Permit °14,.. CITY OF TIGARD BUILDING PERMIT
° '! '''- COMMUNITY DEVELOPMENT Permit#: BUP2016-00210
T[CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/27/2016
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9546 SW WASHINGTON SQUARE RD H16
Project: Ann Taylor Subdivision: None Lot: None
Project Description: Stockroom racking and shelving
Contractor: SAJO INC Owner: PPR WASHINGTON SQUARE LLC
1320 GRAHAM BLVD PO BOX 847
TOWN OF MT ROYAL, PQ H3P3C8 CARLSBAD, CA 92018
PHONE: PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 07/27/2016 $301.85
Demolition
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Building 07/27/2016 $36.22
Dwelling Units: 0 Plan Review 07/27/2016 $196.20
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 07/27/2016 $2.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $15,000 Info Process/Archiving-Sm$0.50(up to 07/27/2016 $5.00
11x17)
Floor Areas: l
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $541.27
Required:, Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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 suspend for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.234
Issued By: i6gt...yZ ' - 1 Permittee Signature: 1 .
' all 503.639.4175 by 7:00 a.m.for the next available inspection date.
i
This permit card shall be kept in a conspicuous place on the job site until completion of the prof: t.
Approved plans are required on the job site at the time of each inspection.
Bu?.l4in2 Permit Application
Commercial R FOR OFFICE USE ONLY
City of Tigard
Received /I _�
g Date/By: 6 . �j Permit No.: ��
'" 13125 SW Hall Blvd.,Tigard,OR 97?21, g Plan Reale• AND
Phone: 503.718.2439 Fax: 503.598.ga G J 2016 Date/By: I. 7c•
�y Other Permit: Q�il/���
Inspection Line: 503.639.4175 Date Rea:• : : •
Juris: ® See Page 2 for
www.tigard-or.gov CITY OF IS syL: Notified/Method: �,,,q/it,„ Supplemental Information rmationBtUILDING DIVr9 -1
d•
�A\v� i v A v 0 yv Tiyfi,L CIT':`'VOR
/` ...�yAvvw�Ay\, �ydvyv�.��av •Vy�vy woyvw� ..., ., t�,u ,y • REf.)it71RED DA fA 4 �►�=�A1WI4."�'DWET�.�ThTG:
❑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 ®Other:SHELVING equipment,materials,labor,overhead,and the profit for the
vv \V \ •
: work indicated on this aPPlicationli' v'1vvy OA7 :ORY. (FyC9NS72UCTIUN .
❑ 1-and 2-family dwelling Z Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
t��gvet v v yv.Nk w l y308 SITE INFORMATION D'LOCATION
.0u ,. ,.,,��v;ev'4I,;, AN +� yvy„ Total number of floors:
Job site address:9546 SW WASHINGTON WASHINGTON SQAURE ROAD New dwelling area: square feet
City/State/ZIP:TIGARD,WA 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:H16 I Project name:ANN TAYLOR Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCI1 L-USE Cf1E I LIST,
Subdivision: 1 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
v equipment,materials,labor,overhead,and the profit for theV.`Nrtk*� w� ��tvAnicRI X01 QWORIiA wv w ` work indicated on this application.V ' yy '
INSTALLATION OF STOCKROOM RACKING AND SHELVING Valuation: $$15,000.00
Existing building area: 4489 square feet
New building area: 4489 square feet
p; vPRO Un WNI wAvy y \yv A
kNANT' „•',V,1,i4 ' Ae• y" %AA , � BeiAA*A•y ,• A Number of stories: 1
Name:ANN TAYLOR Type of construction: IIB
Address:7 TIMES SQUARE Occupancy groups:
City/State/ZIP:NEW YORK,NY 10036 Existing: M
Phone:(212)385-0333 X3 Fax (514)385-1108
New: M
r7r\\\m,af,T\\ T\\\\"�`� \ PP�+t� \\ CSI'CONTAC'T"PERSON` ,
�v �5 yvty vAvy.�,.d. �.w�v ,�,e . v . v` v, A i BtL�1LNQ P21YIt�1 itLES*
(Please refer to;l"ee schedule)
Business name:ELDER-JONESy`
Structural plan review fee(or deposit):
Contact name:TIM SCHENK
re FLS plan review fee(if applicable):
Address:1120 E.80 .STREET,SUITE 211
Total fees due upon application:
City/State/ZIP:BLOOMINGTON,MN 55420
Phone:(952)345-6040 Fax::(952)854-4909
Amount received:
E-mail:tuns elder ones.com �`vv PHOTO VOL':IAIC SOLLAli 1WWEt4 SYSTEM FES*vt�'„'
@ J . :�
\zViatV �\ m \ w � �•Cy� y , 2 \.y.y o , •AA Commercial and residential prescriptivetive installation of
4t \ woy$ ,,,� � � � awe. ,A,A„
...,,,:•,,.;.
roof-top ounted Photovoltaic Solar Panel System.
Business name:SAJO Submit t o(2)sets of roof plan with connection der.•s
and fire des: ment access,along with the 20 ! vregon
Address: 1320 BOUL GRAHAM Solarinstallati, .ecially Code the •-
City/State/ZIP:VILLE MOUNT-ROYAL,QC H3P 3C8 Permit fee(inc view $180.00
and .• stra' - fees):
Phone:(514)385-0333 X330 Fax:(514)385-1165 Sta surcharge(12%of permit fee)7 $21.60
CCB lic.: ir 75lJ
Total fee due upon application: -..201.60
Authorized signature: j�i This permit application expires if a permit is not obtar ed
within 180 days after it has been accepted as complete.
Print name:TIM SCHENK Date:6/21/16 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pennits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
RECEIVED
Elder-Jones
JUN 23 2016 PERMIT SERVICE
CITY OF TIGARD 1120 East 80th Street,#211
BUILDING DIVISION Bloomington, MN 55420-1498
Phone:(952)854-2854•Fax: (952)854-4909
TRANSMITTAL
6/21/2016
To: DEBBIE/DAN NELSON 503-639-4171 ANN TAYLOR
CITY OF TIGARD BUILDING DIVISION SHELVING &RACKING PERMIT
13125 SW HALL BOULEVARD WASHINGTON SQUARE MALL
TIGARD, OR 97223 TIGARD, OR
216-352
DAN/DEBBIE,
PER MY PHONE CONVERSATION WITH DAN, I HAVE ENCLOSED THE FOLLOWING FOR
THE ABOVE REFERNCED PROJECT AND WOULD LIKE TO SUBMIT FOR PLAN REVIEW
PERMIT.
-PERMIT APPLICATION
-THREE SETS OF RACKING &SHELVING SHOP DRAWINGS
-THREE SETS OF CALCS
PLEASE DIRECT ANY COMMENTS OR QUESTIONS TO MY ATTENTION.
THANK YOU
TIM SCHENK
ELDER-JONES
952-345-6040
ti m s(&el deriones.com