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Permit (32) CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2017-00172 T[GAR. 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/03/2017 Parcel: 1S 1260000300 Jurisdiction: Tigard Site address: 9585 SW WASHINGTON SQUARE RD Project: Washington Square Mall Subdivision: None Lot: None Project Description: Construction of equipment room behind 9681,Space C06. Contractor: LEGACY WIRELESS SERVICES INC Owner: PPR WASHINGTON SQUARE LLC 15580 SE FOR MOR CT PO BOX 847 CLACKAMAS, OR 97015 CARLSBAD, CA 92018 PHONE: 503-656-5300 PHONE: FAX: 503-656-5305 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 07/03/2017 $509.05 Demolition Occupancy Grp: B Occupancy Load: 2 12%State Surcharge-Building 07/03/2017 $61.09 Dwelling Units: 0 Plan Review 06/22/2017 $330.88 Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 07/03/2017 $203.62 Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 07/03/2017 $18.00 Value: $30,000 11x17) DC Provision Review,COM TI-Ping 07/03/2017 $90.00 Floor Areas: Total Area: 575 Accessory Struct: 0 Basement: 0 Carport: 0 _Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,212.64 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 • OR. Specialty Codes and all other :•.licabl- -w. All work will be done in accordance with approved plans. This permit will expire if work is not started wi•n 180 days of issua.=-, or if work isyf- en.-d or more. the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Or=•on Utility Notificatio. Center. Those •es - e s t f in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct question-to OUNC by calling 50..232.1987•r 1.800.332.234,. Issued By: Permittee Signature: I �.A Ter /Ow 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 RECEIVED FOR OFFICE USE ONLY CityofTl and Received �� (�, Permit No.: f/��',DL1 �f g Date/By: a•a'll7 \ ,1)) ,�'e/Oy/7�/ ` Illq - 13125 SW Hall Blvd.,Tigard,OR 97223 JUN 2 2017 Plan Revie, b �' Phone: 503.718.2439 Fax: 503.598 j6 Date/By: -I �► ( Other Permit: TI G A RD Inspection Line: 503.639.4175 © {i 7 O IGAR Date Rea. . . 7u*� ® See Page 2 for Internet: www.tigard-or.gov °J��Ldt1V�i ��\/IG� �el Notified/Method: ✓//) Supplemental Information N 't.�9� `a✓7Zr TYPE OF WORK ! REQUIRED DATA:1-AND 2-FAMILY DWELLING' 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 p(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 2.ICommercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: 0 Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:ekras5 c-7�\.) il\l \ N(. 7jJ j 3(J „rJ-4.1 New dwelling area: square feet City/State/ZIP: 'Q� �'\q_A- ) te___ c1-7 z Z 23 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: �y r( v1/4,1I` `-�(2Tt �Ai ('j Covered porch area: square feet Cross street/directions to job site: V I N1-I- Deck area: square feet ,C �.,UP't StA(116-7CA) 5 a CA- % b �� t 1 i}. D Other structure area: square feet \2,. 0 C, 1 5 i I)e C i c"- MA CL REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 1 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.: pp, l� _ �-�F l cICi -Z(S�� equipment,materials,labor,overhead,and the profit for the DESC PTION OF WORK work indicated on this application. tj L (�A) ©E �u l; 1P Y �� Valuation: $ ' 4 )C` CT,CC, .no Existing building area: ' '�� ware feet -ND ‘2�y c `-' D ST�iccZ 5. New building area: square feet g PROPERTY OWNER ❑ TENANT Number of stories: z_ Name:�, ?�u!�` ,, ,ti 6-Ivo 5 i\;��Z� LLC Type of construction:A �, Ki/A fCo Address: 013` `7 ��u }�1.� z � S�L�C-c-C.. -�Z Occupancy groups: City/State/ZIP: ( A - > (r)t C)-1 2.:7-2, Existing: Phone:( ) Fax:( ) New: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application: Amount received: (3 3 ;,. Phone:( Fax: :( ) 8Q E-mail: ii / / PHOTOVOLTAIC SOLAR PANEL SYSTEM FEF ` i 6 C'�� Cf('1/ (A J j re/PSS .C0 l'rl Commercial and residential prescriptive insta . on of COI iRAC R roof-top 'vs.ited Photo Voltaic Solar Pa.- System. (A)1 £.�. �_LI t G Submit two ) of roof plan wit °onnection details Business name: LE(z1}Gy " 1 1/1./e, and fire department a - s,alon. •ith the 2010 Oregon Address: /5-58C - t //7/1.c ie._ CT- Solar Installation Specialty..de checklist. City/State/ZIP: C( Permit fee(incl . s plan r- 'ew � 9 ofs _ and-.ministrative fees): $180.00 Phone: L „ - co .x:(3-0-3� _50.,5 Statesu arge(12%of permit fee): $21.60 CCB lie.: Total fee due upon application: $21 ..0 Authorized s =•.lure: 1 / This permit application expires if a permit is not obtained A.' within 180 days after it has been accepted as complete. Print name:T64--p+ � l 6p-L,. t •• U I I C,1 1 P * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pennits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard " ItCOMMUNITY DEVELOPMENT DEPARTMENT I TIGARD Building Permit Review — Commercial - No Land Use Building Permit #: cbtsLPc9O(7--CO i 7 —. Site Address: 95 QHS s vv vv, S h i 0 �n 5cp, Suite/Bldg#: Project Name: Q/2 Waiht1 yin9 gl Sclvcir "4CtIi (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: TO kr-cry( Ti 0 G e et,v, yq-yt1L 4- •-1OOen . Existing Business Activity: CA ✓n ntuu-c.+?.4 L Proposed Business Activity: Wry) ate.1-ii (-LA- X' Verify site address/suite#exists and active in permit system. /River Terrace Neighborhood: CI Yes i No /Zoning: M 1r G yePermitted Use: Yes CINo ElSpec Space Confirm no land use required. [7 Business License: / Exists: Yes ❑ No,applicant notified to obtain business license Notes: Approved by Planning: /17) (.9"1--'1---. tr-\--- �_ Date: 6/ Z2/ (-7 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: CC/ 6Ia(/ 7 Site Plans: # Building Plans: ## Building Permit#: Er-Enter building permit#above. � �/ Workflow Routing: Planning l 1 rmit Coordinator l-Building Workflow Sign-off: [ Si -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: jl� Date: I:\BuildingForms\BldgPermitRvw_COM_NoLandUse 060116.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 �. /A Tigard Trans SDC: ❑ Yes V. N/A ' g Parks SDC: ❑ Yes I -N/A t7 OK to Issue Permit // Approved byPermit Coordinator: hir-20e:t (.� 117//' 1 I:\Building\Forms\BldgPennitRvw_COM NoLandUse_070915.docx Teather Bailey From: Greg Galli (Contractor) <Greg.Galli@americantower.com> Sent: Tuesday,June 20, 2017 3:39 PM To: Teather Bailey Cc: Steve Smith; Nicole Robinson (Contractor) Subject: Washington Square Permit Information Requested Here is the info from the mall management: • Property Owner name, address, city/state/zip & phone number PPR Washington Square LLC, 9585 SW Washington Square RD, Tigard, OR 97223 Tax map/parcel number parcel 1, legal description (Use this reference#in Completion Notice form from Wash. County REF#' 1999-21506') • Lot number Parcel 1 • Existing Building Area Square Footage1,370,000 • New Building Area Square Footage: 575 square feet (not new,just remodeling) • Number of stories: 2 Greg Galli Northern California DAS CX Supervisor 19100 Von Kerman, Suite 200 Irvine, CA 92612 American Tower Corporation 530-592-9931 Cell 530-237-5150 EFax g reg.ga l l i @ Am a ri ca nTowe r.co m A AME.e[CAM a'O WE. TEXTING and DRIVING... It Can Wait.Take the pledge and pass it on. Go Green! Please think about our environment before printing this email, CONFIDENTIAL,PROPRIETARY and PRIVILEGED:The information contained in this e-mail and any attachments constitutes proprietary and confidential information of American Tower Corporation and its affiliates. This communication contains information that is proprietary and may be subject to the attorney-client. work product or other legal privilege or otherwise legally exempt from disclosure even if received in error. The communication is intended for the use of the addressee only. If you are not the intended recipient you are hereby notified that any dissemination,distribution or copying of this communication is strictly prohibited. If you have received this communication in error,please immediately notify us by return e-mail and destroy any copies,electronic.paper or otherwise. which you may have of this communication. Thank you for your cooperation. 1 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9585 SW WASHINGTON SQUARE RD, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Building BUP2017-00172 Inspection Type: Inspector: 299 Final inspection Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor