Permit CITY OF TIGARD BUILDING PERMIT
1111111 A
COMMUNITY DEVELOPMENT Permit#: BUP2014 00259
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/02/2015
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9620 SW WASHINGTON SQUARE RD G06
Project: Michael Kors Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: TI for new tenant.
Contractor: JAMES AGRESTA CARPENTRY INC. Owner: PPR WASHINGTON SQUARE LLC
150 ENGLISH ST PO BOX 847
HANCKENSACK, NJ 07601 CARLSBAD,CA 92018
PHONE: 201-923-4258 PHONE:
FAX: 201-923-4258
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 02/02/2015 $2,887.75
Demolition
Occupancy Grp: M Occupancy Load: 114 12%State Surcharge-Building 02/02/2015 $346.53
Dwelling Units: 0 Plan Review-Fire Life Safety 11/05/2014 $1,155.10
Stories: 0 Height: 0 ft Plan Review 11/05/2014 $1,877.04
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 02/02/2015 $299.00
Value: $395,000 DC Provision Review,COM TI-LRP 02/02/2015 $44.00
Info Process/Archiving-Lg$2.00(over 02/02/2015 $78.00
11x17)
Floor Areas: Info Process/Archiving-Sm$0.50(up to 02/02/2015 $7.50
11x17)
Total Area: 4523 Metro Const.Excise Tax-Commercial 02/02/2015 $474.00
Accessory Struct: 0 Use
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $7,168.92
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 1.800.332.2344.
Issued By: a Signature: n� 0.40
1 503.639.4175 by 7:00 a.m.for the next available inspection date. TTT'''���Ai.e_
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
re. IR
FOROFFI( II USE D\I.1
Received
rip'
City of Tigard Date/By: /i /I Permit No.: 84./1�ii f_o ail
■ 13125 SW Nall Blvd Tioard OR 3 0 t "�T' Of7
a Phone: 503.718.2439 Fax: 503. .+w pawgy. , l��I ��(� Other Permit
s Inspection Line: 503.639.4175 4 201} Date Ready/By: /9 ` hies: 110 See Page 2 for
gigi Internet: www.tigard-or.gov 0 • 1 NOutIea/MenmOa.,///{ tit's 17- 1 swot...information I
-TYPE OF 1",y� ;V REQUIRED DATA 1-AND 2-FAMILY DWELLING
New construction I ,+,1 ,-1' 7 . Permit fees*are based on the value of the work performed.
.l 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 "o"k in:h"""�c"'�"" 1.,........
❑ 1-and 2-family dwelling I ®Commercial/industrial Valuation:
❑Accessory building ❑Multi-family I Number of bedrooms:
U Master builder I LI Other: Dumb...u.vauuw,lw•
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9620 SW Washington Square Rd. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:Sp.#G06 Project name:Michael Kors Covered porch area: square feet
Cross street/directions to job site: itit_, v Deck area: square feet
/N e 1 ,i S Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Westfield Washington Square I Lot no.: Permit fees*are based on the value of the work performed.
T,�,,,,„i,.,.at Indicate the value(rounded to the nearest dollar)of all
-r'rw-"--•- equipment,matenals,labor,overhead,and the profit for the
DESCRIPTION OF WORK I work indicated on this application.
Tenant Improvemt project at an existing retail space for a Michael Kors store, 1111 Valuation: $ 315, oOO. °—°
erk se__e!t:ac:Archhitecturn-i, a , i,El' ' i and ni,mtilnb. S v.t,s; 4 Existing building area: 1 j2._'' square feet
New building area: 'S 2:3 square feet
® PROPERTY OWNER I ❑ TENANT Number of stories: 1
Arne-Maccrith Typo of w:uu.,..:....: -fa
Address:401 Wilshire Blvd.,Suite#700 Occupancy groups: Nt - re_-}-ek.",,l
City/State/ZIP:Santa Monica CA 90401 Existing: t-A
Di.nnn- 5 66
(319)\913- 5 I r:...•-
_ �_ New:
® APPFACANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Permits Today iFiroerrjrrw%rxscliuiwir
Structural plan review fee(or deposit):
vr. naves FLS plan review fee(if applicable):
Address:140 So.Lake Ave.,Suite#323
sums Iwo MU..YJJVII apyuW{suls.
City/State/ZIP:Pasadena CA 91101
Pho.e:/L9L\4414 9011 1 F....• ./LIL\709 1777 Amount received:
E-mail:permitstoday @aol.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
VVLLLLS,..I..l{LL mlY 1W14..1{{sal ill W..l li!{l Y.r LLlJmllaLlull ul
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
f` Business name: �� �yr-f �Gr �� Submit two(2)sets of roof plan with connection details
/ Address: r`� and fire department access,along with the 2010 Oregon
S'd ,r. /,ff, �S- Solar Installation Specialty Code checklist.
City/State/ZIP: �-��� �- v 7 o Permit fee(includes plan review $180.00
Phone: t and administrative fees):
(J01 ) t'I---pf 1 Fax:( ) State surcharge(12%of permit fee): $21.60
I /1J7)/ / 1 /ow I I Total fee due upon application: I $201.60
Authorized signature: •""_ C� This permit application expires if a permit is not obtained
within ISO days after it has been accepted as complete.
Print name:Scott Daves rte— Date: `I- 3_ (t.1 • Fee methodology set by Tri-County Building Industry
Service Board.
I:WBuilding\Pennits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
I I
City of Tigard
•IIII
COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A It D Building Permit Review — Commercial - No Land Use
Building Permit #: /9,Qp/K-op;5-ci
Site Address: g6a0 sw._14/ - y,?// ,v , , �, Suite/Bldg#:
Project Name: /27.c, , jr1
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: -T 1 -eve- i S ri 0•/ ll SPA
Existing Business Activity:
Proposed Business Activity:
Verify site address/suite #exists and active in permit system.
Zoning: MU C.
Permitted Use: jii Yes ❑ No ❑ Spec Space
Confirm no land use required.
Notes: No I a,Ac1 t&SL rc u' e t..� \ s K cb,..k ; ,c d •
Approved by Planning: 1.i a _ -,„� Date: I I — 1t- /
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: //,fh/
Site Plans: # A/fri-
Building Plans: # 3
Building Permit#: r building permit#above.
Workflow Routing: Riganning emit Coordinator ding
Workflow Sign-off: ❑ Sign-off for Planning(include notes from planning review)
Route Application Documents: [ding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: &A/
,j
I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_071514.docx
s
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:
;ZDOK to Issue Permit
Approved by Permit Coordinator: Date: /' ' " T
1:\Building\Forms\BldgPermitRvw_COM_NotandUse_071514.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
9620 SW WASHINGTON SQUARE RD G06,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2014-00259
Jeff Grove
Violation Summary:
Inspector Contractor