Permit (75) CITY OF TIGARD BUILDING PERMIT
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21; COMMUNITY DEVELOPMENT Permit#: BUP2017 00123
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/17/2017
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9710 SW WASHINGTON SQUARE RD F01
Project: Untuckit Subdivision: None Lot: None
Project Description: Demolition of existing interior prior to TI.
Contractor: MARKET CONTRACTORS LTD Owner: PPR WASHINGTON SQUARE LLC
10250 NE MARX ST PO BOX 847
PORTLAND, OR 97220 CARLSBAD, CA 92018
PHONE: 503-255-0977 PHONE:
FAX: 503-255-4979
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 05/17/2017 $1,836.79
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 05/17/2017 $220.41
Dwelling Units: Plan Review 05/17/2017 $1,193.91
Stories: Height: ft Info Process/Archiving-Sm$0.50(up to 05/17/2017 $12.00
Bedrooms: Bathrooms: 11x17)
Value: $220,352
Floor Areas:
Total Area: 1689
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $3,263.11
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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 By: Permittee Signature: il�t yyt +/�'��' ;W viZ
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Call 603.639.4175 by 7:00 a.m.for the next available inspection/ �Vdatvve.�V
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 FOR OFFICE USE ONEV
City of Tigard Received
g �� ► Date/B M y Permit No.: 4 1 420 i 7— ''t
lig ii 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
C Phone: 503.718.2439 Fax: 503.598. Date/B : Other Permit: '' / —at
TI C n It D Inspection Line: 503.639.4175 VI �41 Date Ready/By: I3 See Page 2 for
Internet: www.tigard-or.gov ‘10 Oc) Notified/Method: Supplemental Information
TYPE OF WOR( '( �G y `t3\® REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ®I tcn� 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
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9585 SW Washington Square Road Space#F01 New dwelling area: square feet
City/State/ZIP:Portland/OR/97223 Garage/carport area: square feet
Suite/bldg./apt.no.:T.B.D Project name:UNTUCKit Covered porch area: square feet
Cross street/directions to job site:Located inside Washington Square Mall Deck area: square feet
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.:1S1260000300 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.
Demolition of existing interior. Valuation: $220,352
Existing building area: 1,689 square feet
New building area: 1,689 square feet
0 PROPERTY OWNER ® TENANT Number of stories: 1
Name:UNTUCKIT ATTN:BRENT PAULSON Type of construction: T.I.
Address:900 N.MICHIGAN AVENUE LEVEL 2 Occupancy groups:
City/State/ZIP:CHICAGO,IL 60611 Existing: ForLove21
Phone:(646)483-3762 Fax:( ) New: UNTUCKit
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:MARKET CONTRACTORS
(Please refer to fee schedule
Structural plan review fee(or deposit): I
Contact name:KERRY LOBBESTAEL
FLS plan review fee(if applicable):
Address: 12115 NE 99TH STREET SUITE 1800
Total fees due upon application:! ?
City/State/ZIP:VANCOUVER,WA 98682 S q��3 �t
Phone:(503)358-4557 Fax: :(503)255-4979 Amount received:
E-mail:kerryl@marketcontractors.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Market Contractors Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:10250 NE Marx Street Solar Installation Specialty Code checklist.
City/State/ZIP:Portland,OR 97220 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)255-0977 Fax:(503)255-4979 State surcharge(12%of permit fee): $21.60
CCB lic.:62833
Total fee due upon application: $201.60
Authorized signature: i This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Date: 5/1-7/11 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)