Permit (82) _ CITY OF TIGARD CERTIFICATE OF OCCUPANCY
Permit#: BUP2018-00272
COMMUNITY DEVELOPMENT Permit Issued: 10/09/2018
T t"RD RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9455 SW WASHINGTON SQUARE RD A15
Subdivision: None Lot: None
Project Description: Remodel and add fitting rooms for new TI.
Class of Work: ALT
Type of Use: COM
Type of Constr: IIB
Occupancy Group: B
Occupancy Load: 19
Fire Sprinkler Required:
Project Name: Stance
Owner: PPR WASHINGTON SQUARE LLC
PO BOX 847
CARLSBAD, CA 92018
Phone: 714-309-7220
Contractor: JA STOWELL CONSTRUCTION INC
1565 SCENIC AVE STE A
COSTA MESA, CA 92626
Phone: 949-631-8809
Fax:
This Certificate issued 11/7/2018 grants occupancy of the above referenced building or portion thereof
and confirms that the building has been inspected for compliance with the 2014 State of Oregon Specialty
Codes for the group,occupancy,and use under which the referenced permit was issued.
Mark VanDomelen
Building Official
City of Tigard
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2018-00272
Date Issued: 10/09/2018
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9455 SW WASHINGTON SQUARE RD A15
Project: Stance Subdivision: None Lot: None
Project Description: Remodel and add fitting rooms for new TI.
Contractor: JA STOWELL CONSTRUCTION INC Owner: PPR WASHINGTON SQUARE LLC
1565 SCENIC AVE STE A PO BOX 847
COSTA MESA, CA 92626 CARLSBAD, CA 92018
PHONE: 949-631-8809 PHONE: 714-309-7220
FAX:
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 10/09/2018 $377.90
Demolition
Occupancy Grp: B Occupancy Load: 19 12%State Surcharge-Building 10/09/2018 $45.35
Dwelling Units: Plan Review 09/25/2018 $245.64
Stories: Height: ft DC Provision Review,COM TI-Ping 10/09/2018 $98.00
Bedrooms: Bathrooms: Plan Review-Fire Life Safety 10/09/2018 $151.16
Value: $20,000 Info Process/Archiving-Lg$2.00(over 10/09/2018 $48.00
11x17)
Info Process/Archiving-Sm$0.50(up to 10/09/2018 $100.00
Floor Areas: 11x17)
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $1,066.05
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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..- •• •• - •• • .- les or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
_
Issued By: Permittee Signature:
Call 5' .6 75 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 .
C FOR OFFICE USE ONLY
City of Tigard SEP 2 2G1pate/By: ?I (1 /� Penni /(4,/":16r-s--- 64...›.>__
13125 SW Hall Blvd.,Tigard,OR 97223
pate/By.
Review '[
Phone: 503.718.2439 Fax: 503.598.1960 '. !� Other Permit:
CITY OF `j 1 GA fttll a/By: 4®� /
TIGARD Inspection Line: 503.639.4775 u.e Ready/By: / /).;"
orris: H See Page 2 for
Internet: www.tigard-or.gov BUILL�3i%G i� ��Q�ed Metho `�!/ Supplemental Information
TYPE OF WORK REQUIRED DATA:l-AND2-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: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
1=1I-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ElMulti-familyNumber of bedrooms:
11] Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9455 SW Washington Square Road,Suite Al5 New dwelling area: square feet
City/State/ZIP:97223 Garage/carport area: square feet
Suite/bldg./apt.no.:A15 Project name:Stance Washinhton Square Covered porch area: square feet
Cross street/directions to job site:Washington Square Mall Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
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
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
remodel existing retail store into new Stance clothing store,add fitting rooms Valuation: $$20,000.00
Existing t-bar ceiling to remain,replace existing track lights Existing building area: 1,898 square feet
New building area: 0
new interior wall finishes square feet
❑ PROPERTY OWNER E TENANT Number of stories: I
Name:Stance Type of construction: II-N
Address: 193 Avenida La Plata Occupancy groups:
City/State/ZIP:San Clemente,CA Existing: M
Phone:(714)309-7220 Fax:( )
New: M
El APPLICANT 0 CONTACT PERSONBUILD€INO PERMIT FEES*
—
Business name:RTA,Inc (Please*elQrto Jc@schedule)
Structural plan review fee(or deposit):
Contact name:Bob Thornton
Address:P.O.Box 1512
FLS plan review fee(if applicable):
City/State/ZIP:Newport Beach,CA 92659 Total fees due upon application:
Phone:(949)650-9876 Fax::(949)215-5927 Amount received:
E-mail:rtainc7@oo.com — PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: 7"-7s) J J��� Co 'S ^ Submit two(2)sets of roof plan with connection details
Address: /5 3r/6 J y— _ and fire department access,along with the 2010 Oregon
Cg P c r4411 *4' Solar Installation Specialty Code checklist.
City/State/ZIP: Co j!), 5- OA Permit fee(includes plan review $180.00
and administrative fees):
Phone:(9i--/C)) j.— 8 Fax:(9</? '' p
9 Z ��1 (960 State surcharge(12%of permit fee): $21.60—
CC
B Iic.: loci /(� .. —
diq�, — Total fee due upon application: $201.60
at
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Robert Thornto I Date:09/19/18 * o
ServiceFeemethodolBoard.gy set by Tri-County Building Industry
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
INIMIIIIMi
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
:1111 111
T 1 A R o Building Permit Review — Commercial - No Land U s e
<F.
Building Permit #: g ,„,2i,:)(17--iYS a77
Site Address: 6 Lt s SCJ Was-hogs-hi S Suite/Bldg#: 7IS
Project Name: ncj
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: -V, off,
Existing Business Activity: "(1(lly.b►s L,R.N-7,11)' /
Proposed Business Activity: Com- -Avia (i(l llyl n tc 0 .i.(
Verify site address/suite# exists and active in permit`itsystem.
gRiver Terrace Neighborhood: ❑ Yes igt No
i(Zoning: 1.,A,u G
14 Permitted Use: X Yes ❑ No ❑ Spec Space
K. Confirm no land use required.
Business License:
Exists: ❑ Yes 14 No,applicant notified to obtain business license
Notes: VI o CAAs.„vt4C [( 141-C.
Approved by Planning: O C?�t . Date: 9 '24118
t1#\4
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: '7/80 c/re-
Site Plans: #
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: lanning p7Permit Coordinator '"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:
ofj7By Permit Technician: i /i Date:
I:\Building\Forms\BldgPermitRvwCOM 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:
R vision Notice 2: Date Sent to Applicant:
evision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes IN/A
Tigard Trans SDC: 0 Yes Pr N/A
Parks SDC: 0 Yes f (N/A
OK to Issue Permit
Approved by Permit Coordinator: Date: 9/'lit/ f Zr
I:\Building\Fonns\BldgPemlitRvw_COM NoLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9455 SW WASHINGTON SQUARE RD A15,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2018-00272
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor