Permit rt CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2013 -00114
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/06/2013
Parcel: 1S126CD00300
Jurisdiction: Tigard
Site address: 9500 SW WASHINGTON SQUARE RD
Project: JC Penney Subdlvision:VASHINGTON SQUARE ESTATES NO Lot: 108
Project Description: Build out or alteration
Contractor: WESTWOOD CONTRACTORS INC Owner: PPR WASHINGTON SQUARE, LLC
951 W 7TH ST BY J C PENNEY 0288 -1
FORT WORTH, TX 76102 TAX SERVICES
PO BOX 10001
DALLAS, TX 75301
PHONE: 817- 877 -3800 PHONE.
FAX: 817- 877 -4731
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review, COM TI - Ping 06/06/2013 $256.00
Occupancy Grp: M Occupancy Load: DC Provision Review, COM TI - LRP 06/06/2013 $38.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 06/06/2013 $2,724 67
Demolition
Stories: 0 Height: 0 ft 12% State Surcharge - Building 06/06/2013 $326.96
Bedrooms: 0 Bathrooms: 0 Plan Review 06/06/2013 $1,771 04
Value: $368,000 Plan Review - Fire Life Safety 06/06/2013 $1,089 87
Info Process /Archiving - Lg $2.00 (over 06/06/2013 $48.00
11x17)
Floor Areas: Metro Const Excise Tax - Commercial 06/06/2013 $441.60
Use
Total Area: 0
Accessory Struct 0
Basement: 0
Carport: 0
Covered Porch. 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $6,696.14
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors:
Smoke Detectors: Yes Manual Pull Stations
Accessible Parking: 0
This permit • • ubject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law All work will
be do - in accordance w • 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
day ATTENTION Oregon .w • • i - - • •u to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
95 -001 -0010 through OAR 952 -•.; 1 -0090. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232 1987 or 1.800.332 2344
I sued By: /. // •/ 1 Permittee Signature: Ate
Call 503.639.4175 by 7:00 a.m. for the next available inspectio • ate. / d
This permit card shall be kept In a conspicuous place on the job site until c • lotion of the project
Approved plans are required on the job site at the time of each • pection.
-' ' _Building Permit Application
Commercial RECEIVED FOR OFFICE USE ONLY
�J Received
City of Tigard Perm No.: / '!<"
�
Date/By / /3 � i
13125 SW Hall Blvd., TF OR 97223 r �AY 1 3 2013 Plan Review 614,1 /3 Other Perrnit:4(,(P��.( . 5 x, 0 7
Phone: 503 - 718 -2- 2439 9 Fax: ax: 503- 598 -196 Date/By
T i G RD Inspection Line: 503 - 639 -4175 Date Read /B . Juris ® See Page 2 for
Internet: www.tigard - or.gov CITYOFTIGAR Notified/Method.� /Y�� Wp Supplemental Information
BUILDING DIVISION ic.45- ,A.S.77/J
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ N ..v construction molition Permit fees' are based on the value of the work performed. t
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 CONST CTION work indicated on this application.
❑ 1- and 2- family dwelling ommerciaUindustrial
Valuation: $
El Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
1
Job site address: q.5 o v i -,
gig) New dwelling area: square feet
r
City/State /ZIP: e em t1Q 6:1,,, 97 a Garage /carport area: square feet r
Suite/bldg./apt. no.: Project name: Covered porch area square feet eJ
Cross street/directions to job site: 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.
i �t.� -�`a' (] CY�� ,-}) �- '' Valuation: $ 3 6,?, , , o D , c. iJ
Existing building area square feet
New building area: ), ( o / 000 square feet
❑ PROPERTY OWNER I �ENANT Number of stories: ,
Name: ■, C Q • e , . Type of construction:
Address: r 5 0 , , 1,j Occupancy groups:
City/State /ZIP: ( �1�,, fv r: v 76 Qa-C/ -,4 9 e Existing:
Phone: ( ) Fax: ( �) New:
❑ APPLICANT /CONTACT PERSON BUILDING PERMIT FEES*
(Please refer lo fee schedule)
Business name: y,D 10 Structural plan review fee (or deposit):
Contact name: A te/ \..) `�'
��
Q FLS plan review fee (if applicable):
9` ?�
Address: ;I l n( it '�,� 6 - ee._ "`r '
City/State/ZIP: A 3 1 5() Total fees due upon application:
Phone: ((/7) ._ q q &,_ 9 r I Fax: : ( ) Amount received:
/ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E -mail:
51 { r1 9 g )k o:51"I )ooD R Rc- toRs,coh')
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: f a Q, y' 99D ( Submit two (2) sets of roof plan with connection details
9 and fire department access, along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: (9 �/),y( ., ))L 76,1 0 7� Permit fee (includes plan review $180.00
� 7 and administrative fees):
Phone: (' (7) g 7 7 _ 3 goo I Fax;!D''*�y) 7 ` '4" .3 I State surcharge (12% of permit fee): $21.60
CCB tic.: ( 1 ( . (O _ I 7 Total fee due upon application: $201.60
�. ' ∎R ^�I
Authorized signature: 1, � � j Ii This permit application expires if a permit is not obtained
1taI within 180 days after it has been accepted as complete.
Print name: IA P E S . O F F i 1- Date: — / 3 - J 3 * Fee methodology set by Tri -County Building Industry
Service Board
I: Building \Permits\BUP_COM_PermitApp.doc Rev. 12/11/2012 440 -4613T(I I /02 /COM/WEB)
• '
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD ,
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapenng: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(0 Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
1 \ Building \ Permits \BUP_COM_PermitApp.doc Rev 12/11/2012
f I r
.), 4,
. f"
B Div
. Development Code Provision Review
T i c n R u Commercial Projects with Approved Land Use I
Building Permit No.: , 90 /- 3 " �( /`-
Land Use Casefile No.:
i
Routed Plans: / '
Submittal Date: s I t 3 l( 3
Submittal Date:
Submittal Date: .
To the Applicant: •
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies
to the Building Division. Only checked ( items are approved. Items not approved and those listed in the
notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed
above each section.
STAFF: please only mark those items on the left side that are approved.
I ,
Planning Review (contact • n Ply( at 503-718- c. or @tigard - or.gov)
❑ Land Use Approval
❑ Building Plans Match Approved Plan: Yes ❑ No ❑ .
❑ Maximum Building Height 1
❑ Conditions Met
❑ Street Trees
❑ Protected Trees
Notes: �M ‘ i 04 0464 c elf OM
Original Plan: Approved .. y. Not Approved ❑ Date: �� 1K Z3
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
I \ J
•
Engineering Review (contact Mike Whiie,at,503- 718 -2464 or MikeW @tigard - or.gov)
❑ Actual Slope:
❑ PFI Permit #
;❑ Conditions Met
-.Notes:
•
Original Plan: Approved ❑ Not Approved ❑ Date: 11EI
Revision 1: Approved ❑ Not Approved • Date: � ► — iw
Revision 2: Approved ❑ Not Approve. • Date:
Permit Coordinator Review (contact Albert Shi - : s at 503- 718 -2426 or albert @ tigard - or.gov)
❑ Planning Okay to Issue Permit ❑ Arborist Okay to Issue Permit
❑ Engineering Okay to Issue Permit
Notes:
Original Plan: Date Sent to % pplicant:
' Revision 1: Date Sent . Applicant
Revision 2: Date Se to Applicant
Okay to Issue Permi • Yes ❑ No ❑ { .
Date Routed to B ding:
Page 2 of 2
RECEIVED
MAY 13 2013
CITY OF TIGARD C A L L I S O N
TRANSMITTAL BUILDING DIVISION
Date: 12 April 2013
To: Washington Square Mall •
ATTN: JC Penney /ESI Construction
9500 SW Washington Sq. Road
Portland OR 97223
Re: JCP - 288 Portland OR
Phone 208-362-3040 I Fax Pages (including cover)
P r o j e c t JCPenney - Home / Joe Fresh Rollout Renovation Project # 213048.31
We are sending you the following For your: Action Required
❑ Attached ❑ Under separate cover ❑ Information and use ❑ As indicated
• Prints ❑ Originals ❑ Review and comment ❑ For signature and return
❑ Submittal ❑ Samples ❑ Other • As requested • No action required
❑Urgent ❑Routine
To whom it may concern,
Enclosed are 2 copies of the signed permit drawings for your use in submitting to the city.
If you have any questions, please contact me 214- 446 -0950.
Jeff Smith
c: Callison: 213048.31
" trns/sub /ect/author /date created/Onginal sent via Mail Couner Express Service Fax Hand Delivered Other, Copies sent via Mail Fax Courier Express Service Other Various
1 445 ROSS AVENUE, SUITE 2800 DALLAS, TEXAS 75202
T 214 446 0950 F 214 446 0951 www callison corn