Permit �, _ CITY OF TIGARD BUILDING PERMIT
I '1 r COMMUNITY DEVELOPMENT Permit#: BUP2012 -00196
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/04/2013
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9759 SW WASHINGTON SQUARE RD D05
Project: The Art of Shaving Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108
Project Description: TI
Contractor: HORIZON RETAIL CONSTRUCTION Owner: PPR WASHINGTON SQUARE LLC
1500 HORIZON DR PO BOX 847
STURTEVANT, WI 53177 CARLSBAD, CA 92018
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: IIB Permit Fee - Additions, Alterations, 02/04/2013 $1,407.95
Demolition
Occupancy Grp: M Occupancy Load: 26 12% State Surcharge - Building 02/04/2013 $168.95
Dwelling Units: 0 Plan Review 10/17/2012 $915.17
Stories: 0 Height: 0 ft Plan Review - Fire Life Safety 10/17/2012 $563.18
Bedrooms: 0 Bathrooms: 0 DC Provision Review, COM TI - Ping 02/04/2013 $256.00
Value: $150,000 DC Provision Review, COM TI - LRP 02/04/2013 $38.00
Info Process /Archiving - Lg $2.00 (over 02/04/2013 $32.00
11x17)
Floor Areas: Info Process /Archiving - Sm $0.50 (up to 02/04/2013 $2.00
11x17)
Total Area: 0 Metro Const. Excise Tax - Commercial 02/04/2013 $180.00
Accessory Struct: 0 Use
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,563.25
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 i ue• 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 ' accordance wi 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 - r- - • - you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 01 -0010 through OAR 952 -0'. -0090. Yo ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Iss ed By: _ // - / i, / Permittee Signature: / �� ����
Call 503.639.4175 by 7:00 a.m. for the next available Inspection date. . p' r
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 dfr
,y
Commercial • FOR OFFICE U SE ONLY Receiv
•
City of Tigard RECEIVED Date /Bea /o. ����
Permit No.:4Q/70
71 q 13125 SW Hall Blvd., Tigard, Plan R• • • . t I ii Phone: 503.718.2439 Fax: 503.598.1960 Date/By: l 7 ( , z� Other Permit:
TIC n It D Inspection Line: 503.639.4175 r T 1 201 Date Rea. :y: r I r i c^ '� 1 50 RI See Page 2 for
Internet: www.ti 8 and -or. ov Notified/Method: i t �I l ?it T Supplemental Information
CITY OF cslck u } f'kU,c- ti /11 xo (I a- {
lg� O 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
® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building El Multi-family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
9 t JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:95851W Washington Sq Rd New dwelling area: square feet
City /State /ZIP: Portland, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: D05 Project name: The Art of Shaving Covered porch area: square feet
Cross street/directions to job site: Washington Square Mall, Deck area: square feet
State Highway 217 and 210 Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 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.
Tenant build out of existing retail space. Valuation: $150,000.00
Existing building area: 873 square feet
New building area: - square feet
® PROPERTY OWNER ❑ TENANT ; Number of stories: I
Name: Macerich Type of construction: IIB
Address: 401 Wilshire Blvd, Suite 700 Occupancy groups:
City/State/ZIP: Santa Monica, CA 90401 t
y Existing: NI
Phone: (602)953 -6750 Fax: ( )
New: NI
® APPLICANT El CONTACT PERSON BUILDING PERMIT FEES*
Business name: Bruce M. Carlson, Architect (Please refer (o fee sc %edn(J
Structural plan review fee (or deposit): (50.00)
Contact name: Phil Foster
FLS plan review fee (if applicable): -
Address: 219 N 2 St Suite 301
City /State /ZIP: Minneapolis, MN 55125 Total fees due upon application: $1,478.30
Phone: (612) 338 -6677 Fax: : (612) 338 -2995 Amount received: /978:
E -mail: pfoster @cmarch.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roe -top mounted PhotoVoltaic Solar Panel System
Business name�� °
: 4/912. -\\ Subm wo (2) sets of roof plan with con • etails
I'f N I V 1 and fire de.:. ment access, alo the 2010 Oregon
Address: 1600 p0 t+VR,,u- t..., "D/t,,' Solar /nstalla(i° • •ci a checklist.
