Permit CITY OF TIGARD BUILDING PERMIT
1111 11 • COMMUNITY DEVELOPMENT Permit#: BUP2015-00178
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/20/2015
Parcel: 1 S135BA00102
Jurisdiction: Tigard
Site address: 10108 SW WASHINGTON SQUARE RD
Project: Cost Plus Subdivision: OAKBURG Lot: 9
Project Description: TI for existing tenant with racking.
Contractor: CSI CONSTRUCTION COMPANY Owner: PPR SQUARE TOO LLC
17721 NE RIVERSIDE PKWY, STE.A PO BOX 847
PORTLAND, OR 97230 CARLSBAD, CA 92018
PHONE: 503-907-0070 PHONE:
FAX: 503-907-0077
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations, 07/20/2015 $804.75
Demolition
Occupancy Grp: M Occupancy Load: 497 12%State Surcharge-Building 07/20/2015 $96.57
Dwelling Units: 0 Plan Review 06/25/2015 $523.09
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 06/25/2015 $321.90
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 07/20/2015 $75.00
Value: $60,000 DC Provision Review,COM TI-LRP 07/20/2015 $11.00
Info Process/Archiving-Lg$2.00(over 07/20/2015 $40.00
11x17)
Floor Areas: Info Process/Archiving-Sm$0.50(up to 07/20/2015 $7.50
11x17)
Total Area: 16809
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,879.81
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 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 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: — c
.41-V
03.639.4175 by 7:00 a.m.for the next available in3» date
This permit card shall be kept in a conspicuous place on the job site until completion-
Approved plans are required on the job site at the time of each inspection.
4 sef- . - 'i o'w Pt•
Building Permit Application
Commercial X Nt� FOR OFFICE USE ONLY
M City of Tigard Received Permit No.. ' 1 i ` 1 .�c -7
�A7 S
13125 SW Hall Blvd.,Tigard,OR 97223 P Z 015 Plan Review `* ��
Phone: 503.718.2439 Fax: 503.598. a Date/B : ,Sj�tt
Inspection Line: 503.639.4175 01'4 Date Ready/By: ® Supplemental See Page l for
Internet: www.tigard-or.gov y ��( y�� n� Notified/Methad: �� `r�7� Supplemental Information
TYPE OFiiAN k�t-'O " ' f" r-eywc.i
REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction It Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded 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.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: S
El Accessory building III Multi-family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:10108 SW Washington Square Rd New dwelling area: square feet
City/State/ZIP:97223 * Garage/carport area: square feet
Suite/bldg./apt.no.:Cost Pls Project naive:Cost Plus Word Market Covered porch area: square feet
Cross street/directions to job site:SW Greenbtlrg Rd Deck area: square feet
Northeast of corner SW Greenburg and SW'Washington Square Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Washington Square Too 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
equipment,materials,labor,overhead,and the profit for the
. DESCRIPTION OF WORK work indicated on this application.
Interior remodel of store. New racking and relocated racking,finish refresh Valuation:
$ �'Q f 000 p °
Lighting refresh and relocation Existing building area: 16809 square feet
New building area: 0 square feet
❑ PROPERTY OWNER - ® TENANT Number of stories: 1
Name:Cost Plus World Market Type of construction: existing 3B
Address:650 Liberty Avenue Occupancy groups:
1 City/State/ZIP:Union NJ 07083 Existing: M
Phone:(908)855-4773 Fax:(859)261-5530 New: M
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:AGI (Please refer to fee schedulee)
Structural plan review fee(or deposit):
\ Contact name:Tim Seaman(design firm)
FLS plan review fee(if applicable):
Address:15 West Seventh St
��` ��
Total fees due upon application:
City/State/ZIP:Covington KY 41011
Phone:(859)292-7282 Fax::(859)261-5530 Amount received:
E-mail:tseaman@agi-us.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:TBD Submit two(2)sets of roof plan with connection details
.5..T. �� r
f ' � and fire department access,along with the 2010 Oregon
Address: /7-4,11 of ,e.tie✓ „I dc ,Q Solar Installation Specialty Code checklist.
