Permit CITY OF TIGARD BUILDING PERMIT
_ COMMUNITY DEVELOPMENT Permit#: BUP2014-00196
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/04/2014
T[C;A Fi L7 9 Parcel: 1 S126CD00300
Jurisdiction: Tigard
Site address: 9500 SW WASHINGTON SQUARE RD
Project: JC Penney Subdivision: FAIRVIEW PLACE CONDO Lot: 20
Project Description: Interior remodel on 1st and 2nd floors for existing tenant. No structural changes.
Contractor: BAYLEY CONSTRUCTION Owner: PPR WASHINGTON SQUARE, LLC
8005 SE 28TH ST. BY J C PENNEY 0288-1
MERCER ISLAND,OR 98040-9004 TAX SERVICES
PO BOX 10001
DALLAS,TX 75301
PHONE: 206-621-8884 PHONE:
FAX: 206-343-7728
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 09/04/2014 $286.64
Demolition
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Building 09/04/2014 $34.40
Dwelling Units: 0 Plan Review 08/18/2014 $186.32
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 08/18/2014 $114.66
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 09/04/2014 $42.00
Value: $14,000 11x17)
Floor Areas:
Total Area: 6964
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $664.02
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. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a••.y o e ru== - direct questions to OUNC by callin 503.232.1987 or 1.800.3 .2344.
•
Issued By: Permi ee Signature:
at6
4125 1—
175 by 7:00 a.m.for the next available inspe
This permit card shall be ept 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 RECEIVE
• loaf& i1(4i._ I (II. OI I It I I ,1 10.11
City of Tigard AUG 18 2014 Received ��� Permit No./ •
71 Date/B ,-
/ ifitirt' �_ _ ,/3"..-0,
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Re
• CITY OF TIGAR I. Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Dme/g ; t �► '
, ,, `i`i., Inspection Line: 503.639.4175 Date Ready :y: Juris. B See Page 2 for
Internet: www.tigard-or.gov BUILDING DI VISI II ttified/Methode%2V/y '`+t 41 716 Supplemental Information
w1/4M6-a
TYPE OF WORK 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 ® m
Comercial/industrial Valuation: $
Accessory building Number of bedrooms:
❑ ry g ❑Multi-family
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9500 WASHINGTON SQUARE New dwelling area: square feet
City/State/ZIP:PORTLAND OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:0288 Project name:JC PENNEY 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:W398482 Lot no.: 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.: 1S1260000300 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
INTERIUOR TI REMODEL,NO STRUCTURAL CHANGES I5-4:: Fro t7 K Valuation: $14000
ii, 2 sy� Fwo 2 Existing building area: 6964' square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 2
Name:JC PENNEY CO.,INC Type of construction: 2B
Address:6501 LEGACY DRIVE Occupancy groups:
City/State/ZIP:PLANO TX 75024-3698 _ Existing: M
Phone:() Fax:( ) New:
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:COMMERICAL PERMIT GROUP (Please r4lntoJeesrlFedely
Structural plan review fee(or deposit):
Contact name:MARGO KOZICH
FLS plan review fee(if applicable):
Address:2136 PURCELL DR
Total fees due upon application:
City/State/ZIP:FERNANDINA BCH FL 32034
Amount received: ?w p,
Phone:(904)491-6314 Fax::(904)491-0397 �J� s /
E-mail:margok @commercialpermitgroup.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:TBD le C .,,c}� _ Submit two(2)sets of roof plan with connection details
Address: 4....-%V13" and fire department access,along with the 2010 Oregon
�7 '� Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review
IvV��v ��` �a 6b��v and administrative fees): $180.00
Phone:() t l2( r, Fax:0) State surcharge 12%of
g ( permit fee): $21.60
CCB lic.: / - / /0' _ Total fee due upon application: $201.60
c------n\AAA j\\Authorized signal This permit application expires if a permit is not obtained
within 180 days after it has been accepted ss complete.
Print name:Mike Montgomery Date:08/17/14 *Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
r 4
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
r.r G K D Building Permit Review — Commercial - No Land Use
Building Permit #: 6 of gyp/y—00/9G
Site Address: Gi e'N V iet T1,00-,..„. Suite/Bldg#:
Project Name: IC Pen n'e j
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 1 irliCVVY. y' c to( ( 1I
Existing Business Activity: I I "TC h
Proposed Business Activity: 'CAM I — scperi et,i
J
,lam Verify site address/suite #exists and active in permit system.
ft Zoning: MUG
.2" Permitted Use: Z Yes ❑ No ❑ Spec Space
1a'Confirm no land use required.
Notes:
Approved by Planning: o ,0- Date: e'f lb`ll-}
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: _/0y
Site Plans: # N`/9
Building Plans: # _
Building Permit#: Enter building permit#above.
Workflow Routing: 2"—Planning igY ermit Coordinator 0—Building
Workflow Sign-off: 4a-Sign-off for Planning(include notes from planning review)
Route Application Documents: 'Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: 41 -.W� Date: cP/ "/
1:\Bui Iding\Forms\B IdgPermitRvw_COM_NoL andUse_071 5 14.docx
a
Permit Coordinator Review
El Conditions Met- Prior to Issuance of Building Permit
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:
/�OK to Issue Permit
/ Approved by Permit Coordinator: 0kC. Date: 3 / S' /
1:\Bui I d ing\Forms\BldgPermitRvw_COM_NoLandUse_071514.docx