Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016 00068
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/06/2016
T WARD Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9585 SW WASHINGTON SQUARE RD
Project: Piercing Pagoda Subdivision: None Lot: None
Project Description: New pre-fabricated jewelry kiosk.Kiosk location is Y18 on kiosk map.
Contractor: PARADIGM CONSTRUCTION LLC Owner: PPR WASHINGTON SQUARE LLC
10260 SW GREENBURG RD SUITE 400 PO BOX 847
PORTLAND, OR 97223 CARLSBAD, CA 92018
PHONE: 503-452-6922 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM DC Provision Review,COM TI-Ping 04/06/2016 $88.00
Class of Work: ALT Type of Const: VB
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 04/06/2016 $19.80
Plan Review 04/06/2016 $107.22
Dwelling Units: 0 Info Process/Archiving-Sm$0.50(up to 04/06/2016 $10.00
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0 Permit Fee-Additions,Alterations, 04/06/2016 $164.96
Value: $5,300 Demolition
Plan Review-Fire Life Safety 04/06/2016 $65.98
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $455.96
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 503.2 ..198 or 1.800.332.2344.
Issued By: rmittee Signature:
�:'.4175 by 7:00 a.m.for the next available ins.= ion 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.
.. 1
Building Permit Application
Commercial �������� FORt1FFIciffitspriL � �� ��l �
Received
City of Tigard Daze : ; , Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie,I � ��J r•`'
' Phone: 503.718.2439 Fax: 503.598.1960Date/B :a� f<ir_,tet m,. Other permit:
T 1 c i n t:1) Inspection Line: 503.639.4175 FEB 2 9 2016 Date Rea.• y: 2Jmis: la See Page 2 for
Internet: www.tigard-or.gov Notified/Method:.)gjiMin Supplemental Information
CITY OF"rt( ARI . .a►12kc r- .
TYPE b+ 'iti $GDIVISION REQUIREDDATAt 1-ANDZVA1 P1C
0 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:prefab kiosk equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
0 Master builder ®Other:mercantile Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9585 S.W.Washington Square New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:Y18 Project name:Piercing Pagoda Kiosk Covered porch area: square feet
Cross street/directions to job site:Washington Square Mall Deck area: square feet
kiosk is located by the NW entrance by the Cheescake Factory Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
install prefabricated jewelry kiosk in mall Valuation: $53000
1 Existing buildingarea:
..,/".... square feet
New building area: /60 square feet
0 PROPERTY OWNER ® TENANT Number of stories: NA
Name:Piercing Pagoda Type of construction: 2B
Address:Mail Station 5A1 1 901 W Walnut Hill Lane Occupancy groups:
City/State/ZIP:Irving TX 75038 Existing: M
Phone:(330)668-5279 Fax:( ) New: M
APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Jaboa Enterprises Inc "efertOf""d' J
Structural plan review fee(or deposit):
Contact name:Kara Kline
FLS plan review fee(if applicable):
Address:404 Furnace ST
Total fees due upon application:
City/State/ZIP: Emmaus PA 18049 _
Amount received: " i
Phone:(610)657-6561 Fax::(888)375-3025 .
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:kara@jaboa.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:TBD Pit g-ii D l 604 ei7-r-t c-nz T ic,r7 l e Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Orep i
Address: ( o�(pc, � 6--(e...�. .fw�to ODA N i 1E- 4f UCS Solar Installation Specialty Code checklist. it,
City/State/ZIP: _.I.L�f-lb ,E)la_ 402,x3 Permit fee(includes plan review 80.00
1and administrative fees):
Phone:(SD) )d Vel-3 -Z(9 Fax:(Sta) LIQ-.-61 a State surcharge(12%of permit fee): $21.60
CCB lic.: ( 26,s-o6 Total fee due uponapplication:a lication: $20 60
Authorized si nature: ,� This permit application expires if a permit is nit obtained
g 1��° within 180 days after it has been accepted as complete.
Print name:Kara Kline Date:2/15/16 * 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
INr COMMUNITY DEVELOPMENT DEPARTMENT
■
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: - .R9 1 L- (JDO 61.
Site Address: 955 So-) i,Jo :1,; i-rh Sil . RA Suite/Bldg#: V / 8
Project Name: ---e e ✓ci'ic.) Pay ude
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Ni 0,3 ici0zb L , ns, (le.. iA)a5k ,`l-+"" Scoac.-c- Mail.
Existing Business Activity: Re+tx.- i
Proposed Business Activity: R e.4-o i
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes No
ki Zoning: KuC,
kr Permitted Use: X1 Yes ❑ No E Spec Space
Confirm no land use required.
❑ Business License: -- Cc-Q pl i Cclrion rn J e _i r.)
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: l.ULG . �, ' Date: 1-a°7 -t(O
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: all.,//,(�
Site Plans: #
Building Plans: #
Building Permit#: Enter building pe # above.
Workflow Routing: Manning fR Permit Coordinator Building
Workflow Sign-off: t/S'gn-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: _C— - C Date: __427.(6_
1:ABuilding\Fonns\BldgPennitRvw_COM_NoLandUse_070915.docx
1
Permit Coordinator Review
E Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Y
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:
s /A
Ti and Trans SDC: yyy
g jorqe,s,
/A
Parks SDC: es ?4%/A
OK to Issue Permit
/X)
Approved by Permit Coordinator: /e/ Date: ... /3
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
9585 SW WASHINGTON SQUARE RD, TIGARD,
OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2016-00068
Jeff Grove
Violation Summary:
Inspector Contractor