Permit �t CITY OF TIGARD BUILDING PERMIT
tlis . COMMUNITY DEVELOPMENT Permit#: BUP2015-00192
Date Issued: 07/15/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9422 SW WASHINGTON SQUARE RD K06
Project: The Duck Store Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: TI(new space)Remove one uni-sex restroom and replace with dressing room. Remodel sales floor area.
Contractor: PERLO CONSTRUCTION LLC Owner: PPR WASHINGTON SQUARE LLC
16101 SW 72ND AVE SUITE 200 PO BOX 847
TIGARD, OR 97224 CARLSBAD, CA 92018
PHONE: 503-624-2090 PHONE:
FAX: 503-639-4134
Specifics: FEES
Description Date Amount
Typo of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 07/15/2015 $3,328.67
Demolition
Occupancy Grp: M Occupancy Load: 63 12%State Surcharge-Building 07/15/2015 $399.44
Dwelling Units: 0 Plan Review 07/06/2015 $2,163.64
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 07/06/2015 $1,331.47
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 07/15/2015 $34.00
Value: $468,000 11x17)
Metro Const.Excise Tax-Commercial 07/15/2015 $561.60
Use
Floor Areas:
Total Area: 2233
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $7,818.82
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 - • -d 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 rul- •r dir-. questions to OUNCCby calling 503.232.1987 or 1.800.332.2344.
Issued By: •ermittee Signatd�e:(�--
Call 503. y 7:00 a.m.for the next available inspection date.
This permit card shall ept 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.
p 1.
Building Permit Applic. _ l j
lECommercial r � 1�E� FOR OFFICE USE ONLY
City of Tigard Received permit No.: (� Q
IN °I `J g II
Date/By:
6- !V L1 P s L27 —L/�
13125 SW Hall Blvd.,Tigard,OR'' d4223 6 2015
Plan Review ! • ,
a Phone: 503.718.2439 Fax: 503.598.1960 I '1 Date/B : ' AIL 7 14 Me.Permit:
TIGARD Inspection Line: 503.639.41'C1TY OF'1'I(AKU Date Ready/By: lair a See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Vi/1�5 Supplemental Information
BUILDING DIVJS101N V .� „rte a e-,�.e
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(rounded to the nearest dollar)of all
Z Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
dwelling Valuation: $
❑ 1-and 2-famil y g ®Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
t,.'i.l_JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:95WSW Washington Square Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: /- (, Project name:The Duck Store Covered porch area: square feet
Cross street/directions to job site:Washington Square Mall Spaces#1(06 Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Tenant Improvement-Remove one uni-sex restroom and replace with dressing room. Valuation: $468,000.00
Remodel sales floor area. Existing building area: 2233 square feet
New building area: 2233 square feet
❑ PROPERTY OWNER Z TENANT Number of stories: I
Name:The Duck Store Type of construction: IIB
Address:395 East 13th Avenue Occupancy groups:
City/State/ZIP:Eugene,OR 97431 Existing: M
Phone:(541)346-4331 Fax:( ) New: M
❑ APPLICANT Z CONTACT PERSON BUILDING PERMIT FEES*
Business name:Ankrom Moisan Architects (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Ariel M.Chavarria
FLS plan review fee(if applicable):
Address:6720 SW Macadam Avenue
City/State/ZIP:Portland,OR Total fees due upon application:
Phone:(503)952-1399 Fax: :( ) Amount received: d` y15,i
E-mail:arielc @ankrommoisan.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:Perlo Construction Submit two(2 - s of roof plan with conne '4n details
and fire department . ess,alo , ' e 2010 Oregon
Address: 16101 SW 72°”Avneue,Suite 200 Solar Installation Spec', ode checklist.
City/State/ZIP:Portland,Oregon 97224 Pemutfae includes plan review $180.00
�`- and administrativ ees):
Phone:(503)624-2090 Fax:(503)639-4134 'State surcharge(12%of permit ): $21.60
CCB lic.:189245 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: rA/ilit t kr Date: 1 I(,)12,06 * 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)
s 0
71 City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R[) Building Permit Review — Commercial - No Land Use
Building Permit #: ,,0,9, 1 L- OG 1 q
Site Address: q t SL.) lAJa - St_ - ke, Suite/Bldg#: K0 CC)
Project Name: Du,cx_ 5-hirc-
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: = out- LJ a • S 6- pAo-O
Existing Business Activity: r(-fr,J
Proposed Business Activity: vr---i-r•„"(
❑ Verify site address/suite#exists and active in permit system.
,,1.River Terrace Neighborhood: ❑ Yes )No
,igt' Zoning: M L C-
,Permitted Use: tr Yes ❑ No ❑ Spec Space
\ 1Confirm no land use required.
Business License:
Exists: ❑ Yes (1 No,applicant notified to obtain business license
Notes:
Approved by Planning: CJw4 Q • (I‹,,"."--"--- Date: '7- Co - 15
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved LI Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date:
Site Plans: #
Building Plans: #
Building Permit#: [Enter building permit#above. �
Workflow Routing. .2'Planning 1:1-"Permit Coordinator , building
Workflow Sign-off: 8- Sign-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:
c________--
By Permit Technician r<!6la' a Date:
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070115.docx
Permit Coordinator Review
0 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:
❑ OK to Issue Permit
Approved by Permit Coordinator: �j d Date: �4/ S
!:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070115.docx
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9422 SW WASHINGTON SQUARE RD K06,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2015-00192
Jeff Grove
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
Transmittal T ,etter
I"It;AR i 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: I - DATE RECEIVED:
DEPT: B ILDING DIVISION §, �
AUG 17 2015
FROM: 'A1(1.D \ ‘"ie/vC Z-.
1 1 ;Y� Pl P.
COMPANY: '%CAN/ Cvnsvc,-r,iv 1n €rx, e14-_S + s ' °"W �-'1* •
PHONE: S.)3 - -qoC
t1
RE: , Sw wpskl/. ►qon► Sc7v L Pp T fbL Pi 5-eO f -
(Site Address) (Permit Number)
—rst DvA. SaoFk ko 6
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS•`
Copes escription: Copies: Description:
Additional set(s) of plans. X Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. c Basement and retaining walls.
Beam calculations. 0\\ Engineer's calculations.
Other(explain):
REMARKS: PLANS Ak, JN..,LA-'B A 7%vls o CvS•?_ CPLIiv�,
S esTrE M (Arr.sf - ,
44 �
FOR OF;F! USE ONLY'
Routed to Permit Technician. ate: ,e(2._<-5- Initials:
Fees Due ❑ Yes o Fee Description: Amount ue:
zq 6
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No (l Done
Applicant Notified: ¢ , Date: T%i /1 i Initials: jj
\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012