Permit q CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2021-00036
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/22/2021
Parcel: 1 S1260000300
Jurisdiction: Tigard
Site address: 9704 SW WASHINGTON SQUARE RD F10
Project: Lids TI Subdivision: None Lot: None
Project Description: Install new cash wrap,embroidery station,store fixtures
Contractor: PACIFICSIDE HOMES &CONSTRUCTION Owner: PPR WASHINGTON SQUARE LLC
2045 LESLIES WAY BY MACERICH RET
WEST LINN, OR 97068 PO BOX 4085
SANTA MONICA, CA 90411
PHONE: 503-312-7471 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM Permit Fee-Additions,Alterations, 02/22/2021 $225.80
Class of Work: ALT Type of Const: IIIB Demolition
Occupancy Grp: B Occupancy Load: 24 12%State Surcharge-Building 02/22/2021 $27.10
Dwelling Units: 0 Plan Review 02/02/2021 $146.77
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 02/22/2021 $103.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 02/22/2021 $90.32
Value: $10,000 Info Process/Archiving-Sm$0.50(up to 02/22/2021 $2.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $594.99
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: -Or Permittee Signature:
Call 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.
y . ... v
Building Permit Application - 1125121
Commercial FOR OFFICE USE ONLY
City of Tigard Received 2 V
gU
RECEIVE 1anRy: J \ Z
1 �► Permit No.: P2QZ, 0(�0
w 13125 SW Hall Blvd.,Tigard,OR 97223 an Review
11
_ Phone: 503-718-2439 Fax: 503-598-1960 PateBy: OA'11'�� Related Permit:
T 1 GARD Inspection Line: 503-639-4175 Date Ready/By: Ju ® See Page 2 for
as Internet: www.tigard-or.gov JAN 2 5 2021 Notified/Method:z//7/Z/ 4 e, Supplemental Information
CITY OF TIGARU It` �Z� 4 44 7--
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑ ❑De BoiLDItdG DIVISION Permit fees*are based on the value of the work performed.
New construction
Indicate the value(rounded to the nearest dollar)of all
XrAddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling Lommercial/industrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
gill JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: -- 5/r V i/lli*ht0 1-pki ` kutot "ex New dwelling area: square feet
City/State/ZIP: d vd 612, 11Z2 -J Garage/carport area: square feet
Suite/bldg./apt.#: / 0 Project name: L/v Covered porch area: square feet
Cross street/directions to job site: 04,ti i Y 9/1 pi ,caA/(aVe.., i -a-I I Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
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
1n � DESCRIPTIONI^O/F ORK Q/� /,,/�/ work indicated on this application.
/ii /- /( i 1 e ✓ ca4 h— Y V yew, `0/V v _bre,G( ovd Valuation: $ /af ,O P O
5 -o a�L -fpJ7 y�j�Vi 5 v Existing building area: '�D1' square feet
III/'' - �j / " �'l. / v`' C.
New building area: /- square feet
0 PROPERTY OWNER 0 TENANT Number of stories: /
Name: Type of construction: j13 617riki, 41J
Address: Occupancy groups: fleka
City/State/ZIP: Existing: V'�
Phone:( ) Fax:( )
New:
APPLICANT 0 CONTACT32I
PERSON BUILDING PERMIT FEES*
I c / / „ I , (Please refer to fee schedule)Business name: p /r // dP� �'/Q /L � � l�Contact name: Vv v -Structural plan review fee(or deposit):
by a-vvo w
II oo DD '/�/ FLS plan review fee(if applicable):
Address: ] 1� ( IiS 1/V��I�j�/ t�
Total fees due upon application:
City/State/ZIP: INN-- ���
( 3) �J 2 1 t-/ -/ I Amount received:
Phone:`/�!�/ l / Fax::( )
E-mail: b-ea wl,da.vr/IVv C (,o vUGa$� nevi-
Commercial PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: It.1 A F A-j kt v..0 Submit two(2)sets of roof plan with connection details
!'�^"' and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) 7Fax:( )
�� State surcharge(12%of permit fee): $21.60
CCB Lic.: Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: {t.4- K�/Qvv Date: //_2 5—_ Z/ * Fee methodology set by Tri-County Buildin Industry
((// Service Board. 'e fyP, ,r
I:\Building\Permits\BUP COM_PermitApp.doc Rev.04/21/2014 440-4613T(l1/02/COM/WEB) v
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
N Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
REQUIREMENT: OREGON REVISED STATUTE (ORS)447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $ l Vt o o —
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 2 S=c —
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
RECEIVED
JAN 2 5 2021
CITY OF TIGARD
BUILDING DIVISION
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
12C121
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: gUP?UZ1— 000 - (P
Site Address: '.9585 SW Washington Square Rd Suite/Bldg#: F10
Project Name: Lids
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
P1anrziri ReVieiv
Proposal: TI
Existing Business Activity: Retail
Proposed Business Activity: Retail
® Verify site address/suite # exists and active in permit system.
X River Terrace Neighborhood: ❑ Yes II No
® Zoning: MUC
® Permitted Use: ® Yes ❑ No ❑ Spec Space
® Confirm no land use required.
® Business License:
Exists: ® Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: i v Date: 1/26/2021
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Buildir.Permit Submittal
Original Submittal Date:
Site Plans: # 3
Building Plans: # 3
Building Permit#: Q Enter building permit# above.
Workflow Routing: Planning ❑ Permit Coordinator V Building
Workflow Sign-off: 2' Sign-off for Planning(include notes from planning review)
Route Application Documents: El" Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: M3 v C rTh W--( — Date: 2 1 21
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_l 11819.docx
• 't Coordinator Review
❑ Conditio " et"prior to issuance of building permit
❑ Approved,NO •ased: D
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Appli .
Revision Notice 3: Date Sent to - .. cant:
❑ SDC Fees Entered: W. o Trans Dev Tax: ❑ Yes ❑ N
igard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to •. u e Permit
. •roved by Permit Coordinator: Date:
•
1:\Building\Forms\BldgPerm itRvw_COM_NoLandUse_111819.docx