Permit (128) CITY OF TIGARD BUILDING PERMIT
11. COMMUNITY DEVELOPMENTIN
Permit#: BUP2018 00073
Date Issued: 04/18/2018
TFC;ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9585 SW WASHINGTON SQUARE RD
Project: B8TA Subdivision: None Lot: None
Project Description: Kiosk in mall concourse close to Nordstrom.
Contractor: BARRETT CABINET INSTALL&SERVICES INC Owner: PPR WASHINGTON SQUARE LLC
6829 SE 82ND AVE PO BOX 847
PORTLAND, OR 97266 CARLSBAD, CA 92018
PHONE: 503-206-7768 PHONE:
FAX:
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 03/26/2018 $1,407.95
Demolition
Occupancy Grp: M Occupancy Load: 2 12%State Surcharge-Building 03/26/2018 $168.95
Dwelling Units: 0 Plan Review 03/14/2018 $915.17
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 03/26/2018 $8.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $150,000 Metro Const.Excise Tax 03/26/2018 $180.00
DC Provision Review,COM TI-Ping 03/26/2018 $361.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,041.07
•
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 obta' rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: —� Permittee Signature:
—�
all 503.639.4176 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
Commercial14: "+ i 7 , FOR OFFICE LSF ONL\
City of Tigard A _ -4 ` Received
Date/By: rPermit No.: i-11� f y y ��
111111 il 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review / bee:4✓ at
Phone: 503.718.2439 Fax: 503.598.1960AR 4 .1 i�t 8 Date/By: 3— .)9– r Other Permit:
Inspection Line: 503.639.4175 Date Read/B Juris:
I I G A R D p Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov s, Notified/Method: 3 �// I
7 Q!✓ Supplemental Information
TYPE OF vottL1)INGD1V1S IN REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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 ®Other:kiosk equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
ElAccessory building 0 Multi-family Number of bedrooms:
❑Master builder I 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9585 SW Washington Square New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:WS_B8ta Kiosk Covered porch area: square feet
Cross street/directions to job site:Washington Square Road/Greenburge Road Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
Kiosk in mall concourse.Includes sub-floor,millwork and minor electrical Valuation: $150,000.00
Existing building area: square feet
New building area: 185 square feet
7a PROPERTY OWNER 0 TENANT Number of stories: 1
Name:Washington Square Type of construction: IIB-fully sprin
Address:9585 SW Washington Square Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing: M
Phone:(602)953-6377 Fax:( )
New:
APPLICANT 0 CONTACT PERSON *
BUILDING PERMIT FEES
Business name:Washington Square (Please refer tofee schedule)
Structural plan review fee(or deposit):
Contact name:Charlene Sirokman l 7
Address:9585 SW Washington Square FLS plan review fee(if applicable):
City/State/ZIP: Tigard,OR 97223 —
Total fees due upon application:
Phone:(602)953-6377 Fax::( ) Amount received:
E-mail:charlene.sirokman@macerich.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:6,972/:7,677-- 61.4f/4c:7 7��/-8,4� se.."/„6„,_...s ffA,� Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: ['p S?.9 ..-, - ,t--t- Air Solar Installation Specialty Code checklist. _
City/State/ZIP: k),17_77_1971/4 r Ode- 92 /_ ( Permit fee(includes plan review $180.00
f� d� and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: /�3,i7 ,I' i. eirre YLIz1fi.ce} - -
�j�� Total fee due upon application: $201.60
Authorized signature ` / `� .
f This permit application expires if a permit is not obtained
,,, within 180 days after it has been accepted as complete.
Print name:Charlene Sirokman Date:3.13.18 `T-►�ee 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
COMMUNITY DEVELOPMENT DEPARTMENT
0
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: eie,,a)/(--&tic.273
Site Address: I 51 j .J11,Li) Si.. hill Suite/Bldg#: >'O
Project Name: &+(i, kRsk
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Lal ;& gall C�nLaJne, "(ncw ..b-c10dra r-N lit.*--ki (K) nt'"4". eleAri?(,l
Existing Business Activity: �---
Proposed Business Activity: S44 drs d Alit,I
ikverify site address/suite#exists and active in permit system.
ver Terrace Neighborhood: ❑ Yes VNo
Loning: ,a ,_z.
1 Permitted Use: IFd Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: ❑ Yes 2'No,applicant notified to obtain business license
f 1
Notes: )K�b (�4�� JJc `�1�r,;.nl �jtCa�jc �1�3 Z 'IA ��to�l+nJl�� ,�doA F'1���jvi►�il is .xk )pr�,r� _ 10
5� ,A-E:}- l�rr�f1 ec ve 6 C t.r dal( a, 4,n ��
7 l) 1 Jv+k r fit ell c r. �� �;-I ✓411Nr r7
Approved by Planning: ...0.4-‘ Date: 3^t`f'1g nK y' 'SC,
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: /A:i '
Site Plans: ##
Building Plans: ## —,L
Building Permit#: r building permit#above.
Workflow Routing: ["planning —rmtt Coordinator ceding
Workflow Sign-off: -off for Planning(include notes from planning review)
Route Application Documents: ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: ,,, _ Date: 3A„A
I:\Building\Forms\BldgPermitRvw COM NoLandUse 060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
0 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 iI-'N/A
Tigard Trans SDC: 0 Yes (N/A
' Parks SDC: 0 Yes N/A
OK to Issue Permit
Approvedby Permit Coordinator: . Date: 3/
(I
6-1LAILr
)11/1 (/4--1
f 9/
I:\Building\Forms\BldgPefl itRvw_COM_NoLandUse 070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9585 SW WASHINGTON SQUARE RD, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Building BUP2018-00073
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor