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CITY OF TIGARD BUILDING PERMIT
'`! I COMMUNITY DEVELOPMENT Permit#: BUP2021-00085
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 6/21/2021
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9640 SW WASHINGTON SQUARE RD G11
Project: Jand Subdivision: None Lot: None
Project Description: TI of existing retail space.
Contractor: HORIZON RETAIL CONSTRUCTION Owner: PPR WASHINGTON SQUARE LLC
1500 HORIZON DR BY MACERICH RET
STURTEVANT,WI 53177 PO BOX 4085
SANTA MONICA, CA 90411
PHONE: 262-638-6000 PHONE:
FAX: 262-638-6015
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 06/21/2021 $1,975.71
Demolition
Occupancy Grp: B Occupancy Load: 49 12%State Surcharge-Building 06/21/2021 $237.09
Dwelling Units: 0 Plan Review 04/15/2021 $1,284.21
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 06/21/2021 $410.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 06/21/2021 $790.28
Value: $243,550 Info Process/Archiving-Lg$2.00(over 06/21/2021 $50.00
11x17)
Info Process/Archiving-Sm$0.50(up to 06/21/2021 $6.00
Floor Areas: 11x17)
Metro CET 06/21/2021 $292.26
Total Area: 0 Tigard CET-Non-Residential-Admin 06/21/2021 $97.42
Accessory Struct: 0 Tigard CET-Non-Residential-AH 06/21/2021 $2,338.08
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Tota I $7,481.05
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: How„Yam/ 111ege 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.
Building Permit Application -4( I 212l
Commercial RECEIVED FOROFFI(. tSLO\L.1 'n�/ m Q
City of Tigard DatelBea��/z 2021 4 Permit No.: BU P2024-000 a 5
1111 ° 13125 SW Hall Blvd.,Tigard,OR 97223 APR 1 2 nzi Pt. R•• ••••• 411,S Phone: 503-718-2439 Fax: 503-598-1960 Date/B : I, Related Permit
T 1 G AR D Inspection Line: 503-639-4175 Date Ready/By: EdSee Page 2 for
Internet: www.tigard-or.gov CITY of TIUABG Notified/Method_51" „dr" I iv IM. Supplemental Information
BUILDING DIVISION 46 c t 5,1- -
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
geAdditiorff lteratioi placement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CON
�SSTRUCTION work indicated on this application.
III I-and 2-family dwelling 2ommercialxtdustrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: c--\(..c,l Cj 'v3 0,psS \ c-t S, U. tic V.sil New dwelling area: square feet
City/State/ZIP: c\ 4,..c AN C) 2.2.... Garage/carport area: square feet
Suite/bldg./apt.#: ( • _ Project name: .S 1,. tJ , \ C , Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
il-..Cl-\ 4 Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: VVt.,SN"3 t',-c--fa C.,:4C.A AA2-= 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
A..S£2.Cc Q(()6 .- C1 a equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
)1' 1 w A+�`5- `M P las t. Q k= >✓?S l.�'t�3 t�, 1 Ate. SAC-c` - Valuation: $ '� t 5 S ,
L-0iz.►��-O V-3 C-Ls-k- & t`\t $nLGt� Et..s_C-�', QL--I,s.1 Existing building area: 0 square feet
New building area: square feet
e . ErPROPERTY OWNER 0 TENANT Number of stories:
" "Name: \hc_a-{2,,; C 4..N Type of construction: 6
" Address:
r A� kv\A\\ 4.1C �if,c.. t.Lt-N Bf1...,.1 17 Occupancy groups: VI\
4 ,. City/State/ZIP: .N �At,X 1..52. Z ej 2_6 Existing: \\
Phone:((co 2.) Fax:( ) M
�. ���� �-'', � �' New:
Er-APPLICANT [ ('ONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
, L'`1Z►�iTS 1 C1 t�A')Aow Structural plan review fee(or deposit): 121I(,2./
Contact name: --k--K- AjV t✓S
FLS plan review fee(if applicable):
Address: \1',;f3 a (-A, -Ps'va t .32-21
Ci /State/ZIP: \O Total fees due upon application: ,
h ASRw)c`.t,Ie4 CA, ` 1
Amount received:
Phone:(<0 ) S iS 2,c'i s Fax::((DZ(o) 9 9'9 SG F}"Co
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: .e..-("rn‘s`4sS' c 6 e, C'-vA , Cq
"r1 Commercial and residential prescriptive installation of
,, CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
l Business name: 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:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: Total fee due upon application: $201.60
Authorized signature: C: .... This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: --2 * Fee methodology set by Tri-County Building Industry
5 �- ��-� Date: O �' Service Board.
(:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard
111 COMMUNITY DEVELOPMENT DEPARTMENT
•
T 1 c Rn Building Permit Review — Commercial - No Land Use
Building Permit #: 8UE'2021-OO 0 gS
Site Address: 9460 SW Washington Square Rd Suite/Bldg#:
Project Name: Jand Inc
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Plannir Reviety
Proposal: Ti
Existing Business Activity: Retail
Proposed Business Activity: Retail
Verify site address/suite #exists and active in permit system.
® River Terrace Neighborhood: ❑ Yes 11 No
11 Zoning: MUC
7 Permitted Use: JU Yes ❑ No ❑ Spec Space
® Confirm no land use required.
® Business License:
Exists: ❑ Yes a No,applicant was provided a business license application
Notes:
Approved by Planning: i. 7 Date: 4/13/2021
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
$uildiri-Permit Submittal /
Original Submittal Date: 12 2021
Site Plans: # '.J'r'
Building Plans: #
Building Permit#: [ -Enter building permit# above.
Workflow Routing: QiPlanning ❑ Permit Coordinator Building
Workflow Sign-off: [C'Sign-off for Planning(include notes from planning review)
Route Application Documents: O-uilding: original permit application,site plans,building plans,engineer and
beam calculations . d trust details,if applicable,etc.
Notes:
ALP;
By Permit Technician: /l, 7 Date: ,g//q Z(Ju
1:\Building\Forms\B1dgPermitRvw_COM NoLandUse_111819.docx
- -- 't Coordinator.004047
❑ Conditio . " et"prior to issuance of building permit
El 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:
❑ SDC Fees Entered: W.- o Trans Dev Tax: ❑ Yes ❑ N
igard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to -. •e Permit
• . •roved by Permit Coordinator: Date:
I.\Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx
r
1
t
rermits Toc!a ,
April 8,2021
Attention Branden Taggart
CITY OF TIGARD BUILDING DIVISION
13125 SW Hall Blvd.
Tigard, OR 97223
Re: Plan submittal for a Tenant Improvement project of a retail store in an existing retail space
"JAND,INC. (Warbv Parker)"located at 9640 SW Washington Square Rd., Sp. #G-11,
Tigard, OR 97223
•
Dear Branden:
Please find attached for Plan review 3 sets of Plans. We have enclosed 2 sets Energy Calcs,the
"Bldg. Permit Apple.","Mech.Permit Apple.", "Elect. Permit Apple."and the"Plumb. Permit
Applc.".
Please note,once the Plan Review Fees are calculated and an invoice is issued,we will pay those
fees.
The job valuation for this project is $243,550.00.
Const. Type: II B Fully Sprinklered Occup. Type: M-Retail Occup. Load: 23
Total Square Footage: 1760
If it is at all possible could we please have any approval/corrections emailed faxed to us at
permitstoday@aol.com . Please call us if you have any questions.
Sincerely,
Carla Street
CONTACT: Scott Daves @ Permits Today
140 So. Lake Ave., Suite 323
Pasadena, CA 91101
Tel. 626/585-2931
Fax 626/999-5686
permitstoday@aol.com
stvwsrvv.permitstod.a .com
140 SOUTH LAKE AVE. SUITE 323 PASADENA,CA 91101
TEL.626-585-2931 FAX 626-999-5686
2
PS
rermits Toc1aj
ARCHITECT: Tricarico Design&Arch.
502 Valley Rd.
Wayne,NJ 07470
Nicholas J. Tricarico,Lic.#ARI-2608
Tel. 973/692-0222
TENANT: Jand, Inc. (Warby Parker)
233 Spring St., 6th Fl.
New York,NY 10013
Chris Costa
Tel. 646/265-2152
CONTRACTOR: TBD
OWNER/LANDLORD: Macerich
11411 Tatum Blvd.
Phoenix,AZ 85028
Charlene Sirokman
Tel. 602/953-6377
Any other questions please feel free to contact my self at the above number. Please email a copy
of any comments to our offices at permitstoday(aT aol.com
Thank you.
w w w.permitntodsy.eom
140 SOUTH LAKE AVE.SUITE 323 PASADENA,CA 91101
TEL.626-585-2931 FAX 626-999-5686