Permit CITY OF TIGARD BUILDING PERMIT
g ' COMMUNITY DEVELOPMENT Permit#: BUP2015-00376
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/21/2016
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9569 SW WASHINGTON SQUARE RD B04
Project: Godiva Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Major remodel for new tenant
Contractor: CAHILL CONSTRUCTION INC. Owner: PPR WASHINGTON SQUARE LLC
5233 BETHEL CENTRE PO BOX 847
COLUMBUS, OH 43220 CARLSBAD, CA 92018
PHONE: 937-475-0405 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 03/21/2016 $1,407.95
Demolition
Occupancy Grp: M Occupancy Load: 32 12%State Surcharge-Building 03/21/2016 $168.95
Dwelling Units: 0 Plan Review 01/07/2016 $915.17
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 03/21/2016 $563.18
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 03/21/2016 $351.00
Value: $150,000 Info Process/Archiving-Lg$2.00(over 03/21/2016 $58.00
11x17)
Info Process/Archiving-Sm$0.50(up to 03/21/2016 $12.50
Floor Areas: 11x17)
Metro Const.Excise Tax 03/21/2016 $180.00
Total Area: 1386
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,656.75
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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:40Z00 PLrmittee-Signature:
,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.
13uilainPermit A licati
• CEIVEP I Z 0
!!l€ €I �, FOR OFFICE I SE O\I,\
City of Tigard Received
Permit No.:
{�C /� �� 4 %/S�
13125 SW Hall Blvd.,Tigard,OR 972424 u Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/13 : Other Permit:
I i�. R D Inspection Line: 503.639.4175 C�'I% OF `i��' kj Date Rea..••' 7uris: ® See Page 2 for
Internet: www.tigard-or.gov - Notified/Method: Supplemental Information
BUILDING
Permit fees*are based on the value of the work performed.
❑New construction 0 Demolition
Indicate the value(rounded to the nearest dollar)of all
ddition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
0 1-and 2-family dwelling 'Commercial/industrial Valuation: $
IDAccessory building 12Multi-familyNumber of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
•� r , Total number of floors:
Job site address: e1 "a .S1,1/4) i,'1n.c''j„ n el c„ , New dwelling area: square feet
City/State/ZIP: ��Q 0(— q6 U3 Garage/carport area: square feet
Suite/bldg./apt.no.: 04 Project name: ��(kt\p„,..., Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
y,1,-,•',,';' ; °tlf i
Subdivision: �aS�t � �)� ( Lot no.: Po pl.t Permit fees*are based on the value of the work performed.
Tax map/parcel no.: v\ Indicate the value(rounded to the nearest dollar)of l
. e ui ment materials abor overhe and profit for the
t qthe
t i t " s s - work indicated on this application.a
'n 1Cd�[�'" 'c.ynd 'Ili bk -sfi�� Q C Valuation: $ Z3 , 6ao
i Existing building area: (3b square feet
New building area: square feet
s ` ,,°1 `� y ,3,.T r 14,s- �" Number of stories:
Name: ( • C.,... _ Type of construction: 1 t
'411
f: Address: 333 0Ast4A Sk- Occupancy groups:
City/State/ZIP: c,v.,1 o1 '0001
Existing:
Phone: /� t gA
Q�� ) " ■Iu -� � Fax:(2�2)� ��(.� New: �\
Business name:
Structural plan review fee(or deposit):
Contact name: �'S `
Address: — - ` -1- ShL FLS plan review fee(if applicable):
j' � .tam ,^ � Total fees due upon application:
q City/State/ZIP: �(
Amount received:
Phone:(��� Uq3-�� i Fax::V4� IJ'
E-mail: '1 zar . iP •,.
WIlkielCommercial and residential prescnptrve installation of
, 1 - - ''.. ` • roof-top mounted Photovoltaic Solar Panel System.
Business name: /_4,-8 41.15...),„„_,..71-0,0 V Submit two(2)sets of roof plan with connection details
t_ v and fire department access,along with the 2010 Oregon
Address: �^�? /t, � � Solar Installation Specialty Code checklist.
City/State/ZIP: r JJ Y7� Permit fee(includes plan review
�L G`�� S1;
U� 1130/01.0and administrative fees): $180.00
Phone:l(j y) Lf AM —.es--70Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: fJi til /r? Total fee due upon application: $201.60
Authorized signature: �� 4,_)Ajk,_or__,_,___s_,
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: q , ' •;
r ,
1111
I City of Tigard
i 11
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: ---F-Du P 9o,5-oo 3 70
Site Address: CI 5 0 S w hi°il S h g'I I''''') 5 cl/ti4iit Suite/Bldg#: (3 Oil
Project Name: 67 0 06N/CA—
(Name
'UVc-
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Tr. Q ,L ,t, S p al cam.
Existing Business Activity: F-ttTift
Proposed Business Activity: m
Verify site address/suite# exists and active in permit system. i
.L1-River Terrace Neighborhood: ❑ Yes - No ''
7 Zoning: ("\VC
/Permitted Use: ❑ Yes ❑ No E Spec Space
ZConfirm no land use required.
XBusiness License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
/ -
Approved by Planning: 4, 011 ;6, /�/i 0 121 I 2/?o�Date: u
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: E Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: / / 0( 00e0(.41
� //7//4 eir 3
Site Plans: # D / �/ �`
Building Plans: # - 07C,kin✓l " ler--404'1,4114
Building Permit#: 'nter building permit# above. /i7.-
Workflow
i7.Workflow Routing: 2"P-fanning O'hrmit Coordinator -0'Building
,{� 5
Workflow Sign-off: -off for Planning(include notes from planning review)
Route Application Documents: Building: original permit application, site plans,building plans,engineer and
J. beam calculations andel trust details,if applicable, etc.
Notes: C,d
1 -✓L-t c.A._ c..) ..-a H
e- io (e14-id .g,/�-e- n
)
By Permit Technician: �/��_\�` /a%riti,,�L.j Date: 0/Ar—
1:\Building\Fonns\B1dgPermitRvw_COM_NoLandU se_070915.doc x
1
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:
►_S.DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A
Tigard Trans SDC: ❑ Yes C8'N/A
Parks SDC: ❑ Yes �N/A
OK to Issue Permit
Approved by Permit Coordinator: Date: //" 7
I:A Building\Fonns\BldgPennitRvw_COM_NoLandUse_070915.docx
r 4'
121
wit& ism
ilinioffillinilaV PRECISION PERMIT SERVICES
IDiI11I N 75 - 60TH STREET SW • WYOMING, MI 49548
JIM*
12/24/2015
To: City of Tigard Building Dept
Commercial Plans Examiner
Re: Godiva
Washington Square
Enclosed for your use in reviewing the above referenced project for our building permit are:
2 Sets of Plans
Structural Calcs
ComCheck
Building Permit Application
Checklist
Mechanical Permit Application
Plan Review Fees
Business Reply Envelope (please return a receipt)
Ifou should s ould have any questions please do not hesitate to contact me.
Thank you,
Amy Diekevers
amyd@precisionpermits.com
616-493-9334 p
616-493-9351 f
441
t'"'i�'i 'r' PRECISION PERMIT SERVICES
1w ' 1 � `' 75 - 60TH STREET SW • WYOMING, MI 49548
AMU
RECEIVED
JAN 6 2016
CITY OF TIGARD
BUILDING DIVISION
1/5/2016
To: City of Tigard Building Dept
Debbie Adamski
Re: Godiva
Washington Square
Enclosed for your use in reviewing the above referenced project for our building permit are:
1 Set of Plans—my submittal last week was short one set of plans.
If you should have any questions please do not hesitate to contact me.
Thank you,
Amy Diekevers
amyd@precisionpermits.com
616-493-9334 p
616-493-9351 f
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
9569 SW WASHINGTON SQUARE RD B04,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2015-00376
Jeff Grove
Violation Summary:
Inspector Contractor