Permit CITY OF TIGARD BUILDING PERMIT
I. ' COMMUNITY DEVELOPMENT Permit#: BUP2020-00032
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/09/2020
TIGARD 9 Parcel: 1 S126CC00100
Jurisdiction: Tigard
Site address: 9700 SW WASHINGTON SQUARE RD
Project: Nordstrom Subdivision: None Lot: None
Project Description: Remodeling(1)600 sf dressing room.
Contractor: R&H CONSTRUCTION CO Owner: PPR WASHINGTON SQUARE LLC
2019 NW WILSON ST BY NORDSTROM
PORTLAND, OR 97205-1819 ATTN: TAX DEPT
PO BOX 2229
SEATTLE, WA 98111
PHONE: 503-228-7177 PHONE: 206-303-6651
FAX: 503-224-3638
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 03/09/2020 $729.45
Demolition
Occupancy Grp: M Occupancy Load: 20 12%State Surcharge-Building 03/09/2020 $87.53
Dwelling Units: 0 Plan Review 02/07/2020 $474.14
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 03/09/2020 $102.00
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 03/09/2020 $50.00
Value: $50,000 11x17)
Tigard CET-Non-Residential-Admin 03/09/2020 $20.00
Tigard CET-Non-Residential-AH 03/09/2020 $480.00
Floor Areas: Plan Review-Fire Life Safety 03/09/2020 $201.78
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,234.90
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 ifidork 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 o in a copy of the rules or direct questions to OUNC by calling 503.2J .198yor 1.800,33 44.
•
Issued By: PermitteeSignature:
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 Received FOR OFFI USE ONLY
City of Tigard e Date/By �® 20 �Il�j' �0a\Cl—°U1J32
' 13125 SW Hall Blvd.,Tigard,OR 97223 rEB 6 2020 Plan Review�' )
Phone: 503-718-2439 Fax: 503-598-19 0 Date/By Related Permit.
TIGARD Inspection Line: 503-639-4175 CITY OF TIGARD Date Ready/By if Ions: See Page 2 for
# Internet www.ligard-orgov �Notified/Nlethodl Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA:I.-AND 2-FAMILY DWELLING
❑New construction ❑ Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
RiAddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: S
❑ I-and 2-family dwelling Commercial/industrial
Number of bedrooms:
❑Accessory building 0 Multi-family
❑ Master builder IDOther: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: glop i• 4►ipici i dtm a 0414 (1,4). New dwelling area: square feet
City/State/ZIP: 11 l ., 11223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: ,JD rfx,,`, Tlm eam Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CIIECKLIST.
Subdivision: I 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 WORK work indicated on this application.
'�...y...�w
Valuation: $ 60 vaa ----
Existing building area: tnirjsquare feet
New building area: square feet
ID
OWNER TENANT Number of stories: Z,
Name: NQ 9'^c^ WC. Type of construction: fl..
Address: `"�Db S W �, c t(� Q�� Occupancy groups:
City/State/ZIP: ,ice l !VA' At.(0 r Existing: vyk
Phone:14911,i 0031 ,4I Fax:( ) New: 4 a chino
XAPPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fer sclredul f)
\`l\[ Business name: f ..?rpe.41AITS
Structural plan review fee(or deposit):
Contact name: Vkik 1
FLS plan review fee(if applicable):
Address: �� ���}�ef �/i_ { e Total fees due upon application:
City/StatelZ3, ���h��l V�INV 4F"
��� o�� , _ J Amount received:
C� Phone: 1�•. IGIrI) Pax: :( )
E-mail:l e ' ,V'A" PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
j�
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
.i Business name: Submit two(2)sets of roof plan with connection details
��w"VVV�i and fire department access,along with the 2010 Oregon
Address: 7,/H IL Solar Installation Specialty Code checklist.
City/State/ZIP: laltool4tj! o a- . Permit fee(includes plan review $180.00
��' !!! and administrative fees):
Phone: Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: 14 "- �4 /l 1 Total fee due upon application: $201.60
Authorized signature: t This permit application expires if a permit is not obtained
`r t / _ within 180 days after it has been accepted as complete.
Prim name: �0 Dater /�J� ` Fee methodology set by l7i-County Building Industry
!/{ (r/V Service methodology
I uildingA Permits\BUP COM 1 ernu App doe ‘c 4/21 2)14 440 4G 13T(I I/02/COM/W1=13)
cc� ►4s.01•4
City of Tigard
11/1 p COMMUNITY DEVELOPMENT DEPARTMENT
T l G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: /3 W,102_(j _090 3 L
Site Address: 99- ' 00 zc'ApiA' v? g Suite/Bldg#:
Project Name: /)0d ,y1,�_
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review /
Proposal: T/ -P,l1. y '-ir i4 J /--ehee / cA' '.5� YD --0I7 -
Existing Business Activity: D/(3 07'2.''6/7 )---.e j' 1
Prop. -. Business Activity // // J/ /
:
aVerify site address/suite#exists and active in permit syst
'Al 'vet Terrace Neighborhood: ❑ Yes 1,g No ki
ning Ail 14E
tted Use: I Yes 0 No 0 Spec Space
Of firm no land use required.
LEI Business License:
Exists: Yes 0 No,applicant was provided a business license application
Notes:
Approved by Planning: —� , P Date: 1.Q Q
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: A 16 /,
Site Plans: #
Building Plans: # 3
Building Permit#: nter building permit#above.
Workflow Routing: ' g [ _ermit Coordinator '1Building
Workflow Sign-off: `Sign-off for Planning(include notes from flanning review)
Route Application Documents: (a—Building. original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date: /
1:\Building\Forms\B1dgPermitRvw_COM_NoIandUse 111819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building •
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to App 'c. . :
Revision Notice 2: Date Sent to App • ant:
��Revision Notice 3: Date Sent to A;. 'cant:
/ 5DC Fees Entered: Wash Co T.. s Dev Tax: ❑ Yes Kj N/A
Tigard T., s SDC: 0 Yes Cal' /A
Parks •C: 0 Yes I NN/A
OK to Issue Permit
Approved by Permit Coor • ator: de/Date: 36/). 74-
I:\Building\Forms\BldgPermitRvw_COM_NolandUse_1 11819.docx