Permit „ CITY OF TIGARD BUILDING PERMIT
``1 11 COMMUNITY DEVELOPMENT Permit#: BUP2021-00203
T I G A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/4/2021
Parcel: 1 Si260000300
Jurisdiction: Tigard
Site address: 9374 SW WASHINGTON SQUARE RD R05
Project: Peloton Subdivision: None Lot: None
Project Description: Fixed shelving racks in storage area
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:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations, 09/16/2021 $149.75
Occupancy Grp: U Occupancy Load: 0 Demolition
12%State Surcharge-Building 09/16/2021 $17.97
Dwelling Units: 0 Plan Review 08/26/2021 $97.34
Stories: 0 Height: 0 ft
Info Process/Archiving-Lg$2.00(over 09/16/2021 $4.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $4,786 Info Process/Archiving-Sm$0.50(up to 09/16/2021 $3.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $272.06
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. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: L�r Permittee Signature: //��nl�
_ `
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 Applicat CEIVED
." :
Commercial FOR OFFICE USE ONLY.
AUG 19 2021
Cl�of Tigard Received � 2CZDate/By: o t tR` '
Permit No.BtR2dZ`'COZd3
111 " 13125 SW Hall Blvd.,Tigard,OR 9t13TY OF TIGARD
Plan Revien f�l
= Phone: 503-718-2439 Fax: 503-..198,1lJ960 DIVISION Date/By: / Related Permit:
T 1 G A R D Inspection Line: 503-639-4175 13 Da Ready/By: / �y►� See Page 2 for
Internet: www.tigard-or.gov otified/Method: L ' '�, ( (� Supplemental Information
TYPE OF WORK REQ 4•ED 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
❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
El1-and 2-family dwelling Z 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 S.W. Washington Square Road New dwelling area: square feet
City/State/ZIP:Portland, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#:Space R05 Project name:Peloton Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
East of Beaverton Tigard Hwy 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.
Racking permit for fixed shelving in the back of the store-storage area Valuation: $ Lin$ ''j• � o
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:The Macherich Company Type of construction:
Address:401 Wilshire Blvd, Suite 700 Occupancy groups:
City/State/ZIP:Santa Monica, CA 90401 Existing:
Phone:(503)639-8865 Fax:( ) New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer tofee schedule)
Business name:Axxys Construction Group, Inc.
Structural plan review fee(or deposit):
Contact name:Kyle Lescarbeau
FLS plan review fee(if applicable):
Address:4101 Nicols Road, Suite 100
Total fees due upon application:
City/State/ZIP:Eagan, MN 55122
Amount received:
Phone:( 651)470-2892 Fax: :( )
E-mail klescarbeau@axxysconstruction.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Axxys Construction Group, Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:4101 Nicols Road, Suite 100 Solar Installation Specialty Code checklist.
City/State/ZIP:Eagan, MN 55122 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(612)800-7878 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.:214453 Total fee due upon application: $201.60
Authorized signature: Ky4 L�semt6e4ee This permit application expires if a permit is not obtained
o within 180 days after it has been accepted as complete.
Print name:Kyle Lescarbeau Date:8/18/21 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
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City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
114 a 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] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
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): $
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
° Plan Submittal Requirements
- Commercial & Multi-Family - New, Additions or Alterations
T 1 G A K D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with:
A. ❑ map&tax lot# ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations,plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit- based on valuation of project.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
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City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
11111 I " Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
T l G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal # of Plans
(Includes new,additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
Site Work 3
(must include location of all accessible parking)
Plumbing(site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing(building fixtures) 2
Electrical 2
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington
County,and Tualatin Valley Fire&Rescue),if applicable.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019