Permit (35) BUILDING PERMIT
Permit BUP2016-00131
CITY OF TIGARD
Perm
Ir COMMUNITY DEVELOPMENT
T I G AR O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/20/2016
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9355 SW WASHINGTON SQUARE RD T19
Project: Lululemon Subdivision: None Lot: None
Project Description: The Verizon store and Starbucks to be combined.Lululemon will now occupy space.
Contractor: HORIZON RETAIL CONSTRUCTION Owner: PPR WASHINGTON SQUARE LLC
1500 HORIZON DR PO BOX 847
STURTEVANT,WI 53177 CARLSBAD, CA 92018
PHONE: 262-638-6000 PHONE:
FAX: 262-638-6015
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 06/20/2016 $2,011.95
Demolition
Occupancy Grp: M Occupancy Load: 81 12%State Surcharge-Building 06/20/2016 $241.43
Dwelling Units: 0 Plan Review 04/13/2016 $1,307.77
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 06/20/2016 $804.78
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 06/20/2016 $351.00
Value: $250,000 Info Process/Archiving-Lg$2.00(over 06/20/2016 $82.00
11x17)
Info Process/Archiving-Sm$0.50(up to 06/20/2016 $5.00
Floor Areas: 11x17)
Metro Const.Excise Tax 06/20/2016 $300.00
Total Area: 3266
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $5,103.93
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors:
Smoke Detectors: Yes 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 wor spended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notific. ion Center. T ose rule are --t forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rule direct questions to OUNC by calling 5••.23'.1987 or 1. 00.332.234
Issued By: Permittee Signature: , / Aarei
�._� - �� – . - —
Call 503.F�' .y 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.
/ ti
Building Permit Applicati
gCE! iE
Co �> rc al .t �•:a-, FOR OFFICE ICE I`SE 011.1
Received
City of Tigard Date/By: L3 Permit No.: !pet(, 6 I j/
13125 SW Hall Blvd.,Tigard,OR 9721f R 1 2 2016 Plan Review 111,, ,
I Ili Phone: 503.718.2439 Fax: 503.59.8.1960 Date/By: Wu 4. A Other Permit:� ��� L
Inspection Line: 503.639.4175 ` ' F.1+: :';i, "'' ity Date Ready : . Jura: ® See Page 2 for
TIGARD �I a ;i, 4 vii �i3
Internet: www.tigard-or.gov d e Notified/Method � �c� ►.�-7 , Supplemental Information
ELi)iNG 1); ' '+101 L rl W �/G' 9/v�/
UII
TYPE OF.WORK. "4 REQ D DATA"1-AN,l3 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OFsCONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other. Number of bathrooms:
y3,$----s- JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9506 5W washington square Rd New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:#T19 Project name:Lululemon washington Sq. Covered porch area: square feet
Cross street/directions to job site:SW washington square Rd&SW GreenburgRd Deck area: square feet
Other structure area: square feet
-REOUIREDDATA:"COMMERCIAL-USE CHECKLIST
Subdivision: 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.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Combining(e)retail space T-19&T-20&doing complete interior remodel. Valuation: $$250,000.00
..,
(N)Mechanical,electrical&Plumbing systems for the space. Existing building area: 3266 square feet
Cosmetic remodel of(e)exterior storefornt. New building area: 3266 square feet
It-s'
,, 0 PROPERTY OWNER ® TENANT Number of stories: 1
Name:Lululemon athletica Type of construction: II B
'A,
Address: 1818 Cornwall Avenue
Occupancy groups:
City/State/ZIP:Vancouver,BC,V6j1C7 Existing: M
1 it Phone:(604)351-0299 Fax:( )
New: M
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: ,,�„-i(er.fQ G.� ✓t� 4,, ,,1,i_tL_e -1 (PleaserJertofeesehedutt�l! Structural plan review fee(or deposit):
Contact name:(�.,,�[ rte(Z1/_)
•t Address: 1 , e, IIGi .e FLS plan review fee(if applicable):
' City/State/ZIP:) r- ' 7� D! � Total fees due upon application:
�pF, . Phone:(9J Fax::(�``7 c�I&fir,.6.,..
Amount received:
Tom.
" t. E mail FIIOTOVQLTAIC SOLAR PANELSYSTEM FEES*
N'fi
�� ---0""''t cry 1 p Commercial and residential prescriptive installation of
,:' , ' CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
. Business name:TBD r Submit two(2)sets of roof plan with connection details
n r t' /1'tr �•'iun/ 1.' and fire department access,along with the 2010 Oregon
Address: /Sz t) 4-, 2t Qom, Solar Installation Specialty Code checklist.
City/State/ZIP: U Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) (Oz g_ v ax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: c��//(
S 3/ 4/IC/if Total fee due upon application: $201.60 I
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: �T
C L,4A4:11 S`,s4ro Date: 4,.../1,._/4 * Fee methodology set by Tri-County Building Industry
Service Board.
!:`,Building\Perms \BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Joffn/AJ ri7 —63s — sty94,
1 ,
City of Tigard
111111
■ COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Commercial - No Land Use
n
Building Permit #: &ua a.v 1 t1,-00 13/
Site Addre 4355
Ci 5'9S SW Was h+Y1-J0✓1 S9,,„ ileCSuite/Bldg#: •
Project Name: Ui Lu (Pawn
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: TT
Existing Business Activity: UM Mat C(L
Proposed Business Activity: Domes Ai....
Verify site address/suite# exists and active in permit system.
River Terrace eighborhood: ❑ Yes /No
7 Zoning: U l`'
Permitted Use: ❑ Yes ❑ No ❑ Spec Space
Confirm no land use required. ►,^ r_
Business License. M �v ,0 Le�IU 000 1 2 rv_c nroJ ,
Exists: Yes ❑ No, applicant notified to obtain business license ✓
Notes:
Approved by Planning: AOvid-4_ /' /`b Date: 4M/f 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: 40 a be,
Site Plans: # 5
Building Plans: # ">
Building Permit#: 13-Enter buildingpermit# above.
2
Workflow Routing: [r Planning Permit Coordinator Building
Workflow Sign-off: ZT ign-off for Planning(include notes from planning review)
Route Application Documents: L'J Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician:C K_rO., Date: 4E4/4,
L\Building\Fonns\BldgPermitRvw COM NoLandUse 0709I5.docx
r
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: ff
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes l4 N/A dnan it KJt.d i S
Tigard Trans SDC: ❑ Yes r)?. N/A f n leSS � amt
Parks SDC: ❑ Yes Cy N/A
OK to Issue Permit
Approved by Permit Coordinator: Date: #4/41"/l4"
I:A Building\Forms,BldgPennitRvw_COM_NoLandUse_0709I 5.docx
C : 1 tis
ienemsha
APR 1 2 2016 SURVEY I DESIGN ( BUILD
oTr ki3
LETTEkOTRA ITTAL
Date: 04/11/16
Attn: Brandon Taggart
City of Tigard Per. ter
13125 SW H. :I` •.
Tigard, OR '7- 3
Project Na LLL-Washin•ton S•uare Project 20245
Number:
Project 9585 SW Wa ington Square
Locatio Rd. #T19
Tigard, OR 972
ITE DATED QTY 'ESCRI•TION
1 04/11/16 1 B ilding Pe mit Application
2 03/17/16 1 Chek k to City of Tigar.
3 03/28/16 1 Copy . Plannin• A..roval
4 03/18/16 3 Stampe. &signe. architec ral drawings
5 • /11/16 3 Stamped &signed struct ral drawings
Sincerely, \
Vanessa Garcia
Job Captain-III ----
Los Angeles ( Boston
O 310.263.3585
vgarciaAmenemshasolutions.com
www.menemshasolutions.com
WEST COAST 20521 Earl St.,Torrance,CA 90503 i EAST COAST 169 Libbey Pkwy.,Weymouth,MA 02189
www.menemshasolutions.com
a
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9355 SW WASHINGTON SQUARE RD T19,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2016-00131
Chip Barnett
Previous corrections completed
Violation Summary:
Inspector Contractor