Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2014-00258
T(CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/29/2014
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9650 SW WASHINGTON SQUARE RD G15
Project: Ivivva Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: TI-new store front,interior partitions.
Contractor: R MILLER INC Owner: PPR WASHINGTON SQUARE LLC
18321 98TH AVE NE, STE 1 PO BOX 847
BOTHELL,WA 98011 CARLSBAD,CA 92018
PHONE: 425-775-3822 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM Permit Fee-Additions,Alterations, 12/29/2014 $2,011.95
Class of Work: ALT Type of Const: IIB Demolition
Occupancy Grp: M Occupancy Load: 47 12%State Surcharge-Building 12/29/2014 $241.43
Dwelling Units: 0 Plan Review 10/30/2014 $1,307.77
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 10/30/2014 $804.78
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 12/29/2014 $299.00
Value: $250,000 DC Provision Review,COM TI-LRP 12/29/2014 $44.00
Info Process/Archiving-Lg$2.00(over 12/29/2014 $94.00
11x17)
Floor Areas:
Total Area: 1830
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,802.93
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of. - r- - - :ct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: •ermittee Signature:
Call 5. P75 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial AECEIVEB FOR OFFICE USE ONLY
City of Tigard Re ei ed
DateB :
/O�i% 1 Permit No.. /
II
/ -ez).2.1"$
• 13125 SW Hall Blvd.,Tigard,OR 972§1CT 3 0 2014 Plan Re ' •
Phone: 503.718.2439 Fax: 503.598.1960 DateB : .� I i. Other Permit:
Inspection Line: 503.639.4175 Date Ready lurk VI See Page 2 for
T 1 GA R u
Internet: 503.639.4175 CITY OFTIGARD Notified/Method:/0—TAY lir' Supplemental Information
RIIILDING DIMON V M c )/L,L i.-./ .
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 ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
y
'766—o JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address.. 68 1.W.Washington Square Road New dwelling area: square feet \�
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet (v
Suite/bldg./apt.no.: 015— Project name:Ivivva Washington Square Covered porch area: square feet M
Cross street/directions to job site:SW Scholls Ferry Road Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST C,
Subdivision: Lot no.: Permit fees*are based on the value of the work performed. r \
Tax map/parcel no.: 1S1260000300 Indicate the value(rounded to the nearest dollar)of all ti
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Tenant Improvement including ne w storefront,interior partitions,mechanical, Valuation: $$250,000.00
electrical and plumbing Existing building area: 1,830 square feet
New building area: 0 square feet
❑ PROPERTY OWNER ® TENANT Number of stories: 1
Name:Lululemon Althetica Canada,Inc. Type of construction: II-N
Address:1818 Cornwall Avenue Occupancy groups:
City/State/ZIP:Vancouver,BC,V6J1C7 Existing: M
Phone:(604)732.6124 Fax:( ) New: M
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:MBH Architects (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Lilly Sippel
FLS plan review fee(if applicable):
Address:2470 Mariner Square Loop
Total fees due upon application: 2112.5
City/State/ZIP:Alameda,CA 94501
Amount received:
Phone:(510)8143457 Fax::(510)865.1611
E-mail:1i11ys@mbharch.atm PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:TBD ///t_1.. -72._ 1�er_ Submit two(2)sets of roof plan with connection details
/G and fire department access,along with the 2010 Oregon
Address: ` sJ ..Z2J t ivI' J'j / Solar Installation Specialty Code checklist.
City/State/ZIP: Q� Permit fee(includes plan review
�� 7 �LG �� / �Of� and administrative fees): $180.00
Phone:(ll/.j 2e7S�3f,2,2_— Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Iic.: " 6 I�//to ( /C''e`/ 7 ) 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: I 1 U y tc Lior�\ Date: lb//J Gi 1 14. * Fee methodology set by Tri-County Building Industry
�i `"J� ` 1 (i / l Service Board.
I:\BuildinglPermits\BUP-COM PermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB)
w •
III ■ City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
1't C.A tt D Building Permit Review — Commercial - No Land Use
/IQ UQol11 - OGS43
Building Permit #:
Site Address: gLegj SW WaSh,r, 44II I. Suite/Bldg#: 6/G-
Project Name: 1\J I wlOt,
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T 1
Existing Business Activity: Re V`I
Proposed Business Activity: 12&pi 1'
.Verify site address/suite #exists and active in permit system.
...2' Zoning: MUG
,I2'Permitted Use: .C'7 Yes ❑ No ❑ Spec Space
Confirm no land use required.
Notes:
Approved by Planning: Atpil p6.Qp i¢ Date: lD f ab/1 T
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: /0/30/i 4
Site Plans: #
Building Plans: # ,..,,3
Building Permit#: nter building permit# above.
Workflow Routing: it Planning I ermit Coordinator .0'iuilding
Workflow Sign-off: I" Sign-off for Planning(include notes from planning review)
Route Application Documents: [3ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: l y Date: /O/3o �
I:\Bu ilding\Forms\BldgPermitRvw_COM_NoLandUse_071514.docx
r
Permit Coordinator Review
❑ 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: / Date: ///�/47
1:\B u i I d ing\Forms\Bl dgPerm itRv w_COM_No L andUse_071514.docx
RECEIVED BH arch
Transmittal OCT 3 o 1014
Date: October 29, 2014 Subject: BuildingIi YuiGARD
LDING DIVISION
To: Attn: Permit Center Building lvivva Athletica
13125 SW Hall Blvd. Washington Square
Tigard, OR 97223 9585 SW Washington Square Road
(503) 718-2439 Portland, OR 97223
Via: Fed-Ex Priority Overnight 49690
Enclosed:
Quantity Description Date
(1) Transmittal 10.28.14
(3) Signed and sealed Full Size Permit Set Drawings 10.28.14
(1) Commercial Application Checklist 10.28.14
(1) Building Permit Application 10.28.14
(1) Mechanical Permit Application 10.28.14
(1) Electrical Permit Application 10.28.14
(1) Plumbing Permit Application 10.28.14
(1) $2,112.55 Check Number: -7'jl0(U) 10.28.14
Comments:
Please find enclosed the above listed items for the Ivivva Athletica store at Washington Square. Please forward me any
correspondence or feel free to call me if you have any questions or need additional information.
Sincerely,
Lilly Sippel
Apprentice
2470 Mariner Square Loop,Alameda,CA 94501 t 510 814 3457
lillys @mbharch.com www.mbharch.com
MBH Architects: Lilly Sippel Date: 10/29/2014
Distribution: Thomas Dulik/MBH Architects/Transmittal Only/Via Email
File/MBH Architects
2470 Mariner Square Loop Alameda, California 94501 Tel: 510.865.8663 Fax: 510.865.1611 www.mbharch.com
FOR OFFICE USE ONLY–SITE ADDRESS:
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 • COMMUNITY DEVELOPMENT DEPARTMENT
_ ' Transmittal Letter
T I G A It n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE RI CEIVED:
DEPT: BUILDING DIVISION FCF•
✓q41 � kJ
FROM: Lilly Sippel ev</�oF12 C.'O/
` , COMPANY: MBH Architects O/NGO'1/ito
O‘ PHONE: 510.814.3457
\ii
5���
'D
RE: W Washington Square Road BUP2014-00258
\\ Site Address) (Permit Number)
''''' Ivivva Athletica at Washington Square
0' (Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
\\It\ Copies: Description: Copies: Description:
Additional set(s) of plans. 3 Revisions: see "Remarks"
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
`�, Beam calculations. Engineer's calculations.
C` Other(explain):
REMARKS: These revisions are a result of lease line revisions made by the landlord. A more detailed
S "Summary of Changes" letter is attached outlining the revisions.
FOIR OFFICE USE ONLY
Routed to Permit Te nician: ate: I. at I'S Initials:!
, Fees Due: ❑ Yes o Fee Description: Amount ue:
— —1-- 3---
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes \16%N. ,,
Applicant Notified: Date: 15 J 2X&‘wcit,
nitia
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
FOR OFFICE USE ONLY–SITE ADDRESS:
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 • COMMUNITY DEVELOPMENT DEPARTMENT
IN _ ~ Transmittal Letter
TIC A v n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
AelAi
fTO: DATE k .- j 1*: ,
DEPT: BUILDING DIVISION
/ -t- - .1 ,
411 .0441
FROM: Lilly Sippel ig '
/ ';'$i t _PIN( 9t:1r:
COMPANY: MBH Architects
PHONE: 510.814.3457 By:
6
414
RE: -9585 SW Washington Square Roav i BUP2014-00258
(Site Address) (Permit Number)
c
Ivivva Athletica at Washingte (Square
(Project name or subdivision name a i Iot number)
' i
ATTACHED ARE THE FOLLOWIN TEMS:
Copies: Description: Cops: Description:
Additional set(s) of plans. /' 3 Revisions: see "Remarks" 1'
Cross section(s) and deta. Wall bracing and/or lateral analysis. li
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS: These revisions a e a result of lease line revisions made by the landlord. A more detailed
"Summary of Changes" letter is ttached outlining the revisions.
--�
FOli OFFICE USE ONLY
Routed to Permit ec Ician: '''Date: ` '-z- Initials. 16
Fees Due: ❑ es [ fo Fee Description: Amourit u ue:
$
$--rt
Special -------1-1.\
Instructions:
Reprint Permit (per PE): ❑ Yes in No r 111Do
� / Initia
Applicant Notified: Date: ,° �, // .r,,r li �, 1 { ' d���Y ,,e /)
t
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012