Permit (88) CITY OF TIGARD BUILDING PERMIT
:', COMMUNITY DEVELOPMENT Permit#: BUP2016-00183
T[ ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/23/2016
#
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9609 SW WASHINGTON SQUARE RD LO2B
Project: Shoe Mill Subdivision: None Lot: None
Project Description: TI-minor demolition and new walls within an existing demised area.
Contractor: PERLO CONSTRUCTION LLC Owner: PPR WASHINGTON SQUARE LLC
16101 SW 72ND AVE SUITE 200 PO BOX 847
TIGARD, OR 97224 CARLSBAD,CA 92018
PHONE: 503-624-2090 PHONE:
FAX: 503-639-4134
Specifics: FEES
Description Date Amount
Type of Use: COM Permit Fee-Additions,Alterations, 06/23/2016 $2,181.07
Class of Work: ALT Type of Const: 118 Demolition
Occupancy Grp: M Occupancy Load: 56 12%State Surcharge-Building 06/23/2016 $261.73
Dwelling Units: 0 Plan Review 05/31/2016 $1,417.70
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 06/23/2016 $872.43
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 06/23/2016 $351.00
Value: $278,000 Info Process/Archiving-Lg$2.00(over 06/23/2016 $10.00
11x17)
Metro Const.Excise Tax 06/23/2016 $333.60
Floor Areas:
Total Area: 2930
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $5,427.53
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 days of issuance, or if work is suspended for more the 180
day;TATTER • Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
2-001-0010 through AR 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.
, 4111111111P
Issued By: k Permittee Signature: e
V\ I�
Call 503.639.4175 by 7:00 a.m.for the next available ins ection date.
This permit card shall be kept in a conspicuous place on the job site unt completio of the project.
Approved plans are required on the job site at the time of ea inspe ion.
Building Permit Application
Commercial it}, '
City of Tigard Date/Bey 5 � C�O Permit No.: 011 (� 3
So -OD!
13125 SW Hall Blvd.,Tigard, �7 2�i 1 Plan Review
Phone: 503.718.2439 Fax: 50598 9 0 " Date/By: '-wr � 64(.4 Other Permit:
T I GA RD Inspection Line: 503.639.4175.-; , 1. , , Date Ready/By: Juris. ® See Page 2 for
Internet: www.tigard-or.g i i k x'k' 1,A..,, Notified/Method:C �/b /�„� I Supplemental Information
eft a ' "' I" i" ��vv�/��
1t: l L N Di i I11\ it ; 1 '
TYPE OF WORK 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.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building ❑Multi-family Number of bedrooms:
CI Master builder CI Other:
Number of bathrooms:
g'eeo l JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address;95851W Washington Square Road New dwelling area: square feet
City/State/ZIP:Tigard,Oregon Garage/carport area: square feet
Suite/bldg./apt.no.:LO2B Project name:Shoe Mill Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
west of SW Greenburg Road Other structure area: square feet
REQUIRED DATA;COMMERCIAL-USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
Work to include minor demolition and new walls within an existing demised area. Valuation: $$278,000.00
Existing building area: 2,930 square feet
New building area: 0 square feet
PROPERTY OWNER >a TENANT Number of stories: 1
Name:Shoe Mill Type of construction: II-N
Address:10850 SE Fuller Road Occupancy groups:
City/State/ZIP:Portland,OR 97222 Existing: M
Phone:(503)353-7707 Fax:(503)353-7577 New: M
►Zt APPLICANT 0 CONTACT PERSON BUILDING PERMIT`FEES*
Business name:Mackenzie (Please refer to fee schedule) .!
Structural plan review fee(or deposit):
Contact name:Suzie Hong
Address:1515 SE Water Ave Suite 100 FLS plan review fee(if applicable):Total fees due upon application:
City/State/ZIP:Portland,OR 97214 �,�. ��—
Amount received:
Phone:(503)224-9560 Fax::(503)228-1285 )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:shong@mcknze.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mo ted Photo Voltaic Solar Panel Sys -m.
Business name:Perlo Construction Submit two(2)'-- s of roof plan with co - ion details
and fire department ess,alon. the 2010 Oregon
Address:16010 SW 72w'Ave Suite 200 Solar Installation Specia •ie checklist.
..es p
Permit fee(inc. rev
City/State/ZIP:Portland,OR 97224 iew $180.00
a s administrative --s):
Phone:(503)624-2090 Fax:(503)639-4134
States arge(12%of permit fee). $21.60
CCB lic.:189245 I
7Total 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:Suzie Hong Date:05/27/16 * 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)
.t - R
City of Tigard
11111 a COMMUNITY DEVELOPMENT DEPARTMENT
T1GARD Building Permit Review — Commercial - No Land Use
Building Permit #: I u_P „ 2 La —0 0 l? 3
Site Address: Qq ,sf,J k, . kr, 6.47 Suite/Bldg#: LO?g
Project Name: >
1 � /
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 7. . j12„ 742/1124 "—
Existing Business Activity: ...c2-1:7-S" /9711, t44--11/
Pro osed Business Activity: 1/ // �f
Verify111 site address suite# exists and active in permit/ p t cyst
fsd ver Terrace Neighborhood:/Zoning: ❑ Yes V No
�YJG�e
l!_� .Permitted Use: IV Yes ❑ No ❑ Spec Space
ICJ nfirm no land use required.
Business License:
Exists: I Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: _„�; ,, _ Date: -/31/i 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: 5/5//go
Site Plans: # 3
Building Plans: # ___3___
Building Permit#: Enter building permit#above.
Workflow Routing: ❑'Planning D--'Permit Coordinator LBuilding
Workflow Sign-off: ❑—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: Ce.,c,01/2---04-4--Ll By Permit Technicia : y\ / Date: 5/;///0
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
;.
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:
DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes in/A
Tigard Trans SDC: ❑ Yes ,�/A
Parks SDC: El �
Yes f� N/A
('OK to Issue Permit
Approved by Permit Coordinator: Date: /r//'
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 070915.docx
e .
MACKENZIE . ",7 A '
m 3 I 141
1515 SE Water Ave.Suite 100•Portland OR 97214 M
PO Box 14310•Portland OR 97293
TEL 503.224.9560•NET:MCKNZE.COM•FAX:503.228.1285 F ; 4,;;'
b }
aO r�,DING D111;
Letter of Transmittal
58112-1
Date: May 30, 2016 Project Number: 2160186.00
To: City of Tigard
13125 Hall Blvd
Tigard,OR 97223
Attention:
Project Name: Washington Square-Shoe Mill TI
Enclosed: Quantity Medium Description Comment
3 Bond Full Permit Set For your review
Remarks:
Signed: Suzie Hong
Transmitted Employee Delivery(HYH)
Via:
If enclosures are not as noted, kindly notify us at once.
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 - C of O
BUP2016-00183
Jeff Grove
Violation Summary:
Inspector Contractor