Permit (41) CITY OF TIGARD BUILDING PERMIT
a 2 COMMUNITY DEVELOPMENT Permit#: BUP2017 00120
D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/06/2017
TfR° 9 Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9504 SW WASHINGTON SQUARE RD J02
Project: Tumi Subdivision: None Lot: None
Project Description: Interior TI,new floor fixtures,ceiling,flooring,wall finishes&lighting.
Contractor: DUGAN BUILDING COMPANY Owner: PPR WASHINGTON SQUARE LLC
4200 ELIZABETH LAKE RD PO BOX 847
WATERFORD, MI 48328 CARLSBAD, CA 92018
PHONE: 248-738-4990 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: lig Permit Fee-Additions,Alterations, 07/03/2017 $1,335.47
Demolition
Occupancy Grp: M Occupancy Load: 29 12%State Surcharge-Building 07/03/2017 $160.26
Dwelling Units: 0 Plan Review 05/15/2017 $868.06
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 07/03/2017 $534.19
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 07/03/2017 $224.00
Value: $137,050 Info Process/Archiving-Lg$2.00(over 07/03/2017 $62.00
11x17)
Floor Areas:
Total Area: 1050
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,183.98
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 a 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 1.800.332.234
glib
Issued By: �`, ` Permittee Signature: iiik4 �� j ,f ,
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.
1 *
Building Permit ApplicatiRECEIV
ED
.. , .. . c><al MAY Y 7 FOR OFFICI USEONLY
City of Tigard 20�( Received / pertr.tNo.: '
e Date/By: D r; 1/ f �l 1�-O /o�
13125 SW Hall Blvd„Tigard,OR llyiNG �pyhh Plan Review
s Phone: 503-718-2439 Fax: OF 7�G�rli./ > �' '� i� Related Permit:
DIVISION DaterRy: �'
`LIGARD Inspection Line: 503-639-417 DI t�+ Date Ready lurk: I ®�ePage 2for
Internet: www.tigard-or.gov t V Notified/Method: .57 Su
_, PP mental Information
� _ t� e rma
k7 0.070, -��, ;•- k ® tom D:e _ to ,M.:0,41:40-
.e �ttt�
❑New construction 0 Demolition P- .,'t fees*are based on the value of the work perfo . ed.
Indic. the value(rounded to the nearest dollar)o . 1
Addition/alteration/replacement 0 Other: equipme materials,labor,overhead,and the. .fit:for the
e,j -qt-...„,,, s ®'j s , - work indica ion this application.
El1-and 2-family dwelling geommercial/industrial
Valuation: $
❑Accessory building 0 Multi-family Number of bedroo •
❑Master builder 0 Other: Number of bathrooms:
psi is a v � � ,g Total number of floor
Job site address: °A. , S"w /l/ by ,CQ OD New dwelling ar-=: quare feet
City/State/ZIP: i06/Y (flj / Qit_ q.7 Z.Z 3 Garage/c• t: area: squ afeet
Suite/bldg./apt.#: JOZ IProject name: '71)n'I / Cover :porch area: square
Cross street/directions to job site: De k area: square feet
Other structure area: square feet
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all
c � equipment,materials,labor,overhead,and the profit:for the
z4 , .W t a g, ® — s I work indicated on this application.
Valuation: $
101-0741,91_. �-��i5+, or vc-n�/sem s orrGE'. � cunt_ Valuation: 3 7 O.fV
/GI Xjj/11/ 5, e.-C2 Gi1t,4, �GL'v 11,144 I wa 0 �fMS lfe I,60117m4. Existing building area: /p� square feet
1.6,-Thi 4, /!uIZG/aJ✓Jl LEj 9i074"4 p//‘,7-/�/Qyt(C , New building area: /b 5-z) square feet
� Name:
1 �.����� „�� +.�
���:�, �x ��-� �� �� 44-��_ Number of stories:
t �i� >C/fl' )9-,- ,-6,--7,-;-e!? ,S Type of construction: 1/ 14/
s
r'
Address: /D0i v 'v y y Occupancy groups:
! City/State/ZIP: S (/ fly� /ht,1'�./J 07 D d D Existing:riot)�/ SGlSI�1'Y/firY
1'4 Phone (' b -7 civ pox.)
p o X 7Os7ax ( )
New: i�'�y�t -, � y~����� �� �;�� �" ��� � �P - � ,
t Business name: 6@../7/ eI6 IGir 4 `es /pt.
, Structural plan review fee(or deposit):
Contact name: Z )72
''t" oLN� -L.0FLS plan review fee(if applicable):
Address: /'/z 6/2,..6e-- Al/X, .S✓/TZ 4"tO(-4: •Ci /State/ZIP: Total fees due upon application:
City/State/ZIP: "fir5gujZGAf. /5748
Phone:(l�/Z) 'j 2 N� b'S-?(1 Fax::( ) Amount received
I r 0 §® '0 wC9 ,� ate.
i' E-mail: Yr o n-1A n e /-4- fat r+n t rS , Of rh ,,-,. -, ,�
, � � -i � , to � r9 s Comore '.1 and residential prescriptive install. . of
;; - r = v�c � �� roof-top mou d Photovoltaic Solar Pan ystem.
Business name: � _ Submit two(2)se .f roof plan wi ..nnection details
414t 'i ce , V� �_, "'` and fire department ac - ,alo=_with the 2010 Oregon
Address: t
tl.;: 11J r=/i 1>/;; /�. (? Solar Installation S,ecial 4 i e checklist.
City/State/ZIP: .44:Ef/ q Permit fee(i=- des plan 'ew $180.00
c7 "O ,,Aadministrative fees.
Phone:(vett`7 3 F�+.,--�et it) Fax:( ) Stat rchazge(12%of permit fee): $21.60
' CCB Lic,: /7 7 ��J /
Total fee due upon application: $
Authorized signature: /1/1./'-0 This permit application expires if a pernsit is not obtained
J within 180 days after it has been accepted as complete.
Print name: /ZOZ L�/✓r� wyr� Date: 5.�3j�/'7 * Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building\Permits\BUP_COM_PennitApp.doc Rev.04/21/2014 440-46131(11/02/COM/WEB)
M `,
II City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Q
Building Permit Review — Commercial - No Land Use
TIGARD
„.
BuildingPermit #: P31.ce;>10 17 —CO !90
Site Address: 9 `` s Sw W c1 ski n co t Sel.. Suite/Bldg#: c1 0 7.-
Project Name: :(-U M Z
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: L Y)1-Gir i'b c TZ (14' w t OJ/ X 1-v i 9 1'1 fi 1l�i1
New Store Gvvn4 4.-4 ANC-f- NOrt#c •
Existing Business Activity: ae-tr1; (
Proposed Business Activity: ROA- i
Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ Yes Xl No
, Zoning: I \V Cj
Vi Permitted Use: ❑ Yes ❑ No ❑ Spec Space
Le Confirm no land use required.
Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: h ftA/\"-- U/\`� --1-- Date: s/ ( ( / (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: 57/I//7
Site Plans: # 3
Building Plans: # 3
Building Permit#: Enter building permit#above. _,r'
Workflow Routing: Planning irmit Coordinator 0I Building
Workflow Sign-off: 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: /
By Permit Technicia •• 0,, i ;� ' Date: $"/!5�7
I:\Building\Forms\B1dgPermitRvw_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:
DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes Com' A
Tigard Trans SDC: ❑ Yes . N/A
Parks SDC: In Yes ' ' . d N/A
Z.. : to Issue Permit /
giev7
pproved by Permit Coordinator: Date: DAC-A?"—
.A5
I:\BuildingTorms\BldgPermitRvw COM NOLandUse 070915.docx
i iii
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
: i,71
' Accessibility: Barrier Removal Improvement Plan
- Commercial & Multi-Family -Additions or Alterations
TIGARD ' 13125 SW Hall Blvd. •Tigard, Oregon 97223 •503.718.2439•www.tigard-or.gov
REQUIREMENT: OREGON REVISED STATUTE(ORS)447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering. [1] $ 3-7 os-oi
00l
MULTIPLIER(25%barrier removal requirement): x .25i ��//
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 3 i�26 2, 51)
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order: /\
(a) Parking $ v
/ (b) An accessible entrance: $ ZS(0 UV
(c) j n accessible route to the altered area: $ V
Vpty1d) t least one accessible restroom for each sex or a single unisex $ Y/ , 71b/3 v restroom: !
.
/00
'r /,- (e) Accessible telephones:
$ V
/� (�
V V (f) Accessible drinking fountains:and, $ 6
32 6 P (g) When possible,additional accessible elements such as storage andYalarms: $ 1luUvTOTAL(shall equal line [2]of Valuation Computation): $ y)`r cc
3 b
)c V-. ( 1
(oci � J
I:\Buil.' : t _CO _PemvtApp.doc Rev.12/18/2014
i
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9504 SW WASHINGTON SQUARE RD J02, September 11 , 2017 at
TIGARD, OR, 97223 12:58:45 PM
Record Type: Record ID:
Commercial - Building BUP2017-00120
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor