Permit (136) CITOF TIGARD BUILDING PERMIT
1111 4• COMMYUNITY DEVELOPMENT Permit#: BUP2018-00075
T I ;A 1%.p 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/26/2018
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9512 SW WASHINGTON SQUARE RD H02
Project: Resveralife Subdivision: None Lot: None
Project Description: TI for new tenant:New walls and ADA modifications for restroom.
Contractor: ADRIAN ROMAN BUILDING&RESTORATION Owner: PPR WASHINGTON SQUARE LLC
727 ELLSWORTH ST SW PO BOX 847
ALBANY, OR 97321 CARLSBAD, CA 92018
PHONE: 503-593-8820 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 03/26/2018 $729.45
Occupancy Grp: M Occupancy Load: 2 Demolition
Dwelling Units: 0
12%State Surcharge-Building 03/26/2018 $87.53
Plan Review 03/14/2018 $474.14
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 03/26/2018
Bedrooms: 0 Bathrooms: 0 11x17) $32.00
Value: $50,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,323.12
Required: Required Items and Reports(Conditions)
Fire Sprinkler: 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 9 2-001-0090.00You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987.r 1.800.332.2344.
Issued By: /_ - ` %-/-. -- r
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f�r�., ermittee Signature: r
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Call 603.639.4176 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
Comercial IV FOR OFFICE USE ONLY"
II City of Tigard Received
Date/By:
/ / — Permit No.:,I '":16)11-6)675-
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11
13125 SW Hall Blvd.,Tigard,OR 97223 4 ���a y' ®fid �-' ^� '�` ����{ `-s
n Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 AR Date/By: ) - Other Permit:
TIGARD Inspection Line: 503.639.4175 , iIGARU DateReady/By: Ions: 0 See Page 2for
Internet: www.tigard-or.gov CiTy
OF .. otified/Ivlethyd: k(� v 7.--,6„ Supplemental Information
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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
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
y
Ott t t , et twork indicated on this application.
0 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
` J A.to .. . . . . . .... ` Total number of floors:
Job site addreso:9585 SW Washington Square Road New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:Space H2 Project name:Resveralife Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
<.,,;.t f0M _ a c "9"'B : 13t ::
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
p , -.> r TION #E work indicated on this application.
Cosmetic interior renovation to include new wall finishes Valuation: $$50,000.00
New non rated partition walls,floor to ceiling height Existing building area: 555 square feet
New sign to be installed(not part of permit setrAl c T AN $10 Ni`' 1)1,z oily New building area: 555 square feet
i . . � i bcr'gI L .. ' t`
Number of stories: 1t sti , o ,„;,,,,,,,,,20:14,.-:4Vs 5
Name:Resveralife Type of construction: II-B
Address:20255 Corisco St. Occupancy groups:
City/State/ZIP:Chatsworth,CA 91311 Existing: M
Phone:(818)886-3200,Ext 3 0► Fax:( )
New NI
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Business name:Western Construction Services
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Structural plan review fee(or deposit):
Contact name:Pamela Deegan
Address:2300 E 3'Loop,Ste.110 FLS plan review fee(if applicable):
City/State/ZIP:Vancouver,WA 98661 Total fees due upon application it 7L./ r`
Phone:(360)953-8517 Fax::(360)694-7818 Amount received:
E-mail:pain@westernconstruction.com
t` Commercial and residential prescriptive installation of
` t.... _' ,'-",` , �� ., .. , �.q, . .A.< roof-top mounted PhotoVoltaic Solar Panel System.
Business name:TBD � � � Submit two(2)sets of roof plan with connection details
Address: ��� "` and fire department access,along with the 2010 Oregon
/7?- 4-,4 J,, 0,../L4 ...C7- O Solar Installation Specialty Code checklist.
City/State/ZIP: 7347 Permit fee(includes plan review
' and administrative fees): $180.00
Phone:( ) Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.: /6,,,,f;'75-(7.:
j Total fee due upon application: $201.60
Authorized signature: - f�J �1 This permit application expires if a permit is not obtained
/ .`Y1i. y _ l �c-,-iG i--- within 180 days after it has been accepted as complete.
Print name:Pamela A.Deegan /j 01 Date:3/13/18 * Fee methodology set by Tri-County Building Industry
r FService Board.
'. 7.2 O 9/
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
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III Building Division
P El
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per-cent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $ 50,000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 12,500
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $ Complies
(b) An accessible entrance: $ Complies
(c) An accessible route to the altered area: $ Complies
(d) At least one accessible restroom for each sex or a single unisex
restroom:
$ 3,500
(e) Accessible telephones: $ Complies
(f) Accessible drinking fountains:and, $ Complies
(g) When possible,additional accessible elements such as storage and
alarms:
$ Complies
TOTAL(shall equal line [21 of Valuation Computation): $ 3,500
I:\Building\Permits\BUP-COM Pern itApp.doc 03/03/2011
City of Tigard
" COMMUNITY DEVELOPMENT DEPARTMENT
11111
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: et4e;iiijr—c,kki ZS'
Site Address: i S j 2- Sw Lisq l.i y,, 'c kot Suite/Bldg#: II-2-
Project Name: Sed- S. k
(Name of comrrlercial business occupying the space. If vacant,enter Spec Space.)
Planning Review 1
Proposal: usin,tfi2 iJ-trvr rK�� -6 Ac v414- rev i..All CiAi3�G). nthA sxtvr4i «I
A-tiocr 40 Ct iij ki�h3- •
Existing Business Activity: 5411--Orti.Jut PtIt.ii
Proposed Business Activity: siwk G,-,'-rl) 1ZA4(
IF V rift'site address/suite#exists and active in permit syste .
(Aver Terrace Neighborhood: ❑ Yes lI No
�
on
21 �JL
�ermitted Use: "Yes ❑ No ❑ Spec Space
onfirm no land use required.
S(g(Business License: /
Exists: ❑ Yes T No,applicant notified to obtain business license
Notes: 1,,‘,14 \dit,L,f.,,, 4. Nil, it, 1.m.,t ak., r(q,J
Approved by Planning: ,1/11/ C4i2k Date: Jf
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: 3/� r
Site Plans: #
Building Plans: # - /
if—
Building Permit#: nte-rbuilding permit#� above.
Workflow Routing: L�Planning gLici.nit Coordinator ding
Workflow Sign-off: i -off for Planning(include notes from planning review)
Route Application Documents: gui' Wig: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: r,., e ,_ __ - Date: ®6/ri
I:\Building\Forms\BldgPermitRvw_COM NoIandUse_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:
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A
Tigard Trans SDC: ❑ Yes ?)N/A N/A
Parks SDC: 0 Yes N/A
04i K to Issue Permit
Approved by Permit Coordinator: Date: 3724 re d
Lt
t( .61441/4l /I'1/
hj:."...e4------7
I:\BuildingForms\BldgPermitRvw COM NoLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9512 SW WASHINGTON SQUARE RD H02,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2018-00075
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9512 SW WASHINGTON SQUARE RD H02,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2018-00075
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor