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Permit BUILDING PERMIT CITY OF TIGARD '1111COMMUNITY DEVELOPMENT Permit#: BUP2016 00034 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/21/2016 Parcel: 1S1260000300 Jurisdiction: Tigard Site address: 9779 WASHINGTON SQUARE RD D11 Project: Champs Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S Project Description: TI for existing tenant:Interior alteration including shelving. Contractor: TOM RECTENWALD CONSTRUCATION INC Owner: PPR WASHINGTON SQUARE LLC 330A PERRY HIGHWAY PO BOX 847 HARMONY, PA 16037 CARLSBAD, CA 92018 PHONE: 724-452-8801 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 03/21/2016 $1,709.95 Demolition Occupancy Grp: M Occupancy Load: 154 12%State Surcharge-Building 03/21/2016 $205.19 Dwelling Units: 0 Plan Review 01/28/2016 $1,111.47 Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 01/28/2016 $683.98 Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 03/21/2016 $351.00 Value: $200,000 Info Process/Archiving-Lg$2.00(over 03/21/2016 $72.00 • 11x17) Info Process/Archiving-Sm$0.50(up to 03/21/2016 $7.50 Floor Areas: 11x17) Metro Const.Excise Tax 03/21/2016 $240.00 Total Area: 6586 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $4,381.09 Required: Required Items and Reports(Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Yes 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 day of isy .iance, or work is • pended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility N tification'. Center. Thos- rule 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 ca ling 503.2 2.198 .\1.800. 32.23.4. Issued By: //z.:,,j,,,L.r.ZirPt?mrfttee 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. Buil hnPer g mit Application- Cotnmercial 1 oR 0111(1 1 til. i\1.1 • Cityof Tigard Received � �Date/By: p ( Permit No.: B/,i0(20/j �,cuj azi, 13125 SW Hall Blvd.,Tigard,OR 97223an --- 1 ••-2.'- � "`� Y/ KJ1i —/ 1 ; II Phone: 503.718.2439 Fax: 503.598.1960 7lati/By:Review G-�171c, Other Permit: l�l�. 01GJ- ,� D 0(1306 Inspection Line: 503.639.4175 Date ReadyBy: loris: ® See Page 2 for Internet: www.tigard-or.gov Not' d/Method: �� Supplemental Information TYPE OF WORK iciVCiVillisN't REQUIRED DATA:1-AND 2-FAMILY DWELLING ew construction 0 Demolition ► Permit fees*are based on the value of the work performed. Z�\� Indicate the value(rounded to the nearest dollar)of all XAdti0fha1teratiofIreplacement ❑Other: 5 equipment,materials,labor,overhead,and the profit for the CATEGORY OF STRUCTION ,P Ali i¢�1i work indicated on this application. 0 1-and 2-family dwelling Commercial/incii tv�� ,` Valuation: $` ❑Accessory building Multi-family {� ��C49 Number of bedrooms: ❑Master builder ❑Other: 4 Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: q-1-R--q G k -oy_} C New dwelling area: square feet City/State/ZIP: -r,,:,,,,,, 1 ©CZ. 4-1-7_,--2:3 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:, --1. &t=}j Covered porch area: square feet Cross street/directions to job site: ,v,J4,,,(-f 1,,_cx-cJN{IaDeck area: square feet LOther structure area: square feet i q REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: f .,a , 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. tr` fa-TZ1-M210-,,-.I-LT' ChJ TO VIL.A. -_ Valuation: $ g'`'l�i(001 - 1 N 0.�fCA•J . S t-f'�1, t ik.4-0 Existing building arealc� �Jr square feet New building area: square feet 0 PROPERTY OWNER Number of stories: ' 1--1 Name: )(TENANT l.►C.„,.. Type of construction: ......._14_ Address: U Z �` S� Occupancy groups: 1 Q� City/State/ZIP: t CO C '� Existin '. Phone: ��) gkrtFax: g: �v ( ) New: APPLICANT !!!ic CONTACT PERSON BUILDING PERMIT FEES* Business name:Ck L , v4' Cr ics—,. 1 NC-. (Please„c�Arofee schedule) Contact name: 4,1—• FV _ Structural plan review fee(or deposit): Address: ""lam 1,611T�:31 , FLS plan review fee(if applicable): City/State/ZIP: "-1----k4.So Total fees due upon application: Phone: Scr.e,_S •t I Fax::( ) Amount received: E-mail: is--ta,v t a .C4:100 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of �^ roof-top mounted Photo Voltaic Solar Panel System. Business name !cjM /!:-/c.,,)Vie;142 C),`j Submit two(2)sets of roof plan with connection details Address: 33v p� � ��L and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZW: ,[fes.,„ A /r6 o3 7 Permit fee(includes plan review Phone:( ) 'N.4,1, ,5,----,),82?-- ax:( ) and administrative fees): $180.00 CCB lic.: �/_��Z State surcharge(12%of permit fee): $21.60 l� Total.fee due upon application: $201.60 Authorized signature: This permit) ppllcation expires if a permit Ia aot obtained within 180 days after it has been accepted as complete. Print name: .••••••••....... Date:a iZ.-Z.4b * Fee methodology set by Tri-County Building Industry Service Board. & City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT IN II T 1 c n lz D Building Permit Review — Commercial - No Land Use Building Permit #: ejAMO/&---a)631 Site Address: 777,1 6dotskyiefiv ` ,.,e 4fl Suite/Bldg#: Project Name: a/VA/YI S (Name of cc mercial business occupying the space. If vacant,enter Spec Space.) Planning Review �- Proposal: -I yt ►pi- 7:A Existing Business Activity:Proposed Business Activity: fill/( LTerify site address/suite# exists and active in permit system. C3—River Terrace Neighborhood: ❑ Yes �No l oning: f/" GI/1 mitted Use: 114es ❑ No ❑ Spec Space lsd'C:o irm no land use required. Business License: Exists: es ❑ No,applicant notified to obtain business license Notes: Approved by Planning: /-44-7‘/ Date: Revisions (after Building Subm alnly) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal �" Original Submittal Date: / as�//40 Site Plans: # Building Plans: # Building Permit#: ❑ Ente uilding permit above. LAS u Workflow Routing: l�anniing ermit Coordinator ding Workflow Sign-off: R'Si off for Planning(include notes from planning review) Route Application Documents: E Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician:, . Date: 17/__ _4? L\Building\Forms\BldgPennit Rvw_COM_NoLandUse_0709I 5.docx r J 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: ']� SDCQFees Entered: Wash Co Trans Dev Tax: 111 Yes N/A (( Tigard Trans SDC: ❑ Yes N/A a Parks SDC: 111Yes N/A LZ `DK to Issue Permit Approvedby Permit Coordinator: ,"0-1/ ate: //)/S10 I:\Building\Fonns\B1dgPennitRvw_COM_NoLandUse_0709I 5.docx 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] $ aco ( c t' 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: $ (0 Accessible drinking fountains: and, $ (g) When possible,additional accessible elements such as storage and alarms: $ TOTAL(shall equal line[2] of Valuation Computation): $ R P RETAIL PERMIT SERVICES, INC. SA National Permit Service Company January 22, 2016 DEBBIE —PLAN REVIEW DIVISION City of Tigard BUILDING DEPARTMENT 501 3-7 8- 2439 RE: CHAMPS WASHINGTON SQUARE Debbie, Enclosed are 3 SETS of plans, a check for the PLAN REVIEW FEE and a BUILDING PERMIT APPLICATION. Please review and approve, so plans can obtain a Building Permit The GC will pick up and pay for Permit, once plans have been approved. If you have any questions/problems, please call me at 800-556-8641. Thank you. Kent Fahey 3019 Hollinwell Drive • Katy, Texas 77450 • Tel: (281) 579-2226 • Fax: (281) 579-2227 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 9779 SW WASHINGTON SQUARE RD D11, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - C of O BUP2016-00034 Jeff Grove Violation Summary: Inspector Contractor