Permit (44) IN - 4 CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2017-00036
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/10/2017
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9329 SW WASHINGTON SQUARE RD 107
Project: Sephora Subdivision: None Lot: None
Project Description: Removal,relocation and installation of store fixtures.
Contractor: TOMCO RETAIL CONSTRUCTION INC Owner: PPR WASHINGTON SQUARE LLC
123 MAIN ST STE 200 PO BOX 847
GRAND PRAIRIE,TX 75050 CARLSBAD, CA 92018
PHONE: 214-390-3295 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 05/10/2017 $509.05
Occupancy Grp: M Occupancy Load: 152 Demolition
Dwelling Units: 0 12%State Surcharge-Building 05/10/2017 $61.09
Plan Review 02/15/2017 $330.88
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 05/10/2017
Bedrooms: 0 Bathrooms: 0 $14.00
11x17)
Value: $30,000
Floor Areas:
Total Area: 4537
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $915.02
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 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: Permittee Signature: 69w4-7e/7e_ /cam ,/-.
� l _
- ,_ C�il/
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.
f
Building Permit Application
commercial t ,
�� FOR OFFICE USE ONLY
City of Tigard �� , -- Received
13125 S W Hall Blvd.,Tigard,OR 97223 Date/By; / Permit No.: bey?'�Q61.
1 11 Phone: 503.718.2439 Fax: 503.598.19rti Plan ReviewSI
] 1 .�, Date/By: 'r Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/s
Internet: www.tigard-or.gov o' �J / /7fr
Jam' 1 S See Page 2 for
i N tified'Method: J l
1 � ( Supplemental Information
/J6a144:� �—i
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
(1�Additio .Iteratio replacement 0 Other:
equipment,materials,labor,overhead,and the profit for the
�� r r� i 0v ���� .v N\w work indicated on this application.
❑ 1-and 2-family dwelling R'Com mercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
iseumatuarmeariz ,, ; 1 s: nIztvits Total number of floors:
Job site address: - 5 w hrAS NttrKtrorq suggze goAQ New dwelling area: square feet
City/State/ZIP: -t-1 G 40,0. 6(L Q
-1l?.Z3 Garage/carport area: square feet
Suite/bldg./apt.no.: "'r..Q"i I Project name: SEPt-.g4 Covered porch area: square feet
Cross street/directions to job site:
Deck area: square feet
Other structure area: square feet
rittinlitrIVIIMMArtinteltill
Subdivision:
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
Akequipment,materials,labor,overhead,and the profit for the
t \At Y work indicated on this application.
ttkAoodkukoku.stooveREmOYAC.‘(Z.ECoc. ,ON, AMp Irfsrehapincry Of- 54.ES
Valuation: $33IOQQ,w
,4 a€ Ft XIZ((L1;,5. Existing building area: gi.snsquare feet
New building area: C13 ( square feet
. t , . ( tkakksitts*tsksl Number of stories:
Name: Se' '"C'�+(p p
Type of construction: it..,NAddress: SZS • 1 f M"'.A('r Slaezr. NQ FLooa.
Occupancy groups:
City/State/Z1P: .5r 4 FitANCISCA tc," q y m mS
Existing: ill
Phone:((,St)sr. 7(3%, Fax:( )
New: m
.a A x . . � doo .,�
Business name: eiz ..1 ,�
Contact name:—Tim SCi_1E14 Structural plan review fee(or deposit):
Address: kk�re E . ea +_�s��'. SV it-E. �3 FLS plan review fee(if applicable):
City/State/ZIP: g( ipArrepik yyt N gs4za Total fees due upon application:
Phone:(q5. ,)34S, ..60( ) i+Y I Fax::(qs2)BSC .48439 Amount received: � ,�4
E-mail: +Irv4$ e.. %lokerjdnes .ca.._
t i > Commercial and residential prescriptive installation of
roof_top mounted Photo Voltaic Solar Panel System.
Business name:-]—.6.0 -17 p�,i �y Submit two(2)sets of roof plan with connection details
Address: t� and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review
Phone:( ) Fax:( )
and administrative fees): $180.00
CCB lic.:
State surcharge(12%of permit fee): $21.60
Total fee due upon application: $201.60
Authorized signature: ..----- permit application expires if a permit is not obtained
.� within 180 days after it has been accepted as complete.
I Print name: + 1Iv\ S Gxlershe... I Date:z c t Q l'i I * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PennitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)
City of Tigard
IIIr COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 c Ro Building Permit Review — Commercial - No Land Use
Building Permit #: ,,c9ci 7.... .�3e4,
J-
Site Address: q s 2 cry S vv WCi s K o c)toy> Sc1&; *Suite/Bldg#: . _ 0'1
Project Name: .S'£ 17 h c e'-cA
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: I Y -i-G-ri c r TI , t1°My Zvi LA. 1-ct0 C cr,t-,7).1 01 rl, .,
o n c t--i,vu_ o h s ci l e s n y^o c, S ho re G; Y Iv(--° J
Existing Business Activity: C x 1 51-rel.`) -- f o vi r)C,I
Proposed Business Activity: ! /r `
,g1 Verify site address/suite#exists and active in permit system.
River Terrace Ne' hborhood: ❑ Yes El No
Zoning: VC
Permitted Use: ❑ Yes El No ❑ Spec Space
d Confirm no land use required.
VBusiness License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Ai l 4c,,, - /7\,.-- —_ Date: 2/ 14 / 1 7
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: x//4//7
Site Plans: # 111?
Building Plans: # 3
Building Permit#: 2—Enter building permit#above.
Workflow Routing: c2--Planning .2—fermit Coordinatordin
Workflow S' off g
❑Sign-off for Planning(include notes from planning review)
Route Application Documents: [uilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: 6\____ _ Date: 45—
I:\BuildingWorms\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:
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes N/A
7OK to Issue Permit
Approved by Permit Coordinator:
Date: ...3//5-i1
I:\Building\Forms\B1dgPermitRvw_COM_NolandUse_070915.docx
Elder-Jones
PERMIT SERVICE
CEB 1 3 2-{-1\7
1120 East 80th Street,#211
Bloomington,MN 55420-1498
� d (A p)
Phone:(952)854-2854•Fax:(952)854-4909
TRANSMITTAL
2/10/2017
To: DEBBIE 503-639-4171 SEPHORA( FIXTURE SWAP)
CITY OF TIGARD BUILDING DEPARTMENT WASHINGTON SQUARE
13125 SW HALL BOULEVARD TIGARD, OR
TIGARD, OR 97223
217-057
DEBBIE,
I HAVE ENCLOSED THE FOLLOWING FOR THE ABOVE REFERENCED PROJECT AND
WOULD LIKE TO SUBMIT FOR PLAN REVIEW AND PERMIT.
-THREE SETS OF PLANS
-BUILDING PERMIT APPLICATION
PLEASE NOTIFY ME WHEN THE FEE HAS BEEN CALCULTED AND I WILL PAY ONLINE.
THANK YOU
TIM SCHENK
ELDER-JONES
952-345-6040
tims(a)elderiones.corn
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.
IN City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
i c i;,Li, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www/gard-or.gov
,--
TO:
TO: ( ---- DAT Bi r 3 0VEJ)
DEPT: BUILDING DIVISION
JUN 7 2017
FROM: coil NOt{-5 0' CITY OF TIGARD
COMPANY: -rd►^iCa
BUILDING DIVISI
i r
PHONE: . 2(0, 2 3- 7 3 b \ \By:
RE: 'i�"�' J W WAN"-)C, '" Qu/kPa goP s,0)-7—001)-3(0
(SiteteAddress) (Permit Number)
SEf
(Project name or subdivision name and III %er)
ATTACHED ARE THE FOL . I G IT L ► S:
Copies: Description: Copies: Description:
Additional set(s) •f plans. 1., Revisions: A 00ED CaLu m rJ/C k1S E
Cross section(s an• •etails. Wall bracing and/or lateral analysis.
Floor/roof • . ing. Basement and retaining walls.
Beam calcul. 'ons. Engineer's calculations.
Other(expl. ):
REMARKS:
FORIO CE USE ONLY
Routed to Permit Technici. : .! .te: &17 C-7 Initials:
Fees Due: E]Yes f ,• Fee Description: Amoun e:
$
$
$
$
Special
Instructions:
Reprint Permit(per PE): [ Yes ❑No E Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9329 SW WASHINGTON SQUARE RD T07,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2017-00036
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor