Permit (62) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016-00040
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/03/2016
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9368 WASHINGTON SQUARE RD R03
Project: Papyrus Subdivision: None Lot: None
Project Description: Interior demo to prep for future TI work.
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: DC Provision Review,COM TI-Ping 02/03/2016 $88.00
Occupancy Grp: Occupancy Load: Permit Fee-Additions,Alterations, 02/03/2016 $164.96
Demolition
Dwelling Units: 0 12%State Surcharge-Building 02/03/2016 $19.80
Stories: 0 Height: 0 ft Plan Review 02/03/2016 $107.22
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 02/03/2016 $4.00
Value: $5,900 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $383.98
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. TIregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
(sued
1-0010 through O 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.
By: Permittee Signature:
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 of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial HECEIVE(�
City of Tigard "" Received
l(, Permit No.: (,(� _O�
13125 SW Hall Blvd.,Tigard,OR 97223p C Plan Review
Phone: 503.718.2439 Fax: 503.598.1 j el Z U Date, : Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: pais: 0 See Page 2 for
ME
r
Internet: www.tigard-or.gov CITY (R)1-- 'f;C^1ARD Notified/Method: SopplementslInformation
TYPE O O ' 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/aheration/replacernent ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ l-and 2-family dwelling ®Commerciallindustrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9585 W.Washington Square Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area square feet
Suite/bidg./apt.no.:1103 Project name:Papyrus Covered porch area: square feet
Cross street/directions to job site:SW Greenburg Rd 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.
Demolition of Existing Tenant Space build-out,including Interior Partitions, Valuation: $ Q 6 ,00
Ceilings,Lighting,Fixtures and Finishes,as indicated in demolition plans Existing building area: 1,201 square feet
New building area: N/A square feet
❑ PROPERTY OWNER ® TENANT Number of stories: 1
Name:Linda Graves Type of construction: 28
Address:500 Chadbourne Road Occupancy groups:
City/State/ZIP:Fairfield,CA 94534 Existing: M
Phone:(707)428-0200 x3147 Fax:(707)425-8066 New: NO CHANGE
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Ni Design acAi�rle
Structural plan review fee(or deposit):
Contact name:Wesley Krech
FLS plan review fee(if applicable):
Address:11 Talcott Notch Road
City/State/ZIP:Farmington,CT 06032 Total fees due upon application:
Phone:(860)678-1946 x104 Fax::(860)678-7111 Amount received:
E-mail:wkrech@nidesign.net PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Hardesty&Associates Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:500 E.Balboa Blvd Solar Installation Specialty Code checklist.
City/State/ZIP:Newport Beach,CA 92661 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(949)347-7700 Fax:(949)999-8744 State surcharge(12%of permit fee): $21.60
CCB lic.; ?�J(Q Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit Is not obtained
within 180 days after it has been accepted as complete.
Print name: J Date: Z 3 ` Fee methodology set by Tri-County Building Industry
Service Board.
I:\Budding\Pemmits\BUP-COMPermitApp.doc 02/24/2011 440-4613T(I1/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
Building Permit Review — Commercial - No Land Use
Building Permit #: I u P �o l Co -DUh�f O C_
Site Address: q36$ SW Wa&n� 5i. Rcl• Suite/Bldg#: R03
Project Name: papyrus
(Name of commercial business occupying the space. If vacant,enter Spec Space)
Planning Review
Proposal: -deno A C�K)6 reka:
Existing Business Activity:
Proposed Business Activity: sam
Verify site address/suite# exists and active in permit system.
4River Terrace Nei hborhood: El Yes No
Zoning: U
Mermitted U 6 Yes ElNo ElSpec Space
N Confirm no land use required.
Business License
Exists: License
❑ No,applicant notified to obtain business license
Notes: —
Approved by Planning: YL 1 Date: 2106
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: 0 /i0
Site Plans: #
Building Plans: # —�
Building Permit#: 'Enter building permit# above.
Workflow Routing: J2—Planning e Building
Workflow Sign-off: O--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: C-r)—t-C-
By Permit Technician: CAL4,411=� Date: w5z/ra
1:\Bui1ding\Fonns\B1dgPennitRvw COM_NoLandUse_070915.docx
Permit Coordinator Rew
❑ Conditions "Met"prior to issuanilding pe it
❑ Approved, NOT Released: Date:
Notes:
Revisions (after Building Submittal only
Revision Notice 1: Date Sent o Applicant:
Revision Notice 2: Date Se to Applicant:
Revision Notice 3: Date S t to Applicant:
❑ SDC Fees Entered: Was Co Trans Dev Tax: ❑ Yes ❑ N/A
'Fig d Trans SDC: ❑ Yes N/A
Pa -s SDC: ❑ Yes ❑ A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Foiws\BldgPermitRvw_COM_NoL.andUse_070915.docx