Permit CITY OF TIGARD BUILDING PERMIT
:111111 3 41 COMMUNITY DEVELOPMENT Permit#: BUP2015-00375
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/08/2016
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9374 SW WASHINGTON SQUARE RD R05
Project: Verizon Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: TI for new tenant:Demolition,framing,electrical,and mechanical distribution in spaces R05,R06 and R07.
Contractor: MARKET CONTRACTORS LTD Owner: PPR WASHINGTON SQUARE LLC
10250 NE MARX ST PO BOX 847
PORTLAND, OR 97220 CARLSBAD, CA 92018
PHONE:
PHONE: 503-255-0977
FAX: 503-255-4979
Specifics: FEES
Description Date Amount
Type of Use: COM Plan Review 01/04/2016 $1,460.88
Class of Work: ALT Type of Const: IIB
Occupancy Grp: M Occupancy Load: 87 Plan Review-Fire Life Safety 01/04/2016 $899.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 02/08/2016 $2,247.51
Demolition
Stories: 0 Height: 0 ft 12%State Surcharge-Building 02/08/2016 $269.70
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 02/08/2016 $351.00
Value: $288,065 Info Process/Archiving-Lg$2.00(over 02/08/2016 $62.00
11x17)
Metro Const.Excise Tax 02/08/2016 $345.68
Floor Areas:
Total Area: 3389
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $5,635.77
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: �Q Permittee Signature:
Call 603.639.4175 by 7:00 a.m.for the next available inspecti
This permit card shall be kept in a conspicuous place on the job site until c•m•I •n • the project.
Approved plans are required on the Job site at the time of eac i spe do .
E R
Building Permit Application
Commercialillk \ i-i FOIl oFFl( l. I til., ()M.)t(8- /
Received I J r/I •..� It. j S . 3
City of Tigard ��5 Date/B Permit No.:
• 13125 SW Hall Blvd.,Tigard,OR 97223 e 1 Plan Review
■ Phone: 503.718.2439 Fax: 503.598.1960 ��C, aU Date/B : �j�' Other Permit: '
Inspection Line: 503.639.4175 o ate Ready/: ® ® See Page 2 for
T I C�A R D �� �"L ����'4 " ��1j�t
Internet: www.tigard-or.gov 111 , •tified/Method: Supplemental Information
li,110
TYPE OF WOIO LD..-- 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.
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ElMulti-familyNumber of bedrooms:
❑Master builder El Other: Number of bathrooms:
J B SITE INFORMATION AND LOCATION Total number of floors:
y3 .._
Job site address: . .Washington Square Road New dwelling area: square feet
City/State/ZIP:Tigard or Portland,OR 97223 Garage/carport area: square feet
Suite/bldgJapt.no.:R05-R07 Project name:Verizon TI Covered porch area: square feet
Cross street/directions to job site:Washington Square Mall Deck area: square feet
1 i Ili"/ Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: N Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 4- 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.
Interior TI,Demo,Framing,Plumbing,Electrical and Mechanical Distribution Valuation: $$288,065.00
Existing building area: 3,389 square feet
New building area: 3,389 square feet
® PROPERTY OWNER 0 TENANT Number of stories: 1
Name:Macerich Type of construction: II-N Sprinklere
Address:11411 North Tatum Blvd Occupancy groups:
City/State/ZIP:Phoenix,AZ 85028 Existing: M
Phone:(602)953-6526 Fax:( ) New: M
0 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Permit and Development Consultants (Please refer tofeeschedule)
Structural plan review fee(or deposit):
Contact name:Donald Graham
FLS plan review fee(if applicable):
Address:3021 Western Way
Total fees due upon application:
City/State/ZIP:Rocklin,CA 95765 _._
Amount received:
Phone:(707)673-3100 Fax::(707)471-4700
E-mail:DonaldGraham@pdevco.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: /1/4 v ft J .
J- �1 fr7 f irit7s- L-7— Submit two(2)sets of roof plan with connection details
I and fire department access,along with the 2010 Oregon
Address: /026-0 NE /lt vX S)1-- Solar Installation Specialty Code checklist.
City/State/ZIP: q j22 D Permit fee(includes plan review $180.00
and administrative fees):
Phone:(5d) 2.55.-- :9.3._ Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: .sr-h% f�3 3 /,2,//3 /� _ Total fee due upon application: $201.60
Authorized signature: t+ This permit application expires if a permit is not obtained
/�' within 180 days after it has been accepted as complete.
Print name:Donald Grahbm Date: 12/29/15 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
71 COMMUNITY DEVELOPMENT DEPARTMENT
I
T l c n RBuilding Permit Review — Commercial - No Land Use
Building Permit #: eiAA90/5-z)0375
Site Address: 937`/ CAktkrkt- N 4 L Suite/Bldg#:
Project Name: (kri "Z-c--_1") "T
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: I_Y)4-6(11) r T L
Existing Business Activity: (Q/'Y)(11b-rc--t , (Lo , ri 1/
Proposed Business Activity: Co f-y7 –U ` notr4 ; /
Verify site address/suite# exists and active in permit system.
--Er-River Terrace N,4i hborhood: ❑ Yes X No
Zoning: I�/' U 6
,I 'Permitted Use: ,Yes ❑ No ❑ Spec Space
Confirm no land use required.
///)2/Business License:
Exists: 7Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: 0 h r %L & Date: /2/3/ lb
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: ie/3jr
Site Plans: # N
Building Plans: #
Building Permit#: L}-.--hnter building permit#�� above.
Workflow Routing: 'nning Ei-1 rmit Coordinator g
Workflow Sign-off: 11! lgn-off for Planning(include notes from planning review)
Route Application Documents: L t) g: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: ia? -__— Date: jpet i/j ----
1:\Building\Forms\BldgPer nitRvw_COM_NolandUse_070915.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: ❑ Yes ►E./A
Tigard Trans SDC: ❑ Yes /A
Parks SDC: ❑ Yes ;S'°N/A
PAKK K to Issue Permit
Approved by Permit Coordinator: Date: //15/Azo
I:\Building\Fonns\BldgPennitRvw_COM_NoLandUse_070915.docx
RECEIVEP
To Whom It May Concern, HT SO 2015
Cl �` f i(pgAKDt�Y
BUILDING DIVISION
Thank you for taking my call and agreeing to perform our plan review quickly.
The project will have full ADA compliance once complete and all the exteriors and parking is done by the
mall so I wasn't quite sure what to do with that form.
Please give me a call and I will update the website with my credit card info immediately so you aren't
held up for any reason.
Donald Graham
707-673-3100
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
9374 SW WASHINGTON SQUARE RD R05,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2015-00375
Jeff Grove
Violation Summary:
Inspector Contractor