Permit q CITY OF TIGARD BUILDING PERMIT
• : COMMUNITY DEVELOPMENT Permit#: BUP2013 00012
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/05/2013
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9491 SW WASHINGTON SQUARE RD A04
Project: Zumiez Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Rennovation of existing Zumiez store.
Contractor: HARDESTY&ASSOCIATES INC Owner: PPR WASHINGTON SQUARE LLC
500 EAST BALBOA BLVD PO BOX 847
NEWPORT, CA 92661 CARLSBAD, CA 92018
PHONE: 949-723-2230 PHONE:
FAX: 760-723-2240
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 09/05/2013 $955.35
Demolition
Occupancy Grp: M Occupancy Load: 86 12%State Surcharge-Building 09/05/2013 $114.64
Dwelling Units: 0 Plan Review 01/10/2013 $620.98
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 09/05/2013 $382.14
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 09/05/2013 $167.00
Value: $80,000 DC Provision Review,COM TI-LRP 09/05/2013 $25.00
Info Process/Archiving-Lg$2.00(over 09/05/2013 $32.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,297.11
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors:
Smoke Detectors: Yes 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. TtON:Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. hose rules are set forth in OAR
9 -001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 .1987 or .800.332.2344.
sued By: ,/ - /� 0 Permittee Signature: A
Call 503.639.4175 by 7:00 a.m.for the next available inspectio date.
This permit card shall be kept in a conspicuous place on the job site until co. pletion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial RECEIVED Received f FOR OFFICE USE ONLY
- City of Tigard Date/By: tl I (0 (3 Permit No.:6(1.P JOB 3-0001D--
13125 SW Hall Blvd.,Tigard,OR 97223 JAN 1 0 2013 Plan Review ,i I . 14_1 2 Phone: 503.718.2439 Fax: 503.598.1960 DateBy: i,i V is Other Permit:
Inspection Line: 503.639.4175 ^ �/� p� Date Read B J.1 ® See Page 2 for
TIGARD Internet: www.tigard-or.gov CITY OFTIGARD ed/Metho : /I/7/, 3 1lD Supplemental Information
BUILDING DIVISION OP b,-(ied
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(routded to the nearest dollar)of all
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
■
❑ I-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 1=1 Multi-family Number of bedrooms:
1:1 Master builder 1=1 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION
Total number of floors: 1
Job site address:9491 SW Washington Square Road New dwelling area: square feet
City/State/ZIP:Tigard,Oregon 97223 Garage/carport area: square feet
I
Suite/bldg./apt.no.:A-04 Project name:Zumiez-Washington Square Covered porch area square feet
Cross street/directions to job site:Located at Washington Square Mall, Deck area: square feet
near JCPenny's Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 7 Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rotnded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application. _
Project includes the renovation of an existing 3,075 sf'Zumiez'retail store in Valuation: $ 00)000
Washington Square Mall.Project includes new finishes,store fixturing,casework Existing building area 3,075 square feet
lighting,storefront,and modifications the the existing electrical system. New building area: 3,075 square feet
❑ PROPERTY OWNER ® TENANT Number of stories:
Name:Zumiez Inc. Type of construction: II-B
Address:4001 2041h Street Southwest Occupancy groups:
City/State/ZIP:Lynnwood,WA 98036 Existing: Mercantile
Phone:(425)551-1500 Fax:(425)551-1595 New: Mercantile
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Murphy Varey
Structural plan review fee(or deposit):
Contact name:David Murphy
FLS plan review fee(if applicable):
Address:910 Lenora St Suite S207
Total fees due upon application: $1,003.10
City/State/ZIP:Seattle,WA 98121
Phone:(206)341-9875 ail Fax: (N/A)
Amount received: 1003.1
>
E-mail:dmurphy @murphyvarey.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photovoltaic Solar Panel System.
Business name:TBD Submit two(2)sets of roof plan with connection details
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
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: Total fee due upon application: $201.60
Authorized signature: i This permit application expires if a permit is not obtained
` within 180 days after it has been accepted as complete.
Print name:David Murphy Date:01/08/13 * Fee methodology set by Tri-County Building Industry
- Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-46I3T(I I/02/COM/WEB)
NI Lit i)liY RECEIVED
JAN 10 2013
TRANSMITTAL CITY OF TIGARD
BUILDING DIVISION
Date: January 9,2013 From: Carly Miller
Murphy Varey P.S.
To: City of Tigard
Dan Nelson, Building Division
13125 SW Hall Blvd
Tigard,OR 97223
(503)718-2436
Re: Zumiez—Washington Square Mall—Permit
Dan,
Attached is our permit submittal for the above referenced project.
Submittal includes:
-(3) Sets of architectural drawings
-(1)Building Permit Application
-(1) Plan Review fee payment
We spoke previously about having a start date on this project of January 28"'. Please feel free to contact
me should you require any further information,(206)341-9875.
Thanks so much,
Carly Miller
If contents are not as noted,please call 206.341.9875
Z:\785_Zumiez-Washington Square,OR\CorrespondenceVurisdiction\OU7113_0109_Permit\Zumiez Washington Square_Permit_to Jurisdiction_I3_0109.docx
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Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9491 SW WASHINGTON SQUARE RD A04,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
2014-01-14 (null)
BUP2013-00012
PASS - C of O
Violation Summary:
Inspector Contractor
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
a r Transmittal Letter
a e e
•
. T I G A R I) 13125 SW .11 Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE ' .,s. ; !
DEPT: .ds I. D G DIVISION
23 013
FROM 4-4 ` CITY 0' I : : r
•� BUILD 'i : 1 IVISION
COMPAN : :.i _A_._„
I
HONE: ‘0 'S/?-27 By J2
RE: 9i/9 �J, e. .5-O on/ `1--
(Site Address ('e "tar)
uY-llEz,
(Project name or subdivision nam:and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS:
FOR FFI E USE ONLY .—Ow -
Routed to Pe . T icta Date: 9 24-113 Initials:
Fees Due: Y s NU Ro Fee Description: Amount Due:
_ $
. ----4;1---
$
Special .
Instructions:
Re.rint Permit •er PE : ❑ Yes g o ❑ Do•,
A. •licantNotified: Date: ENZIM .W:� IlN EtE1116
(:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012