Permit CITY OF TIGARD BUILDING PERMIT
' COMMUNITY DEVELOPMENT Permit#: BUP2021-00155
Date Issued: 7/1/2021
T FG AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1 S1260000300
Jurisdiction: Tigard
Site address: 9374 SW WASHINGTON SQUARE RD R05
Project: Peloton Subdivision: None Lot: None
Project Description: Interior demolition prior to TI: Removal of storefront,facade,interior partitions,floors,ceilings, lighting,millwork,
HVAC distribution,and plumbing fixtures.
Contractor: AXXYS CONSTRUCTION GROUP INC Owner: ppR WASHINGTON SQUARE LLC
4101 NICOLS ROAD SUITE 100 BY MACERICH RET
EAGAN, MN 55122 PO BOX 4085
SANTA MONICA, CA 90411
PHONE: 877-588-8080 PHONE:
FAX:
FEES
Specifics: ,
Description Date Amount
Type of Use: COM
Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 07/01/2021 $301.85
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 07/01/2021 $36.22
Dwelling Units: Plan Review 07/01/2021 $196.20
Stories: Height: ft Info Process/Archiving-Lg$2.00(over 07/01/2021 $16.00
Bedrooms: Bathrooms: 11 x 17)
Value: $15,000
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $550.27
Required: Required hems 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: i', Permittee Signature: itAA
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 1-CEL V IED
Commercial l� FOROFFIct. I sI-tivI v
J U N 2 3 2021 City of Tigard Re Datceivedway: 7 Permit No.: L
IIfr
" 13125 SW Hall Blvd.,Tigard,OR 972)ITY OF TIGARD Plan Review I/ y i v"`� �� _
= Related Permit:
Phone: 503-718-2439 Fax: 503-5 t' ING DIVISION Date/By: � ��-a0 135
T I C ARD Inspection Line: 503-639-4175 Date Ready/By: kris: See Page 2 for
,.- Internet: www.tigard-or.gov Notified/Method: 7// II �? Supplemental Information
TYPE OF WORK QUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction IE 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.
❑ I-and 2-family dwelling Valuation: $
®Commercial/industrial
❑Accessory 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:9374 SW Washington Square Road New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#:R05 Project name:Peloton Washington Square Demo Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Washington Square Road Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Washington Square Mall 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#:1S1260000300 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
/A/Trr,--/or- o H 77O J o^I oe -- .)a6- d U r5 ao%f-X/35 P. Valuation: S 15,000
_ DEMOLITION OF EXISTING TENANT IMPROVEMENT IN EXISTING"M"OCCUPANCY BUILDING
(FULLY SPRINKLERED)UP TO TENANT VERTICAL LEASE LINE. SCOPE TO INCLUDE .� Existing building area: 2761 square feet
_ REMOVAL OF STOREFRONT,FACADE,INTERIOR PARITITIONS,FLOORS,CEILINGS,
LIGHTING.MILLWORK,HVAC DISTRIBUTION,AND PLUMBING FIXTURES. New building area: square feet
0 PROPERTY OWNER ® TENANT Number of stories:2
Name:One Peloton Type of construction:11 B
Address:125 W 25th Street, 11th Floor Occupancy groups:M •
City/State/ZIP:New York,NY 10001 Existing:M
Phone:( ) Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Paroline&Associates (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:April House FLS plan review fee(if applicable):
Address:3617 SW Charlestown St
Total fees due upon application:
City/State/ZIP:Seattle WA 98126
Amount received:
Phone:( )206-478-0844 Fax::( )
E-mail:permits@parolineassociates.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:711� �, "�( Submit two(2)sets of roof plan with connection details
boeQ,S Lie„,t), P� d 1 ✓he• and fire department access,along with the 2010 Oregon
Address: '7/t J/ /1/Cd I ,-/2-"f Cat/,J2• ?00 Solar Installation Specialty Code checklist.
Permit fee(includes plan review
City/State/ZIP: / ��� and administrative fees): $180.00
Phone:( ,il 7 5 + bd b7l Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.:: I 1-1413 ?
Total fee due upon application: $201.60
^
Authorized signature: J/ D This permit application expires if a permit is not obtained
(/"-`�-( within 180 days after it has been accepted as complete.
Print name:April House Date:06/10/2021 * Fee methodology set by Tri-County Building Industry
Service Board. y/
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/212014 440-4613T(Il/02/COM/WEB) tI "���e 1-7
Branden Taggart
From: Branden Taggart
Sent: Thursday,July 1, 2021 2:41 PM
To: permits@parolineassociates.com
Subject: Peloton Interior Demolition Permit: BUP2021-00155 - 9374 SW Washington Square Mall
Attachments: Peloton Demolition Permit Invoice.pdf
Importance: High
Hi April,
The interior demolition permit for Peloton at Washington Square mall is ready to issue now. The balance due is$550.27,
and I have attached an invoice above for you to reference. These fees can be paid online now at https://aca-
prod.accela.com/TIGARD/Welcome.aspx by searching for the permit record number BUP2021-00155 under the Building
tab. There is a 3% service fee for credit cards, but e-checks do not have a service fee.
Once paid, please email the Permit Technicians at TigardBuildingPermits@tigard-or.gov so that we may issue this
permit and make it available for pick up.
Thank you,
Branden Taggart
• City of Tigard
y
z Senior Permit Technician
noxio Community Development
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
brandent@tigard-or.gov
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