Permit CITY OF TIGARD BUILDING PERMIT
!PI COMMUNITY DEVELOPMENT Permit#: BUP2014 00236
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/16/2014
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9487 SW WASHINGTON SQUARE RD A05
Project: Auntie Anne's Pretzels Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Demo front of house portion of unit and store front. Place new cabinets,tile floor,counters,store front and
equipment. Existing grid ceiling to remain.
Contractor: ARON ELECTRICAL CONSTRUCTION LLC Owner: PPR WASHINGTON SQUARE LLC
15704 NE 70TH ST PO BOX 847
VANCOUVER,WA 98682 CARLSBAD, CA 92018
PHONE: 503-516-3139 PHONE:
FAX: 360-882-7978
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 10/16/2014 $377.90
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 10/16/2014 $45.35
Dwelling Units: 0 Plan Review 10/14/2014 $245.64
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 10/14/2014 $151.16
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 10/16/2014 $75.00
Value: $20,000 DC Provision Review,COM TI-LRP 10/16/2014 $11.00
Info Process/Archiving-Lg$2.00(over 10/16/2014 $10.00
11x17)
Floor Areas: Info Process/Archiving-Sm$0.50(up to 10/16/2014 $15.00
11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $931.05
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. 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. 32.2344.
-:a1110PIPPPP:_,
Issued By: -ermittee Signature:
.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 a "" FOR OFFICE USE ONLY
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City of Tigard
Fi Received / Permit No.:
`J g DateB %. /`f Wr?C�y `u/,1JK!
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• 13125 SW Hall Blvd.,Tigard,OR 9720n Plan Review �Ji
Phone: 503.718.2439 Fax: 503.598.160 ' Date/B /�`�� � . Other Permit:
Inspection Line: 503.639.4175 r`� / Date Ready/By: / // M / Ions H See Page 2 for
TIGARD Internet: www.tigard-or.gov �+/I ". i? "e !; Notified/Method:/0�� %� Supplemental Information
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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
®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: $
❑Accessory building ❑Multi-family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
I*7 JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:1585-SW Washington Square Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:A05 Project name:Auntie Anne's Pretzels Covered porch area: square feet
Cross street/directions to job site:Washington Square Mall 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.
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.
Demo front of house portion of unit and store front. Place new cabinets,tile Valuation: $20,000.00
floor,counters,store front and equipment. Existing grid ceiling to remain. Existing building area: 739 square feet
New building area: 0 square feet
❑ PROPERTY OWNER ® TENANT Number of stories: I
Name:Marden Management,Inc./Dennis Kwon Type of construction: II
Address:2512 NW 12th Circle Occupancy groups:
City/State/ZIP:Camas,WA 98607 Existing: M
Phone:(503)943-0699 Fax:( )
New: M
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Chehalem Diversified,Inc. (Please refer ro fee schedule)
Structural plan review fee(or deposit):
Contact name:Scott Steckley,P.E.
FLS plan review fee(if applicable):
Address:2800 E.9th Street,Ste.700
City/State/ZIP:Newberg,OR 97132 Total fees due upon application: ��-t
Phone:(503)538-0337 Fax: :( ) Amount received: fv/(�; . �`'�
E-mail:steckleys @callcdi.net PHOTOVOLTAIC SOLAR PANEL SYSTEM FEE *
CONTRACTOR Commerci.1 and residential prescriptive installa 's of
roof-top m. ted PhotoVoltaic Solar Pan- : stem.
Business name:Aron Electrical Construction,L.L.C. Submit two(2 -ts of roof plan wit 1 '.nnection details
and fire departmen • cess,al.•: with the 2010 Oregon
Address: 15704 NE 20th Street Solar Installation Spec .- Code checklist.
City/State/ZIP:Vancouver,WA 98682 Permit fee(i des p • review $180.00
••. administrative • .
Phone:((503)516-3139 Fax:( )
States harge(12%of permit fee): $21.60
CCB lic.: 192748 Total fee due upon application: $201.60
Authorized si i
g re: This permit application expires if a permit is not ob fined
within 180 days after it has been accepted as complete.
Print name:Dennis Kwon Date: 10/14/2014 * Fee methodology set by Tri-County Building industry
Service Board.
1:\Bui Iding\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
•
City of Tigard
Ilq •
■
COMMUNITY DEVELOPMENT DEPARTMENT
TI G n It p Building Permit Review — Commercial - No Land Use
Building Permit #: T3u.P 2-O li/-CO?-3 (c%
Site Address: 441 Svc Numvil &waft, 124 . suite/1E4#: A--05
Project Name: killtki Ames Pre-Ms
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T,
Existing Business Activity: r(-it A *
Proposed Business Activity: real,vlit -
'Verify site address/suite #exists and active in permit system.
Id'Zoning: U Cj
2'Permitted Use: •43 Yes ❑ No ❑ Spec Space
1 Confirm no land use required.
Notes:
Approved by Planning: 'p 4 41111 - Date: loi t5l 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 Submittal Date: MAO
Site Plans: # 4
Building Plans: # 3
Building Permit#: E 'Enter building permit#above.
Workflow Routing: "Planning 1 ermit Coordinator Building
Workflow Sign-off: 'i Sign-off for Planning(include notes from planning review)
Route Application Documents: Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: 10 lyl ,c-
1:\Building\Forms\Bl dgPe rm itRvw_COM_NoLand U se_071514.docx
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
(kODK to Issue Permit
Approved by Permit Coordinator: I Date: lD /I/
1:\Building\Forms\B I d gPe rm it Rv w_COM_No L and Use_071514.doc x
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
9487 SW WASHINGTON SQUARE RD A05,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2014-00236
Jeff Grove
Violation Summary:
Inspector Contractor