Permit CITY OF TIGARD BUILDING PERMIT
If
' COMMUNITY DEVELOPMENT Permit#: BUP2015-00139
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/08/2015
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9485 SW WASHINGTON SQUARE RD AO6A
Project: Build-A-Bear Workshop Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: TI for existing tenant.
Contractor: LAKEVIEW CONSTRUCTION INC Owner: PPR WASHINGTON SQUARE 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: IIB Permit Fee-Additions,Alterations, 07/08/2015 $3,219.95
Demolition
Occupancy Grp: M Occupancy Load: 57 12%State Surcharge-Building 07/08/2015 $386.39
Dwelling Units: 0 Plan Review 05/20/2015 $2,092.97
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 05/20/2015 $1,287.98
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 07/08/2015 $78.00
Value: $450,000 11x17)
Info Process/Archiving-Sm$0.50(up to 07/08/2015 $5.00
11x17)
Floor Areas: Metro Const.Excise Tax-Commercial 07/08/2015 $540.00
Use
Total Area: 2790 DC Provision Review,COM TI-Ping 07/08/2015 $299.00
Accessory Struct: 0 DC Provision Review,COM TI-LRP 07/08/2015 $44.00
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $7,953.29
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
952-001-00 • ••• - 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.
Iss ed By: / / Permittee Signature:
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.
1
Building Permit Application
g 14
Commercial FOR OFFICE USE ONLY
City of Tigard COVED Date/Be: M ," PernutNo.: i , ! y•15 001,
11111
• 13125 SW Hall Blvd.,Tigard,OR 9 Plan Revi •• 1 ��
= Phone: 503.718.2439 Fax: 503.59>�1460 15 DateB : `j�I� Other Permit:
T I c'A R v Inspection Line: 503.639.4175 v 1 2 20 Date Ready t : Jars El See Page 2 for
Internet: www.tigard-or.gov MA Notified/Method: 7/7/) 71 TDC Supplemental Information
A PA BD t;
TYPE OF ilt NG Dl t REQUIRED DATA:1-AND 2-FAMILY DWELLING
NM"' Permit fees*are based on the value of the work performed.
❑New construction ■ Demolition 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: $
❑Accessory building ❑Multi-family Number of bedrooms:
1=1 Master builder 1=1 Other:
Number of bathrooms:
SITE INFORMATION AND LOCATION Total number of floors:
Job site addres 4� Washington Square Road New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:AO6A Project name:Build-A-Bear Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
45 tO ery/eN (rj 44 w Other structure area: square feet
A ']�r' pZ(1�,(yQ � ik,( Ala1E. a�,y-. REQUIRED DATA:COMMERCIAL-USE CHECKLIST
c\ Subdivision: /I b>ri"bi 4 Lot no Permit fees*are based on the value of the work performed.41,
n/� Indicate the value(rounded to the nearest dollar)of all
W Tax map/parcel no.: 3 o, 'i�Gt�/G�� `► „ equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK /C t 6 t"
work indicated on this application.
Replacing existing Build-A-Bear with new,same tenant space Valuation: $450,000.00
Existing building area: 2790 square feet
New building area: 2790 ri square feet
El PROPERTY OWNER I ❑ TENANT Number of stories: 1
Ct
Name:Macerich-Aaron Pratt Type of construction: Type II B
Address:11411 N.Tatum Blvd. Occupancy groups:
i\ City/State/ZIP:Phoenix,AZ 85028 Existing: Mercantile
N Phone:(602)953.6750 Fax:( ) New: Mercantile
CQ ® APPLICANT ❑ CONTA PERSO `,jet BUILDING PERMIT FEES*
� Business name:FRCH Design Worldwide t y'_ (Please refer to fee schedule)
°Q° fsff 00"'"""�� Structural plan review fee(or deposit):
Contact name:Bryan Goodwin
�� a FLS plan review fee(if applicable):
Address:311 Elm St.Suite 600 �l
j Total fees due upon application:
City/State/ZIP:Cincinnati,OH 45202 ��"I (fir��
Phone:(513)362.1391 I ::(513)241.5152 61105
1 f6,-I Amount received:
E-mail:bgoodwin @frch.com �/ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:' ' V L-' -.yGat - 1 ,,- LyICt Submit two(2)sets of roof plan with connection details
^ and fire department access,along with the 2010 Oregon
Address: I G li)..4 Q r`'"bi', 21t€2.100 Solar Installation Specialty Code checklist. _
City/State/ZIP: � {, y . pf � I �, I�3 t 5q Permit fee(includes plan review $180.00_
,�I_ and administrative fees):
Phone: .7,//c,9 — g5i- 3334, Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: g/q 2;7 Total fee due upon application: $201.60
Authorized sign This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print na . Date: 5/11/20,1 * Fee methodology set by Tri-County Building Industry
Service Board.
I:1BuildingwPermits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
i
a s
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
1; I Building Permit Review — Commercial - No Land Use
Building Permit #: A470/5-_00/3
Site Address: l" E. 54/ Zi/ L,,tzfi . 1,;1,,,re 4 Suite/Bldg#:
Project Name: 61t,jd_4.- `__-_
(Name of commercial usiness occupying the space. If vacant,enter Spec Space.)
Planning Review II
Proposal: fl -or p(w retai 1 �C',Y1Cll.n+
Existing Business Activity: SA�eS-Or 1 e, r e+ .I I
Proposed Business Activity: Sal es—O r t e ,r, ,..1.73‘\
rifierify site address/suite#exists and active in permit sys m.
V River Terrace Plan District ❑ Yes U No
iQr oning: Mkj(',
Permitted Use: islYes ❑ No ❑ Spec Space
Confirm no land use required.
If Business License
Exists: LuJ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: m r 100 bc Date: 51.2_01 t 5
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
Original Submittal Date: V/./A i-
Site Plans: #
Building Plans: # 02 ( ',;,l lei' ,S Ir,A,/► ,c,/ 67ie/5-O.i,
Building Permit#: der building permit#above.
Workflow Routing: e P nningrmit Coordinator ding
Workflow Sign-off: i Sign-off for Planning(include notes from planning review)
Route Application Documents: OIding. original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: :7/- el/,/�'...*Au-t/ .i+ /��✓S rc- rcee,!�/ �y -•/^ av S 4/5-
_
i
op,. c� �_� .* . IA L a ice" '4, A A..=ia-i • //i
By Permit Technician: _ , Date: 5Am//S�
*) c-k Vdv/i s ,- p4,..1.
\ I:\Building\Fonns\BIdgPermitRvw_cXM_NoLandUse 03I015.doex
I s +
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:
:FIZI OK to Issue Permit
Approved by Permit Coordinator: / / a�� Date: VI l
PP Y S
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 031015.docx
11111 CITY OF TIGARD RECEIPT
q 4 a
a .7 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 200864 - 05/20/2015
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
BUP2015-00139 Plan Review-Fire Life Safety 230-0000-43108 $1,287.98
BUP2015-00139 Plan Review 230-0000-43106 $2,092.97
Total: $3,380.95
PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 160323 BTAGGART 05/20/2015 $3,380.95
Payor: FRCH Design Worldwide
Total Payments: $3,380.95
Balance Due: $0.00
Page 1 of 1
F R C H I EMILY BUSINESS FORMS 800.392 6018 DE I
311 Elm Street,Suite 600 Cincinnati,Ohio 45202-2706 513-241-3000 160323
Check Date: 5/19/2015
Invoice Number Date Voucher 1. Amount Discounts Previous Pay Net Amount
05-15-15a 5/19/2015 0189213 3,380.95 3,380.95
City of Tigard TOTAL 3,380.95 3,380.95
Cincinnati Operating 3 10.MISC
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9485 SW WASHINGTON SQUARE RD A06A,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2015-00139
Jeff Grove
Violation Summary:
Inspector Contractor