Permit CITY OF TIGARD BUILDING PERMIT
t'1 ' COMMUNITY DEVELOPMENT Permit#: BUP2014-00098
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/14/2014
Parcel: 1 S135BA00102
Jurisdiction: Tigard
Site address: 10206 SW WASHINGTON SQUARE RD
Project: Destination XL Subdivision: OAKBURG Lot: 9
Project Description: TI for new tenant.
Contractor: MARCO CONTRACTORS INC. Owner: PPR SQUARE TOO LLC
PO BOX 805 401 S. WILSHIRE BLVD.
WARRENDALE, PA 15095-0805 SANTA MONICA, CA 90401
PHONE: 724-741-0300 PHONE: 310-899-6437
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 07/14/2014 $1,558.95
Demolition
Occupancy Grp: M Occupancy Load: 217 12%State Surcharge-Building 07/14/2014 $187.07
Dwelling Units: 0 Plan Review 05/07/2014 $1,013.32
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 05/07/2014 $623.58
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 07/14/2014 $278.00
Value: $175,000 DC Provision Review,COM TI-LRP 07/14/2014 $41.00
Info Process/Archiving-Lg$2.00(over 07/14/2014 $64.00
11x17)
Floor Areas: Info Process/Archiving-Sm$0.50(up to 07/14/2014 $7.50
11x17)
Total Area: 0 Metro Const.Excise Tax-Commercial 07/14/2014 $210.00
Accessory Struct: 0 Use
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,983.42
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes 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. Tho _ rules are set forth in OAR
9 -0010 throu AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987: .800.3 .2344
Issued By: ^ 640C141 --i Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the nex yjRT'°':•.�
This permit card shall be kept in a conspicuous place on the til completion of the project.
Approved plans are required on the job site at - • e of each Inspection.
Building PErlmit Apolication
Commercial FOR OFFICE USE ONLY
City of Tigard Received ♦
- Date/B : _ i'i/
' 13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 / / Other Permit:
TIGARD
Inspection RECEIVEi;.teRead /B�, � g
P� Y Y: % See Pa e 2 for
Internet: www.tigard-or.gov otified/Method: .1
�` Supplemental Information
Y r "ke L1.., TG► .�t
TYPE OF WORK MAY 6 2014 ' REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑ Demolition Permit fees*are based on the value of the work performed.
CITY OF TIGARD Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement ❑Othe. equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTIUlN,G DIVISION work indicated on this application.
El 1-and 2-family dwelling ®Commercial/industrial Valuation: $
12 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: 10206 SW Washington Square Road (Building"C") New dwelling area: square feet
City/State/ZIP:Tigard, Or>07223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Destination XL Covered porch area: square feet
Cross street/directions to job site: / 4 x W C 1244 n \ Deck area: square feet
Washingtin Square Too ,K0 Other structure area: square feet
VC o REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: of no.: Permit fees* r
a e 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.
Tenant build-out of reatil store. Work to include new non-structural partitions Valuation: $$175,000.00
new finishes,fixtures,lighting,mechanical and plumbing work. Existing building area: 6378 square feet
New building area: square feet
❑ PROPERTY OWNER ® TENANT Number of stories: I
Name:Destination XL Type of construction: 2B
Address:555 Turnpike Street Occupancy groups:
City/State/ZIP:Cantion,MA. 02021 Existing: M
Phone:(781)828-9300 Fax:( ) New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Burnham Nationwide (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Tasia Kallies
FLS plan review fee(if applicable):
Address:111 West Washington Street,Ste 450
City/State/ZIP:Chicago,IL. 60602
Total fees due upon application:
Phone:(312)260-7090 Fax::( )
Amount received:
E-mail:TKallies®Burnhamnationwide.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
rj Business name: M t 2 e 0 CO Ic)(R ii-e r 6 /,J .. Submit two(2)sets of roof plan with connection details
t� and fire department access,along with the 2010 Oregon
Address: �p 1-'p yt C(C)C5 Solar Installation Specialty Code checklist.
City/State/ZIP: LOA/24U t■- 1_4 PR- i' €15--c)t-p s Permit fee(includes plan review $180.00
Phone:(7A0 -NI-O 30C' Fax: ) and administrative fees):
State surcharge(12%of permit fee): $21.60
CCB lie.: f q 5 7 3 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: 'allies Date:5-5-2014 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
■
'Pi Building Division
i
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] $ 175,000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 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 $
(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
I:\Building\Permits\BUP-COM PemvtApp.doc 03/03/2011
Chicago
1311R\'. AIV' New York
Los Angeles
SIMPLY GETTING IT DONE. Denver
TRANSMITTAL
RECEIVED San Jose
MAY 6 2014
DATE: May 5, 2014 CITY OF TIGARD
BUILDING DIVISION
FROM: Tasia Kallies
TO: Debbie Adamski
City of Tigard -- Building Division
13125 S.W. Hall Blvd
Tigard, OR 97223
Re: Destination XL - Portland, OR
Debbie:
Please find the following items/documents:
• Three (3) sets of complete sign/sealed plans
• One (1) sets of sign/sealed mechanical plans
• Two (2) sets of sign/sealed Mechanical and Lighting COMCHECKS
• Three (3) sets of sign/sealed Seismic Calculations for Racking
• Building Application
• HVAC Application
• Checklist
• One (1) Check for Plan review fee
If you have any questions please call me at (312) 260-7090.
Thank You!
Tasia Kallies
Burnham Nationwide — Where We Simply Get It Done
Building Permit Number: el.4 ,70M—ptpqY
EtIP Building Permit Review
Commercial Projects with Approved Land Use
TIGARD
Site Address: /001,yr, SW (- Sl„y��7�z� ' _ ,, 41L„ 0,kv� 0
El Verify site address is valid.
Project Name : , /\'L
Planning Review
El Land Use Case Number:
fir-7492e Pi— )
Plans Match Approved Land Use: V S
El Site Plan ❑ Landscape Plan
El Urban Forestry Plan El Elevation Plan
El Building Height: Maximum Height Actual Height
Conditions Met: ❑ Prior to Permit Submittal ❑ Prior to Permit Issuance
Approved by: C-0 Date: -
N Notes: ' ,1'� / v lr.D Jt-46 - •1^= , ■
•
_ 7t L �-N+J L) .
vim'(/ c(q h ii-v its cites-c-,)/Ltil I( )l 8-.2 c Y P 9- c 1.1^,7
Revisions (after Building Submittal only) Reviewer
Revision 1 Approved ❑ Not Approved El
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved El
Building Permit Submittal
Original Plan Submittal: Date: --/2/Z p/y By:
Site Plans: #
Building Plans: #
Create Case Record#: Er Enter case#above for Building Permit Number.
Workflow Routing: Planning ❑ Engineering El Permit Coordinator 0'r uilding
Workflow Sign-off: a-Sign-off for Planning staff,including notes from planning review(page 1)
Route Application Documents j14 Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: Date:
Notes:
1:\Building\Forms\B1dgPermitRvw_COM_W ithLandUse_123013.docx
Engineering Review— reviewed by:
❑ Actual Slope:
❑ PFI Permit#
❑ Conditions Met
Notes:
Approved by: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved El Not Approved ❑
Revision 2 Approved El Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Builddiin. Permit
Notes: /
/ ///
Revision Notice 1: Date Sent to pplicant:
Revision Notice 2: Date Sent t{ A PP licant
Revision Notice 3: Date Setlt�to Applicant
Okay to Issue Permit- Date:
I:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_123013.docx
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10206 SW WASHINGTON SQUARE RD,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2014-00098
Chip Barnett
Violation Summary:
Inspector Contractor