Permit CITY OF TIGARD BUILDING PERMIT
IN ,.1 - COMMUNITY DEVELOPMENT i, „ . : r.. `1 Permit#: BUP2016-00343
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 OMINI Date Issued: 02/27/2017
T r� A R.p g Parcel: 1S126C600500
Jurisdiction: Tigard
Site address: 9300 SW WASHINGTON SQUARE RD
Project: LensCrafters Subdivision: None Lot: None
Project Description: Department store remodel to create a Lenscrafters vision center department.3/6/17,REPRINTED to correct project
name from Macy's to Lenscrafters.
Contractor: HORIZON RETAIL CONSTRUCTION Owner: MACY'S DEPARTMENT STORES INC
1500 HORIZON DR ATTN: TAX DEPARTMENT
STURTEVANT,WI 53177 7 WEST SEVENTH ST
CINCINNATI, OH 45202
PHONE: 262-638-6000 PHONE:
FAX: 262-638-6015
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IA Permit Fee-Additions,Alterations, 02/27/2017 $1,030.65
Demolition
Occupancy Grp: M Occupancy Load: 24 12%State Surcharge-Building 02/27/2017 $123.68
Dwelling Units: Plan Review 12/13/2016 $669.92
Stories: Height: ft DC Provision Review,COM TI-Ping 02/27/2017 $224.00
Bedrooms: Bathrooms: Plan Review-Fire Life Safety 02/27/2017 $412.26
Value: $90,000 Info Process/Archiving-Lg$2.00(over 02/27/2017 $38.00
11x17)
Info Process/Archiving-Sm$0.50(up to 02/27/2017 $2.50
Floor Areas: 11x17)
Total Area: 1383
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $2,501.01
Required: Required Items and Reports(Conditions)
Fire Sprinkler:
Fire Alarm:
Parapet:
Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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
952-001-00 : roug c'R 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 ed By: / 4 dO 0 Permittee Signa re: 'A elf(
Call 503.639.4175 by 7:00 a.m.for the next available insp on 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.
0CITY OF TIGARD BUILDING PERMIT
111
COMMUNITY DEVELOPMENT Permit#: BUP2016-00343
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/27/2017
Parcel: 1 S 126C B00500
Jurisdiction: Tigard
Site address: 9300 SW WASHINGTON SQUARE RD
Project: Macy's Subdivision: None Lot: None
Project Description: Department store remodel to create a Lenscrafters vision center department.
Contractor: HORIZON RETAIL CONSTRUCTION Owner: MACY'S DEPARTMENT STORES INC
1500 HORIZON DR ATTN: TAX DEPARTMENT
STURTEVANT,WI 53177 7 WEST SEVENTH ST
CINCINNATI, OH 45202
PHONE: 262-638-6000 PHONE:
FAX: 262-638-6015
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IA Permit Fee-Additions,Alterations, 02/27/2017 $1,030.65
Demolition
Occupancy Grp: M Occupancy Load: 24 12%State Surcharge-Building 02/27/2017 $123.68
Dwelling Units: Plan Review 12/13/2016 $669.92
Stories: Height: ft DC Provision Review,COM TI-Ping 02/27/2017 $224.00
Bedrooms: Bathrooms: Plan Review-Fire Life Safety 02/27/2017 $412.26
Value: $90,000 Info Process/Archiving-Lg$2.00(over 02/27/2017 $38.00
11x17)
Info Process/Archiving-Sm$0.50(up to 02/27/2017 $2.50
Floor Areas: 11x17)
Total Area: 1383
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $2,501.01
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /
,� $ \�lJ
Issued By: Permittee Signature: ---{ - � �
...or t������ tttt
C7
Call 56"...'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
Commercial RECEIVED
City of Tigard Received / u
`J g Date/Be �.�1� f CL' lair— PermitNo.: 6 L _ c3 -
13125 SW Hall Blvd.,Tigard,OR 97223
2 2016 Plan Review r ��'
' Phone: 503.718.2439 Fax: 503.598.1960 �� 1:2*( � l Other Pemnto- '
Date/13y. - 1/1',220//p aCtO
T I G A R D Inspection Line: 503.639.4175 Date Ready i 1 -7Ju-r�i7s:� [a See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGAI Notified/Method: 1r 021A; 117) 7 Ti Supplemental Information
TYPE OF �j1DINGDIVISION ($`: ,-(‘Alis-4- rya,, fe,v, ,
REQUIRE DATA:1- 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
lig Additio alteration placement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
1-and 2-familydwelling Valuation: $
❑ g ®coimmerciaadustrial
0 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:5300 s W {r(AS N MtGro i sn\(a,er: flow . New dwelling area: square feet
City/State/ZIP: T I GARD% QR C Z1_3 i, Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: LSCRA r 'c Covered porch area: square feet
Cross street/directions to job site: �1�•/ 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.
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.
monoOGL 10 4 s n c.L. Port,r(o, o ri- E emeriKU Valuation: $ gC,003,co
MA(A's o parmcr4 r tjg2�?, rd c1ZFA(c A LerisuiAcrEas Existing building area: i3 square feet
VL SION (RN-Vila M..,(Aintnovr' New building area: 1383 square feet
0 PROPERTY OWNER a TENANT Number of stories: I
Name: L.En5C iiA'retZJ Type of construction: i A
Address: 4000 `V X OStcA Rog. Occupancy groups:
City/State/ZIP: inAsorst I 0�4 . 4 SO4) Existing: NteruAnfri w
Phone:(s13)-r $ ,388 Fax:( )
New: rn e •cearm t.6
0 APPLICANT CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: G WE12.-Sar 4ES
Structural plan review fee(or deposit):
Contact name: -rim Surf E.n(K
FLS plan review fee(if applicable):
Address: 1 rzo E'8o��s_• SJ i rE Zi% `
Total fees due upon application:
City/State/ZIP: eumrn(tic?for,'. Mpf s � G/.�
(CtS2)345•)�Q (CtS2)QSGk ,4R�1 Amount received:
Phone: Fax:; V
E-mail:.f j MS e Qr(4er V 1 do e5 .00(1-, / mL 3-.e, PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
'��"° Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Pilin Submit two(2)sets of roof plan with connection details
Ted„�' '?`3.J t I"! � �,. and fire department access,along with the 2010 Oregon
Address:
/WO tf,i'-i' --) 4.1r, Solar Installation Specialty Code checklist.
City/State/ZIP: ���/ —� Permit fee(includes plan review
54, "„4""7 .. 4,�JL. X5-3 7 5180.00
( ) and administrative fees):
Phone:( ) I Fax:
State surcharge(12%of permit fee): $21.60
CCB lie.: elp j Total fee due upon application: $201.60
Authorized signature:O `� �(� This permit application expires if a permit is not obtained
-�` IN. within 180 days after it has been accepted as complete.
Print name: T sirs. sc i4 e7J� Date: �I 7 Fee methodology set by Tri-County Building Industry
AService Board.
I:1Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
S
City of Tigard
'I COMMUNITY DEVELOPMENT DEPARTMENT
I
T 1 G A RD Building Permit Review — Commercial - No Land Use
Building Permit #: JA/0030/67- (X)3/,.i
Site Address: 6/5 0 412gA Suite/Bldg#:
Project Name: Lem c s
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review / ` /
Proposal: `r7. v ccs-e.1k V/_s iG i C'e d oh O,�'T- %/r c cel
f--yi chi/ vv'�a�! 'S
Existing Business Activity: ? -g— e 414 r�.2-!'`/
Proposed Business Activity: 1/ If //
I(Verify site address/suite#exists and active in permit syst .
0 t. ver Terrace Neighborhood: ❑ Yes No
f% Zoning: 44liC
ermitted Use: Ii Yes ❑ No ❑ Spec Space
V onfirm no land use required.
ii Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: �"�-- , Date: r /3 l
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: 44J/,,t_ /(.t
Site Plans: # ( ,q,
Building Plans: #� _�
Building Permit#: [a'Int�e building permit#above.
Workflow Routing: [�-11Coordinator Krirrilding
Workflow Sign off: � Si -off for Planning. (include notes from planning review)
Route Application Documents: LY Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
•
Notes: ,,i'K,/ 4
,'--"1 i/ 0,- /92/4•11/‘..
By Permit Technician: Date: ;���(o
I:\Building\Forms\BldgPermitRvwCOM NoLandUse 060116.docx
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 k's /A
Tigard Trans SDC: ❑ Yes P /A
Parks SDC: ❑ Yes "N/A
OK to Issue Permit
Approved by Permit Coordinator: Date:/ /4/I
I:\Building\Fonns\BldgPermitRvw_COM NoLandUse_070915.docx
RECEIVED Elder-Jones
PERMIT SERVICE
DEC 12 2016 1120 East 80th Street,#211
Bloomington,MN 55420-1498
CITY OF TIGARD Phone:(952)854-2854•Fax:(952)854-4909
BUILDING DIVISION
TRANSMITTAL
12/7/2016
To: DEBBIE 503-639-4171 LENSCRAFTERS IN MACY'S
CITY OF TIGARD BUILDING DEPARTMENT WASHINGTON SQUARE MALL
13125 SW HALL BOULEVARD TIGARD, OR
TIGARD, OR 97223
216-685
DEBBIE,
PER OUR PHONE CONVERSATION, I HAVE ENCLOSED THE FOLLOWING FOR THE
ABOVE REFERENCED PROJECT AND WOULD LIKE TO SUBMIT FOR PLAN REVIEW AND
PERMIT.
-THREE SETS OF PLANS
-APPLICATION
-TWO SETS OF COMCHECK ENERGY FORMS
PLEASE NOTIFY ME WHEN THE FEE HAS BEEN CALCULATED AND I WILL PAY ONLINE.
PLEASE DIRECT ANY COMMENTS OR QUESTIONS TO MY ATTENTION.
THANK YOU
TIM SCHENK
ELDER-JONES
952-345-6040
timsOelderiones.com
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9300 SW WASHINGTON SQUARE RD, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Building BUP2016-00343
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor