Permit (43) CITY OF TIGARD BUILDING PERMIT
I ' COMMUNITY DEVELOPMENT Permit#: BUP2019-00056
Date Issued: 04/01/2019
T[G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9345 SW WASHINGTON SQUARE RD T13
Project: Altar'd State Subdivision: None Lot: None
Project Description: Demolition of existing retail space to include selective demolition of exterior and interior storefronts, interior infill
structure,utilities,and partial structural removal and infill for TI.
Contractor: KNOEBEL CONSTRUCTION INC Owner: PPR WASHINGTON SQUARE LLC
18333 WINGS CORPORATE DR PO BOX 847
CHESTERFIELD, MO 63005 CARLSBAD, CA 92018
PHONE: 636-326-4100 PHONE: 865-288-7700
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 04/01/2019 $674.35
Demolition
Occupancy Grp: M Occupancy Load: 98
12%State Surcharge-Building 04/01/2019 $80.92
Dwelling Units: 0 Plan Review 03/11/2019 $438.33
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 04/01/2019 $98.00
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 04/01/2019 $18.00
Value: $45,000 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,309.60
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 obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.SO0.332.2344.
Issued By: i/2-Th :/ -�r)-- —� Permittee Signature: A. ..A.----- hr
f
Call 503.639.4175 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 R P S i r' FOR OFFICE USE ONLY
City of Tigard Received
Date/B f t
a 13125 SW flail Blvd.,Tigard,OR 97223 FEB S 201g Plan Review 5 7/" s �8 --���6
:14 11 Phone: 503.718.2439 Fax: 503.598.1960 Date/By C �' i- - Other Permit:
TI GA RD Inspection Line: 503.639.4175 i:) Date Ready/By: Juris Et See Page 2 for
Internet: www.tigard-or.gov LCJiLL, ,,G LII t f•-N tified/Method: ,i,f? Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 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 OF CONSTRUCTION work indicated on this application,
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: 5
ElAccessory building El Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
c,3 el S— JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address.9585 SW Washington Square Rd New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:T-13 Project name:Altar'd State Covered porch area: square feet
Cross streeUdirections to job site:SW Hall Blvd and SW Greenburg Rd. Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Washington Square Mall Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 151260000300 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.
Demolition of an existing retail tenant space in an exiting mall.Scope to Valuation: S45,000.00
include selective demolition of exterior and interior storefronts,interior Existing building area: 9671 square feet
infill structure and utilities and partial structural removal and infill. New building area: 9671 square feet
❑ PROPERTY OWNER ® TENANT Number of stories: 2
Name:Altar'd State-Walters&Mason Retail Type of construction: Il-N/Il-B
Address:150 West Church Ave Occupancy groups:
City/State/ZIP:Maryville,TN 37801 Existing: mercantile
Phone:(865)288-7700 Fax:( ) New: mercantile
0 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Ghafari II Concept Design (Please relerrofee schedule)
Structural plan review fee(or deposit):
Contact name:Meghan Frederick
FLS plan review fee(if applicable):
Address:89 Monroe Center N\V,Suite 400
Total fees due upon application: 438.33
City/State/ZIP:Grand Rapids,MI 49503
Phone:(616)771-0909 ex7921 Fax::( )
Amount received:
E-mail: mfrcderickra ghafari.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photovoltaic Solar Panel System.
Business name:TBD iltrio0- �` !f ( 1~4(1/rr Yr ,L� Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:. J, 3 l�t0 - T ed ll ?r-, Solar Installation Specially Code checklist.
City/State/ZIP: � 1,� ; vim`' .7 �e,�' Permit fee(includes plan review $180.00
one: I U and administrative fees):
(6f ') 3d( - y�0d State surcharge(12%ofpermit fee): $21.60 Fax. . }
P
CCBhlie.: � �� '�
Total fee due upon application: $201.60
Authorized signature:j. &lit /'1 This permit application expires if a permit is not obtained
_ within 180 days after it has been accepted as complete.
Print name:Michelle Crossley D 9 :2.27.19 * Fee methodology set by Tri-County Building Industry
Service Board.
I:Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Transmittal G H A FA R
To: City of Tigard Date: 2.27.19
13125 SW Hall Blvd. Re: Altar'd State-Washington Square Mall-
T4gard, OR 97223 Demolition Permit
Ghafari Project Number: 187747
We are sending: ►z/ Attached ❑ Under Separate Cover ❑ Electronic Transfer
The following: ® Drawings ❑ Specifications ❑ Submittals ❑ Other:
Copies Date Description
2 2/27/19 DOC REL 01 -IFP
1 2/27/19 Demo permit application
For Your: ❑ Files ❑ Approval ® Review+ Comment ❑ Use ❑ Other:
Notes:
Please find included demolition permit application, and 2 sets of demolition drawings for the future Altar'd
State retail store at Washington Square Mall.
Permit review fee will be paid online.
Hard Copy Sent: ® USPS ❑ Commercial Carrier ❑ Hand Delivery ❑ Other:
Electronic Transfer: ❑ E-Mail ❑ File Transfer(FTP) To E-Mail Address or Alias:
By: Meghan Frederick
Copies to: Central File
Meghan Frederick,AIA,NCARB ❑ 17101 Michigan Ave. ❑ 211 West Fort Street ❑ 8606 Allisonville Road
Dearborn, MI 48126 Detroit,MI 48226 Suite 355
Project Architect T 313.441.3000 T 313.502.5474 Indianapolis, IN 46250
F 313.441.1545 F 313.502.5697 T 317.845.9666
ri//Concept Design F 317.845.9682
Gha
89 M inroe Center NW,Suite 400
Gran \Rapids,Michigan 49503 USA
T +1.646.771.0909 x7921
M +1865.924.9000
E mfrederick@ghafari.com
SPACE
TO Page 1 GEN-DES-F-103
GHAFARI.COM THRIVE
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 4////09,,Zc)/?
— x'•S :
Site Address: 01Cjf3 (s-VJ V\iAall +oh (flu, Rd. Suite/Bldg#: - 13
Project Name: Atr () S -&
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: TI . i the QACteriw Chanty ' Yew -ictwi-1
Existing Business Activity: Q f'f i,t
Proposed Business Activity: Pef71,1 ‘.SDlw c
Verify site address/suite#exists and active in permit system.
qRiver Terrace Neighborhood: ❑ Yes ❑ No
—Zoning: MuC>
Permitted Use: ❑ Yes No ❑ Spec Space
Confirm no land use required.
*Business License:
Exists: 0 Yes y No,applicant notified to obtain business license
Notes: no c -ho hlivlo( mod kat Vitro
Approved by Planning: ijU /(.0��(1� Date: 3 l t 9
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: ,R /2f '2'2
Site Plans: #
Building Plans: #
Building Permit#: ►:'I- ter building permit#above.
Workflow Routing: V lanning ermit Coordinator 'ding
Workflow Sign-off: Sign-off for Planning(include notes fro Tanning review)
Route Application Documents: Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ✓ 4L �I/i �i_� Date: ? ��
L\Building\Fonns\B1dgPennitRvw_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:
/DC
Revision Notice 3: Date Sent to Applicant:
Fees Entered: Wash Co Trans Dev Tax: ❑ Yes erN/A
Tigard Trans SDC: ❑ Yes [7:1/&/AA
Parks SDC: ❑ Yes 2,11//A�A
OK to Issue Permit
Approved by Permit Coordinator: / Date: 3/2/19
f,, E ,,,,5 • <rz
,1
I:\Building\Forms\BldgPermitRvw COM_NoLandUse_070915.docx
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
9345 SW WASHINGTON SQUARE RD T13,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2019-00056
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor