Permit (128) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2017-00082
T'GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/18/2017
Parcel: 161260000300
Jurisdiction: Tigard
Site address: 9712 SW WASHINGTON SQUARE RD F03
Project: Spec Space Subdivision: None Lot: None
Project Description: Landlord work,new demising wall.
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, 04/17/2017 $542.11
Occupancy Grp: M Occupancy Load: Demolition
12%State Surcharge-Building 04/17/2017 $65.05
Dwelling Units: 0 Plan Review 04/06/2017
Stories: 0 Height: 0 ft $352.37
Plan Review-Fire Life Safety 04/17/2017 $216.84
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 04/17/2017 $90.00
Value: $32,500 Info Process/Archiving-Sm$0.50(up to 04/17/2017 $2.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,268.87
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. NTION: •e on law requires you to follow the rules adopted by the Oregon Utility Notification : ter. Those rules are set forth in OAR
95 .01-0010 through OAR 52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50.. 987• 800.332. 44.
Issued By: )\\ � '�rl /-l! f• � Permittee Signature: -
Call 603.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial RECEIVED FOR OFFICE USE ONLY
City of Tigard 201 Received
Date/By: l /7 .,to�/7 n$o`l
Q P R Permit No.:
111 � 13125 S W Hall Blvd.,Tigard,OR 97223' Plan Re '
= Phone: 503.718.2439 Fax: 5 Date/By: ''� 7 Other Permit:
Inspection Line: 503.639.41 ��TIGARD Date Rea `� Juris: ® See Page 2 for
IIGARD BUILDING DIVISION Notified/Method: E( / 7 7,/,71- Su lementalInformation
Internet: www Ugard or gov PP
4:-'1.;,...,,,;.:::',„,, 4*1E""OF'WaDR . ' ��` V 4 A7-it �DpA'r1 7'1aAeYP Gf
t
❑New construction ❑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
"""42,:-.4,". CORP"OF,COIR lON :" . ," work indicated on this application.
vOF, , �: .,tT v Ai
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building ElMulti-familyNumber of bedrooms:
❑Master builder IDOther: Number of bathrooms:
wg/ *J Total number of floors:
! �� SITE I1�R1#�IATIOIv AND LOC�I'IIv � '
Job site address 7TWASHINGTON SQUARE ROAD New dwelling area: square feet
City/State/ZIP:PORTLAND,OR 79223 Garage/carport area: square feet
Suite/bldg./apt.no.:JUl "6.5 Project name:SIT C , Covered porch area: square feet
Cross street/directions to job site:S.W.SCHOLLS FERRRY RD&SW HALL BLVD Deck area: square feet
Other structure area: square feet
REQ D RATA:co 1', -USS C ISS'*
Subdivision: 1 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« work indicated on this application.
n.. � DE's f 1U1�:of wok"( PP
NEW DEMISING WALL WITH NO GYP.BD. LANDLORD WORK ONLY Valuation: $$32,500.00
Existing building area: square feet
New building area: square feet
;'"e
PROPERTY OWNER _, ❑ TEN , 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:(503)639-8860 Fax:( ) New:
CI APPLICANT 4 ,. "; 0 C o . " EItSON fi . RITILD 1 x ra' . IT FEES*-,,,
Business name:WESTERN CONSTRUCTION SERVICES INC,A CORP OF WASHI "" f� r� r>fofee c7�
Structural plan review fee(or deposit):
Contact name:TIM DOLAN
FLS plan review fee(if applicable):
Address:2300 E 3RD LOOP,SUITE 110
City/State/ZIP:VANCOUVER,WA 98661 Total fees due upon application:
Amount received: -3S t•37
Phone:(360)823-4226 Fax::(360)694-7818
E-mail:tdolan@westernconstruction com P. TOVO .OUAR P l'ir STEM
.« , , .} i , Commercial and residential prescriptive installation of
> i :, s , ,s e l ', .CTOIt 2 r ,.,_: roof-top . ounted PhotoVoltaic Solar Panel System
Business name:WESTERN CONSTRUCTION SERVICES INC,A CORP OF WASH Submit tw• )sets of roof plan with conn- '.n details
and fire depart t access,along w' e 2010 Oregon
Address:2300 E 3"LOOP,SUITE 110 Solar Installation s-..'r lty Cor•checklist.
City/State/ZIP:VANCOUVER,WA 98661 Permit fee(include'.`-_., review $180.00
and adv. 'strative
Phone:(360)823-4227 Fax:(360)694-7818State surchart (12%of permit fee): $21.60
CCB lic.:63717
Total fee due upon application: 201.60
Authorized signature:.— This permit application expires if a permit is not obtained
�C�.. within 180 days after it has been accepted as complete.
Print name:Tim Dolan Date:04/06/17 * 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
M COMMUNITY DEVELOPMENT DEPARTMENT
2
T l c A R o Building Permit Review — Commercial - No Land Use
Building Permit #: - 61-4 c9--c, 17 G SS's--
Site Address: q--11 01 S W W cil k.r tc, Scj, Suite/Bldg#: (-0,1
Project Name: (kiji C-ici 4- 3log.0 a1)R�E _ 1--,4.07D L—o 1-0e./
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 1 r It'ri o r Tr.
Existing Business Activity: Co(Y1 .C'c•4-
Proposed Business Activity: (V (V) U 64.1..E
jzr Verify site address/suite#exists and active in permit system.
Pr-itiver Terrace Neighborhood: ❑ Yes ,zi No
Zoning: MC/0
Permitted Use: 111 Yes CI No ❑ Spec Space
Z Confirm no land use required.
❑ Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: (VI — v*N.'- __—"'._ Date: y / 2 / 1
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: t//4 A 1
Site Plans: ##
Building Plans: ##
Building Permit#: I3—Enter building permit#above. ��
Workflow Routing: Planning D.-Permit Coordinator LT Buildin
g
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: t7 Building. original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: 0 - Date: �/�la//7
I:\BuildingForms\BldgpermitRvw COM_NoLandUse 060116.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:
` C Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A
Tigard Trans SDC: ❑ Yes /A
Parks SDC: El Yes XN/A
�OK to Issue Permit
Approved by Permit Coordinator: Date:
/C. t
I:\Building\Forms\BldgPem1itRvw_COM_NoLandUse_070915.docx