Permit (113) CITY OF TIGARD BUILDING PERMIT
2 . ' COMMUNITY DEVELOPMENT Permit#: BUP2017 00004
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/17/2017
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9330 SW WASHINGTON SQUARE RD W11
Project: Soma Subdivision: None Lot: None
Project Description: TI-Remodel of retail space including doors,partitions,ceilings,lighting fixtures,etc.
Contractor: ACTION RETAIL CONSTRUCTION SERVICES LLC Owner: PPR WASHINGTON SQUARE LLC
4320 ACTION DRIVE PO BOX 847
MESQUITE, TX 75150 CARLSBAD, CA 92018
PHONE: 214-989-7841 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 04/11/2017 $1,679.75
Occupancy Grp: M Occupancy Load: 84 Demolition
12/o State Surcharge-Building 04/11/2017 $201.57
Dwelling Units: 0 Plan Review 01/05/2017 $1,091.84
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 04/11/2017 $357.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/11/2017 $671.90
Value: $195,000 Info Process/Archiving-Lg$2.00(over 04/11/2017 $68.00
11x17)
Metro Const.Excise Tax 04/11/2017 $234.00
Floor Areas:
Total Area: 2953
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,304.06
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 •• *AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 32.1987 or 1.800.332.2344.
Issued :y: / l ' Permittee Signature:
t �L/Lai. /
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.
ii
Bi .ildil Permit Application
Commercial k4 ,,A , _ ,
City of Tigard Received P /ae / /7 Permit 9 a /7 ),000 j
11 13125 SW Hall Blvd.,Tigard,OR 9722),1 1,,i ;' Plan Revie `
li Phone: 503.718.2439 Fax: 503.598.1966' Date/By: t ti(l.7 Other Permit`
I t 0 A R I Inspection Line: 503.639.4175 Date Ready/By: / / Jurist I El See Page 2 for
Internet: www.tigard-or.gov Notified/Method: r / Supplemental Information
0 New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
tA` Iflu
work indicated on this application.
0 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
Total number of floors:
A SPlil��1�'ll" i i : � r ., V.,
Job site address:9330 SW Washington Square Rd. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:W11 I Project name:Soma Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
lllEDDA'I`S 6, 1,',i A4 Ki
Subdivision: I 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
WEA*I W work indicated on this application.
. TI-Remodel of(E)retail space including doors,partitions,ceilings,lighting Valuation: $$195,000.00
fixtures,etc. Existing building area: 2953 square feet
New building area: square feet
****€I ►e ] Number of stories:
(:?Name:Soma Type of construction: IIB
Address:11215 Metro Parkway Occupancy groups:
a :City/State/ZIP:Fort Myers,FL 33966 Existing: M
,r Phone:(239)274-4423 Fax:( ) New:
. _. -� ,- _ C yNt
"Business name:Permit Resources ryY.
Structural plan review fee(or deposit):
Contact name:Mary Ryan
FLS plan review fee(if applicable):
Address:P.O.Box 3749
Total fees due upon application:
City/State/ZIP:Mission Viejo,CA 92690
Amount received:
Phone:(949)582-3735 Fax::(949)768-8436
E-mail:mary@permitresources.com
Commercial and residential prescriptive installation of
- System.
.. . .. ., � .k. � , � . .,. . � . „ < roof top mounted Photovoltaic Solar Panel
r n D ` ! Submit two(2)sets of roof plan with connection details
Business name:3�.— fC r✓ /1 .t, - ti CV17 cd r .
and fire department access,along with the 2010 Oregon
Address: Lt, inn/ r Solar Installation Specialty Code checklist.
City/State/ZIP: n^s�6 t4 f x 7 j1 j Permit fee(includes plan review $180.00
r' W i and administrative fees):
Phone:( i7) �j 7 1iJ Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: Cf?try?
Total fee due upon application: $201.60
Authorized signaturre: l This permit application expires if a permit is not obtained
�. ,A.1?(„,,--/ within 180 days after it has been accepted as complete.
Print name:Mary Ryan Date:1/3/17 * 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)
City of Tigard
It
III COMMUNITY DEVELOPMENT DEPARTMENT
■
T T G A R D Building Permit Review — Commercial - No Land U s e
Building Permit #: /!'2r /`7 - 600e
Site Address: q 33 C; svy MAI h i`r-t -to s1 S 19 Suite/Bldg#:
Project Name: S 0 m 01
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review "" �
Proposal: L ) /t Tr_ 1 e A'n 0 GLQ�
Existing Business Activity: t t
Proposed Business Activity: (2Z: 1
Verify site address/suite# exists and active in permit system.
River Terrace Neighborho :o: CIYes CI No
XZoning: V
Permitted Use: ❑ Yes ❑ No ❑ Spec Space
Confirm no land use required.
X1Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: r\.-- _, Date: ,1/9 / 17
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: 9f 7
Site Plans: # 3
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: [Planning L -4 ermit Coordinator Ei- Building
Workflow Sign-off: B'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: -1
By Permit Technician: , - - Date: /SY/7
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
t
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 I/ /A
Tigard Trans SDC: ❑ Yes `.� N/A
Parks SDC: ❑ Yes ia N/A
OK to Issue Permit
ApprovedIN
Y b Permit Coordinator: Date: // )i ?--
1:\Building\Fonns\B1dgPennitRvw_COM_NoLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9330 SW WASHINGTON SQUARE RD W11 , June 8, 2017 at 11 :55:23 AM
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2017-00004
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
C of 0 already existing
Violation Summary:
Inspector Contractor