Permit IN p CITY OF TIGARD BUILDING PERMIT
I COMMUNITY DEVELOPMENT BUILDING
BUP2021-00257
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/24/2021
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9393 SW WASHINGTON SQUARE RD S07
Project: Cotton On Group Subdivision: None Lot: None
Project Description: New retail clothing store-interior tenant finish of existing mall space. Install new partitioned walls finishes and
fixtures.
Contractor: RETAIL CONSTRUCTION SERVICES INC Owner: PPR WASHINGTON SQUARE LLC
11343 39TH ST N BY MACERICH RET
LAKE ELMO, MN 55125 PO BOX 4085
SANTA MONICA,CA 90411
PHONE: 651-704-9000 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: 116 Permit Fee-Additions,Alterations, 11/19/2021 $1,558.95
Occupancy Grp: M Occupancy Load: 100 Demolition
12/o State Surcharge-Building 11/19/2021 $187.07
Dwelling Units: 0 Plan Review 10/26/2021 $1,013.32
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 11/19/2021 $434.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/19/2021 $623.58
Value: $175,000 Info Process/Archiving-Lg$2.00(over 11/19/2021 $32.00
11x17)
Info Process/Archiving-Sm$0.50(up to 11/19/2021 $6.00
Floor Areas: 11x17)
Total Area: 0 Metro CET 11/19/2021 $210.00
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,064.92
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: F jo Vag D�weg2 Permittee Signature: Qti,A�
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.
BuiNing Permit Applicat e CE1VED NA - 1012012
Commercial OCT 2 0 2021 FOR OFFICE USE ONLY
City of Tigard Received /� j��2ef�
g STY OF TIGARD Date/By:/r/_4 20� Permit No
i't 13125 SW Hall Blvd.,Tigard,OR 9 Plan Review ^ A '
Phone: 503-718-2439 Fax: 503- Date/By: 1'p1„� i Related Permit:
'CI
TIGARD Inspection Line: 503-639-4175 bUiwING DIVISION late Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: A' II
Supplemental Information
g.
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Pennit tees*are based on the value of the work perforned.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
D I-and 2-family dwelling ®Commercial/industrial Valuation: S
0 Accessory building 0 Multi-family
Number of bedrooms:
builder Number of bathrooms:
❑ Master ❑Other:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9393 SOUTHWEST WASHINGTON SQUARE ROAD New dwelling area: square feet
City/State/ZIP:TIGARD, OR 97223 Garage/carport area: square feet
�/ 1 Suite/bldg./apt.#:S07 Project name:COTTON ON GROUP 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.
Tax map/parcel#:R236596 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
ki NEW RETAIL CLOTHING STORE - INTERIOR TENANT FINISH Valuation: $175,000
••••,) OF EXISTING MALL SPACE. INSTALL NEW PARTITIONED WALLS Existing building area: 11,045 square feet
QFINISHES AND FIXTURES New building area: N/A square feet
❑ PROPERTY OWNER ® TENANT Number of stories:1 story
Name:CottonON Group Type of construction:I I-B
Address:400 North Brand Ave-Floor 6 Occupancy groups:
City/state/ZIP:Glendale, CA 91203 Existing: Mercantile
Phone'( 61 )417-905-834 fax:( I New:Mercantile
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name:State Permits
Structural plan review fee(or deposit): fa/,fae.j2_
Contact name:Katie Getz
FLS plan review fee(if applicable):
Address:319 ELAINES COURT
Total fees due upon application:
City/State/ZIP:DODGEVILLE, WI 53533
Amount received:
Phone:(608)407-9078 Fax::( )
E-mail:katle @permit.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:-bf}-.. Re�q,\ C e S\cy,..,c\--u.--\ Se f`-t;Ce) Submit two(2)sets of roof plan with connection details
and fire department access.along with the 2010 Oregon
Address: \\''." Li-1 -- 0 . S. j Solar Installation Specialty Code checklist.
City/State/ZIP: L o v .c. 'wry ) S`S `-a Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:
( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 0000 Total fee due upon application: $201.60
Authorized signatur 'fie This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: f/ Date:/D/1�`j/2Du * Fee methodology set by Tri-County Building Industry
to ✓! Service Board.
C\Building\Permits\BUPCOMPermitApp.doc Rev.04/21/2014 440-4613T(I1/02/COM/WEB)
.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
''1 s " Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • wwNs,.tiizard-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] S 175,000
MULTIPLIER(25%barrier removal requirement): x '�
TOTAL BUDGET FOR BARRIER REMOVAL: 121 S 43,750
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 S
(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: S
(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): $
L:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard
III " COMMUNITY DEVELOPMENT DEPARTMENT
T1cnRD Building Permit Review — Commercial - No Land Use
Building Permit #: P-UP2b2!-O 0297
Site Address: q J 4(3 50 *4,4 p,,t . R.ci\ Suite/Bldg#: �0 7-
Project Name: (64—kiA O v\
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: ►VIW tNelctif GLO1 S t^e- — 1 k,t. elkcit,1- �1 r7tt / Ir L✓
ot.r- 4-N vt_ a G f j vi i5(�.e.S le-e c
Existing Business Activity: Ataeit rO(lino i 'e- 9- (fC(A �Gti:2s—O ' L°Vt 1 .h I)
Proposed Business Activity: COffe V�.. ®v / 4.�S D r Q p -eu
/o Verify site address/suite# exists and active in permit system. "'
❑ River Terrace Neighborhood: ❑ Yes . 'No
ig Zoning: MO C-
gP Permitted Use: voYes ❑ No ❑ Spec Space
pConfirm no land use required.
Business License:
Exists: ()Yes El No,applicant was provided a business license application
Notes: rtftKiesoattgV((Q, v-
Approved by Planning: , 2A 4/j - 6 Date: UV - 2-5- 2492I
Revisions (after Building Submittal only) Reviewer Date
Revision 1: El Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I
Building Permit Submittal
Original Submittal Date: /Q/2t,'02/
Site Plans: # ,j
Building Plans: # 3
Building Permit#: Enter building permit# above.
Workflow Routing: [ -Planning ❑ Permit Coordinator [Building
Workflow Sign-off: [Er-Sign-off for Planning(include notes from planning review)
Route Application Documents: 1uilding: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: le I Date: /D/,Z4/26:4
I:\Building\Forms\BldgPermitRvw COM NoLandUse_111819.docx
Permit Coordinator Review
conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
4 SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: 0 Yes pi N/A
Parks SDC: 0 Yes 7J N/A
/16 OK to Issue Permit
Approved by Permit Coordinator: Pgri(?
Date: iqq Z()24
I:\Building\Forms\BldgPermitRvw_COM NoIandUse_111819.docx