Permit CITY OF TIGARD BUILDING PERMIT
lig8: COMMUNITY DEVELOPMENT
Permit#: BUP2018-00233
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/24/2018
l f '" Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9520 SW WASHINGTON SQUARE RD H06
Project: L'Occitane Subdivision: None Lot: None
Project Description: TI for existing tenant:Demolition,new partitions,suspended ceiling,fixtures,and finishes.
Contractor: ELS CONSTRUCTION INC Owner: PPR WASHINGTON SQUARE LLC
1100 NASA PARKWAY STE 650 PO BOX 847
HOUSTON,TX 77058 CARLSBAD, CA 92018
PHONE: 281-687-5051 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 09/24/2018 $564.15
Demolition
Occupancy Grp: B Occupancy Load: 7 12%State Surcharge-Building 09/24/2018 $67.70
Dwelling Units: 0 Plan Review 08/21/2018 $366.70
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 09/24/2018 $98.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 09/24/2018 $225.66
Value: $35,000 Info Process/Archiving-Lg$2.00(over 09/24/2018 $54.00
11x17)
Info Process/Archiving-Sm$0.50(up to 09/24/2018 $8.50
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,384.71
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 through OAR 952-001-0090. You may obtai a rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
1111111i
Issued By: ftPermittee Signature: ):;;I:Aff.-------.......„.....„„
dir all 503.639.4175 by 7:00 a.m.for the next available ins ct' 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 , FOR OFFICE USE ONLY
City of Tigard �:IV C 0 Received 0-
�,� Permit No.:
n Date/By: r , 1l/1 c 49-,.,
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
MI
Phone: 503.718.2439 Fax: 503.598.1960 ® '� DateBy - ��-,, Other Permit:
TI GARD Inspection Line: 503.639.4175 �,�C3 Date Ready/By: / Juris: EJ See Page 2 for
Internet: www.tigard-or.gov . h''r, l tified/Method:�30�//� /�� 69 Supplemental Information
'Illiag
i x k 3 J(((C//%�YY((•s
TYPE OF WORK I RQU1 R 15 DATA:1-AND 2-FAMILY DWELLING
ID New construction [:1 De o ttton 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: 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: $
ElAccessory building ElMulti-familyNumber of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address.69a41s aw Washington Square Rd#611 New dwelling area: square feet
City/State/ZIP:Tigard Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:L'Occitane Washington Sq. Covered porch area: square feet
Cross street/directions to job site:Washington Square Mall 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.
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.
Valuation: $
Full Interior Alteration Tenant Improvement ; tk !) �w t �� 357(.x..) °`,
yl)7') ✓s .:t.51)c%t/ l /,hfy 1 fix �s 1,-...vv,/ Existing building area: 621 square feet
-KY\1.:,,S:/1•7-.Y/1•7-.YNew building area: square feet
_
❑ PROPERTY OWNER ® TENANT Number of stories: 1
Name:L'Occitane Type of construction: IIB
Address:1430 Broadway 2"d Floor Occupancy groups:
City/State/ZIP:New York,NY 10018 Existing:
Phone:(407)378-6682 Fax:(407)469-3499 New:
Ei APPLICANT ®'CONTACT PERSON BUILDING PERMIT FEES*
Business name:Team KS (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Dennis Godsey
FLS plan review fee(if applicable):
Address: 176 E Highland Ave
City/State/ZIP:Clermont FL 34711 Total fees due upon application:
Amount received:
Phone:(407)378-6682 Fax: :(407)469-3499
E-mail:Bennis.godsey@expeditepermit.com PHOTOVOLTAIC"SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTI(ACTOIL r t!" roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Out To Bid -. 1-� (o/ .1/.,..,(..L.1/....;7b,,- zei:.L� Submit two(2)sets of roof plan with connection details
cand fire department access,along with the 2010 Oregon
Address: j j 1:7 CJ t iii tr.S c,. pk, / ,_,•yt )1 4e_L42 • -n C Solar Installation Specialty Code checklist.
City/State/ZIP: if p - Permit,^k - --) L,,...5".s.-- Permit fee(includes plan review $180.00
and administrative fees):
Phone:(pg.tl) 3 C( h7 0 1 i ( ) State surcharge(12%of permit fee): $21.60
CCB lic. -._____Iiii• Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
-.NM. Ada�! within 180 days after it has been accepted as complete.
S 7 `
Print name:p ti.tiy * Fee methodology set by Tri-County Building Industry
C to Dater- - /� Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
rms
407-469-5599 office
INISIMeA407-469-3499 Fax
-
TRANSMITTAL SHEET
TO: FROM:
Plan Intake Dennis Godsey
COMPANY: DATE:
City of Tigard 8/15/2018
PHONE NUMBER: FAX NUMBER:
503-178-2439
RE:
L'Occitane—9585 SW Washington Square Rd#6H
0 URGENT X FOR REVIEW 0 PLEASE COMMENT 0 PLEASE REPLY 0 PLEASE RECYCLE
L'Occitane
9585 SW Washington Square Rd#6H
Tigard OR 97223
1 3 SETS OF STRUCTURAL PLANS
2. CHECK FOR REVIEW FEES FOR$366.70
NOTES/COMMENTS:
This submittal is for a Tenant Improvement in Washington Square Mall unit# 6H
Please contact me should your require anything additional to complete this process
Thanks
Dennis R Godsey III
Commercial Project Manager
dennis.godsey@expeditepermit.com
407.469.5599 xt 358 office
407.469.3499 fax
Team K5 Construction&Development Coordination,LLC
176 East Highland Ave.
Clermont,FL 34711
- 1 M iCERICH
August 3, 2018
Sargenti Architects
Simone Koufakis Short,
461 From Road, Second Floor
Paramus, NJ 07652
(T) 973.253.9393
Re: L'Occitane @ Washington Square_H06
Dear Simone Koufakis Short,
Final drawings submitted for the above project are "Approved" and ready for permitting. Any
changes needed as requested below can be made and resubmitted to the Landlord in a subsequent
submittal.
If you should have any questions, comments, or concerns regarding this review, please feel free
to contact me.
Sincerely,
,f .,
Charlene Sirokman, RA
Sr. Manager, Tenant Coordination
11411 N.Taturn E.oulev.nj
Phoenix,AZ 25026
F':602,95 3.6200 F:602.953.6449
` T� �4 3 `z4 'S
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.... e d -<..,rcx_ a-.. __ tzT tit. a..Smm_, _a.
City of Tigard
IIICOMMUNITY DEVELOPMENT DEPARTMENT
T 1 c A R D Building Permit Review — Commercial - No Land U s e
Building Permit #: 4/4/01 -r03:3
Site Address: s7 s=-.) i , � ,WySi: / Suite/Bld #:
/
Project Name: L 'ac,fce
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: peel��r i���, Y1�w 4� ni IJ(9VfLd Ct 1., (J }-t-Iw1, mal nj�i1.
C ,
Existing Business Activity: 50.10 0,;!-.11-GA rth;
Proposed Business Activity: S k dy •- C hw,1-[A rt-6 1
ED-Verify site address/suite#exists and active in permit sysste
LDS ver Terrace Neighborhood: ID Yes [ No
LO' Zoning: h(g-
Ltd"PPermitted Use: W/Yes ElNo ❑ Spec Space
1 Confirm no land use required.
Business License: ^/
Exists: El Yes Lid No,applicant notified to obtain business license
,
Notes: llCpv�t . ‘‘n rutli Jt�r tAN te,AiI -t'L goka,, f Nit-tin^ 1-14 LA. .,,tst I icho.
Approved by Planning: 1-t r.,,\ Date: 211-if
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved E Not Approved
Building Permit Submittal
Original Submittal Date: r/ r
Site Plans: # I
Building Plans: # �j _
Building Permit#: �_, n�t��building permit#above.
Workflow Routing: L�Planning Coordinator ding
Workflow Sign off: -�i off for Planning(include notes from planning review)
Route Application Documents: LBuilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: /e-e--Ce,a.e., r j) /Inc.,1
By Permit Technician: Date: 8A/a
I:\Building\Forms\BldgPermitRvwCOM 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:
►.A C Fees Entered: Wash Co Trans Dev Tax: ❑ Yes Zal /A
Tigard Trans SDC: ❑ Yes I►!/N/A
Parks SDC: ❑ Yes :. N/A
?4K to Issue Permit
Approved by Permit Coordinator: / D 2 d
ate:
% 1 ( (
e7.-15(Vi lj D k,,L).6.,(iur-ce-( 7/ f-4Y1J -
litt e7-2_41 e3
I:\Building\Forms\BldgPermitRvw_COM NoLandUse 070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9520 SW WASHINGTON SQUARE RD H06, November 21 , 2018 at
TIGARD, OR, 97223 9:41 :46 AM
Record Type: Record ID:
Commercial - Building BUP2018-00233
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor