Permit CITY OF TIGARD BUILDING PERMIT
a COMMUNITY DEVELOPMENT Permit#: BUP2015-00159
T RJAAD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/15/2015
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9644 SW WASHINGTON SQUARE RD G13
Project: Brighton Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: T.I.for existing tenant:New storefront and floor.
Contractor: HARDESTY&ASSOCIATES INC Owner: PPR WASHINGTON SQUARE LLC
500 EAST BALBOA BLVD PO BOX 847
NEWPORT, CA 92661 CARLSBAD, CA 92018
PHONE: 949-723-2230 PHONE:
FAX: 760-723-2240
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: I IB Permit Fee-Additions,Alterations, 07/15/2015 $752.04
Demolition
Occupancy Grp: M Occupancy Load: 34 12%State Surcharge-Building 07/15/2015 $90.24
Dwelling Units: 0 Plan Review 06/04/2015 $488.83
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 06/04/2015 $300.82
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 07/15/2015 $75.00
Value: $52,600 DC Provision Review,COM TI-LRP 07/15/2015 $11.00
Info Process/Archiving-Lg$2.00(over 07/15/2015 $40.00
11x17)
Floor Areas: Info Process/Archiving-Sm$0.50(up to 07/15/2015 $2.50
11x17)
Total Area: 1250
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,760.43
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 •ter 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 or is suspended for more the 180
days. ATTE -• •regon law requires you to follow the rules adopted by the Oregon Utility Notification .nter. ho•e rules are set forth in OAR
952-00 .010 through OA' '52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 987 or 1.80•.33 344.
I sued By: �f Permittee Signature: /
A Al
Call 503.639.4175 by 7:00 a.m.for the next available inspection d�
This permit card shall be kept in a conspicuous place on the job site until comp on of the project.
Approved plans are required on the job site at the time of each ins'action.
°Building Permit Application
Commercial RECEIVED FOR OFFICE USE ONLY
Received
City of Tigard ( Permit No.:
II Ill City g Date/B • / 1 Permit �, l "—IA
13125 SW Hall Blvd.,Tigard,OR 97223
g U N 2 2015 Plan Review, (1113 5- Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 � Date/By: '�� /t
TIGARD Inspection Line: 503.639.4175 OF TIGARD ��Ready/ /j,� luris: ® See Page 2 for
Internet: www.tigard-or.gov CITY Notified/Me 7 /, '�j Supplemental Information
BUILDING DIVISIO //Ai p:12--
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
XAddition/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 ommercial/industrial ,
❑Accessory building Multi-family Number of bedrooms: j
❑Master builder ❑Other: Number of bathrooms: i
9449 JOB SITE INFORMATION AND LOCATION .� J Total number of floors:
Job site address: G ., S_(c f , (AJ LShi ins,fL44 j�/Y.d New dwelling area: square feet
City/State/ZIP: �T1`�+a`��'-.-4 land De "7 7/ �; Garage/carport area: square feet
Suite/bldg./apt.no.: C-1 13 Project name: %3'ri J I all►\ Covered rch area: square feet
Cross street/directions to job site: reck ea: square feet
p �!�'`�,a er structure area: square feet
� ' QUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: uV aS 1 1 -1'D 0 C(4 r l Lot no.:
//:
r'ermit fees*are based on the value of the work performed.
Tax map/parcel no.: ,j; Indicate the value(rounded to the nearest dollar)of all
�i. equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
i f D'-'CSC/S-1 n5 ri1 iii 51-0 rc - e,c.1 Valuation: S S 2 I 0 tr,U
Existing building area: 0 square feet
5 /��-{i-onf,nPU� �ints��es new - 'Ivor _ tv4l/ /z5
l,,ef ` r tf,�r ����f �^ )o / w Vet- fit/ f New building area: square feet
t 0 PROPERTY OWNER Iiij TENANT Number of stories:
Name: r•\t) )1.171 (:143 i k't4 b k.j Type of construction: `!v
Address: , L.an ' LQiii_ /� Occupancy groups: i
City/State/ZIP: Tog--_ r��it/f 7'1 -/l 7iffr Existing: �„
Phone:(N /w(l�0•-- 7 4fb Fax:( �l k '- .z e 7 7 New: ii4 y (ki t fl e)G
❑ APPLICANT X CONTACT PERSON BUILDING PERMIT FEES*
Business name: 1 (Please refer to fee schedule)
`t `�'f ] DLa L� Structural plan review fee(or deposit):
Contact name: �-r Cru 2
FLS plan review fee(if applicable):
Address: 2(./ d G ,t p v2
City/State/ZIP: 4,11/4/T �- qa� Total fees due upon application. • 2
` Amount received: ��� J
Phone:(yD ) 1Od aL 0 7 e p (1 0 Fax:: 0 )to 49 b -2_077
77
rr e ev-mrbrk (601 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: .51-4
f Commercial and residential prescriptive installation of
CONTRACTOR 76.0 roof-top mounted Photo Voltaic Solar Panel System.