5
'J ) and Permit fe clue .Ian review
City /State /71P: ! 1 - � IL"r J A'Jr' $180.00
/ 2 toot(
and administratt.- -es):
Phone: '�,,) — l?$c 00 Fax: ( A(A ) SY (12%
qs -, . e surcharge (12 /o of permit fee): $21.60
CCB lie.:
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: t_ t� �j ►,� Date: `a /� �/� Z " Fee methodology set by Tri- County Building Industry
v °� `�r1 t / Service Board.
. I
l: \Building \Permits \BUP - COM PermitApp.doc 02/24/2011 440- 4613T(I 1 /02 /COM/WEB)
1
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Building Division
• Accessibility: Barrier Removal Improvement Plan
TIGARD
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 per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $ 150,000
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 37,500
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 $ By LL
(b) An accessible entrance: $ 18750
(c) An accessible route to the altered area: $ 18750
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ By LL
(e) Accessible telephones: $ By LL
(f) Accessible drinking fountains: and, $ By LL
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $ 37500
I: \Building \Permits \BUY -CO\I PermitApp.doc 03/03/2011
Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: ) . - - 001 qo ❑ Expedited Review
Plan Submittal Date: /0/17 // 2
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 J F4( only if approved.
Planning Review (contact ) 0 F� at 503 -718 J- ��yy or @tigard-or.gov)
/
❑ Zoning / gU(J Permitted Use Yes No ❑
❑ Land Use Required: Yes ❑ No tR (explain below)
Notes: �0 1, - Use/
rg Approved ❑ Not Approved Date:
Permit Coordinator Review (contact Albert Shields at 503 718 - 2426 or albert@tigard- or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN
I
1�FCEIUED
a 1 T, 2012
::BRUCE M. CARLSON ARCH ITE
architecture:: � planning: ; - anterio design
219 n ° Street
Suite ite 301 TRANSMITTAL LETTER
Minneapolis, MN
55401 -1454
p 612.338.6677 Project: The Art of Shaving Project #: 12121.014
f 612.338.2995
www.cmarch.com Location: Portland, OR Client Project #:
Bruce M. Carlson, Ala, Date: October 16, 2012 Ship Via: Next Day Air
Patridc G. Dees, AIA Phone: 503 - 718 -2439 Weight: 15 lbs.
City of Tigard- Permit Center
To: 13125 SW Hall Blvd Sent by: John Holten
Tigard, OR 97223
Subject:
The Art of Shaving plan review submittal
Message:
Enclosed are the items needed for permit review for The Art of Shaving, Washington
Square Mall. Please contact us with any questions.
We are sending:
Copies Date Description
3 10 -16 -12 Plan Sets
" It ComCheck Energy Forms
1 Permit Application
Plan Review Check ($1,478.35)
Items are transmitted as indicated below:
® For approval ❑ For your records ❑ Approved as submitted
® For your use ❑ Action required ['Approved as noted
Fort Worth, TX
['For review /commentt ❑ No action required ['Revise and resubmit
Minneapolis, MN
Ajj
Dallas, TX �
Se /by: John Holten 10 -16 -12 Received by: Date
Copy to:
File
12121.014 tran BLDG 01 10 -16 -12
•
CITY OF TIGARD RECEIPT
v
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 188817 - 10/17/2012
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID ,
BUP2012 -00196 Plan Review - Fire Life Safety 230 - 0000 -43108 $563.18
BUP2012 -00196 Plan Review 230 - 0000 -43106 $915.17
Total: $1,478.35
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 121905 DADAMSKI 10/17/2012 $1,478.35
Payor: CM Architecture PA •
Total Payments: $1,478.35
Balance Due: $0.00
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Page 1 of 1
C.M.ARCHITECTURE,P.A. - (i, 121902
Check Date: 10/15/2012 y
.. Invoice Number Date k Voucher Amount " Discounts Previous Pay Net Amount,
1015-12121.014 10/15/2012 000000056579 1;478.35 1,478.35
City Of Tigard i TOTAL 1,478.35> 1,478.35
Frost Operating Account 2 TIGARD . / , -
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