Permit CITY OF TIGARD BUILDING PERMIT
1111
it ' COMMUNITY DEVELOPMENT Permit#: BUP2015 00237
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/14/2015
Parcel: 151260000300
Jurisdiction: TIGARD
Site address: 9540 SW WASHINGTON SQUARE RD H15
Project: See's Candies Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: TI for new tenant. See's Candies is moving from space H13 to H15.
Contractor: WESTERN CONSTRUCTION SERVICES INC Owner: PPR WASHINGTON SQUARE LLC
2300 E 3RD LOOP SUITE 110 PO BOX 847
VANCOUVER,WA 98661 CARLSBAD, CA 92018
PHONE: 360-699-5317 PHONE:
FAX: 360-694-7818
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 09/14/2015 $970.41
Demolition
Occupancy Grp: M Occupancy Load: 29 12%State Surcharge-Building 09/14/2015 $116.42
Dwelling Units: 0 Plan Review 08/05/2015 $630.77
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 08/05/2015 $388.16
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 09/14/2015 $60.00
Value: $82,000 11x17)
DC Provision Review,COM TI-Ping 09/14/2015 $220.00
Floor Areas:
Total Area: 1291
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,385.76
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
952-001-00 R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198 -
Iss ed By: Permittee Signature: 0111111IMPFA
Call 503.639.4175 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 • the project.
Approved plans are required on the job site at the time of each inspec on
Building Permit Application
Commercial FOR OFFICE USE ONLY
City ofTi and RECEIVEDDRz - s �� Permit Q�Da�` � },
1,, .- 2Y g Dan Rev v / -t.+0a�31'
•
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie ����-
Phone: 503.718.2439 Fax: 503.598.1960 q Date/By: Other Permit:
T 1 G A K D Inspection Line: 503.639.4175 AUG 4 2 015 Date Ready,:� y furiss: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 17//245 Tx',,, Supplemental Information
CITY OF TIGARD IU/G-qT
TYPE OF Wt ll.DI" t)!V1S/ON 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 Z Commercial/industrial Valuation: $
CI Accessory building ❑Multi-family Number of bedrooms:
❑Master builjkr ❑Other: Number of bathrooms:
0 59 e OB SITE INFORMATION AND LOCATION Total number of floors: _
Job six addres5,4953 SW Washington Square #H-15 New dwelling area: square feet
City/State/ZIP:97223 Garage/carport area: square feet Vt1
Suite/bldg./apt.no.:H-15 Project name:See's Candies Covered porch area: square feet I�\
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Washington Square 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.
Interior build-out of an existing space
Valuation: 41-AV Q06
Existing building area: 1291 square feet
New building area: square feet
❑ PROPERTY OWNER ® TENANT Number of stories:
Name:See's Candies Type of construction: 2B
Address:9585 SW Washington Square #H-15 Occupancy groups:
City/State/ZIP:3423 S La Ceinega Blvd Existing: M
Phone:(310)287-4616 Fax:( ) New: M
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Team K5 Construction&Dev (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Amanda Horst
— FLS plan review fee(if applicable):
Address:205 W Washington St
Total fees due upon application:
City/State/ZIP:Minneola,Fla 34715
Amount received:
Phone:(407-)469-5599 Fax::(407-)469-3499
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:a116 LZpFea-7-f100 (. p,0. 1–rc7i p IQ Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: _ Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review
$180.00
and administrative fees):
Phone:( ) Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.:ZeS 7/
7
$201.60
Total fee due upon application:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Amanda Horst Date:7/31/2015 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
r 1 c n R o Building Permit Review — Commercial - No Land Use
Building Permit #: ettPa 015 —UCI p,37
Site Address: €3517h , /that, J,,�J , Suite/Bldg#:
Project Name: Sees ,ems JJ
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 7 , ver'be- 7 j
Existing Business Activity: &Fie,'/
Proposed Business Activity: 43e t/
L`M�erify site address/suite# exists and active in permit syyssteemm
❑ River Terrace Neighborhood: ❑ Yes L� No
❑ Zoning: //A(/C
❑ Pe ed Use: L."Yes ❑ No ❑ Spec Space
IL/Confirm no land use required.
❑ Business License:
Exists: es ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Date: /11-
Revisions(after Building Sub al only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: —
Site Plans:
Building Plans:
Building Permit#: nter building permit#above.
Workflow Routing: arming Ey'Pe-rmit Coordinator 1 ding
Workflow Sign-off: L �e-off for Planning(include notes from planning review)
E
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: r/57,3—
(:\Building\Forms\BldgPermitRvw_COM_NolandUse_070915.docx
f _+
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:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
OK to Issue Permit
Approved by Permit Coordinator: 3&//74"e-c,iite: (114 /I
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
y
TrifNe" 407-469-5599 office
�o�," ` f�,'��gf� 407-469-3499 Fax
ilerelsomeof togivillamita L RECEIVED
transmittal sheet AUG 4 2015
TO: FROM:
CITY OF TIGARD
City of Tigard Bld Dept Gary Barson BUILDING DIVISION
COMPANY: DATE:
Plan Check 8/3//15
PHONE NUMBER: FAX NUMBER
RE:
See's Candies Store
❑URGENT ❑FOR REVIEW ❑PLEASE COMMENT ❑PLEASE REPLY ❑PLEASE RECYCLE
NOTES/COMMENTS
See's Candies Store
9585 SW Washington Square #H-15
Tigard,OR
Included in this package:
1- Application
2- 3 sets of S/S Plans for review
3- Check#7682 in the amount of $1,018.93 for plan review.
This is a submittal for a Tenant Build-Out for a See's Candies Store.We will have our GC and subs
contact you when they have been awarded the job.
Thanks
Gary Barson
Commercial/Global Project Manager
gary.barson@expeditepennit.com
407.469.5599 office
407.469.3499 fax
Team K5 Construction&Development Coordination,LLC
205 West Washington St
Suite B
Minneola,FL 34715
CC.
FOR OFFICE USE ONLY—SITE ADDRESS:
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.
IN City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
= Transmittal Letter
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
401 SEP 2 9 2015
FROM: 7 _ Air _; CITY OF TIGARD
BUILDING DIVISION
COMPANY: ' .' _ - _ - �-
PHONE: ' ,(,--7C?0__7 By:�'�
S` 0
RE: a --
rte ..ress ,/ r� (Permit Number)
roect tae` �1
( � nam or nameJ(nd lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
LCopies: Description: Copies: Description:
2-- Additional set(s) of plans. 2 . Revisions. , r c1„,< al r g
Cross section(s) and details. Wall bracing and/or lateral an �sis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS:
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: 10(510 Initials
Fees Due: 11, 'es ❑ No Fee Description: Amount Due:
AML L 771_4.4J \ Vj5:vto $ ,
$
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes o ❑ Done
Applicant Notified:(Qyy„,- c Date: jd/j/, Initials: f ,
1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012