Permit (7) CITY OF TIGARD BUILDING PERMIT
��. ' COMMUNITY DEVELOPMENT Permit#: BUP2019-00243
Date Issued: 10/31/2019
TIG 1t R r) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9624 SW WASHINGTON SQUARE RD G07
Project: Amazon Books Subdivision: None Lot: None
Project Description: New Finish work and shelving layout for store. No mechanical or plumbing.
Contractor: POWERHOUSE RETAIL SERVICES Owner: PPR WASHINGTON SQUARE LLC
812 SOUTH CROWLEY RD STE A PO BOX 847
CROWLEY,TX 7036 CARLSBAD, CA 92018
PHONE: 817-297-8575 PHONE:
FAX:
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 10/31/2019 $1,068.30
Demolition
Occupancy Grp: B Occupancy Load: 25 12%State Surcharge-Building 10/31/2019 $128.20
Dwelling Units: 0 Plan Review 08/29/2019 $694.40
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 10/31/2019 $254.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/31/2019 $427.32
Value: $95,000 Info Process/Archiving-Lg$2.00(over 10/31/2019 $22.00
11x17)
Info Process/Archiving-Sm$0.50(up to 10/31/2019 $12.50
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,606.72
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 f. ow 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 o- a'i a copy.- e rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection• e.
This permit card shall be kept in a conspicuous place on the job site until c• •le'• • the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial ", FOR OFFICE USE ONLY
City of Tigard(� ReceivDate/By:
A. / v t �J)N
13125 SW Hall Blvd.,Tigard,OR 97223 AUG 2 9 2019 y: .� i/ �J ,.
Plan Review a Related Permit:
Phone: 503-718-2439 Fax: 503-598-1960 Date/By. 1
TI(ARD
Inspection Line: 503-639-4175 t r .,-.....)'r- .; ( ., 4eady/By1,/ ions: See Page 2 for
o Internet: wvvw.tigard-or.gov i • t )Nj("", a) tified/Method. j 1 Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work perfonned.
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 04 Commercial/industrial Valuation: $
E3Accessory building ❑Multi-family Number of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
JOBITE INFORMATION AND LOCATION �}, Total number of floors:
Job site address: ot S� W is 1 ' �0 �D . 123, • New dwelling area. square feet
City/State/ZIP: / Og- '1`7v Garage/carport area: square feet
Suite/bldg./apt.#: 61 —07 Project name: t7i. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees°are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORKwork indicated on this application.
� �r_ ` tIQ{Stt. v )O-- 4 <4 L'viN',f I-'yair Valuation: $ CIctl3OL7
N6°v l-- • IQ° "U i14441 -fg Existing building area: square feet
/V� New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: t i'l-O&J I,t7e.e®eitil VI•1 t 1.-4,C- Type of construction:
Address: eb 00-7,-240 Occupancy groups:
City/State/ZIP: r '4}- ( 1,soc, Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
�,� (Please refer to fee schedule),
Business name: ra-`-e'- "t4'CP— Structural plan review fee(or deposit):
Contact name: Ni ni V'e--( 7
� FLS plan review fee(if applicable):
Address: ��Vf t, -t vE Total fees due upon application:
City/State/ZIP: eD -1.: _c 71-ti
( t Amount received:
Phone: ) Fax: :( )
`�� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:
Yrvoxt AJ1 Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoliaic Solar Panel System.
I�•"-- Submit two(2)sets of roof plan with connection details
Business name. --MO
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
y and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: Total fee due upon application: $201.60
Authorized signature: 7Y 77 71............. permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
;4Print name: " / A Date 8 * Fee methodology set by Tri-County Building Industry
Nt�/,/►/Iv !/rv�-1� V �(9 Service Board.
I\Building\Permits\BUP_COM_PermitApp doe Rev 04/21/2014 440-4613T(I I/02/COM/WEB)
City of Tigard
•11111
COMMUNITY DEVELOPMENT DEPARTMENT
C.
Building Permit Review — Commercial - No Land Use
TIGARD.
Building Permit #: /j t/Di -0,2v3
Site Address: 96),Q4 Do rt6,27,h . 2 %. a Suite/Bldg#: _C5)09--
Project Name: A. Yt 15s
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 7/ A.7/?174,1047L—
Existing
7447L—Existing Business Activity: �g<1%.,f_ dn,(J,r( � r L l
Propo -s Business Activity: 8. (1 //
l►i Verify site address/suite# exists and active in permit ssyst�e
I► ':ver Terrace Neighborhood: ❑ YesIQ No
1► ,.ening. ���
rmitted Use: V 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:
0/�/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
111111111.1111111. 4111111/1111011§MINNIIIK
Building Permit Submittal
Original Submittal Date: / / 7
Site Plans: # _
Building Plans: #
Building Permit#: !. nter building ermit# above.
Workflow Routing: ' lanning ermit Coordinator ,C. ''Kuilding
Workflow Sign-off: W. Sign-off for Planning(include notes from planning review)
Route Application Documents: U iuilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes: /
By Permit Technician: (AL A..(, /
/,� I Date: /
I:\Building\Forms\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
I/A
Parks SDC: ❑ Yes 13/N/A
OK to Issue Permit
y4�/(/f
'�/f 1/71/1
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 070915.docx