Permit (129) CITY OF TIGARD BUILDING PERMIT
'ti
COMMUNITY DEVELOPMENT Permit#: BUP2019-00155
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/05/2019
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9595 SW WASHINGTON SQUARE RD B12
Project: Aldo Subdivision: None Lot: None
Project Description: TI for new tenant:Storefront and wall construction.
Contractor: SAJO INC Owner: PPR WASHINGTON SQUARE LLC
1320 GRAHAM BLVD PO BOX 847
TOWN OF MT ROYAL, PQ H3P3C8 CARLSBAD, CA 92018
PHONE: PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 09/05/2019 $1,407.95
Demolition
Occupancy Grp: M Occupancy Load: 15 12%State Surcharge-Building 09/05/2019 $168.95
Dwelling Units: 0 Plan Review 09/05/2019 $915.17
Stories: 0 Height: 0 ft DC Provision Review, COM TI-Ping 09/05/2019 $406.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 09/05/2019 $563.18
Value: $150,000 Info Process/Archiving-Lg$2.00(over 09/05/2019 $56.00
11x17)
Info Process/Archiving-Sm$0.50(up to 09/05/2019 $3.00
Floor Areas: 11x17)
Metro Const. Excise Tax 09/05/2019 $180.00
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,700.25
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` c^1.800.332.2344.
Issued By: � Permittee Signature: 1
<< - 4'674-1 L Q fe)
7
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.
Building Permit Application
Commercial FOR OFFICE USE ONLY
City of Tigard , ..,+z. Received /yam Permit No.: 1 )�1/�J—/y /
N Date/By: I *j (/j�CQ6 / [SCJ(
13125 SW Hall Blvd.,Tigard,OR 9 2 Plan Review
Phone: 503-718-2439 Fax: 503-598-1960 Date/By: '7-3- 1 i� Related Permit:
TI G A R D Inspection Line: 503-639-4175 I 0 Date Ready/By: /� t Juris: fi? See Page 2 for
Internet: www.tigard-or.gov / titled/Meth : l 7 / # Di Supplemental Information
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0 New construction I=1 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Additio, alteration/,-placement 0 Other: equipment,materials,labor,overhead,and the profit for the
* vAo \4v` v " vv\' v k\ti v0iq l \ , v* Azo * work indicated on this application.
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❑ 1-and 2-family dwelling ommercial/ dustrial Valuation: $
❑Accessory building ElMul_t amity Number of bedrooms:
ElMaster builder 0 Other: Number of bathrooms:
\? y'
\va A,Vi vvA V . .kk,\,v t , * V \ *v k;t,,,yv v v‘,v Total number of floors:
Job site address: 95CjS S W sirmsw, ric.ror4 schiAlgte •(lA New dwelling area: square feet
City/State/ZIP: -'I X7ANQ ,oR c zt3 Garage/carport area: square feet
Suite/bldg./apt.#: 4 I Z. I Project name: AU:l0 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
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Subdivision: I 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
equipment,materials,labor,overhead,and the profit for the
CAimIOi . \a* * v\,' %\ \A vv'', work indicated on this application.
REDIQCEL AN exlsrl4C- «.."Tet4 -ir' WALE'
Valuation: $ 15'Qt CA
.rt 2 a ` u Existing building arca: 1�(gt1 square feet
New building area: I slCilasquare feet
m; Number of stories: I
Name: - 'ate awe G2auP, Type of construction: I) e,
Address: 2344 E(Y1%L1 t €corzeit. Occupancy groups:
City/State/ZIP:VR. cr. LA4l r'l110Na'(teAt, Qa (- rt.3A Existing: m
Phone:(4I L i y"1 .S`39'L. Fax (5'I w 141i •329'Z New: /'l
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Business name: G7` .. J' tr4 '
Structural plan review fee(or deposit):
Contact name: 'fl SC,,,e no<
FLS plan review fee(if applicable):
Address: I(ZO a'• go.6 sr. slim eft Q
M Total fees due upon application: t 1 5_
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City/State/ZIP: (3(,;04(n(/� cern, If ( S,S4ZQ
• mowunt received:Phone:(- Y , tav , Fax::( •4gg
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E-ma - iMSGetof� ! JQE �� .CG(+
Commercial and residential prescriptive installation of
', , roof-top mounted Photovoltaic Solar Panel System.
Business name:�' rip ' Submit two(2)sets of roof plan with connection details
, ✓�}I `` "` and fire department access,along with the 2010 Oregon
Address: f 3,..)..42. Solar Installation Specialty Code checklist.
f� �j Permit fee(includes plan review
City/State/ZIP:
—'(JZsr/V t � / 6 Hip r and administrative fees): $180.00
Phone:
% ) (333
? Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: (1 7Total fee due upon application: $201.60
Authorized signature:____---- --------„j This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: /r'I ill, CCI4e1414–• Date:6 tZ jd I i9 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard
11 a COMMUNITY DEVELOPMENT DEPARTMENT
rlcnRo Building Permit Review — Commercial - No Land Use
Building Permit #: O, /q._ )Q 5- --
Site Address: qs s SIM ,5A,yv,7(e1n/ Suite/Bldg#: 1/
Project Name: "144)
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning R view riI j
Proposal: V4 Gi" A. offal-nj /4311 J"Aa^l—SeLIZ 'In lit it,a I1 fir & 112x,' JL ii7rt'
Existing Business Activity: Salts,- or4,11-4 t11-4
Proposed Business Activity: �,,,k j._Qrj.t,sJ $j i
/Verify site address/suite# exists and active in permit system
2/(River Terrace Neighborhood: ❑ Yes LI No
E ontng �''�,(f c
Ly rmitted Use: Yes ❑ No ❑ Spec Space
lld C nfirm no land use required.
L(Q Business License:
Exists: ❑ Yes No,applicant notified to obtain business license
Notes:
(4Approved by Planning: iikivvq Date: 7----2,-11
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:
SitPlans: _. # 4,'
Building Plans: #
Building Permit#: :I nter building permit#above.
Workflow Routing: Aja Hinger 't Coordinator ''ming
Workflow Sign-off: g--Sig-n- ff for Planning(include notes from planning review)
Route Application Documents: wilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: 1.7 .-30-4 Date: Xjy
I:\Building\Forms\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: 0 Yes N/A
Tigard Trans SDC: 0 Yes GIN/A
Parks SDC: 0 Yes C'7 N/A
OCA K to Issue Permit
Approved by Permit Coordinator: ///(16-ate: ///1---7/4
I:\Building\Forms\BldgPemiitRvw_COM NoLandUse 070915.docx