Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016-00051
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/09/2016
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9516 SW WASHINGTON SQUARE RD H05
Project: Ben Bridge Jeweler Subdivision: None Lot: None
Project Description: TI-update existing space
Contractor: SHRADER&MARTINEZ CONSTR INC Owner: PPR WASHINGTON SQUARE LLC
160 DRY CREEK RD PO BOX 847
SEDONA,AZ 86336 CARLSBAD, CA 92018
PHONE: 928-282-7554 PHONE:
FAX: 928-282-5009
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 03/09/2016 $1,860.95
Demolition
Occupancy Grp: M Occupancy Load: 72 12%State Surcharge-Building 03/09/2016 $223.31
Dwelling Units: 0 Plan Review 02/11/2016 $1,209.62
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 02/11/2016 $744.38
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 03/09/2016 $351.00
Value: $225,000 Info Process/Archiving-Lg$2.00(over 03/09/2016 $96.00
11x17)
Metro Const. Excise Tax 03/09/2016 $270.00
Floor Areas:
Total Area: 2620
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,755.26
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,pr_ 800.332.2344.
Issued By: e,i�f_f� nature:
3.639.4175 by 7:00 a.m.for the next available inspec'•n date.
This permit card shall be kept in a conspicuous place on the job site unti completion o ••
Approved plans are required on the job site at the time of.ach inspection.
i guildM[12 Permit Application��EIVEP 2//, Mn
Commercial FOR OFFICE USE ONLI
ceive
City of Tigard DaRerivye:d '11/1/,,3 j Permit No.. Pol(j/� s!
13125 SW Hall Blvd.,Tigard,OR 972 5 1 1 2016 plan Rerz� �C.7
Phone: 503-718-2439 Fax: 503-598-1960 / DateBy: � �" . r L Related Permit:
T I c;.�IZ p Inspection Line: 503-6394175 CITY Uri TIGARDD Date Ready/By: Y� Ju�g ® See Page 2 for
Internet: www.tigard-or.gov BUILDING nIVISIOr Notified/Method: Supplemental Information
11 Typiralr IMEMPWF INQUIRED D 1-AND.NIAINIEWEINft
LI New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rouided to the nearest dollar)of all
Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
' ORY OF CONCTION work indicated on this application.
❑ 1-and 2-family dwellingValuation: $
0 Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other:-T-`-�„N I r--1 v, Number of bathrooms:
,},,�, Total number of floors:
1a . IT N LOC _
Job site address �5'/ //,^ U1 Z�51-1 t 6J V Q QA2Z.4-eur-fAlt kV A5 t•t 460%01 3a � New dwelling area: square feet
City/State/ZIP: j tt Cs".d q?/Z3 �J Garage/carport area: square feet
Suite/bldg./apt.#:/../QST I Project name:a:N Ga,d cvet .....c...\,/�/v/` Covered porch area square feet
Cross street/directions to job site: V Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Indicate the value(rouided to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
' " DESCRIPTION OF WORK work indicated on this application.i. _
Rt'i Qd<r;I p% 2P i L o 2 `- Valuation: $ 2 Z 5,�OO ��
�� % Existin buildingarea square feet
- .. I' t� J TQ • •,/I ri i I KJ Ov VZ
L 1 51-1 1 i G -r\.-51---ii-1-i! t 'J p1. •(..am. New building area: square feet
0 PROPERTY OWNER TENANT Number of stories:
c9
Name: '�`� 121.i C. �. t ��1•/��/��/�1������►►►►►►v/L Type of construction:
Address: 2.10i 3 •d 44` '--`: 91:30 Occupancy groups:
City/State/ZIP: 6 meq.11 1 V -vim q ? I Z 1 Existing:
Phone: 2O(,) Fax: )
23;' O`4 ( New:
0 A CONTACT PERSON "FIELDING PERMIT FEES*
duk
Business name: �''v-y.` K`1 lc/4,I� G _ (Please refer w e osischt):
Structural plan review tee(or deposit):
2 Contact name:(21.I(? 1Z..1...1 1.-/ K/.a, `A
FLS plan review fee(if applicable):
Address: 2 r�2O y 0.' ' 4.1 1-[
�_ City/State/ZIP: Q 9
Total fees due upon application:
,.,` 1,ice q U 1 Amount received: .95--V. a�
.k,
Phone:1/.66 bl (�2 C;"3J I Fax::( )
E-mail-c.--__ 1 ) Y,/ s ' OVOLTAIC S i
�_Z/�► �a �I p s1 , .,
► °� u e -�m*�, Commercial and residential prescriptive installation of
CONTRACTOR-. , _._, roof-top mounted `•of V 1taic Solar Panel S . .
i7`. 1 ,—n g- z C Submit two(2)sets o ..f plan with co -- ion details
Business name: s�f�" ,...„..5.-z
and fire department access, : ong wi • • e 2010 Oregon
Address: /4.Q 01 %ft(se 'Lc)
Solar Installation Specialty C. ecklist.
City/State/ZIP: 2 c� Permit fee(includes . . revi-•
�C�O�/� G CJ(a� $180.00
q� and a• �. tstrative fees):
Phone:a /5,7
L-qg Z. Z 7 s) )l Fax:( ) State surcharg: 12%of permit fee): $21.60
CCB Lic.: ✓ < 710 7 to,,t6- (p Total fee due upon appication: $201.60
Authorized signature: / This permit application expires if a permit is not obtained
t, / within 180 days after it has been accepted as complete.
Print name:c J7. _i (� �L.1 1.,..)e. l) �r.�l Date:Z I,, I, * Fee methodology set by Tri-County Building Industry
Service Board
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
I. rr I
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
IIIAcI
cessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T I( ,\R l) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
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 percent(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:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
r A.
City of Tigard
■
COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Commercial - No Land U s e
-n
Building Permit #: I n Zu-Oc -O/ —000 5/
H-0 S
Site Address: 95 /0 ts4< cw hn }-o n S cwC4rc Suite/Bldg#:
Project Name: ger Q ri aupz-
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T ri`j se,,,,
Existing Business Activity: CAM I L J ct a-C / 'Q i s%t n 9
Proposed Business Activity: CjQ M rYLL.rC-U.C.
p'Verify site address/suite#exists and active in permit system.
71 River Terrace Neighborhood: l,d Yes ❑ No
,2'Zoning: Nn VC
jZi Permitted Use: Yes ❑ No ❑ Spec Space
g. Confirm no land use required.
Business License:
Exists: 211 Yes 0 No,applicant notified to obtain business license
Notes:
Approved by Planning: fl/AO (la-A- B110 61-tatAk Date: 2/ I / I �O
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved El Not Approved
Building Permit Submittal
Original Submittal Date:
,9-4//4,
Site Plans: # ,
Building Plans: # ?j
Building Permit#: E—Enter building permit#above.
Workflow Routing: Planning �rmit Coordinator 0—lading
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: tk 4acce yam-/ Date: /4,
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
4 • "
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 XP AP,/A
Tigard Trans SDC: ❑ Yes ►: N/A
Parks SDC: ❑ Yes ►! /A
rOK to Issue Permit
Approved by Permit Coordinator: / � Date:
.2)/, Ale,
I:ABuilding\Fonns\BIdgPennitRvw_COM_NoLandUse_070915.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
9516 SW WASHINGTON SQUARE RD H05,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2016-00051
Jeff Grove
Violation Summary:
Inspector Contractor