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Permit
q CITY OF TIGARD BUILDING PERMIT III 1 COMMUNITY DEVELOPMENT Permit#: BUP2016-00036 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/22/2016 TIGARD Parcel: 1 S 1260000300 Jurisdiction: Tigard Site address: 9609 WASHINGTON SQUARE RD LO2B Project: Shoe Mill Subdivision: None Lot: None Project Description: TI-demo and store front modifications for new tenant. No occupancy. 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, 02/22/2016 $1,516.67 Demolition Occupancy Grp: M Occupancy Load: 11 12%State Surcharge-Building 02/22/2016 $182.00 Dwelling Units: 0 Plan Review 02/01/2016 $985.84 Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 02/01/2016 $606.67 Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 02/22/2016 $351.00 Value: $168,000 Info Process/Archiving-Lg$2.00(over 02/22/2016 $34.00 11x17) Info Process/Archiving-Sm$0.50(up to 02/22/2016 $5.00 Floor Areas: 11x17) Metro Const.Excise Tax 02/22/2016 $201.60 Total Area: 3152 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $3,882.78 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 ' OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by callin. i .232.1987 or 1.800.332.2344. Issued By: /Lel 4,5;-,71 /�.� Permittee Signature: _ — Call 603.639.4175 by 7:00 a.m.for the next available inspection date. This perrnIt 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. r Building Permit Application Commercial RECEIVED „,,,,(.1.1, 1. ISI:0yl.1 .,n City of Tigard Date/By:dpi Received / /b Permit No.:/, Paa�lp_ (%b3(7 11111 II 13125 SW Hall Blvd.,Tigard,OR 97223F EB 2016 Plan Revi D'�\ . 1, Phone: 503.718.2439 Fax: 503.598.1960 1 Date/By: ,.. Other Permit: t. ,1:1) Inspection Line: 503.639.4175 CITY �'G�fl Date Re y. Anis: H See Page 2 for I I . Internet: www.tigard-or.gov BUILDING� T 0I VI S I O N Notified/Method: /Or Supplemental Information ,,,:,,;,,fiat:„,,,,:,..V FIT'S Err' � h . �� 611 t pR d � �4 a � :4.0.1' 04 ,,-,4,..,,,,is.,, ,, ,;,..,,4,,,v,,,,„ f , 4 y .4a, �, r - � ; ❑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 `. ddition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the " VF � 11'° 4;);-i ,c RfJ67QItp � � � � ��� work indicated on this aPPlicatiin. o r Valuation: $ ��I �,�1r ��� A 0 1-and 2-family dwelling 75., Commercial/industrial 0 Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: ' s 1d ” ]fes !. cA10 t s ` Total number of floors: Job site address: ll/ 1t', ',I I , J New dwelling area: square feet Ci /State/ZI t Garage/carport area: s uare feet il, � q Suite/bldg./apt.no.: ` o / Project name: �1 i' V I Covered porch area: square feet Cross street/directions t,job site: Deck area: square feet v� y `(i/t rei/ ( lelOther structure area: square feet : .r5le t.,.F t w. r‘µko'...c� .,3`r;'`�'a , Y,:. :,. 4 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 ESCR ON OF M©R work indicated on this application CVOT�9 ' / �, �, f -�. ��" .� , , , Valuation: $ '� �# li 1 �/V�"� t�1 I/'�v (� i' Existing building area: �l�,Z�square feet fNew building area: square feet '40i* tl O :.:OA F n r , b._. � ` ,; k Number of stories: Name: i 6 ► � Type of construction: Address: V� Occupancy groups: , City/State/ZIP: Existing: . Phone:( ) Fax:( ) New: ai l { yrs ;„"'D' a . 7 .f .4h' BLIIII ttitO $R gr iggs* <., Business name: � ' Structural plan review fee(or deposit): 11 Contact name: y. Alt/14 � 1 ddress:City/State/ZIP: Gli (� � FLS plan review fee(if applicable): G � � /- I � � �`'` ( �� Total fees due upon application: Phone•40 ( 1 Fax: Amount received: ail: I i©11�80,04,440 ,. *, cm v a - ?�� `s`* "” Commercial and residential prescriptive installation of ', i , `1 �;'ititM;� ii; b a y, tO '` ,�,s� '7..'' ,1l k' '. 4 6 * roof-top mounted PhotoVoltaic Solar Panel System. sinessname: �� `� Submit two(2)sets ofroofplanwithconnectiondetails andfiredepartmentaccess,alongwiththe2010Oregondress: Solar Installation Specialty Code checklist. Permit fee(includes plan review ty/State/ZIP: and administrative fees): $180.00 Phone:( ) Fax:( ) v�� State surcharge(12%of permit fee): $21.60 CCB lic.: 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: I_,in/. / Date: Ili 0 / * Fee methodology set by Tri-County Building Industry Service Board. l:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 4 - -. UPICity of Tigard s COMMUNITY DEVELOPMENT DEPARTMENT r 1 G n R D Building Permit Review — Commercial - No Land Use Building Permit #: 1bu_Pologo-coo % Site Address: cY60 cs)/v oc1 n ,ec uite/Bldg#: Project Name: SAW di//l (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: 7: 4 itek ' 941t-/j (i2o C ce G/s-e j 77 Existing Business Activity: / Proposed Business Activity: 1/ /r /r Verify site address/suite# exists and active in permit syste . NP; Terrace Neighborhood: ❑ Yes VNo LT oning: #G(C rmitted Use: Yes ❑ No ❑ Spec Space nfirm no land use required. Business License: Exists: Yes ❑ No, applicant notified to obtain business license Notes: Approved by Planning: ^' C- �7 Date: c .21/J/4, 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: �/6 Site Plans: # *---- Building "Building Plans: # 3 Building Permit#: [TEnter building permit# above. Workflow Routing: [3"Planning 0---Permit Coordinator 2--"Building Workflow Sign-off: a-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: By Permit Technician:A. ` ,,.«_.,,, _ Date:,-04 1:\Building\Fonns\BldgPermitRvw_COM_NoLandUse 07091 5.docx Permit Coordinator Review E 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: CI Yes . N/A ( Tigard Trans SDC: ❑ Yes i— /A Parks SDC: ❑ Yes 4:1 N/A OK to Issue Permit Approved by Permit Coordinator: / Date: e' / ICS I:ABuilding`Fonns\BldgPennitRvw_COM_NoLandUse_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 9609 SW WASHINGTON SQUARE RD L02B, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - No C of O BUP2016-00036 Jeff Grove Violation Summary: Inspector Contractor