City/State/ZIP: rac]f7'��� O� �?„ ` Permit fee(includes plan review $180.00
�9b and administrative fees):
Phone:( ) e y7 ,� 7 G Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:
X53 Total fee due upon application: $201.60
r—
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Date: ) j. * Fee methodology set by Tri-County Building Industry
Print name:'.�asa� nh�er � �$
�f J Service Board.
I:1Building\Pennits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
I _ N
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per-cent(25%).
VALUATION: Total of all renovation,alteration or modification being done, ° '
excluding painting and wallpapering. [1] $ .;/ 0 0 0
MULTIPLIER(25%barrier removal requirement): x .25
`
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ I#5 . 7 0-1, `
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
► (e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
R
City of Tigard
, -of.III COMMUNITY DEVELOPMENT DEPARTMENT
I; Building Permit Review — Commercial - No Land Use
Building Permit #: ekj/,,2 4,s---0:).1 --1$'
Site Address: /010X Stf} ( ,�SJ,f P,i7Av , t ,,q uite/Bldg#:
Project Name: -t Act S WOr47 1424 P1/(4—
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: ;n+P,r 1 Of remC3eI
Existing Business Activity: Sal as-nrI e11 i e reA--0.1 1
o P osed Business Activity: same._
VerifY site address suite#exists and active in permit s s�m.
Ec River Terrace Plan District ❑ Yes g No
L>Zoning: MuC,
Permitted Use: ❑ Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: [Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: 1 Ti m /1 Y6 Date: 6 12(111 S
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: L/✓,1 Q l c•—{,b("7 q
Site Plans: N/,1 0
Building Plans: # 3 (6, 1.41 1?, rl,.c-161.3 Pl4„v,$)
Building Permit#: [ —lf building permit#above.
Workflow Routing: ring EF—Pernvt Coordinator $aging
Workflow Sign-off: i-, Si -off for Planning(include notes from planning review)
Route Application Documents: [ding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: _ Date: s !f
_ I70
L\Building\Forms\BldgPermitRvw_COM_NoLandUse 03I015.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:
-kr OK to Issue Permit
Approved by Permit Coordinator: (.Fitt . Date: r° y - 15
1:\Building\Forms\BldgPertnitRvw_COM_NoLandUse 031015.docx
TRANSMITTAL ATE : 6/23/15
J
nECEI"VED
JUN 25 2015
CITY OF TIGARD PROJECT# 150421
TO Dan Nelson BUILDING DIVISION
City of Tigard
Permit Center Building
13125 SW HaII BLVD ❑ US MAIL
Tigard, OR 97223 • OVERNIGHT DELIVERY
❑ HAND CARRY
• PICK UP
❑ E-MAIL:
PROJECT: World Market Tigard,WA ❑ FAX
PAGES
PLEASE CALL IF YOU DO NOT
RECEIVE NUMBER OF PAGES
INDICATED
ITEMS ENCLOSED
One Check
STATUS SHOP DRAWINGS
rl FOR YOUR INFORMATION RI FOR APPROVAL U APPROVED
❑ REQUESTED INFORMATION ❑ FOR CONSTRUCTION ❑ APPROVED AS NOTED
❑ FOR REVIEW AND COMMENT ❑ FOR YOUR RECORDS ❑ NOT APPROVED
❑ AS PRELIMINARY BUDGETS ❑ FOR FINAL PRICING ❑ RESUBMIT
❑ PLEASE SIGN AND RETURN COPIES TO OUR OFFICE.
COMMENTS:
15 W SEVENTH STREET.
COVINGTON,KENTUCKY
41011 COPY:
TEL(859)261-5400
FAX(859)261-5530 SIGNED: Tim Seaman TRACKING NO:
info@agi-us.com
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
10108 SW WASHINGTON SQUARE RD,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00178
Chip Barnett
Violation Summary:
Inspector Contractor