Permit (23) CITY OF TIGARD BUILDING PERMIT
1111 2 ' COMMUNITY DEVELOPMENT Permit#: BUP2016-00083
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/19/2016
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9312 SW WASHINGTON SQUARE RD WO1
Project: Kay Jewelers Subdivision: None Lot: None
Project Description: TI for existing tenant:New storefront,shelving,and show cases.
Contractor: JAG BUILDING GROUP INC Owner: PPR WASHINGTON SQUARE LLC
5227 SW 27TH PLACE PO BOX 847
CAPE CORAL, FL 33914 CARLSBAD,CA 92018
PHONE: 239-540-2700 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 07/19/2016 $1,371.71
Demolition
Occupancy Grp: M Occupancy Load: 27 12%State Surcharge-Building 07/19/2016 $164.61
Dwelling Units: 0 Plan Review 03/22/2016 $891.61
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 07/19/2016 $220.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 07/19/2016 $548.68
Value: $144,000 Info Process/Archiving-Lg$2.00(over 07/19/2016 $52.00
11x17)
Info Process/Archiving-Sm$0.50(up to 07/19/2016 $14.00
Floor Areas: 11x17)
Metro Const.Excise Tax 07/19/2016 $172.80
Total Area: 1588
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,435.41
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes 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 BC 40f 4 - P . Permittee Signature: )( ,,tpt.NLA:vvedi
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.
f
Building Permit Application
".c.V8)
Commercial -' FOR OFFICE USE ONLY
City of Tigard - Received
g ‘14,04)1)
A t Date/By: 21 /w 9 l/ Permit No.:
r t pry,,
q 13125 SW Hall Blvd.,Tigard, 97223 1 � ��(p-'( 1t
Plan Review •lio i Phone: 503.718.2439 Fax: 503.598.11 4t, Date/By: ;vii ...1 , Permit:
T I G A R D Inspection Line: 503.639.4175 ., 1 � • Date Read . j / 4 7 kris: See Page 2 for
Internet: www.tigard-or.gov 7LI q i. Notified/Methf'/` Supplemental Information
- � . a �;, E
7`YPE OF WO ., Rl IIREl)DATA:1-A.ND 2- FAMILY 'V L IN
❑New construction Demolition Pennit 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
ATEGOR +GONSTRIIJCTJON work indicated on this application.
El1-and 2-family dwelling ®Commercial/industrial Valuation:
❑Accessory building 0 Multi-family Number of bedrooms. v 1
111 Master builder ID Other:
Number of bathrooms:
IB TE INi RMATIO �p + ATIt N Total number of floors: ^
Job site address S. Y V y i tit I 1 IrysDn �Q,re. K-L 1 New dwelling area: square feet
City/State/ZIP: . ..
ppr��and O� ��22 Garage/carport area: square feet
Suite/bldg./apt.no.: J 0' I Project name: Kot\I - V I el,ers Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
C r^ j/A &.,ol`-h',61A3 i NC;L+,4 J mc...a.„1,.„1, .REQUIRED DATAI t>,.:. R IA-US i ` g
me
C Subdivision: , C^ /U etiA.d 1h re reJ- Lot no.: Permit fees*are based on the value of the work performed.
0
Tax map/parcel no t/ ( Q Indicate the value(rounded to the nearest dollar)of all
V t equipment,materials,labor,overhead,and the profit for the
tl 0)1+ "t11� work indicated on this application.
\ , k.:;. ..,.:#..r ,. ,u....� .,.:_ ,,. ...,, ,.•. . . . : .. . ... r <.... .....n�,, , ,.. ,.
Y1fr,141){ rx iDAt, - yeof,Stoutfroylt f1nt6 Shoal_ Valuation: 1 lyyliv
CfAs) NA 1Y i 6.Q G 1 f l u M l Existing building area: I„15 square feet
N. New building area: square feet
/14 ,t
" o *****:•••••
Number of stories:
Name: p����p ���
t S--C( -31'cI1 1J[il[;r5 Type of construction:11
Address: 3q cJ el�1t Occupancy groups: _ CN'e V.CAW(I
City/State/ZIP: �,�I UY 1 t Ok Li� 33 Existing: M tl
'n M
Phone (30 p)l.�U5 1,504'k - Fax (33D)1D�t 9D3 New: M
�� "` .
Business name:". per ,,.�.. io, rk :«., .,... ,x.
Vit-L--(1) Structural plan review fee(or deposit):
Contact name:
/� FLS plan review fee(if applicable):
Address:31"1 Ea 1 CX
City/State/ZIP:
bpd vi l V\(( 53533Total fees due upon application:
Phone:(Df ) I tDot-ci� 1 9- Fax: (1Q(xj)3lc- 201 l Amount received
Email `"'UU `l eo l f,0� "U Commercial and residential p escriptive installation of
taSl>��`� : . ... ... ..... ...:. ,,,.. :.: „ ��' �> ,.., roof-top mounted Photovoltaic Solar Panel System.
�� Business name: "� *Submit two(2)sets of roof plan with connection details
��f 1 r yr �� �N�-- ,./. . 1 and fire department access,along with the 2010 Oregon
Address: ��� s- ^�" �� -1jorolar Installation Specialty Code checklist.
City/State/ZIP: 4 IJ" • li' Permit fee(includes plan review 180.00
Phone:().43q) ( ) � �� f �" and administrative fees):
bio.�►�-7 .4 Fax: .�_9A j tt� State surcharge(12%of permit fee): $21.60
CCB lic.: v i V oily_` /��j
�� � �5 N("�'�f� Total fee due upon application: $201.60
1
Authorized signature / This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: �/j-'/ J 0-L-t. Date3( 13I if * Fee methodology set by Tri-County Building Industry
^"t Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
D.
IN I City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c A R 1J Building Permit Review — Commercial - No Land U s e
Building Permit #: ` dvL-0(3-epl 6 _000g-3
Site Address: 13 12- 9 01 WCti h ihv1-v n .S'GlrV(.1 n Suite/Bldg#:
Project Name: C%19 3E,of-f.i €x
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: .-01C b Y' Ir e1 yi et rum/w 1 i—c it n '-
Existing Business Activity: bum r x ZJ
Proposed Business Activity:
VI/V; cM G-i,
/Verify site address/suite# exists and active in permit system.
River Terrace eig rhood: El Yes /1 No
Zoning: NCi
VPermitted Use: y` Yes ❑ No E Spec Space
Confirm no land use required.
Business License:
Exists: ❑ Yes ❑ No, applicant notified to obtain business license
Notes:
Approved by Planning: /LJ 1)1-7,1 c=L1 e,e- ....... Date: 3/7-3/) .(,
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:
Site Plans: #
1.___
Building Plans: #
Building Permit#: Er-Enter building permit#above. ���.�---�����
Workflow Routing: 1 Planning ,''Permit Coordinator �IBuilding
Workflow Sign-off: 1��,, Sign-off for Planning(include notes from planning review)
Route Application Documents: 1=1 Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: ----j✓.,...L.- rt--- -� U Date: Ai/0
I:\Building\Forms\BldgPennitRvw COM NoLandUse 070915.docx
A
A
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:
;ErSDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A
Tigard Trans SDC: ❑ Yes $/A
Parks SDC: ❑ Yes ?N/A
piiK to Issue Permit /
Approved by Permit Coordinator: 3 ;x
• Date: -04
I:\Building\Fonns\BldgPennitRvw_COM_NoLandUse_070915.docx