Permit CITY OF TIGARD BUILDING PERMIT
= 44' COMMUNITY DEVELOPMENT Permit#: BUP2014-00156
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/02/2014
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9571 SW WASHINGTON SQUARE RD B05
Project: Made in Oregon Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Tenant improvement to newly created spec space.
Contractor: ICE BUILDERS Owner: PPR WASHINGTON SQUARE LLC
421 E CERRITOS AVE PO BOX 847
ANAHEIM, CA 97805 CARLSBAD, CA 92018
PHONE: 541-459-5253 PHONE:
FAX: 714-333-9756
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 09/02/2014 $955.35
Demolition
Occupancy Grp: M Occupancy Load: 68 12%State Surcharge-Building 09/02/2014 $114.64
Dwelling Units: 0 Plan Review 07/16/2014 $620.98
Stories: 0 Height: 0 It Plan Review-Fire Life Safety 07/16/2014 $382.14
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 09/02/2014 $187.00
Value: $80,000 DC Provision Review,COM TI-LRP 09/02/2014 $28.00
Info Process/Archiving-Lg$2.00(over 09/02/2014 $52.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,340.11
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
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. 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.
New
Issued By: Permittee Signature:
A41°
a 13.639.4175 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 AppHeat'�
Commercial 4 CEIVED FOR OFFICE CSI:011.1
City of Tigard u ne is� '7��� -�i7 Permit No.: / 6D /5 a
13125 SW Hall Blvd.,Tigard,OR 1 6 2014 Plan Review
' I Phone: 503.718.2439 Fax: 503.598.1960 Date/13 : f� Mr Other Permit:
TI Ci A R D Inspection Line: 503.639.4175 CITY OI''TIGARD Date Ready/By: Juris: 65 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 7 ` ( Yii Supplemental Information
BUILDING DIVISION at/lid/n--^^,1 j iro(11-e_.-+ .
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ./�
❑N w 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: $ L LP
❑Accessory building ❑Multi-family Number of bedrooms:
I
Number of bathrooms:
❑Master builder 'Other: ���I i'(
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ctirj`j I Svc Inca :t•i tK SI I � 7�/�` New dwelling area: square feet
City/State/ZIP: 1 A Ycf oyz crpz, (7 Garage/carport area: square feet �.
Suite/bldg./apt.no.: IBo5 Project name AA-DE II D -(0Q _ 1 Covered porch area: square feet
Y� l N M
Cross street/directions to job site: Deck area: square feet
(� Other structure area: square feet
S 1��t' REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 1 Lot no.: Permit fees*are based on the value of the work performed.
y Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK
work indicated on this application.
4.e/fA a , w+ '� Ue l '0 v-e-A-- o 5fQ,Q.f2_ Valuation: $ Bp
i 00 0
Existing building area: 242:?>'5 square e feet NV^ Wert A I ,r,(li
New building area: -7.7:5'2j square feet
❑ PROPERTY OWNER l TENANT Number of stories: "l(
.) Name: Nfr IN D ON Type of construction: Z>g
Address: (-lb(a 2 S Kt E .A a,r fe+4 Go-y-e ± Occupancy groups: M
City/State/ZIP: 1----)01r--k--kAAAA d Existing: M
Phone:(3)3 5-n L!310 Fax:( ) New: M
❑ APPLICANT ,CONTACT PERSON BUILDING PERMIT FEES*
4VL1/, (Please refer to fee schedule)
Business name: � -� Structural plan review fee(or deposit):
' Contact name: ?1
1 (� FLS plan review fee(if applicable):
Address: l�� N s 4. �' 69
` '� Total fees due upon application:
City/State/ZIP: -F�e��X Aso ZZ
Amount received:
Phone:((4Z) V12, 3360 Fax::( )
E-mail: ■ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
l S?1 U\V�Qy@ Di erine,let a , CA:10/�
J ` Commercial and residential prescriptive installation of
NT CTOR
-N., roof-top mounted Photovoltaic Solar Panel System.
Business name: V --(4..,41 `�C-4 6G, l d,,... t 5 Submit two(2)sets of roof plan with connection details
r/ and fire department access,along with the 2010 Oregon
Address: L-1 Z 1 E L� c a s 4 L.10--- Solar Installation Specialty Code checklist.
City/State/ZIP: q <� Permit fee(includes plan review
y A�w�' / Zgo and administrative fees): $180.00
Phone:( ./%/) yg t 3 I Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: `L/ 7 7
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
f within 180 days after it has been accepted as complete.
Print name: I.�M� �n‘A Date: /�)/1 f * Fee methodology set by Tri-County Building Industry
JC ` I Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
- .w
14 City of Tigard
■
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A K I1 Building Permit Review — Commercial - No Land Use
Building Permit #: apai Li- 00(s (p
Site Address: 61511 SW Washi ry on 5 - Rd. Suite/Bldg#: BO5
Project Name: Made- In Orman
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: -f exlc n+ imProvemen+ -for Mack. In Ore3on in new space-
Di Verify site address/suite #exists and active in permit system. (Corre.612C1 on bulWin pe.rmi+ applica*ion)
7 oning: MUC.
Di Permitted Use: m Yes ❑ No CI Spec Space
Lid Land Use Required: CI Yes 0/No
Type Required
Notes:
t
Approved by Planning: A? .,/,7 4 ii, Date: 1 11 6 f ii-1
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved El Not Approved
rye- ewMnwIMINO► /ME
Building Permit Submittal
Original Submittal Date: 7/6//41
Site Plans: # /q,9
Building Plans: # 3
Building Permit#: ®-nter building permit# above.
Workflow Routing: I -Manning 11-"Engineering Q---Permit Coordinator .0—Building
Workflow Sign-off: E,� 5�ign-off for Planning(include notes from planning review)
Route Application Documents: Ld�Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: %, ! Date: 7/(4,// /
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_042914.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
9571 SW WASHINGTON SQUARE RD B05,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2014-00156
Jeff Grove
Violation Summary:
Inspector Contractor
FOR OFFICE USE ONLY—SITE ADDRESS: 967/ 16~- .
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
al 'Transmittal Letter
T I G A R I, 13 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.go
TO: DATE ' CEI /" D:
DEPT: ILDING DIVISION A • 'NEE
SEP 15 2014
( FROM: 6 O _ �( P�JI°,S
`� CITY OF fIG�AAU
COMPANY: �c�.y T.<- 6 , ! %n or N TIRO'
PHONE: j i.C) • I. . ' Z- (y7„6„)...47,
RE: - 7 UL-)// S ,'.� — `3�J % 8 c,t./a ol4-CY>t S-v
(Site) �} (Permit Number)
/14.0,-1 / 0 rc d.r
(Project name or subdivision narat and lot numb;
ATTACHED ARE THE FOLLOWING ITE'' S:
Copies: I Description: Copies: Description:
Additional set(s)of plans. • A Revisions:
Cross section(s)and det. 1 . Wall bracing and/or lateral analysis.
Floor/roof framing. \ Basement and retaining walls.
Beam calcula ': - -. ' � Engineer's calculations.
Other(ex• air): ■
REMARKS:
FO' OFF CE USE ONLY
Routed to Permit _. • ician: Date: __ — A Initials: , 4._
Fees Due: ft: ■ No re s • • ton: ' o n : • .
3 SRS -LPtO t=lZ Ej $ 270, Oc
Special
Instructions:
Reprint Permit(per PE): ' [' Yes No ❑ Done
Applicant Notified: Date: ?illrhii Initials: ]
00-41--e-_W( k-(d-`w"--\
1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012