Permit 11111 a
CITY OF TIGARD BUILDING PERMIT
' COMMUNITY DEVELOPMENT Permit#: BUP2015-00060
T GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/04/2015
I'
Parcel: 1 S135BA00102
Jurisdiction: Tigard
Site address: 10206 SW WASHINGTON SQUARE RD
Project: Ulta Beauty Subdivision: OAKBURG Lot: 9
Project Description: TI for new retail beauty store.
Contractor: LAKEVIEW CONSTRUCTION INC Owner: PPR SQUARE TOO LLC
10505 CORPORATE DR#200 PO BOX 847
PLEASANT PRAIRIE,WI 53158 CARLSBAD, CA 92018
PHONE: 262-857-3336 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg Permit Fee-Additions,Alterations, 05/04/2015 $4,158.20
Demolition
Occupancy Grp: M Occupancy Load: 268 12%State Surcharge-Building 05/04/2015 $498.98
Dwelling Units: 0 Plan Review 03/11/2015 $2,702.83
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 05/04/2015 $1,663.28
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 05/04/2015 $299.00
Value: $625,000 DC Provision Review,COM TI-LRP 05/04/2015 $44.00
Info Process/Archiving-Lg$2.00(over 05/04/2015 $114.00
11x17)
Floor Areas: Info Process/Archiving-Sm$0.50(up to 05/04/2015 $7.50
11x17)
Total Area: 10198 Metro Const.Excise Tax-Commercial 05/04/2015 $750.00
Accessory Struct: 0 Use
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $10,237.79
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
952-001-0 through 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.
A
Issued By: CL Permittee Signature: J
- ' ?(25 ---
Call 503.639.4175 by 7:00 a.m.for the next available inspection da
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.
a
Building Permit ApplicatiTIECEIVED
Commercial FOR OFFICE USE ONE
MAR 5 2015 Received
�� (611:5160 ,f dig,
City of Tigard Date/B \ Permit No.:
• 13125 SW Hall 503.718.2439 Tigard,OR OF TIGARD Planivevi ,�i/ i�/� Other �`y MO?
Phone: 503.718.2439 Fax: 50 Date/8 r I ri
Inspection Line: 503.639.4175 I�DING DIVISION Date Rea.y: : Juris. O SeePage2for
T I G A R D Notified/Method: " Supplemental Information
Internet: www.tigard-or.gov r .�j PP
! 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 ®Other:TI 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: $
El Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10206 SW Washington Square Rd. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name:Ulta Beauty Covered porch area: square feet
Cross street/directions to job site:Square Too Shopping Center 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
0 DESCRIPTION OF WORK work indicated on this application.
`.k Tenant Improvement work for a new retail store Ulta Beauty. Valuation: $5625,000.00
Existing building area: 10,198 square feet
New building area: 10,198 square feet
0,\/ ❑ PROPERTY OWNER I ® TENANT Number of stories: 1
111 Name:Ulta Beauty Type of construction: V-N Existing
W` Address:1135 Arbor Drive Occupancy groups:
c ) City/State/ZIP:Romeoville,IL 60446 Existing: M-Mercantile
Phone:( ) Fax:( ) New: M-Mercantile
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
I Business name:Chipman Design Architecture (Pleaserejerwjeesehedute)
({v), Structural plan review fee(or deposit): Fees Calculated
Contact name:Juan Castillo-Project Manager
V FLS plan review fee(if applicable): by Dan Nelson
Q Address:2700 South River Road,4 to Floor
City/State/ZIP:Des Plaines,IL 60018 Total fees due upon application: 3,325.01
Phone:(847)298-6900 Fax::( )
Amount received: 3,325.01
V E-mail:jastillo@chipman-design.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
K.) Co ial and residential prescriptive installat.• of
CONTRACTOR roof-top me..ted PhotoVoltaic Solar Panel tem.
Business name: LA f \ii;f ``��L ,‘O _, e- f O/Lj Submit two(2) •of roof plan with co = tion details
and fire departmen -ccess,along w' the 2010 Oregon
Address: f or S Q o p_y4 `[�e_ At Solar Installation Spe '•lty Cod, ecklist.
11 City/State/ZIP: LfRS R Permit fee(includ review $180.00
n ,�' �G ) and a. '• tra• e fees):
Phone:(p l 854)—3ij 6 4, I Fax:( )
State surcharge %of permit ‘+): $21.60
CCB lie.: G C4 9,"7 T•.- ee due upon application: $201.60
Authorized signature: i• • This permit application expires if a permit is ,. obtained
within 180 days after it has been accepted as complete.
Print name:Juan Castillo Date:03/04/15 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
IIII ■ COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R D Building Permit Review — Commercial - No Land Use
1
Building Permit #: ------ LIP 90t5- -000(.00
Site Address: I 020k, S W vv vl s i rt`.) y-i Sol, RtSuite/Bldg#:
Project Name: Ulfra eeO .
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: rein IA n k' 1_0,1 P Y o'v e ry..t-n -. 1No rk co r Gt Y\Q
ret-ci,l Store.. -- U I trn. 13 4+j
Existing Business Activity: eQA-CiA t
Proposed Business Activity: ve. il'1 L
❑ Verify site address/suite #exists and active in permit system.
$laver Terrace Plan District ❑ Yes gi No
Zoning: AI l U C
VPermitted Use: Y Yes ❑ No El Spec Space
7 Confirm no land use required. a p proves(, fV%M 0 yp 1 S o000 8
Business License:
Exists: Yes El No,applicant notified to obtain business license
Notes:
Approved by Planning: M 14., 6 i Date: 3Ji 1 1 5
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved El Not Approved
Building Permit Submittal
Original Submittal Date: o //O/
:l / _
Site Plans: # 3
Building Plans: #
Building Permit#: l:4"-Enter building permit#above.
Workflow Routing: -Er-Planning irmit Coordinator Er-Building
Workflow Sign-off: i -off for Planning(include notes from planning review)
Route Application Documents: luilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technicia _ , 0,, a Date:4045
I:\Building\Forms\BldgPermitRvw COM_NoLandUse 0304I5.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: Datc Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
1 OK to Issue Permit / ,
Approved by Permit Coordinator: �I Date:
„7/
alltii S'
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_020415.docx
Transmittal Letter
RECEIVED March 4, 2015
Chipman Design Architecture, Inc.
2700 S. River Road, Suite 400 MAR 5 2015
Des Plaines, IL 60018-4108 ARO
P. 847-298-6900 F. 847-298-6966 CI-(�( OF D VtS
www.chipmandesianarch.com gUILpINca DIVISION Chipman
Design
Architecture Inc.
To: Building Department
City of Tigard Permit Center Attention: Dan Nelson
13125 SW Hall Blvd.
Tigard, OR 97223 Re: Targard, OR
Job Number: 14-6372
We are sending you
X Attached ❑ Under Separate Cover via: [Type text here] the following:
Shipped via FedEx
❑ Shop Drawings ❑ Prints X Plans X Standard
Overnight
❑ Copy of Letter ❑ Change Order ❑ Samples
❑ Specification
Submittal Quantity Date DWG. # Description
1 3 03/04/15 3 Sets of Drawings
2 3 03/04/15 Structural and Energy Calculations
3 1 03/04/15 Plan Check Fee: $3,325.01
4 1 03/04/15 'Building Application
These are transmitted as checked below
X For Approval ❑ Approved as Submitted ❑ Resubmit [#] copies for approval
❑ For Your Use ❑ Approved as Noted ❑ Submit [#] copies for distribution
❑ As Requested ❑ Returned for Corrections ❑ Return [#] corrected prints
❑ For Review and Comment ❑ Revise and Resubmit
❑ FOR BIDS DUE: [Type text here] ❑ PRINTS RETURNED AFTER LOAN
Comments:
Copy to:
From: Barbara List
blist@ chipman-design.com