Permit CITY OF TIGARD BUILDING PERMIT
'`1 1 , COMMUNITY DEVELOPMENT Permit#: BUP2015-00011
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/09/2015
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9706 SW WASHINGTON SQUARE RD F09
Project: Kiehl's Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Ti of existing retail space
Contractor: NATIONAL CONTRACTORS INC Owner: PPR WASHINGTON SQUARE LLC
4300 BAKER RD PO BOX 847
MINNETONKA, MN 55343 CARLSBAD, CA 92018
PHONE: 952-881-6123 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 02/09/2015 $2,011.95
Demolition
Occupancy Grp: M Occupancy Load: 27 12%State Surcharge-Building 02/09/2015 $241.43
Dwelling Units: 0 Plan Review 01/27/2015 $1,307.77
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 01/27/2015 $804.78
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 02/09/2015 $299.00
Value: $250,000 DC Provision Review,COM TI-LRP 02/09/2015 $44.00
Info Process/Archiving-Lg$2.00(over 02/09/2015 $30.00
11x17)
Floor Areas:
Total Area: 1032
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,738.93
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. - _ : •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
• -101-0010 through OA• •52-001-Os9,0. 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: . //I_ % 51 Permittee Signature:
�t Call 503.639.4175 by 7:00 a.m.for the next available inspect' date.
This permit card shall be kept in a conspicuous place on the job site until ompletion of the project.
Approved plans are required on the job site at the time of each inspection.
t
Building Permit Application
Commercial RECEIVED FOR OFFICE USE ONL1
City of Tigard Received- Permit No.:
-4 gar #�,N 2 6 2015 Date/By.:-__ ///41/44 /6J�a- �fS1/21
13125 SW Hall Blvd.,Tigard,OR 9 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960
Date/13 [ Other Permit:
I I GARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Re `/ . ': ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Nottfie etho�/7 �� s supplemental Information
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
0 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 ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
/ J B SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9 SSW Washington Square New dwelling area: square feet
City/State/ZIP:Tigard OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:F09 Project name:Kiehl's 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:Washington Square Lot no.:F09 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 improvement Valuation: $$250,000.00
Existing building area: 1032 square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: Washintgon Square Type of construction: H B
Address:9585 SW Washington Square Occupancy groups:
City/State/ZIP:Tigard OR 97223 Existing: M
Phone:(503)639-5612 Fax:( ) New: M
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Precision Permits
Structural plan review fee(or deposit):
Contact name:Amy Diekevers
FLS plan review fee(if applicable):
Address:75-60 St SW
City/State/ZIP: fees due upon application:
ity/State/ZIP:Wyoming MI 49548
Phone:(616)493-9334 Fax::(616-)493-9351
Amount received 7c721/c:2. '`
E-mail:amyd @precisionpermits.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
i/`� l roof-top mounted PhotoVoltaic Solar Panel System.
Business name: I )A.j,D�� L (.e,ti rie it c7-12-)g, ANC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: V50,0 .0\i 2 2-b Solar Installation Specialty Code checklist.
City/State/ZIP: M 1 N1,3€1-2)fJki0.1 II IJ 55 343 Permit fee(includes plan review $180.00
- and administrative fees):
Phone:( 75-2..) g'( -. (}y Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: /g!63 , ' / (/ Total fee due upon application: $201.60 4.Authorized signature: 9 [ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Amy Diekevers 11111 Date:1-19-15 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
III City of Tigard
■
COMMUNITY DEVELOPMENT DEPARTMENT
T D Building Permit Review — Commercial - No Land Use
GAR
Building Permit #: 6,,,Pdo/6---,,,o/
Site Address: 99_06, siJ i , r1 Suite/Bldg#: FO
Project Name: //' /t
S
�c/�2�i/
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review �� L
Proposal: 7, 1. d-c 'X s-)):, f4-/I Sece
Existing Business Activity: ,Ce41II
Proposed Business Activity: 4 4
Verify site address/suite#exists and active in permit system.
4I_(Q, oning: NG{e
d�'P fitted Use: E Yes ❑ No ❑ Spec Space
Confirm no land use required.
Notes:
Approved by Planning: ^:` L Date: //Q Q//%.c-'
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: 1/�t{Pii"�/
Site Plans: # 3
Building Plans: # 3
Building Permit#: l ' nter building permit# above. -
Workflow Routing: .12"-Planning r ErBuilding
Workflow Sign-off: 2"-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: il_ _) (�, i�yL � Date: //014,7/5.--
1:\Building Worms\BldgPermitRvw_COM_NoLandUse_07I 5 14.docx
Permit Cos •ma for Review
❑ Conditions Met-Pn• . o Issuance of Building Permit
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applic. .
Revision Notice 2: Date Sent to ' - • cant:
Revision Notice 3: Date Se• o Applicant:
❑ OK to Issue ' it
Approved by Permit Coordinator: Date:
I:\BuildineForms\BidgPennitRvw_COM_NoLandUse_071514.docx
RECEIVED
JAN26 2015
CITY OF TIGARD
to ` �, BUILDING DIVISION
AMMO PRECISION PERMIT SERVICES
JU/N1% ;� 75 - 60TH STREET SW • WYOMING, MI 49548
"1iiiX ��`
1/22/2015
To: City of Tigard Building Dept
Commercial Plan Review
Re: Kiehls
Washington Square
Enclosed for your use in reviewing the above referenced project for our building permit are:
3 Sets of Plans
Building Permit Application
Accessibility Form
Plan Review Fee
Business Reply Envelope (please return a receipt)
If you should have any questions please do not hesitate to contact me.
Thank you,
Amy Diekevers
amyd(4recisionpermits.com
616-493-9334 p
616-493-9351 f
;I Building Division
Accessibility: Barrier Removal Improvement Plan
rIGARL
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] $ 250,000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 62,500
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 $ N/A
(b) An accessible entrance: $ 24,500
(c) An accessible route to the altered area: $ 1,000
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ 30,000
(e) Accessible telephones: $ N/A
(f) Accessible drinking fountains:and, $ 2,000
(g) When possible,additional accessible elements such as storage and
alarms: $ 5,000
TOTAL(shall equal line 121 of Valuation Computation): S 62,500
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011