Permit CITY OF TIGARD BUILDING PERMIT
31.. '- COMMUNITY DEVELOPMENT Permit#: BUP2017-00249
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/31/2018
T t O�'� Parcel: 1 S 126C 000300
Jurisdiction: Tigard
Site address: 9500 SW WASHINGTON SQUARE RD
Project: JC Penney Subdivision: None Lot: None
Project Description: TI for existing tenant:New optical department.
Contractor: BAYLEY CONSTRUCTION Owner: PPR WASHINGTON SQUARE, LLC
8005 SE 28TH ST. BY J C PENNEY 0288-1
MERCER ISLAND, OR 98040-9004 TAX SERVICES
PO BOX 10001
DALLAS,TX 75301
PHONE: 206-621-8884 PHONE:
FAX: 206-343-7728
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 01/31/2018 $1,105.95
Occupancy Grp: M Occupancy Load: Demolition
12%State Surcharge-Building 01/31/2018 $132.71
Dwelling Units: 0 Plan Review 09/18/2017 $718.87
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 01/31/2018 $442.38
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 01/31/2018 $34.00
Value: $100,000 11x17)
Metro Const.Excise Tax 01/31/2018 $120.00
DC Provision Review,COM TI-Ping 01/31/2018 $226.00
Floor Areas:
Total Area: 500
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,779.91
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 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 503.232.19 7 or 1.8 0.332.2344.
Issued By: % /� POrrnittee Signature: /' --""
Call 503.539.4175 by 7:00 a.m.for the next available inspection date. ./ ll
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 \.
City of Tigard t''
{ } Received 7._g c F Z 1( Date/By: /I j�( �.�, Permit No.:84/9:710/ Q
13125 SW HMI Blvd.,Tigard,OR 9722 plan R t( l 1 f t: U f
11111 Phone: 503.718.2439 Fax: 503.59 .y�p DateB Other Permit•.
Inspection Line: 503.639.4175 art l l " ,. ` y
I I�.� 1 K.[� p �l f. ,„1„"`„;',*,..":„;:',..',,„� ,,. Date Ready y: �� 7uris: 0 See Page 2 for
Internet: www.tigard-or.gov 3 ¢! 1.,61 \c.. r), 1, ^F ,a, Notified/Method: 7) 7/7 ' 97 -. I Supplemental Information
vc G r C.rl -
,F-;r1 r, ,L aA% 5 , ; r. r�- * , f ,* r ;: {.1 t i -' »" a y 1,17'
■ ■ DemolitionPermit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
El Addition/alteration/replacement ■ equipment,materials,labor,overhead,and the profit for the
4 rrter i
k` � work indicated on this application.
g ; . , a
dwelling ��� Valuation: $N/A
■
■ Accessory , ■ Number of bedrooms:
■ ■ Other: Number of bathrooms:
a1 „F .` ` .t ..k: "i1 s E t ,t N r Total number of floors:
Job site address:9500 SW Washington Sq.Rd. New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:JCP#0288 Optical Remodel Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
� yip
';'<:411'7211 ;;-1 r. .r�r� .,F,� �.ts.�..'�,� '`. `�•t"aza..i e. ;k;� .ro,gi
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
M - ;,' `t r ;t t l "` t work indicated on this application.
Remodel
' store provide..'r new I=1-TM ptical department
, ' Valuation: $100,000.00
approximately 500 base, Existing building area: 202,322 square feet
diffusers,and electricalNew building area: 202,322 square feet
� �. � H��� 4-),..404-x �t,' �� � � � �� Number of stories: 2
Name:JCPenney Company, ' Type of construction: IIB
Address:6501 Legacy Dr.
Occupancy groups:
Plano, I
Existing: Mercantile
New Mercantile
Business name:SBLM Architects
Structural plan review fee(or deposit): $718.87
Contact name:Trey Lay
FLS plan review fee(if applicable):
Address:16910 Dallas Parkway
City/State/ZIP:Dallas,TX 75248 Total fees due upon application:
Phone:(469) 554-7770Amount received:
Fax: :(469) 554-7775 litl -`�P' ,. '
uE-mailtlay@sblm.com ! r + + v
' �T n r Commercial and residentialprescriptive installation of
..^ m • _•< =, . ,> :y r« a a �: , . roof-top mounted Photovoltaic Solar Panel System.
Business name:TO BE DETERMINED �/ / T t" vi �-f Submit two(2)sets of roof plan with connection details
c� 6 I y SAL' C / and fire department access,along with the 2010 Oregon
Address: fJ Oec- 'e Z- Tt( 4 r Solar Installation Specialty Code checklist.
City/State/ZIP: y i
City of Tigard
1 COMMUNITY DEVELOPMENT DEPARTMENT
IIIa
T1cARD Building Permit Review — Commercial - No Land Use
Building Permit #: 5€ J )/ 7 - ) 4 /
Site Address: 15co S) G./ Advi S?. ,-4. Suite/Bldg#:
Project Name: Tc- "eivive
(Name of commercial ess occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 12_0ArY)D -J- 11p 17` e
C �2 ,n•� o ,
Existing Business Activity: W(/n rylefEx ,
Proposed Business Activity: cio m i L. -c,1?a./L,
/Z Verify site address/suite# exists and active in permit system.
1:3/River Terrace Neighborhood: ❑ Yes ❑ No
,e) Zoning: M U G
Permitted Use: A Yes ❑ No ❑ Spec Space
Confirm no land use required.
❑ Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: / d-A/.. Date: 0)l 27 / 1 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 r
Original Submittal Date: '! 1,41/1/1
7
Site Plans: # /
Building Plans: ##
Building Permit#: Winter building permit#above.
Workflow Routing: L3 'I ing C ermit Coordinator1 nti g
Workflow Sign-off: es-lign-off for Planning(include notes from planning review)
Route Application Documents: g: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
1, '
Notes: r tvv 7 t - ,' �i'1 i /
By Permit Technician: `.c- Date: "///47/'7
I:\Building\Forms\BldgPermitRvw COM NoLandUse 060116.docx
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:
C Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes 1 N/A
oAer to Issue Permit
q/. // '7
Approved by Permit Coordinator: Date:
I:\Building\Fonns\BldgPermitRvw_COM NolandUse 070915.docx
SBLM Architects
Cfp 16910 Dallas Parkway Suite 216
Dallas, Texas 75248
Telephone 469 554 7770
C3:-.) Fax 469 554 7775
jgiron@sblm.com
www.sblm.com
Transmittal
Please deliver this message to: From
Attn: Building Division Jose Martinez-Giron
Firm Project Name
City of Tigard
Street
13125 SW Hall Blvd.
JCPenney#0288 Optical Remodel
Project Number File Code
017135 10B
City,State,Zip Code Project Address
Tigard, OR 97223 Washington Sq.
9500 SW Washington Sq. Rd.
Portland, OR 97223
Telephone Number Fax Number
Pages
(503) 718-2430(Dianna Howse)
Record Date Email
09/13/2017 jgiron@sblm.com
Description of Items
Qty Date Item
3 09-13-17 Permit Set(24x36)-Architectural
1 09-13-17 Building Permit Application
2 09-13-17 Permit Set(24x36)-Mechanical
1 09-13-17 Mechanical Permit Application
Notes
The check for the plan review of$718.87 was sent separately and should arrive
on 09/14/17.
Distribution Method
Overnight Courier- FedEx
Standard Priority
New York Long Island Miami
Dallas Dublin,IFIL
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9500 SW WASHINGTON SQUARE RD, TIGARD, February 6, 2018 at
OR, 97223 9:24:20 AM
Record Type: Record ID:
Commercial - Building BUP2017-00249
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor