Permit (40) CITY OF TIGARD BUILDING PERMIT
Of
• rlt ' COMMUNITY DEVELOPMENT Permit#: BUP2016-00121
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/07/2016
T[GARD Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9585 SW WASHINGTON SQUARE RD
Project: Spec Space Subdivision: None Lot: None
Project Description: Storage space by landlord for future Starbucks. Located in G Block storage area.
Contractor: WESTERN CONSTRUCTION SERVICES INC Owner: PPR WASHINGTON SQUARE LLC
2300 E 3RD LOOP SUITE 110 PO BOX 847
VANCOUVER,WA 98661 CARLSBAD, CA 92018
PHONE: 360-699-5317 PHONE:
FAX: 360-694-7818
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 04/07/2016 $149.75
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 04/07/2016 $17.97
Dwelling Units: 0 Plan Review 04/07/2016 $97.34
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 04/07/2016 $1.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $5,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $266.06
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. ATTE - •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-t s 0 through OA' 952-•; 0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.8000.332.2344.
Issued :y: / // Permittee Signature: )(8141____,
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
f1re
CommercialI1 � FOR OFFICE USE ONLY
City of Tigard Received d V V C Date/By: T S/lo '� /�cpey 6 oal�
Permit No. t,y
II - 13125 SW Hall Blvd.,Tigard,OR 97223'PR 0 5 Plan Revie• r 4( tQ�u
Phone: 503.718.2439 Fax: 503.598.19 2016 Date/By: �'r "A l..Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: / Juris: I ® See
e Page 2 for
TIGARD YO T �ARp ( t�Internet: www.tigard-or.gov B !„ :.' Notifed/vethod: Supplemental Information ormation
L ' DISISION
./a , / i c V.T-----cl.c4A—_-.)
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
Permit fees*are based on the value of the work performed.
❑New construction ®Demolition Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder ElOther: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9585 SW Wsshington Square Rd-WV New dwelling area: square feet
City/State/ZIP:Tigard,OR Garage/carport area: square feet
Suite/bldg./apt.no.:glli Project name:LL Work Demise Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
---e. LO c_ , 5 TO eit C_ /1-1214. Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Washington Square Estates 1 Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 151260000300 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.
Demise existing storage area LL work only at service cooridor Valuation: $$5,000.00
frame and drywall teneant side only Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: PPR Washington Square LLC Type of construction:
Address:PO Box 847 Occupancy groups:
City/State/ZIP:Carlsbad,CA 92018 Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
— Total fees due upon application:
City/State/ZIP:
Amount received:
Phone:( ) Fax::( )
\i/%07 r PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: W V vv v` l/"''��l F--r�ll/1 l V l"• Wt'✓l
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Western Construction Services,Inc a Corp of WA Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Ore
Address:2300 E 3rd Loop,Suite 110 Solar Installation Spe i Code checkl
City/State/ZIP:Vancouver,WA 98661 Permit fee(includes y. tew $180.00
and . istrative -es):
Phone:(360)699.5317 /r Fax:(360)694.7818 State s -.0. :e(12%of permit fee): $21.60
CCB lie.:63717
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Victoria Schade Date:04.04.16 * Fee methodology set by Tri-County Building Industry
Service Board.
L:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
1
City of Tigard
IIICO■
MMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: tut,Pc3i ((D —CO /_2/
Site Address: ct 5 Bs Sv" W ci. h,Nel Li,4-vr) S 'ciluite/Bldg#:
Project Name:
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: O&mi5e e)(isfir) - S (cel ,e, !/)Y)E%�, �ito( G b1 --)c-
S�o rot 9,_ 0�ol 4
Existing Business Activity: M Ue, 01 S h kr) ' S*0/d'6
Proposed Business Activity: M u Cb.e Piata,L
Vkctete)
2,e-
Verify site address/suite# exists and active in permit system.
y.l River Terrace Neighborhood: 0 Yes A No
Zoning: M UG___,
G
Permitted Use: Yes ❑ No ❑ Spec Space
XContirm no land use required.
'$-Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: ✓1�2� a//0Date: 4/S1 /l�
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: /5---//b
Site Plans: # —
Building Plans: # 3
Building Permit#: C'Enter building permit#above.
Workflow Routing }Planning I,J'Building
Workflow Sign-off: D- ign-off for Planning(include notes from planning review)
Route Application Documents: 12---Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ik J (),....C. Date: y S"
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_0709I 5.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:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
1:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_070915.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
9585 SW WASHINGTON SQUARE RD, TIGARD,
OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2016-00121
Jeff Grove
Violation Summary:
Inspector Contractor