Permit o CITY OF TIGARD BUILDING PERMIT
''1 !! COMMUNITY DEVELOPMENT Permit #: BUP2012 -00174
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/01/2012
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9585 SW WASHINGTON SQUARE RD OFFICE
Project: Temporary Retail Kiosk Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108
Project Description: Temporary retail kiosk located in courtyard area in front of Nordstroms.
Contractor: GENSLER Owner: PPR WASHINGTON SQUARE LLC
999 PEACHTREE ST NE, SUITE 1400 PO BOX 847
ATLANTA, GA 30309 CARLSBAD, CA 92018
PHONE: 404 - 507 -0990 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee - Additions, Alterations, 09/25/2012 $301.85
Demolition
Occupancy Grp: M Occupancy Load: 13 12% State Surcharge - Building 09/25/2012 $36.22
Dwelling Units: 0 Plan Review 09/10/2012 $196.20
Stories: 1 Height: 0 ft DC Provision Review, COM TI - Ping 09/25/2012 $67.00
Bedrooms: 0 Bathrooms: 0 DC Provision Review, COM TI - LRP 09/25/2012 $10.00
Value: $15,000 Info Process /Archiving - Lg $2.00 (over 09/25/2012 $14.00
11x17)
FLS Plan Review 09/10/2012 $120.34
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $745.61
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: No
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, 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: �J / Permittee Signature: `
Call 503.639.4175 by 7:00 a.m. for the next available ins it date.
This permit card shall be kept in a conspicuous place on the job sit completion • • • =ct.
Approved plans are required on the job site at the time of each Inspection.
Building Permit Application
Commercial . . F o R UI i'ICl•: -usi; o i .
City of Tigard R IL�1/ v e Received r
Date/By: ' /d? \ Pcrmit No.: so kilos -- 00 t 71 /
13125 SW Hall Blvd., Tigard, OR 97223 i 9 Plan Revi w
13 Phone: 503.718.2439 Fax: 503.598.19601 ®2� Datc /By: a! 9/ Other Permit:
Ti G A R U Inspection Line: 503.639 Date Ready/By: c � taro 65 See Page 2 for
Internet: www.tigard- or.gov CM O� LICJARD N • fted/Method: 7 � 7 /�/Z "` J Supplemental Information
i niNGDIvisiON . t JAt 10 7 46 0 A'
TYIli`OF lVORK RikQUIRED 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 El Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El I- and 2- family dwelling ® Commercial /industrial Valuation: $
El Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9585 SW Washington Square Rd. New dwelling area: square feet
City /State /ZIP: Portland, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: I Project name: Temporary Retail Kiosk Covered porch area: square feet
Cross street/directions to job site: SW Greenburg Rd. Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 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.
Temporary retail kiosk using existing electrical services Valuation: $15,000.00
I, / e41 44.014-i
lDx Existing building area: N/A square feet
150 )094 dl..d.- / O 1 / New building area: N/A square feet
PROPERTY OWNER I ❑ TENANT Number of stories: N/A
Name: Macerich Type of construction: N/A
Address: 9585 SW Washington Square Rd. Occupancy groups:
City/State/ZIP: Portland, OR 97223 Existing: -
Phone: (503)639-8865 Fax: ( ) New: -
®' %A PPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: Gensler (Please refer al fee sehedal)
Structural plan review fee (or deposit):
Contact name: Bryce Osborn
FLS plan review fee (if applicable): 316.54
Address: 500 S. Figueroa Street
Total fees due upon application:
City /State/ZIP: Los Angeles, CA 90071
Phone: (213) 327 -3694 Fax:: ( )
Amount received: 4 Z /L - 51
E -mail: bryce_osbornQgensler.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
LICENSED ARCHITECT Commercial and residential prescriptive installation of
roof -top mounted PhotoVoltaic Solar Panel System.
Business name: Gensler Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 999 Peachtree Street NE, Suite 1400 Solar Installation Specialty Code checklist.
City/ State/ZIP: Atlanta, GA 30309 Permit fee (includes plan review
and administrative fees):
Phone: ( 404 ) 507 -0990 I Fax: ( ) State surcharge (12% of permit fee):
CCU L.: License #: triq Total fee due upon application:
Authorized signature: This permit application expires if a permit is not obtained
-( within 180 days after it has been accepted as complete.
Print name: ( Dale: 09/19/2012 • Fee methodology set by Tri- County Building Industry
Service Board.
1: \Building \Permits \BUP -COM PermitApp.doc 02/24/201 440- 4613T(11/02 /COM/WEB)
/ /
.r. `
: uilding Permit Application
Commercial RECEIVED rolz or•l.l(•t.: l.sic ONLY
City of Tigard 1 2012 Received AP // � EM u p,. ola-� /7
•
il
1 O 2012 Date /B : !�V
13125 SW W Hall Blvd., Tigard OR 97223 ' Plan Review ►►��
Phone: 503.718.2439 Fax: 503.598.1960 DateBy: c �' Al, / ) ' �/ Other Permit.
