Permit CITY OF TIGARD• BUILDING PERMIT
"1 COMMUNITY DEVELOPMENT Permit#: BUP2018-00210
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/19/2018
T t C A R.1) g Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9716 SW WASHINGTON SQUARE RD F03
Project: Lucky Brand Subdivision: None Lot: None
Project Description: Demolition of demising walls,fixtures,ductwork,flooring,and storefront.
Contractor: WESTERN CONSTRUCTION SERVICES INC Owner: PPR WASHINGTON SQUARE LLC
2300 E 3RD LOOP SUITE 110 PO BOX 847
VANCOUVER,WA 98661 CARLSBAD, CA 92018
PHONE: 360-699-5317 PHONE:
FAX: 360-694-7818
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: DEM Type of Const: VA Permit Fee-Additions,Alterations, 07/19/2018 $619.25
Demolition
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 07/19/2018 $74.31
Dwelling Units: Plan Review 07/11/2018 $402.51
Stories: Height: ft Info Process/Archiving-Sm$0.50(up to 07/19/2018 $0.50
Bedrooms: Bathrooms: 11x17)
Value: $40,000
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $1,096.57
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 50 2.1987nor 1.800.33 44.
Issued By: „og‘' @h Permiittee Signature: .-,
ra
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
Comore rc al ��
City of Tigard l i E I E�.r"" Received Permit No
III 1111 13125 SW Hall Blvd.,Tigard,OR 97223 DateBy: (( ` � �{�/ ��yU`��1�
Phone: W Hal Blvd. Fax: 503.598.1960 IPlan Review 17 Other Permit: i
T I G A R D Inspection Line: 503.639.4175 Date ReadyBy: -._., /i' �� / oris: ® See Page 2 for
Internet: www.tigazd-or.gov CITY A y�,W"f� l' Notified/Method. ` i �) Supplemental Information
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Elew Nconstruction g*jm®Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
El Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
t, *> � .. $, work indicated on this application.
0 1-and 2-family dwelling ®Commercial/industrial Valuation: $
ElAccessory building 0 Multi-family Number of bedrooms:
El Master builder ❑Other: Number of bathrooms:
z t : ° iT " e: t te'r 'v Total number of floors:
Job site address:9716 SW Washington Square Rd.,F03 New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Landlord Work Sp F03 Demo Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
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
rv. ,w equipment,materials,labor,overhead,and the profit for the
i. ° °� t l' * of work indicated on this application.
Demolition of demising walls,fixtures,ductwork,flooring and storefront. Valuation: $40,000
Existing building area: 4403 square feet
New building area: 4403 square feet
ata ry < a , a Number of stories: 1
Name:Macerich Type of construction: II-B
Address: 11411 N.Tatum Blvd. Occupancy groups:
City/State/ZIP:Phoeniz,AZ 85028 Existing: M
Phone:(602)953-6377 Fax:( ) New:
ttrr,iyi,'a"k' : f, w. fpsLC ......} ;,:.'�#` � aT > e e 'Qe,` ,
l t t k` a t +§
Business name:Western Construction Services � �� "� �-��—�� �--� "::::::::::4::::!‘‘.4"14: ;'1�„ °,
Structural plan review fee(or deposit):
Contact name:Carter Schaffran
FLS plan review fee(if applicable):
Address:2300 E.3rd Loop,Ste.110
City/State/ZIP:Vancouver,WA 98661 Total fees due upon application:
Phone:(360)823-4227 Fax::(360)699-5317 Amount received:
k
' ; tr 1 A - ,. ef,
E-mail:carter@westernconstruction.com x.
Commercial and residentialprescriptive installation of
'� ,��Q�� "",. �� �,a.f �'"�� � �� �3a4�s u','% ,.m�„? x ""'`�'., ate;
w.ems. v a .. ;. _�� ,,° roof-top mounted Photo Voltaic Solar Panel System.
Business name:Western Construction Services Submit two(2)sets of roof planwith connection details
and fire department access,along with the 2010 Oregon
Address:2300 E.3rd Loop,Ste.110 Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver,WA 98661 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(360)823-4227 Fax:(360)694-7818 State surcharge(12%of permit fee): $21.60
CCB lic.:63717 ?
Total fee due upon application: $201.60
Authorized signat : -6e11 This permit application expires if a permit is not obtained
r within 180 days after it has been accepted as complete.
Print name:Carter Schaffran' Date:07.09.18 * 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)
City of Tigard
IIICOMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - With Land Use
Building Permit #: /6(t alC>( r-- 06620
Site Address: q 16 (\nlolrj r S�A� lZJ:�� Suite/Bldg#: 3
Project Name: LJt gra„ Jcw s
(Name of Eommercial business occupying the space. If vacant,enter Spec Space.)
Planning Review +�_� F(� II rr� f(_ 1_� r ii
Proposal: Oievti'i�l;rk 0+" (�tr,i, 15 i�llS�tt7( rcS cta'L.,4l�J �t',to:A^- ,v,A Jtot -lf, Al, C 1d
// art ;11tr,ar ‘,,( no jtotyL) .o e },r�1tr .lr� .
[KTerify site address/suite# exists and active in permit system.
L,4,' er Terrace Neighborhood: ❑ Yes 2--No
LW and Use Case#: rimuzolg- 000 is
L' Plan9eIatch Approved Land Use:
Site Plan Landscape Plan ❑ Other:
-Urban Forestry Plan levation Plan -�,7
LE Building Height: Maximum Height 7 Actual Height ilh Ctia. L
0 Conditions Met: CI Prior to Submittal ❑ Prior to Permit Issuance
b y Cbv.ib hwki
L4' Business License: /
I ❑ Yes C�' No,applicant notified to obtain business license
LSI Public Facilities Im rovement F Permit:
P �' � /No
Required: ❑ Yes,applicant was notified Applied For: ❑ Yes ❑ No,stop intake
Notes:
Approved by Planning: 4 (I''*''
I' Date:
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: 74///F
Site Plans: #
Building Plans: # 3
Building Permit#: li—Enter building permit#above.
Workflow Routing: ► 'lanning p—Engineering iit Coordinator ,..-IN-Building
Workflow Sign-off: Pr . -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: �. ../.4 s, t L /,‘"._.-27,1� Date: l
/IL-
I:\Building\Fonns\BldgPermitRvw_COM_WithLandUse 060116.docx
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments) per engineering conditions of approval and plat(not I,' a on SDR/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: E Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ N
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineerin Date:
Revisions (after B •mg Submittal only) Reviewer Date
Revision 1:- i Approved ❑ Not Approved
Revisien 2: ❑ Approved ❑ Not Approved
. vision 3: ❑ Approved ❑ Not Approved
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 De ax: ❑ Yes ❑ N/A
Tigard Trans T.C: ❑ Yes ❑ N/A
Parks S I'': ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit ordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_WithLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9716 SW WASHINGTON SQUARE RD F03, August 2, 2018 at
TIGARD, OR, 97223 12:43:06 PM
Record Type: Record ID:
Commercial - Building BUP2018-00210
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor