Permit (2) 1:11111
CITY OF TIGARD BUILDING PERMIT
'`7 COMMUNITY DEVELOPMENT Permit#: BUP2016-00066
T[CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/07/2016
Parcel: 1 S126CB00500
Jurisdiction: Tigard
Site address: 9300 SW WASHINGTON SQUARE RD
Project: Macy's Subdivision: None Lot: None
Project Description: Casework for new tuxedo shop.
Contractor: TS GRAY CONSTRUCTION Owner: MACY'S DEPARTMENT STORES INC
12705 SW HERMAN RD ATTN:TAX DEPARTMENT
TUALATIN, OR 97062 7 WEST SEVENTH ST
CINCINNATI, OH 45202
PHONE: 503-692-4675 PHONE:
FAX: 503-692-9292
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 03/07/2016 $301.85
Demolition
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Building 03/07/2016 $36.22
Dwelling Units: 0 Plan Review 02/25/2016 $196.20
Stories: 2 Height: 0 ft DC Provision Review,COM TI-Ping 03/07/2016 $88.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 03/07/2016 $120.74
Value: $15,000 Info Process/Archiving-Lg$2.00(over 03/07/2016 $8.00
11x17)
Floor Areas:
Total Area: 492
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $751.01
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 t r• •• •AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198732or 1.800.332.2344.
e
Iss ed By: / , Permittee Signature: /F//j2i/li
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.
.�
Building Permit Application 1)2 D
NeDCommercial `M
R
City of Tigard c Deceived (o Permit NO.:51‘40D a0 go 00.062
111 • 13125 SW Hall Blvd.,Tigard,O 97223 q 5 'Zp1U Plan R i
2 Phone: 503.718.2439 Fax: 503.598.1 p Date/By: �C- Wer Permit.
i \i,1 1 Inspection Line: 503.639.4175 ,fir l�ap Date Re / J�� B See Page 2 for
Internet: www.tigard-or.gov �+`{0/ OF 1 U19A Notified/M //tel `, /, � I Supplemental Information
L/1 i 1 4
TYPE eel RE t t 1' -II DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 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 0 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 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9300 SW Washington Square Rd New dwelling area: square feet
City/State/ZIP:Tigard,OR Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Tuxedo Shop at Macy'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: I 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.
Install casework for reatil display at Macy's.Including track lighting Valuation: $$15,000.00
Existing building area: square feet
New building area: 492 square feet
0 PROPERTY OWNER ® TENANT Number of stories: 2
Name:Tuxedo Shop Type of construction:
Address:1900 MacArthur Blvd#250 Occupancy groups:
City/State/ZIP:Irvine,CA 92612 Existing: M
Phone:(949)296.0450 Fax:( ) New: M
0 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer tofee schedule
Business name:Paroline& Associates
Structural plan review fee(or deposit):
Contact name:Andrew Paroline
FLS plan review fee(if applicable):
Address:3617 SW Charlestown ST /
City/State/ZIP:Seattle,WA 98126 Total fees due upon application: `e%,A
Amount received: `v
Phone:(206)719.0339 Fax::(N/A)
E-mail:andy@parolineassociates.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:1-7-75. -04,4-y ?01i`7-,t,t;TIO N Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: /4,9,70e "jL) 4 E.zt .5/ ) 'J Solar Installation Specialty Code checklist.
City/State/ZIP �i�f9-cly—rl t O2 9 70 to - Permit fee(includes plan review $180.00
and administrative fees):
Phone:(5b7 19 al- ' p7 S Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 074 Total fee due upon application: $201.60
Authorized signature: t This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Andrew Paroline Date:224/2016 * 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)
Is
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] $ 15,000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 3750
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:\Building\Pennits\BUP-COM PermitApp.doc 03/03/2011
ti
114 City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
T i c ■R o Building Permit Review – Commercial - No Land Use
Building Permit #: pJo/(Q COCo
Site Address: GI 300 SV woisvoni-vrl S 6 lite/Bldg#:
Project Name: M Cl Ck) S
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T n-Iv r rr
Existing Business Activity: lV l V C N 0 (Al C'l a ` (V) UJ--e-
Proposed
J.-
Proposed Business Activity: IV)V C' �!
Verify site address/suite# exists and active in permit system.
/-', River Terrace Neighborhood: ❑ Yes %No
,I Zoning: M V V
71 Permitted Use: ❑ Yes ❑ No ❑ Spec Space
Confirm no land use required.
7 Business License:
Exists: ❑ Yes ❑ No, applicant notified to obtain business license
Notes:
Approved by Planning: (PO in 1-1-4ti 6 Aig Date: .-1 -
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: .2 015"1",
Site Plans: # ;
Building Plans: #
Building Permit#: L 1-1fire-r building permit#above.
Workflow Routing: ---P?a Hingrmit Coordinator wilding
Workflow Sign-off: off for Planning(include notes from planning review)
Route Application Documents: ding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: _ _ —
Date: v2� �/4
- .0°1.-
1:\BuildingTonns\BldgPennit
-I:\Building\Forms\BldgPermit R vw_COM_N oLand Use_0709 1 5.docx
J
I
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:
DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC:
r;$ 0 Yes N/A
OK to Issue Permit
Approved by Permit Coordinator: 'rff/PDate: Z-2-S:A6
I:`Building\Fonns\BldgPennitRvw_COM_NoLandUse_0709I5.docx