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Permit CITY OF TIGARD BUILDING PERMIT • COMMUNITY DEVELOPMENT Permit #: BUP2011 -00247 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/08/2012 Parcel: 1 S 1260000300 Jurisdiction: Tigard Site address: 9459 SW WASHINGTON SQUARE RD A14 Project: Footlocker /House of Hoops Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108 Project Description: TI Contractor: HORIZON RETAIL CONSTRUCTION Owner: PPR WASHINGTON SQUARE LLC 1500 HORIZON DR BY THOMSON PROPERTY TAX SERVICES STURTEVANT, WI 53177 ATTN HILARY RAYMOND 2235 FARADY AVE, STE 0 CARLSBAD, CA 92008 PHONE: 262- 638 -6000 PHONE: FAX: 262- 638 -6015 FEES Specifics: , Description Date Amount Type of Use: COM DC Provision Review, COM TI - Ping 03/08/2012 $256.00 Class of Work: ALT DC Provision Review, COM TI - LRP 03/08/2012 $38.00 Dwelling Units: 0 12% State Surcharge - Building 03/08/2012 $194.32 Stories: 1 Height: 0 ft Plan Review 03/08/2012 $1,052.58 Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 03/08/2012 $647.74 Value: $460,296 Permit Fee - Additions, Alterations, 03/08/2012 $3,286.39 Demolition 12% State Surcharge - Building 03/08/2012 $200.05 Floor Areas: Plan Review 03/08/2012 $1,083.57 Plan Review - Fire Life Safety 03/08/2012 $666.82 Total Area: 0 Info Process /Archiving - Lg $2.00 (over 03/08/2012 $70.00 Accessory Struct: 0 11x17) Basement: 0 Info Process /Archiving - Sm $0.50 (up to 03/08/2012 $7.00 Carport: 0 11x17) Covered Porch: 0 Metro Const. Excise Tax - Commercial 03/08/2012 $552.36 Deck: 0 Use Garage: 0 Mezzanine: 0 Total $8,054.83 Required: Required Items and Reports (Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Yes Protected Corridors: Smoke Detectors: Yes 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, •r if work is suspended for more the 180 days. ATT • i -eon law requires you to follow the rules adopted by the Oregon Utility Notification C e-r. Those rules are set forth in OAR 952-001-1.10 through OAR •52 -0' -0 You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 •87 or 1.800 332.2344. Issue • By: / (et Permittee Signature: /T' / 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 USE ONLY a City of Tigard (r E \ \I E0 Date /B : _ � •MI Permit No.: !8&i` – �/2 13125 SW Hall Blvd., Tig OR 97223 { Plan Review �, Phone: 503.718.2439 Fax: 50}1 .10`3 2 0 1 1 Date/B : / �j` %-ia� ' [her Permit: TI G A R D Inspection Line: 503.639 1 Date Ready /: ` Ju ris: HI See Page 2 for Internet: www.tigard or.gov c �� �� T,GA D Notified/Method: 3 6 / 1;- Supplemental Information a r � tR , ,, piV1S1(3Id �cp 0 1 4 - >� — �rkt,e j TYyiki OW �1'�RK REQUIRED DATA: I- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. X Indicate the value (rounded to the nearest dollar) of all Addition/alteration/replacement 0 equipment, materials, labor, overhe and the profit for the CATEGORY OF CO TRUCTION work indicated on this application i. Valuation: $ ❑ I- and 2- family dwelling Commercial /industrial _ -- ❑ Accessory building Multi - family Number of bedrooms: ❑ Mast r builder ❑ Other: Number of bathrooms: 9g5 JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: o L.a6 - 5 –' U3M.i.l--tkO1o� New dwelling area: square feet City /State /ZIP: 1p f c; -Z23 Garage /carport area: square feet Suite/bldg. /apt. no.: 1 `-4 Project name: V D c _ 1 es 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 G 5 I Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: 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. ^ 72,C ,,co 41::0- CS 1 OE NJ U'�4 Valuation: / � !G ©� latTNAL,k_GEr---JP/=Cts W I J , r . Existing building area:54 square feet ( " IN� tAG New building area: square feet ❑ PROPERTY OWNER I ki TENANT Number of stories: Name: z TL" \ w (.. ,` Type of construction: Address: l I Z w, -3 w- Occupancy groups: City /State /ZIP: Gv , lQ�ZO Existing: INA Phone: (ZAZ �1 Fax: ( ) New: APPLICANT A CONTACT PERSON BUILDING PERIFIIT FEES* (Please refer to fee schedule) Business name: = 1.17 _ (Cb-S Structural plan review fee (or deposit): Contact name: FLS plan review fee (if applicable): Address: lc l lei N Total fees due upon application: City /State /ZIP: 0 Phone: F ��O l Fax: 2e)()-5-42\---77:2.74.. Amount received: • E -mail: F — a iliwo i + PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof -top mounted PhotoVoltaic Solar Panel System. Business name: 3 _ Submit two (2) sets of roof plan with connection details �, VIII -- • – _- -a% '• A . fAl +. ' and fire department access, along with the 2010 Oregon Address: / v() O 7 rt - z n „ J -- Solar Installation Specialty Code checklist. /State /ZIP: . j �� Permit fee (includes plan review City/State/ZIP: �/ U ��� 1 S � 72 _G� and administrative fees): $180.00 Phone: (2)) (O3 g.... G (Selo Fax: ( ) State surcharge (12% of permit fee): $21.60 CCB tic.: (35,510 Total fee due upon application: $201.60 Authorized signatur This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date:Li ( l * Fee methodology set by Tri- County Building Industry Service Board. 1: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440-4613T( l 1/02 /COM/WEB) 41)U / 1\– _t12rz , L March 2, 2012 RE: TENANT IMPROVEMENT Project Information Building Permit: BUP2011 -00247 Construction Type: 2 -B Address: 9459 SW Washington Sq. Occupancy Type: M Area: 5405 Sq. Ft. Stories: 1 Name: Footlocker Sprinklers: Yes The permit valuation for this project is itemized below. General Construction: $121,536 Electrical: $23,130 Mechanical: $15,180 Sprinkler: $8,670 Plumbing: $3,400 Fire Alarm: $5,986 Display Fixtures: $129,663 Owner Furnished Items: $102,832 AudioNideo Equipment: $17,411 Freight Costs: $32,488 TOTAL PROJECT COST; $460,296.00 Respectfully, Ben Cichon Project Manager Horizon Retail Construction benc @horizonretail.com 262.865.6010 W67 ,1.4). 434. gq f�cb r u�Clc� o " Building Division Development Code Provision Review T I G n R D Commercial Projects - No Associated Land Use Case Building Permit No: 6uPg?0// ❑ Expedited Review Plan Submittal Date: // a3/� j To the Applicant: > If the proposed use is not permitted within the zone, please contact the Building Division to cancel the permit application. Building Pcrmit Technicians (503) 718 -2439. • If a land use is required and for all other questions, please contact the staff person listed above the Planning Review section. Staff: please check items along left only if approved. Planning Review (contact___________ /1 at 503-718-.241M or @tigard - or.gov) ❑ Zoning Arc Permitted Use Yes E( No ❑ ❑ Land Use Required: Yes ❑ No (explain below) Notes: 1 V 0 ati iS, NNNG E'J Approved ❑ Not Approved Date: / ` -3' 0 Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov) Notes: Routed back to Building Division Date: I: \CURPLN This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard Buildin g Division TIGARD TRANSMITTAL LETTER TO: K DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED j . DEC 2 0 2011 FROM: CITY OF TIGARDIVISD 'LL ----4-fl BUILDING ION . c IlL COMPANY: PHONE: Agt-57q-9-294 RE: 4 5 / &A) 4 ► du P it -.COD, 5/7 N (Site • ddress) (Permit er .. i - i A — , E , ..__.::. , _.4 , _ .....,„. 'roject name or su. iv]—; name an 1 number ATTACHED ARE THE FOLLOWING ITEMS: Copies: I Description: I Copies: Description: • Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: • FOR OFFIcE USE ONLY Routed to Permit Technician: Date: �j�j Initials74 Fees Due: ❑ Yes LJ'No Fee Description: , Amount Due: $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: (:\Building\ Forms \TransmittalLetter- Revisions.doc 02/08t2011 This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard _ Buildin g Division TIGARD TRANSMITTAL LETTER • TO: DATE RECEIVED: DEPT: ING DIVISION RECEIVED JAN 10 2012 FROM: /aft CITY OF TIGARD BUILDING COMPANY: PHONE: 56, BL RE: b' C / ^dDa (Site Address) (Permit Number) �L�• • A 'roject name or su'''vision name an' of num er ATTACHED ARE THE FOLLOWING ITEMS: • Copies: I Description: I Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other explain): REMARKS:— . FOR OF(IcE USE ONLY Routed to Permit Technic ' Date: 3Z Initials: Fees Due: ❑ Yes L 1 o Fee Description: Amount Due: $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes I ❑ No ❑ Done Applicant Notified: Date: Initials: I:\Building\ Forms \TransmittalLetter- Revisions.doc 02/08/2011 • •