Permit CITY OF TIGARD BUILDING PERMIT
III ' COMMUNITY DEVELOPMENT Permit#: BUP2016-00035
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/18/2016
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9368 WASHINGTON SQUARE RD R03
Project: Papyrus Subdivision: None Lot: None
Project Description: TI for new tenant.
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: IIB Permit Fee-Additions,Alterations, 02/18/2016 $1,256.95
Demolition
Occupancy Grp: M Occupancy Load: 32 12%State Surcharge-Building 02/18/2016 $150.83
Dwelling Units: 0 Plan Review 02/01/2016 $817.02
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 02/01/2016 $502.78
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 02/18/2016 $220.00
Value: $125,000 Info Process/Archiving-Lg$2.00(over 02/18/2016 $26.00
11x17)
Info Process/Archiving-Sm$0.50(up to 02/18/2016 $1.00
Floor Areas: 11x17)
Metro Const.Excise Tax 02/18/2016 $150.00
Total Area: 1201
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,124.58
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: •• ignature:
.3.639.4175 by 7:00 a.m.for the next available ins coon 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.v`Permit Application
Commercial .' FOR OFFICE ISE O.\Ll
Ii'City of Tigard ? LOw DateBe� l Permit No.: /wD2/l//_ r
III u 13125 Svr ail Blvd.,Tigard,OR 97223 ,"o, 1 A � Plan Revs>, r {�`Y '�/`vi'�x `�
�p,, (.4.0\-- DateB . ' t♦ 'i1 A' Other Permit:
Phone: Svs.718.2439 Fax: 503.598.1966 C�
r I�, it D Inspection Line: 503.639.4175 Date R.-.: ' y: +� Juris: ® See Page 2 for
Internet: www.tigard-or.gov ,� i. "*1�4Sf Notified/Method fl/(, ' Supplemental Information
Kr_ cr�,4z, fie,
TYPE,OF WO REQU D DATA:1-AND 2-FAMILY DWELLING
El New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION
0 1-and 2-family dwelling ®Commercial/industrial Valuation: $
ElAccessory building ElMulti-familyNumber of bedrooms:
1=1Master builder 0 Other: Number of bathrooms:
SITE INFORMATION AND LOCATION Total number of floors:
Job site address. Washington Square Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:R03 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.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Tenant Remodel of Interior Mall space Valuation: $125,000.00
Existing building area: 1,201 square feet
New building area: N/A square feet
0 PROPERTY OWNER ® TENANT Number of stories: 1
Name:Linda Graves Type of construction: 2B
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
0 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Ni Design (Please refer to fee schedule)
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: $1,319.80
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 Photo Voltaic 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.: 9.7u..,7___. 3 fq/47 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.
j(
Print name: W ,,C_/ r ate:,(i.-7(L� * Fee methodology set by Tri-County Building Industry
` via," Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 l/02/COM/WEB)
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_ d Building Division
•
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS)447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per-cent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
I:ABuilding\Permits\BUP-COM PcrmitApp.doc 03/03/2011
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City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
11111 III
r I c,n li Building Permit Review — Commercial - No Land Use
Building Permit #: etuaiRdl(o--tk 0 3S
Site Address: /36? ,So„i. mad h,lti , / , Suite/Bldg#:
Project Name: ��,.
�t of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Tt,-e,r;uc vtyin oder 01 _e`t._iif; .i5 4-Crla ., I- spplcit. �, ;-1'I-1; •-1
1)a S tike a,-c Me,l 1
Existing Business Activity: ,6GCI 6 A P,. -{8 y 4- JQ- .
Proposed Business Activity: S'ct rn e -
.. Verify site address/suite # exists and active in permit system.
51"-River Terrace Neighborhood: ❑ Yes -1R`No
Zoning: M(,L C--
l/Per5/Permitted
mitted Use: .le Yes ❑ No ❑ Spec Space
'Confirm no land use required.
( Y13usiness License:
Exists: ,V".Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: C)41-4- Q . 0.6w,.,,/,----• Date: — 1 — J to
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: o f / I/
Site Plans: # ////4.-
Building Plans: # 3
Building Permit#: [ enter building permit-# above.
�1 eg
Workflow Routing:
ning .�Permit Coordinatorg
Workflow Sign-off: Z--Mgrisoff for Planning(include notes from planning review)
Route Application Documents: dng: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: 4001.6.' - Date: .2/ /6,
1:\Building\Fonns\BldgPermitRvw_COM_NotandUse 070915.docx
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•
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:
DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ` °1'N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: El Yes N/A
(� OK to Issue Permit
Approved by Permit Coordinator: liAr- Date: 4"2//'4
:\Building\Fonns\BldgPennit Rvw_COM_N oLand Use_0709I 5.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
9368 WASHINGTON SQUARE RD R03, TIGARD,
OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2016-00035
Jeff Grove
Violation Summary:
Inspector Contractor