Permit (107) CITY OF TIGARD BUILDING PERMIT
IN ■' COMMUNITY DEVELOPMENT Permit#: BUP2019-00071
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/23/2019
T l i ;'k It r r g Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9631 SW WASHINGTON SQUARE RD FC03
Project: Bombay Wale Subdivision: None Lot: None
Project Description: TI for new tenant to occupy space.
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: 206-390-0059
FAX: 360-694-7818
Specifics: FEES
Description Date Amount
Type of Use: COM Permit Fee-Additions,Alterations, 04/23/2019 $53.27
Class of Work: ALT Type of Const: VB Demolition
Occupancy Grp: B Occupancy Load: 5 12%State Surcharge-Building 04/23/2019 $6.39
Dwelling Units: 0 Plan Review 03/25/2019 $34.63
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 04/23/2019 $21.31
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 04/23/2019 $10.00
Value: $500 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $125.60
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: 0 ► r —� Permittee Signature: '',1,2,.."...14./...4„.
✓�E Ve j 54 kI,
`Call 503.639.4175`- by 7:00 a.m.for the next available inspection date./a ] ���YYY
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 �' t�"4 FOR OFFICE USE ONLY
� ` 1 Date/Bed I/�7I//"Il r�/!L�\r„� —/1 ����
- Cityof Tigard MAR2 _ o
v 13125 SW Hall Blvd.,Tigard,OR 972235 Plan Review
Phone: 503-718-2439 Fax: 503-598-19600 I,) Date/B : �i �'' Related Permit:
TIGARD Inspection Line: 503d-639-4175 B(.1.; a¢ 4 i'fa',./;.s?lN Date Ready/By: Juris: El See Page 2 for
Internet: www.tigar -or.gov Notified/Method: ri lit Jf Supplemental Information
t)FerVI LA4
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING -
❑New construction 0 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
work ork indicated on this application.
CATEGORY OF CONSTRUCTION
Valuation: $
❑ 1-and 2-family dwelling In Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9631 SW Washington Square, Suite FC-3 New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: Bombay Wala Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: I Indicate the value(rounded to the nearest dollar)of all
l� Z?J_( 4 Zeici n. T> equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK p � �' work indicated on this application.
.`. Valuation: $•65,eee S-- 06
ess steel wall panes o se r-.: -., -- -. . - . --sea-•. Existing building area: 638 square feet
-to-bet-euac4-Ne - _ -- _ - . . . .-. _ ••• . r rdefitig-eagitiets New building area: No Change square feet
0 PROPERTY OWNER FSI TENANT Number of stories: 2
Name: Bombay Wala Type of construction: II-B
Address: 2560 152 Ave. NE, Suite G Occupancy groups:
City/State/ZIP: Redmond,WA 98052 Existing: M
Phone:(206 ) 390-0059 Fax:( )
New: M (No Change)
(2 APPLICANTI[2 CONTACT PERSON BUILDING PERMIT FEES*
)
Business name: Western Construction Services (Please refer rofee schedule
Structural plan review fee(or deposit):
Contact name: Pam Deegan
Address: 2300 E. 3rd Loop, Ste. 110 FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP: Vancouver,WA 98661
Phone:(360 ) 953-8517 Fax::(360 )694-7818Amount received:
E-mail: pam@westernconstruction.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: Western Construction Services Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 2300 E. 3rd Loop, Ste. 110 Solar Installation Specialty Code checklist.
Permit fee(includes plan review
City/State/ZIP: Vancouver,WA 98661 $180.00
and administrative fees):
Phone:(360 ) 823-4239 Fax:( 360)694-7818 State surcharge(12%of permit fee): $21.60
CCB Lic.: 63717 pp Total fee due upon application: $201.60
Authorized signature: laL�,'”a d This permit application expires if a permit is not obtained
/// , within 180 days after it has been accepted as complete.
Print name: Pamela A. Deegan Date: 03.19.19 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doe Rev.04/21/2014 440-4613T(11/02/COM/WEB)
ty f Tigard
N COMMUNITY DEVD
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G A R D
Building Permit
ELOPMENT ReviEPARTMENTew — Commercial - No Land Use
Building Permit #: f(/'7",( (,.- 7/
Site Address: 9(p�( UV ri Ali q j-Do &fitiv4rx,Pef. Suite/Bldg#: "C.,-
Project
-
Project Name:' 19l \N
(Name of comm rcial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T. 1. ,`fUY }le kA) `-eSD urry`l+n
Existing Business Activity: e4t ! cint/ ni
Proposed Business Activity: M�fi ylf.9 164 rt 0 o�y�
..it- Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ Yes No
Zoning: )4 u
..k-Permitted Use: 'Yes ❑ No ❑ Spec Space
Air Confirm no land use required.
CN'Business License:
Exists: 0 Yes ..8c No,applicant notified to obtain business license
Notes:
Approved by Planning: -�� 0&41' Date:`% ` Date: 3/251 7
•
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: !, 5---
Site
Site Plans: #
Building Plans: #
Building Permit#: N► - ter building permit#above.
Workflow Routing: .l Planning ermit Coordinator ding
Workflow Sign-off: Sign-off for P nning(include notes fro planting 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 Technician: ze4'r Date: Z/
I:\Building\Forms\BldgPermitRvwCOM 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:
A2 SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 17rN/A
Tigard Trans SDC: ❑ Yes
Parks SDC: ❑ Yes 0 N/A
OK to Issue Permit
CfApproved by Permit Coordinator: Date: 3 •2 C
I:\Building\Forms\BldgPernutRvw_COM NoLandUse_070915.docx
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
9631 SW WASHINGTON SQUARE RD FC03, June 6, 2019 at 9:23:34 AM
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2019-00071
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor