Permit (2) CITY OF TIGARD BUILDING PERMIT
a . . COMMUNITY DEVELOPMENT Permit#: BUP2019-00333
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/31/2019
T t C �J ' g Parcel: 1 S126BC01500
Jurisdiction: Tigard
Site address: 9000 SW WASHINGTON SQUARE RD
Project: Embassy Suites Subdivision: None Lot: None
Project Description: Replacing drainage-wall assembly and installing(2)sliding door systems.
Contractor: TATLEY GRUND INC Owner: WASHINGTON SQUARE PROP INVESTMEN
1115 N 97TH ST BY PARKVIEW INTERNATIONAL
SEATTLE, WA 98103 ATTN MUELLER, PAULA&HARRINGTON
152 W 57TH ST 58TH FL
NEW YORK, NY 10019
PHONE: 503-207-3175 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 12/31/2019 $1,528.75
Demolition
Occupancy Grp: R-2 Occupancy Load: 0 12%State Surcharge-Building 12/31/2019 $183.45
Dwelling Units: Plan Review 12/10/2019 $993.69
Stories: Height: ft DC Provision Review,COM TI-Ping 12/31/2019 $406.00
Bedrooms: Bathrooms: Plan Review-Fire Life Safety 12/31/2019 $611.50
Value: $170,000 Info Process/Archiving-Sm$0.50(up to 12/31/2019 $6.00
11x17)
Metro Const.Excise Tax 12/31/2019 $204.00
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $3,933.39
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 may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 4 � ;;exu ittee�gn re: P`/(A
.4.1: 40,r ,
/// al 03.639.4175 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
*- Received
City of Tigard A W-— t t : i` , / ® ..�, f
g� �, DateB �d -1
• 13125 SW Hall Blvd.,Tigard,OR ` S,.a. S ",+ . ) plan Review
lelli
Phone: 503-718-2439 Fax: 503 598 1960 Date/B : — — I1il
T lc,A RI, Inspection Line: 503-639-4175 1 0 2 01 S Date Ready/By: f/,��� -. See Page 2 for
Internet: www.tigard-or.gov DEC Notified/Method:/z /7 /9 4,,v- 0. Supplemental Information
7-101 L Z—
yl I N. ).
TYPE `A'`yrlS t, ", REQUIRED DATA:1-AND 2-FAMILY DWELLING
—❑New construction El 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
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ® m Comercial/industrial Valuation: $
IDAccessory building El Multi-family Number of bedrooms:
0 Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9000 SW WASHINGTON SQUARE RD New dwelling area: square feet
City/State/ZIP:TIGARD, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name:EMBASSY SUITES 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#:1 S126BC01500 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.
Remove and replace targeted EIFS clad drainage-wall assembly. Valuation: $170,000
FURNISH AND INSTALL (2) LISTED ENTREMATIC DS18D SINGLE SLI Existing building area: 209706 square feet
DING DOOR SYSTEMS. New building area: 0 square feet
la PROPERTY OWNER ❑ TENANT Number of stories: 9
Name:Washington Square Property Investment, LLC Type of construction:
Address:152 West 57th St 58th Fir Occupancy groups:
City/State/ZIP:New York, NY 10019 Existing:
Phone:( ) Fax:( ) New:
® APPLICANT VI CONTACT PERSON BUILDING PERMIT FEES*
Business name:TATLEY-GRUND, INC. (Please refer mjeeschedule)
Contact name:JOEL McBROOM Structural plan review fee(or deposit):
FLS plan review fee(if applicable):
Address:10260 SW NIMBUS AVE, STE. M5 /Total fees due upon application:ce116,6,1
City/State/ZIP:PORTLAND, OR 97223
Phone:( 503)207-3175 Fax::( ) Amount received:
E-mail:jmcbroom@tatleygrund.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
i _ roof-top mounted PhotoVoltaic Solar Panel System.
Business name:TATLEY-GRUND, INC. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:10260 SW NIMBUS AVE, STE. M5 Solar Installation Specialty Code checklist.
City/State/ZIP:PORTLAND, OR 97223 Permit fee(includes plan review $180.00
and administrative fees): .
Phone:( 503)207-3175 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.:147461 Total fee due upon application: $201.60
Authorized signa This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:JOEL 1 '--0 M Date:12/5/2019 * Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building\Permits\BUP_COM_PemtitApp.doc Rev.04/21/2014 440-4613T(I 1/02/COM/WEB)
City of Tigard
IIICOMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
AMOK; ,4: 11111111111111111
Building Permit #: 01(91)k--n jj 3; 3
Site Address: (100 0 ,Sw W'1 t tf11 (1 11.7 ri S cy at Suite/Bldg#:
Project Name: F re-) bci Ss 1 S L'''te.s
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Tvi-fen 0r T1 ` Inil-A11 S 11'ding c(,00r s c-k.n-) q nd exit Dr
n ptUle- gI CS slcbr1.9
Existing Business Activity:
Proposed Business Activity:
T Verify site address/suite# exists and active in permit system.
/`J
Z River Terrace Neighborhood: ❑ Yes No
Vir Zoning: VI VC,
7f Permitted Use: Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: /6 Yes ❑ No, applicant was provided a business license application
Notes: r
Approved by Planning: 1 f l .., --- Date: 12 % 1 0 l ) 9
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: /ol Wii
Site Plans: # ill
Building Plans:
Building Permit#: IIJI building�permit# above. �.
Workflow Routing: J ]anr g L4 'l it Coordinator ]F�uilding
Workflow Sign-off: �Si6ff for Planning(include notes from planning review)
Route Application Documents: uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: �� Date: 0 f/Q/l1
1:1Building\Fors\BldgPennitRvw_COM_NoLandUse_111819.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: ❑ YesN /A
Tigard Trans SDC: ❑ Yes 2 N/A
Parks SDC: 0 Yes VO N/A
K to Issue Permit Approved by Permit Coordinator: 4Klate:
/ 4/°fi I�j
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx