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Permit (98) CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2017-00003 Date Issued: 04/17/2017 T R to=A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S1260000300 Jurisdiction: Tigard Site address: 9336 SW WASHINGTON SQUARE RD W13 Project: White House Black Market Subdivision: None Lot: None Project Description: Ti-Remodel of retail space including doors,partitions,ceilings,lighting fixtures,etc. Contractor: ACTION RETAIL CONSTRUCTION SERVICES LLC Owner: PPR WASHINGTON SQUARE LLC 4320 ACTION DRIVE PO BOX 847 MESQUITE,TX 75150 CARLSBAD, CA 92018 PHONE: 214-989-7841 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 04/11/2017 $1,558.95 Demolition Occupancy Grp: M Occupancy Load: 74 12%State Surcharge-Building 04/11/2017 $187.07 Dwelling Units: 0 Plan Review 01/05/2017 $1,013.32 Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 04/11/2017 $357.00 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/11/2017 $623.58 Value: $175,000 Info Process/Archiving-Lg$2.00(over 04/11/2017 $66.00 11x17) Metro Const.Excise Tax 04/11/2017 $210.00 Floor Areas: Total Area: 2800 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $4,015.92 Required: Required Items and Reports(Conditions) 1 Bolts in Concrete 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 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 - •h OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5' .232.1987 or 1.800,332.2344. Issu d By: / 1 ' Permittee Signature: Al.* ALIL 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. Building Permit Application Commercial 2 i� .` " 4-� l OR OI roc l: 1 SI. ON 1.1 ', City of Tigard Received j ... j/7 SPIT Permit N spa�7�0�p, II 4 13125 SW Hall Blvd.,Tigard,QQ1,�c 7223q Plan Re `A ]� ' ■ Phone: 503.718.2439 Fax: 501598.19M Date/By: ' ' L\ Other Permit: t 1. A K D Inspection Line: 503.639.4175; Date Rea. .y: (0.4.41, Juris: ® See Page 2 for Internet: www.tigard-or gqy Notified/Method- / / Supplemental Information 6 ' ax dT.,, „'..1400,„7-,,, --,:,",-;', *. t :M ! A .- ❑New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the �, � work indicated on this application. ❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: '' Total number of floors: Job site address:9336 SW Washington Square Rd. New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.:W13 I Project name:White House Black Market Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet f d 1 1'i.t 4 5 l'04fift.ke . i a :1 014fejitti Subdivision: I 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 .D o* s d work indicated on this application. '"'TI-Remodel of(E)retail space including doors,partitions,ceilings,lighting Valuation: $175,000.00 fixtures,etc. Existing building area: 2800 square feet New building area: square feet 9 k 4 k . r a Number of stories: Name:White House Black Market Type of construction: IIB Address:11215 Metro Parkway Occupancy groups: City/State/ZIP:Fort Myers,FL 33966 Existing: M '` Phone:(239)274-4423 Fax:( ) New: ; ¢ i ,t � Business name:Permit Resources 144 � � ��� ` Structural plan review fee(or deposit): Contact name:Mary Ryan FLS plan review fee(if applicable): Address:P.O.Box 3749 Total fees due upon application: City/State/ZIP:Mission Viejo,CA 92690 411' Phone:(949)582-3735 Fax::(949)768-8436 Amount received: E-mail:mary@permitresources.com ,113V ' :W " Commercial and residential prescriptive installation of <; ; .03. .; , ,r „ , , , ;r t k . -. roof-top mounted PhotoVoltaic Solar Panel System. Business name:�B A— 47LZi / •CS ,..5-...4i,-, > Submit two(2)sets of roof plan with connection details t/ litti' . �' �'% G.t' and fire department access,along with the 2010 Oregon Address: 4,?` „4,74,'„1„, /�I,. Solar Installation Specialty Code checklist. City/State/ZIP: �C Jr-,; �1 ?vx `�5i 5.cI Permit fee(includes plan review $180.00 l t and administrative fees): Phone:(g j tr) 91--/ _ 75—ill Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: /1 k' 1/ Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained (1. within 180 days after it has been accepted as complete. Print name:Mary Ryan Date:1/3/17 * 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) 1 City of Tigard 11COMMUNITY DEVELOPMENT DEPARTMENT :14 ■ T 1 c A R D Building Permit Review — Commercial - No Land U s e 43, Building Permit #: 4 Loc d/ 7 600c1... Site Address: 0) `g3 s SIV wo shi n11�'1 SI Suite/Bldg#: W I3 Project Name: Whik 'VITUS e. 13IGIck Ancirit h-- (Namc of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: I fl-Fe._f n( Ti YY' 06621 Existing Business Activity: NA-CAi k Proposed Business Activity: a12-1—C1 t i Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ Yes ❑ No if Zoning: M ii C Permitted Use: ❑ Yes ❑ No ❑ Spec Space Confirm no land use required. Business License: Exists: ❑ Yes ❑ No,applicant notified to obtain business license Notes: Approved by Planning: �'� (/-- ._,....._ Date: f 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: // //7 Site Plans: # '3 Building Plans: # Building Permit#: ©'Enter building permit#above. Workflow Routing: I Planning Permit Coordinator If*--Building 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: By Permit Technician: Date: XV// 7 1:\Building\Fonns\BldgPennitRvw_COM_NoLandUse 070915.docx 1 a 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: C Fees Entered: Wash Co Trans Dev Tax: EJ Yes 0 /A Tigard Trans SDC: CI Yes !* /A Parks SDC: ❑ yes P /A (bK to Issue Permit Approved by Permit Coordinator: Aate: ` '5 ) '4' I:\Building\Fonns\BldgPennitRvw_COM_NolandUse 07091 5.docx SHREMSHOCK RECEIVED Architects&Engineers 74007 West Campus Rd, APR 2 4 2017 Suite 150 CITY Albany,OH 43054 CITY OF TIGARD t 614 545 4550 BUILDING DIVISION888 373 4130 f 614 545 4555 www.shrernshock.com TRANSMITTAL PROJECT: ARCHITECTS White House Black Market#3219 PROJECT NO: 160529.R02 Washington Square DATE: 04/19/2017 Space#: W13 9336 SW Washington Square Rd Tigard, OR 97223 TO: Extended Stay America If enclosures are not as noted,please inform us immediately 875 SW 158th Ave. If checked below,please: Beaverton, OR 97006 ❑ Acknowledge receipt of enclosures Attn: Rich Murdock ❑ Return enclosures to us WE TRANSMIT: N Herewith n In accordance with your request n Under separate cover via UPS FOR YOUR: ❑ Approval N Review&Comment n Use n Record a Distribution to parties THE FOLLOWING: ® Drawings I I Specifications n Change Order I-I Photos n Shop Drawing Prints n Shop Drawings n Product Literature n COPIES DATE REV. DESCRIPTION ACTION CODE 2 04/17/17 2 Construction Drawings—Signed & E Sealed ACTION CODE: A. Action indicated on item transmitted D. For signature and forwarding as noted below B. No action required E. See REMARKS below C. For signature and return to this office REMARKS: Rich, Find enclosed (2)signed &sealed construction drawing sets of White House Black Market— Revision 2 at Washington Square, along with (2) copies of the revision document. Let us know if you need anything else. Thank you! COPIES TO: (with enclosures) CI CI FROM: Allison Fisk City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9336 SW WASHINGTON SQUARE RD W13, June 8, 2017 at 11 :54:41 AM TIGARD, OR, 97223 Record Type: Record ID: Commercial - Building BUP2017-00003 Inspection Type: Inspector: 299 Final inspection Jeff Grove Result: PASS - NoCofO Comments: C of 0 already existing Violation Summary: Inspector Contractor