Permit CITY OF TIGARD BUILDING PERMIT
,11 ' " COMMUNITY DEVELOPMENT Permit#: BUP2021-00073
Date Issued: 4/12/2021
T(GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9681 SW WASHINGTON SQUARE RD C06
Project: Fabletics Subdivision: None Lot: None
Project Description: Remodel of an existing retail tenant space for a new fabletics store.
Contractor: COMMERCIAL CONTRACTORS INC Owner: PPR WASHINGTON SQUARE LLC
16745 COMSTOCK ST BY MACERICH RET
GRAND HAVEN, MI 49417 PO BOX 4085
SANTA MONICA,CA 90411
PHONE: 616-850-1289 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 04/08/2021 $1,407.95
Demolition
Occupancy Grp: M Occupancy Load: 40
12%State Surcharge-Building 04/08/2021 $168.95
Dwelling Units: 0 Plan Review 03/25/2021 $915.17
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 04/08/2021 $410.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/08/2021 $563.18
Value: $150,000 Info Process/Archiving-Lg$2.00(over 04/08/2021 $30.00
11x17)
Info Process/Archiving-Sm$0.50(up to 04/08/2021 $12.00
Floor Areas: 11x17)
Metro CET 04/08/2021 $180.00
Total Area: 0 Tigard CET-Non-Residential-Admin 04/08/2021 $60.00
Accessory Struct: 0 Tigard CET-Non-Residential-AH 04/08/2021 $1,440.00
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $5,187.25
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 1.800.332.2344.
•
Issued By: i- o y Vcun,De,wezae Permittee Signature: O App 1,01n
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.
Building Permit Application
Commercial FOR OFFICE ESE ONLY'
City of Tigard RECEIVE 11,-„03��/ ,� Permit No.:.17UpGV21-06o73
.° 13125 SW Hall Blvd,Tigard,OR 97223 plan Reviey / 1'
Phone: 503-718-2439 Fax: 503-598-1960 MAR 2 2 2021 Date/By: y I -b. ."K i Related Permit:
TIGARD
Inspection Line: 503-639-4175 Date Ready/By: &� [[�/�/ runs: M See Page 2 for
.:•. Internet www.tigardorgov CITY OF TIGARD "° edJM /l' Supplemental Information
oUILDING TYPE DIyI31IIf�—
OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
Permit fees*are based on the value of the work performed.
El New construction El Demolition
Indicate the value(rounded to the nearest dollar)of all
®Additiottlteratio)replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
JJ CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ommerciardustrial
Valuation: $
ElAccessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: q 6 J t 544 WkSgI P(cr(r( SQ 14.1ZE R awD New dwelling area: square feet
11
City/State/ZIP: TIGARD. QR . gizz3 Garage%azportarea: square feet
Suite/bldg./apt.#: CO6 Project name: .Pip -(CS. 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: I Lot#: Permit fees°are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Rtal lIN08-O Pr4 Emsrif-A-1ZEl'/atl..- Er`t/acic sfpC.E I l- Valuation: $�, (�l alp N
MAU- MR Q rI W TtG5 STORE Existing building area: 3QQ.(3 square feet
NC. New building area: Z 6 square feet
'^ El PROPERTY OWNER pi TENANT Number of stories:
" Name: .F,a,eizrics Type of construction:
1113
Address: Slejo Apt(1st SR€t r Occupancy groups:
111
City/State/ZIP: EL •etsfrivo, CA - C1•02. -- Existing: rn
Phone:(Zq$) cr12 -4 9j Fax:( )
New: in
in APPLICANT la CONTACT PERSON BUILDING PERMIT FEES*
- (Please refer to fee schedule)
Business name: E LOG R. Joti63-
Structuralplan review fee(or /7
deposit): g/✓c
Contact name: 11 1\ SCREIJ K
Address: 1 Ma E • 80 Ab sr. 5c cCE Z I FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP: eLGCK ll N FCQr( , MK( 65z{'z0
Phone:(( ) 3c.45 ,6Vc.�Q �2) €Sci. �Qq Amount received:
Fax::
Email: -{ 1 mS @ eta; ej 4rl(•,°S.Cqa PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Submit two 2)sets of roof plan with connecfion details
Business name: Ca none r.C lAt- C On!tRdat,So(LS , 14 C- and department access,along with the 2010 Oregon
Address: 1(74 coin 5C9Ct. 5('- Solar lnstallafon Specialty Code checklist.
City/State/ZIP: ///►►►��� Permit fee(includes plan review
t+r�l�PD I3QVC 5^ ' �SZ{I7 and administrative fees): $180.00
Phone:(614 ) � f Z� 1 I Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 6,37i� / //ZL 2
L_ Total fee due upon application: $201.60
Authorized signature:�� SJ�—LThis permit application expires it a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: -n S G( r..{1✓ Date: 3 I Iv * Fee methodology set by Tri-County Building Industry
Service Board.
luilding\Pemuts\BUP_COM_PermitApp.doc Rev.04/21/2014 440.4613T(11/02/COM/WEB)
City of Tigard
,111 COMMUNITY DEVELOPMENT DEPARTMENT
C
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: /3(1(202i- 20
Site Address: 9681 SW Washington Square Rd Suite/Bldg#: C06
Project Name: Fabletics
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Plarinke'Review
Proposal: TI
Existing Business Activity: Retail sales
Proposed Business Activity: Retail sales
® Verify site address/suite # exists and active in permit system.
l River Terrace Neighborhood: ❑ Yes g7 No
Q l Zoning: MUC
X Permitted Use: a Yes ❑ No ❑ Spec Space
® Confirm no land use required.
®C Business License:
Exists: ® Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: picvelooetfruplieb
Date: 3/23/2021
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
$tzildiri Permit Submittal
Original Submittal Date: O'/�ZOu
Site Plans: #
Building Plans: #
Building Permit#: ErEnter building permit#above.
Workflow Routing: ®'Planning ❑ Permit Coordinator lkBuilding
Workflow Sign-off: I��Si n-off for Planning(include notes from planning review)
ELT
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: //� Date: .4.00/2/
L1Building\Forms\BldgPermitRvw COM NoLandlJse 11819.docx
Cbordinator ItevieW
❑ Conditio "Met"prior to issuance of building permit
❑ Approved,NO •ased:
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
O SDC Fees Entered: W.. o Trans Dev Tax: ❑ Yes ❑ N
igard Trans SDC: ❑ Yes 0 N/A
Parks SDC: 0 Yes 0 N/A
❑ OK to •. .a Permit
r roved by Permit Coordinator: Date:
L\Building\Forms\BldgPermitRvw_COM_No L andUse_1118I9.docx