Permit 11111 _ p CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2015 00055
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/07/2015
Parcel: 1 S135BA00102
Jurisdiction: Tigard
Site address: 10206 SW WASHINGTON SQUARE RD
Project: Ulta Subdivision: OAKBURG Lot: 9
Project Description: Facade change
Contractor: GBC CONSTRUCTION LLC Owner: PPR SQUARE TOO LLC
2273 NW PROFESSIONAL DR STE 200 PO BOX 847
CORVALLIS, OR 97330 CARLSBAD, CA 92018
PHONE: 541-752-0381 PHONE:
FAX: 541-752-0472
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg Permit Fee-Additions,Alterations, 04/07/2015 $729.45
Demolition
Occupancy Grp: M Occupancy Load: 35 12%State Surcharge-Building 04/07/2015 $87.53
Dwelling Units: 0 Plan Review 03/09/2015 $474.14
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 03/09/2015 $291.78
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 04/07/2015 $75.00
Value: $50,000 DC Provision Review,COM TI-LRP 04/07/2015 $11.00
Info Process/Archiving-Lg$2.00(over 04/07/2015 $36.00
11x17)
Floor Areas: Info Process/Archiving-Sm$0.50(up to 04/07/2015 $5.00
11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,709.90
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 6-thro • *AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800..332.2344.
Iss edBy: --C� 4 / PermitteeSignature: h 1)4 �Call 503.639.4175 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.
. . 7
Buildin4 Permit A licat•' I ommerciaRECE1V E CEIV FOR OFFICE USE ONLY
City of Tigard Received �l�,
�y DateB : 3 Permit No.:t/ uti0�/5--- do op ,
lliill = 13125 SW f 03. 9 .? !I 2015 Plan R �� �� � ` 04, r ,
Phone: 503:718.2439 ax: 03.598.1960 Plan Revie
: �/ Other Permit: t C�
TIGARD Inspectio>} 1 ke T 'j� GARD Date Ready-7-y: luris. .■ See Page 2 for
Intemetl�t � l V Notified/Method: 3® Supplemental Information
BUILDING DI A '',.,j,,, !ING D l SIOr -�E ,,,�1 C� , r &,
TYPE t 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 ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
(6, -e(-11 JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:. 50 W Washington Square Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:C Project name:FacederReTiT a i t g CAL-(4- / ,4::E Covered porch area: square feet
Cross street/directions to job site:Greenburg Road Deck area: square feet
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.
New façade addition(portal)and remodel the buidling facade to Building C. Valuation: $550,000.00
Landlord work for tenant ULTA. Existing building area: 10420 square feet
New building area: 10420 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:PPR Square Too LLC c/o Macerich Co. Type of construction: V-B
Address:401 Wilshire Blvd.,Suite 700 Occupancy groups:
City/State/ZIP:Los Angeles,CA 90401 Existing: M
Phone:(602)953-6750 Fax:( ) New: M
4' ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
G Business name:TSArchitects,Inc. (Please refer to fee schedule)
t Structural plan review fee(or deposit):
Contact name:Alan Tomasi
Address:2050 S Bundy Drive,Suite 225 FLS plan review fee(if applicable):
City/State/ZIP:Los Angeles,CA 90025 Total fees due upon application:
In Phone:(310)895-7923 Fax::( ) Amount received:
t+ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:atomasi @tsarch.com
Commercial and residential prescriptive .: .Nation of
CONTRACTOR roof-top m..' ed Photo Voltaic Sol. -anel System.
C) Business name: (6e,, C,6,-y4471 o-.�, Submit two(2)s • roof pia. - th connection details
n and fire department ace- . ong with the 2010 Oregon
Address: pP 2-72, 1�li 7 1'(� 4,L1. - c ) -be. 0200 Solar Installation Spe ty .•e checklist.
Permit fee ' eludes plan r ew $180.00
City/State/ZIP: j�`r g t Q Z33G� d administrative fee •
-� Phone:(9 I) -76a-0-5s1 Fax:( )
��t� al�l?(f7 States harge(12%of permit fee): $21.60
CCB lic.: 1
.tal fee due upon application: '.201.60
Authorized signature:'i��.4 • '.. ........--�, This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Alan Tomasi Date:1/23/2015 * 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)
Ilir
City of Tigard
~ COMMUNITY DEVELOPMENT DEPARTMENT
T l G A R D Building Permit Review — Commercial - With Land Use
Building Permit #: ia,96)I S-CX3O5
Site Address: /0.2 V£ S 1•v i/174.3 1-, St,,,;•,-• Suite/Bldg#:
Project Name: U/P . far 4 /
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
•
Proposal: /L'2(4.1 'ACuZe I vrterave view f-
E 1 VVerify site address/suite #exists and active in permit system.
L3' er Terrace Plan District: ❑ Yes 1140--I4.
P L�a dUseCase#: /4 M0 0 0 /Y-OOO k
E 41aan,s M ch Approved Land Use: A
R' ite Plan 0 Landscape Plan ❑ Other:
❑ Urban Forestry Plan L� Elevation Plan
LI- g Height: Maximum Height Actual Height 2 1
OW-Conditions Met:,4, n ❑ Prior to Submittal ❑ Prior to Permit Issuance
❑ Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
❑ Public Facilities Improvement(PFI) Permit: /4,1/2
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
Notes:
Approved by Planning: / �, Date: ,? /S'
Revisions (after Building Submitta only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 3/57/5—
Site Plans: # NJr¢
Building Plans: #___ ____
_�
Building Permit#: � nt�er building pperrrut above.
Workflow Routing: I�I'lan g ngineering t Coordinator 0—Prtrilg
Workflow Sign-off: ign-off for Planning(include notes from planning review)
Route Application Documents: uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: __ - _ ',_ Date: 3/1/1.5—
1:\Building\Forms\BldgPermitRvw_COM_WithLandUse 030415.docx
V
Engineering Review
2;Ac 1 Slope: //ja
FI Permit#:
Al "1
'Conditions Met J✓oN vit Tlia,r j c•4A) Ode T&4."1/46.
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: Date: 3. 7 . 15-
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
i 4 .
Permit Coordinator Review
❑ Conditions Met- Prior to Issuance of Building Permit
❑ Approved,NOT Released: Date:
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: 3Al2*
1:1Building\Forms\BldgPermitRvw_COM_W ithLandUse_0204I 5.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10206 SW WASHINGTON SQUARE RD,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2015-00055
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor