Permit CITY OF TIGARD BUILDING PERMIT
'r1 3 COMMUNITY DEVELOPMENT Permit#: BUP2015-00138
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/04/2015
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9681 SW WASHINGTON SQUARE RD CO6
Project: Tesla Motors Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Relocating existing office door.
Contractor: DAN KUYKENDALL ENTERPRISES INC Owner: PPR WASHINGTON SQUARE LLC
2210 MEADOWS LANE PO BOX 847
SHERMAN,TX 75092 CARLSBAD,CA 92018
PHONE: 903-870-0091 PHONE:
FAX: 903-892-1784
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 06/04/2015 $225.80
Demolition
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 06/04/2015 $27.10
Dwelling Units: 0 Plan Review 05/13/2015 $146.77
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 05/13/2015 $90.32
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 06/04/2015 $4.00
Value: $10,000 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $493.99
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 503.232.1•=7 or 1.800.332.2344.
Issued By: 3 Permittee Signature: -
. •39.4175 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 I SE ON I.1
City of Tigard RECEIVED Received ` •`, g Date/B : / fill Permit No.: I u, i 5"---00'
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review i AI
I Phone: 503.718.2439 Fax: 503.598.196(AY 1 .l 2015 II ' ' Other Permit:
Date/B 1
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: S See Page Supplemental for
Internet: www.tigard-or.gov CITY OF TIGARD Notified Method: ,iIl Supplemental Information
BUILDING-MOON /N2f
TYPE OF WORK R QUIRED 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:
❑Master builder ❑Other: Number of bathrooms:
°C 01 1B SITE INFORMATION AND LOCATION Total number of floors:
Job site address6Washington Square P_A New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:C06 Project name:Tesla Motors Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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.
Relocation of existing door,add power&data outlets,replace light fixtures Valuation: $$10,000.00
Existing building area: square feet
New building area: 2,992 square feet
El PROPERTY OWNER ® TENANT Number of stories: 2,992
Name:Tesla Motors,inc Type of construction: II-B
Address:3500 Deer Creek road Occupancy groups:
City/State/ZIP:Palo Alto,CA 94304 Existing: M
Phone:(650)681-5000 Fax:( ) New: M
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Cortland Morgan Architect (Please refer ro fee schedule)
Structural plan review fee(or deposit):
Contact name:Cortland Morgan
FLS plan review fee(if applicable):
Address:711 N.Fielder Rd
City/State/ZIP:Arlington,TX 76012 Total fees due upon application:
Phone:(817)635-5696 Fax::(817)635-5699 Amount received:
E-mail:Cortland @cmaia.net-joann@cmaia.net PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:TBD u f4 V if. � Submit two(2)sets of roof plan with connection details
�c-- and fire department access,along with the 2010 Oregon
Address: 1�J I v L ee �_ Solar Installation Specialty Code checklist.
z� Permit fee(includes plan review
City/State/ZIP: 5h�,,�� -�5—v1,k and administrative fees): $180.00
Phone:( 764.) ?ij_g_-) (9 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: q 3-wY Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Cortland Morgan,AIA Date;ja/5--'.. * Fee methodology set by Tri-County Building Industry
Service Board.
l:\Building\Permits\BUP-COM PennitApp.doc 02/24/2011 440-4613T(1 l/02iCOM/WEB)
1
A •
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
I I \ I: I)
Building Permit Review — Commercial - No Land Use
Building Permit #: ge4/a0/s--tx_)i s6
Site Address: c1681 s.,) Gi41-4,h% v r.,,rc 4, Suite/Bldg#:
Project Name: jes/g "✓,(i--jr
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: •Zr1i-t ri O r ft Y1014A , Mt oC ti 0 n 1- e.X Moil CA/00r
count-tic ot.e,eno , repaint' , nepiolki l'te�htiv.ej
Existing Business Activity: S cis no on cA tGjt i r'1 U K.
Proposed Business Activity: S („s
Verify site address/suite#exists and active in permit system.
'$River Terrace Plan District ❑ Yes /6 No
0 Zoning: I v ` U C
Permitted Use: Z1 Yes El No ❑ Spec Space
$Tonfirm no land use required.
7 Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Q GtAti Date: S/ 13 / I 5
Revisions (after Building Submittal only) Reviewer Date
Revision 1: Cl Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 5///
Site Plans: # //
Building Plans: #
Building Permit#: EA °nter building permit#above.
Workflow Routing: ning Eii e u Coordinator IErBuding
Workflow Sign-off: g--51.
-off
for Planning(include notes from planning review)
Route Application Documents: g original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: 4::;-• ,, _ -- Date: 5,/)
A
l:\Building\Forms\BldgPermitRvw_COM_NoLandUse 031015.docx
4
Permit Coordinator Review
❑ Conditions"Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
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:
US to Issue Permit
Approved by Permit Coordinator: , Date: 6A8
I:\Building\Forms\BldgPermitRvw COM_NoLandUse 031015.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
9681 SW WASHINGTON SQUARE RD C06,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00138
George Heimos
Violation Summary:
Inspector Contractor