Business name: Submit two(2)sets of roof plan with connection details
f and fire department access,along with the 2010 Oregon
Address: CC t:!) -5r , A[_.go4 &/72 Solar Installation Specialty Code checklist.
Permit fee(includes plan review
City/State/ZIP: po, ,� , - (14_ gG) and administrative fees): $180.00
Phone:(9t$?) 7A5 01,253 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: q7�(e % /qr , Total fee due u pon application: $201.60
Authorized signature: - This permit application expires if a permit is not obtained
I_ /l within 180 days after it has been accepted as complete.
Print name: 5-17/2_f& cR Date: / * Fee methodology set by Tri-County Building Industry
` ---777 Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I1/02/COM/WEB)
City of Tigard
IIICOMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Commercial - No Land Use
1it , , I, I )
Building Permit #: 4514 fiodiS is`-q'
Site Address: 961-N SW 1Nashinr on RA, Suite/Bldg#:
Project Name: Br �-1a-o n
(Nam�f commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review C (`
Proposal: remodel €)C1SiI11 S+'Ofe inc�l.lcliCk k S+Or€(ord.., -T1i(11She.,S TIon{
arN(1 via ` -V-1 XI-u fP 1 i 1- ix+kitf e c J
1
Existing Business Activity: Sa(e S -o r 1 e +e,A re±o
iPr posed Business Activity: Sams
Verify site address/suite#exists and active in permit syst .
River Terrace Plan
++District ❑ Yes No
Zoning. My l_i J
�
IM/Permitted Use: Yes CI No ❑ Spec Space
Confirm no land use required.
Business License
Exists: NJ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: t i (Y) Le,hrboc.�'� Date: 61 2 1 1 5
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: 44J,ç—
Site Plans:
Building Plans: # _ _
Building Permit#: nter building permit#above. ,
� �
Workflow Routing: Tanning 4d�Yermit Coordinator ( Building
Workflow Sign-off: Ei--51 -off for Planning(include notes from planning review)
Route Application Documents: Wig: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: - Date: '' /_3'---
l:U3uilding\Forms t13ldgPermitRvw_COM_NoLandUse 031015.docx
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:
VOK to Issue Permit
Approved by Permit Coordinator: (i, , Date: - 8
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 031015.docx
MACERICH
May 29,2015
Linane Drews Architects
3500 West Burbank Blvd.
Burbank, CA 91505
Attn: Rachel Meyers
Re: Brighton Collectibles—Space#G13
Washington Square
Dear Ms. Meyers:
Final drawings submitted for the above project are "Approved as Noted"below and ready
for submittal to the City for permitting:
1.) Landlord will be forwarding information to you from our Mechanical Engineer on
the required unit specifications on this project as soon as we receive the data.
Sign shop drawings must be submitted to this office, by the manufacturer, for landlord
review and approval prior to fabrication.
If you should have any questions, comments, or concerns, regarding this review, please
feel free to contact me.
Sincerely,
Karen L Maynard
Assistant Vice President
Tenant Coordination
11411 N. Tatum Boulevard
Phoenix, AZ 85028
P: 602.953.6200 I F: 602.953.6449
www.macerich.com
2413 PACIFIC COAST HWY.SUITE 202
LOMITA,CA 90717
TEL: 310.606.2078
FAX 310.606.2077
TRANSMITTAL—OR, TIGARD
June 1, 2015
RECEIVED
City of Tigard
Building Department JUN 2 2015
13125 Southwest Hall Blvd CITY OF TIGARD
Tigard OR 97223 BUILDING DIVISION
(503) 639-2439
Brighton c'Ze. vodke���
RE: -Portland OR
@ Washington Square
ENCLOSED ARE THE FOLLOWING ITEMS:
Original plans (aysets signed &sealed by a registered architect
`Check-$ 1-{R,.83: For Plan Check fees 4_- Lt .4 me Kr a te,; ►�' addh#{z,-,�;P
Based on Valuation: $52,600 eC^I i'Th 4
Building Permit Application S d
Commercial Application Checklist
'1 Building Permit Application(2pages)
ii acerich Landlord Approval letter
'a (2)sets of Energy Calculations
Additional Comment(s): Please let me know if you need anything else to process our
plans for submittal. Also, can you please email or fax me a copy of the receipt for fees
paid to 310-606-2077
Please give me a call if you have any questions or comments. Thank You.
Starr De La Cruz-Permits Direct Nation-Wide
P: 310-606-2078
F: 310.606-2077
starr@permitsdirect.com
"TAKING YOUR PLANS FROM POINT `A'DIRECTLY TO CONSTRUCTION"
71 CITY OF TIGARD RECEIPT
q
* 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 201084 - 06/04/2015
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
BUP2015-00159 Plan Review 230-0000-43106 $488.83
Total: $488.83
PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 1111 BTAGGART 06/04/2015 $488.83
Payor: Estrellanet De La Cruz
Total Payments: $488.83
Balance Due: $0.00
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