I I G A R D Inspection Line: 503.639.4175 CITYOrFTIGARD Date Read) B . e ® tuns See Page 2 for
Internet: www.tig rd or.gov uIr DI1tlGD ISiON Notified/N.101d. l�' '..9.( , " Supple Information
TYPE OF WORK ••f RE I RED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees' are based on the value of the work performed.
Indicate the value (rounded o the nearest dollar) of all
® Addition/alteration /replacement ' , ❑ Other: equipment, materials, la r, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this pplication.
❑ 1- and 2- family dwelling 'Commercial /industrial Valuation: $
®
❑ Accessory building ❑ Mulif= family Number of edrooms:
❑ Master builder ❑ Other: Numb of bathrooms:
JOB SITE INFORMATION AND LOCATION T al number of floors:
Job site address: 9585 SW Washington Square Rd. New dwelling area: square feet
City /State/ZIP: Portland, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: I Project name: Temporary Retail Kiosk Covered porch area: square feet
Cross street/directions to job site: SW Greenburg Rd. Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot n.. Permit fees' are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Temporary retail kiosk using existing electrical services Valuation. $15,000.00
��/��'2'�/1 i C.�/ e�ee/fd - LYL / Existing building area: N/A square feet
47i /2e0/44127-7-744-
RROPERTY e0, X44- Li • %• New building area: N/A square feet
® OWNER
NER I ❑ TENANT -) Number of stones: ''',,N/A
Name: Macerich Type of construction: l /A
Address: 9585 SW Washington Square Rd. Occupancy Occupancy groups:
'�
City /State /ZIP: Portland, OR 97223 -
Existing: ,,
Phone: (503)639 -8865 F. : ( New:
® APPLICANT C5 ACT PERSON BUILDING PERMIT FEES*
Business name: Gensler \ (Please refer to fee schedule)
Structural plan review fee (or deposit):
■ Contact name: Bryce Osborn 0)
FLS plan review fee (if applicable): 316.54
Address: 500 S. Figueroa Street
Total fees due upon application:
City /State /ZIP: Los Angeles, CA ' I t . # _� J„ �5
Phone: (213) 327- I F .:( )
Amount received: 5 I (IJ
E -mail: b ce_osboru a?gensler om /J PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR �/� Commercial and residential prescriptive installation of
roof -top mounted PhotoVoltaic Solar Panel System.
�siness name: ubmit two (2) sets of roof plan with connection details
d fire department access, along with the 2010 Oregon
Address: S car installation Specialty Code checklist.
Permit fee (includes plan review
/ City /State/ZIP: p
Phone: ( ) I Fax: ( ) and administrative fees):
State surcharge (12% of permit fee):
CCB tic.: Total fce due upon application:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
rint name: M,ILr YJl °V1, Cod l j tN 5 I Date: 09/04/2012 • Fee methodology set by Tri- County Building Industry
Service Board
l'\Building \Permits\BUP -COM PermitApp.doc 02/24/2011 440 -4. .. 1 /02 /COM/WEB)
Transmittal Gensler
To City of Tigard Attention 203.718.2439 RECEIVED
Address 13125 SW Hall Blvd. P 1 0 2012
City Tigard State OR CITY "A
"A i RD
BUILDC�!C� ISION
Project Microsoft Pop -ups Project Number 05.7685.000 File 1CL
Subject • MS Washington Square Pop -up Kiosk Issue for Permit
Prepared by Sarah Zimny for Rick Kotani This is page 1 of 1 Date 9/6/2012
For Your ® Approval and selection ❑ Use
❑ Record
® Review / Comment ❑ Distribution ❑ Information
Action Required ❑ Indicated on item transmitted ❑ Comment and return to Gensler ❑ No action required
❑ Sign and return to this office ❑ See remarks below ❑ Other
Delivered Via ❑ Messenger ❑ Two -Day Express ❑ Pick -up
❑ Same Day Express ❑ Mail ❑ Other:
® Next Day Express ❑ Hand carried
Remarks
Quantity Description Dated
3 Sets MS Washington Square Pop -up Kiosk Issue for Permit - Wet- signed and 9/4/2012
Stamped Full -size drawings
1 Building Permit Application 9/4/2012
1 Check for plan check fees 8/30/2012
Transmittal Copies To Enclosures: Delivered Via
If enclosures are not as described,
please advise Gensler immediately.
California Overnight
500 South Figueroa
Los Angeles CA 90071
Tel: +1213.327.3600
TR_032112 Fax: +1 213.327.3601
\05.7685.000 \document at .n \1 - general client \lcl - client, owner \ 2012_0906 transmittal_cry of tigsre aocx
Building Division
. .
Development Code Provision Review
T[GARD Commercial Projects - No Associated Land Use Case
Building Permit No: ‘ ‘ AO( - 7 L i ❑ Expedited Review
Plan Submittal Date: ` (fro Ii 9—
To the Applicant:
➢ If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit 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 \Id 4vt COi at 503-718-. (/1 or @tigard - or.gov)
❑ Zoning /lt//C. Permitted Use Yes No ❑
❑ Land Use Required: Yes ❑ No ta (explain below)
Notes: / G ) e / n o f c',
Approved ❑ Not Approved Date: 9-,zo
Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard - or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN