Permit (15) 101CITY OF TIGARD BUILDING PERMIT
2 COMMUNITY DEVELOPMENT Permit#: BUP2016-00172
Date Issued: 06/27/2016TTCtTT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9364 SW WASHINGTON SQUARE RD R01
Project: Blue Nile Subdivision: None Lot: None
Project Description: Demo existing tenant space and build out of new tenant.
Contractor: ALEGIS CONSTRUCTION INC Owner: PPR WASHINGTON SQUARE LLC
6900 SW ATLANTA ST SUITE 110 PO BOX 847
PORTLAND, OR 97223 CARLSBAD, CA 92018
PHONE: 503-427-6065 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 06/09/2016 $1,105.95
Demolition
Occupancy Grp: M Occupancy Load: 16
12%State Surcharge-Building 06/09/2016 $132.71
Dwelling Units: 0 Plan Review 06/09/2016 $718.87
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 06/09/2016 $442.38
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 06/09/2016 $220.00
Value: $100,000 Info Process/Archiving-Lg$2.00(over 06/09/2016 $42.00
11x17)
Info Process/Archiving-Sm$0.50(up to 06/09/2016 $1.50
Floor Areas: 11x17)
Metro Const.Excise Tax 06/09/2016 $120.00
Total Area: 492
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,783.41
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 Noti' :tion 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 -"ing 503. 800.332.2344.
Issued By: /111111111111r j Permittee Signature: AI
�_ ��_.. .-4 - 4,.rir►
al 639.4175 by 7:00 a.m.for the next available inspec'on date.
This permit card shall be kept in a conspicuous place on the job site until co •etion • e proj ct.
Approved plans are required on the job site at the time of each inspection.
N.
City of Tigard
■ d COMMUNITY DEVELOPMENT DEPARTMENT
IIIII
•
T I G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: I ) ucec90i (, - oO 17
Site Address: qs(r�' c_7-c_7-„,' ,:,,,�1i 47, ere_ Suite/Bldg#: WC:/
Project Name: L&:( /U//2
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 7 , iZPzt) -
Existing Business Activity:
Pro osed Business Activity: // n /i
10.Verify site address/suite#exists and active in permit syst .
"aver Terrace Neighborhood: ❑ Yes No
.6i/Zoning: f U'�k CId
Vermitted Use: Yes El No ❑ Spec Space
�onfirm no land use required.
Business Licens_e,v
Exists: LI Yes ❑ No,applicant notified to obtain business license
Notes:
' ,�, ��/ ---A-.31/(e
Approved by Planning: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved El Not Approved
Building Permit Submittal
Original Submittal Date: 5 f a 3/i'
Site Plans: #
Building Plans: # 3
Building Permit#: la--Enter building permit#above. �
Workflow Routing: a.Planning Er-Permit Coordinator El Building
Workflow Sign-off: L Sign-off for Planning(include notes from planning review)
Route Application Documents: l TBuilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: , C . , , Date: ,O1,9-3/6
I:\Building\Forms\BldgPermitRvwCOM NoLandUse O'70915.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:
DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: ElYes N/A
Parks SDC: ElYes N/A
rOK to Issue Permit
Approvedby Permit Coordinator: Date: 2e0'
I:\Building\Forms\BldgPennitRvw_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
9364 SW WASHINGTON SQUARE RD R01,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2016-00172
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 Tigard71
• COMMUNITY DEVELOPMENT DEPARTMENT
�. ._ .� Transmittal Letter
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov,'
TO: Dan DATE RECEIV ; :
DEPT: BUILDING DIVISION
FROM: kia )• Does J U L 2 7 2016
COMPANY: A�e s15 Consk-Nc-bn CITY (>-. (io, ;a
BUILDING # IS S
PHONE: c03- 4{.P.. -( O t25 By:
RE: 9 y rr,() w rA/G'T7,4J • �� `a���a-
(Site Address) (Permit Number)
g t ve 1 4, 0 We.h tv� , Sy uale.
(Project name or subdivision name and ton ber)
ATTACHED ARE THE FOLLOWI a EMS:
Additional set(s 4 f p / \ 1 Revisions: (,ii ling
Cross section(s) .���• •.. - ls. • `` Wall bracing and/orateral analysis.
Floor/roof framiri\ ) Basement and retaining walls.
Beam calculations Engineer's calculations.
Other(explain):
REMARKS: Ajetwt aet2o5-hc K,e,i((o) (n lU, a c Sum ,�lfogj •
v� V
,b.
Routed to Pe . . Date: As v,,,,. Initis r:s111
Fees Due:Ai [L! o Fee Description: Am. ., 'Pue:
$
$
$
$
pecial
Instructions:
Reprint Permit(per PE): ❑ Yes ❑No ❑ Done
Applicant Notified:,',,, 79- Date: /j/ l° Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012