 COMMUNITY DEVELOPMENT Permit#: BUP2014-00117
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/19/2014
T[G A R.D Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9571 SW WASHINGTON SQUARE RD B05
Project: Spec Space Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Demo tenant finishes
Contractor: WESTERN CONSTRUCTION SERVICES INC Owner: PPR WASHINGTON SQUARE LLC
2300 E 3RD LOOP SUITE 110 PO BOX 847
VANCOUVER,WA 98661 CARLSBAD, CA 92018
PHONE: 360-699-5317 PHONE:
FAX: 360-694-7818
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 05/19/2014 $453.95
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 05/19/2014 $54.47
Dwelling Units: 0 Plan Review 05/19/2014 $295.07
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $25,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $803.49
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. AT : Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-0 -0010 through R 952-001- 090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1 7 or 1.800.332 344
Is ed By: / Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspe lion 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 Applica> ,CEIVEf
Commercial FOR OFFICE USE ONLV
City of Tigard MAY 1 9 2014 DateBy: s 9 /y fro PermitNo.: � ,/tl—ti 1/7
III • 13125 SW Hall Blvd.,Tigard,O 3 Plan Review Related Permit:
s Phone: 503-718-2439 Fax: 5UI55T �TIGARD Date/By:
T 1 G R Al) Inspection Line: 503-639-41 Date ReadyBy: tuns: ® See Page 2 for
Internet: www.tigard-or.gov1ILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction /el Permit fees*are based on the value of the work performed.
Indicate the value(rotnded 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.
Valuation: $
❑ 1-and 2-family dwelling Commercial/industrial
❑Accessory building El Multi-family
Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9c7 s'et" 1,4t,L 3/4 X Q ,Z. New dwelling area: square feet
City/State/ZIP: ? .-,ch,c( e° / Garage/carport area: square feet
Suite/bldg./apt.#: (,75 i-Project name 6PEC'. cal' £s-D -- Covered porch area square feet
r •
Cross street/directions to job site: - Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Indicate the value(rotndcd to the nearest dollar)of all
Tax map/parcel#: equipment,materials,labor.overhead.and the profit for the
DESCRIPTION OF WORK work indicated on this application.
744 Valuation: S 2 S1i
Existing building area ?vv.. square feet
New building area: 7 D-'- square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: /04.c Cs/j'L A Type of construction: 4
Address: /o7 �,A//:' , $'.t Occupancy groups: /.^
City/State/ZIP: S', A "way,,/,,a , (-4 7Of V 7 Existing:
Phone:(,'/D )j-55'- '653 ' Fax:( ) New:
itt APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
/'�� t' s� (Please refer to fee schedule
Business name: �e„, „�
Structural plan review fee(or deposit):
Contact name: /CG.�e L. / 7v,3-
FLS plan review fee(if applicable):
Address: Z p cref-y 1-- ..S7i 44;:• , Total fees due upon application:
City/State/ZIP: !Arid Co•,„4,,,.., ,14,44 y i Amount received:
Phone:(26 C4 j •/-?c 5-7 Fax::( )
E-mail: // PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
r, 4,,,5 4.,67 G�,s�!�`tr[GO•+$s,,,./f'....G-i/-.
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: s4,,,•,t ,.�,�_ Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: C.f' ?j ?1 Total fee due upon appication: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Print name: .,, ��41-- Date: 5/if,-//y` Service Board.
L:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-46131(11/02/COM/WEB)
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F• L MADE IN OREGON _o
g g 1 1; • DEMOLITION FLOOR Timothy G. Pleger gi -gi
61g =7 - a0• •k LEASE SPACE PREPARATION ^' PLAN AND NOTES III ..1 0 �'
nay 1 Z C
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SHEET: •
(2?? , Washington Square
D 1 " • . N7.".1116. 9589 SW Washington Square Road
.,7
yE� Space B05 • 15640 North 7th Street-Suite B9 Phoenix,AZ 85022
P Tigard, OR 97230 T 602 293-3300 F 602 293-3506 www.plegerhenry.com
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
9571 SW WASHINGTON SQUARE RD B05,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2014-00117
Jeff Grove
Violation Summary:
Inspector Contractor