Permit q CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016-00019
13125 SW Hall Blvd.,Tigard OR 97223 503 718 2439 Date Issued: 01/21/2016Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9469 SW WASHINGTON SQUARE RD A10
Project: Yankee Candle Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: TI for new tenant in this temporary location.
Contractor: HORIZON RETAIL CONSTRUCTION Owner: PPR WASHINGTON SQUARE LLC
1500 HORIZON DR PO BOX 847
STURTEVANT,WI 53177 CARLSBAD, CA 92018
PHONE: 262-638-6000 PHONE:
FAX 262-638-6015
Specifics: FEES
Description Date Amount
Type of Use: COM Permit Fee-Additions,Alterations, 01/15/2016 $408.32
Class of Work: ALT Type of Const: IIB Demolition
Occupancy Grp: M Occupancy Load: 12%Stale Surcharge-Building 01/15/2016 $49.00
Dwelling Units: 0 Plan Review 01/15/2016 $265.41
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 01/15/2016 $163.33
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 01/15/2016 $10.00
Value: $22,000 11x17)
DC Provision Review,COM TI-Ping 01/15/2016 $88.00
Floor Areas:
Total Area: 0
Accessory Structs 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $984.06
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes 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 CUING by c4date.
8 or 1.8 32.2
Issued By: / � Permittee Signature:
C 503.639.4175 by 7:00 a.m.for the next available inspeThis permit card shall be kept in aconspicuous place on thejob site untihe project.
Approved plans are required on the job site at the time of each inspection.
Buildin2 Permit Application
Commercial RETTIVEP
"DaIeBy:
City of Tigard CC G =Related
13125 SW Hall Blvd.,Tigard,ONA421 3 ?V6 Plan Re
ME Phone: 503-718-2439 Fax: 503-598-196(1 Datc6 : (Inspection Line: 503-639-0I 5 Date Ready/ Page 2 for
IntetneC www.ligard-or.govCl'V UP I H ARD Notified/Method: mental Information
BUILDING PJVISIU�
TYPE OF WORK RiQUIR&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: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwellingValuation: S
❑Commercial/industrial
❑Accessory building ❑Mulli-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: �/ /� New dwelling area: square feet
City/State/ZIP: Q�r/� Garage/tarpon area: square feet
Suite/bldg./apt.#: �Q Project name: /¢NJC( L= Covered porch area: square feet
Cross streevchrections to job site: Deck area: square feet
Other structure area: square feet
It PJ I REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: ,4e,r' Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 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.
/'/�1 Valuation: S
C. Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number ofstones:
Name: ��r Type of construction:
Address: L Occupancy groups:
City/State/ZIP: �� /CL/�J a� Existing:
Phone: 5—g Qkj Fax: 31 7'$5
New:
Q APPLICANT - ❑ CONTACT PERSON BUILDING PERMIT FEES-
Business name: Pfeeaa rele,m ke schedia
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
Total fees due upon application: y()6
City/State/ZIP:
:( ) Amount received:
Phone: Fax:
-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photovoltaic Solar Panel System.
Business name: t� ✓jj�G%�GY Submit Iwo(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: �o ��/� ✓(i Solar Installation S ecialry Code checklist.
City/State/ZIP: G/>e7-bl/i4�lr Permit fee(includes plan review $180.00
and administrative fees):
Phone: �— Fax:( ) State surcharge 112%ofpermit fee): $21.60
CCB Lie.:
Total fee due upon application: S201.00
Authorized signature: This permit application expires if a permit is not obtained
within IAO days after it has been accepted as complete.
Print name: �r b T Ql� ate; � �. ` Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building,Permits\Bl_P_COM_PenmtApp.doc Rev.0412112014 4404613TL 1/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
■
• Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tisard-or.gov
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Fvery 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 rcadily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terns of cost and scope.
(2) .Uterations made to the path of travel to an altered area mac be deemed disprnpnruonate to
the overall alteration when the cost exceeds mrenn-five percent (25"o)
VALUATION: *1 otal of all renovation,alteration or modification being done,
excluding painting and wallpapering: 111 S
MULTIPLIER (25%barrier removal requirement): x .2.5
TOTAL BUDGET FOR BARRIER REMOVAL: 121 S
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
follovdng order:
(a) parking $
(t) .An accessible entrance S
(c) .An accessible route to the altered area: $
(d) .At least one accessible restroom for each sex or a single unisex
restroom: S
(e) .Accessible telephones: $
(f) .Accessible drinking fountains: and, S
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [21 of Valuation Computation): S
I.Ato... npVP,nniis\Ftl'P_f(t,AI_Ponnit.A1,1,tk, Kcc. I_'/18,"1114
City of Tigard
COMMUNITY DEN IiLOPMENT DEPARTMENT
■
Building Permit Review — Commercial - No Land Use
Building Permit #:
Site Address: yy(q &4)_ J� od� Suite/Bldg#:
Project Name:
ame of commercial business occupp,ig the space. If cac nt,enter Spee Space.)
Planning Review
Proposal: v) Gi n V7� CC/1 n d TZ-
Existing Business Activity: m qVJU-zLC
Proposed Business Activity: M fYt.R,t'e-C aA-
j� Verify site address/suite # exists and active in permit system.
River Terrace.Neighborhood: ElYes No
M/Zoning: &
X�J,/Permitted Use: Yes ❑ No El Spec Space
/ Confirm no land use required.
X
Business License:
Exists: ❑ Yes ❑ No, applicant notified to obtain business license
Notes: M /�
Approved by Planning: / � I o kl� /J k- 110 9-coyCn- Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approycd ❑ Not_\pprcmed
Revision 2: ❑ Approycd ❑ Not Approved
Revision 3: ❑ Approycd ❑ Not Approved
Building Permit Submittal
Original Submittal Date (
Site Plans: #
Building Plans: #
Building Permit#: �n�ter—building permit above. 2-B,
� � � �
Workflow Routing: C6-T'a nin eL'�I rnut(;r�ordinator Ld_JSr3tltfng
\Y'orkElow Sign-off: .ign-off fo-r Planning(include notes from planning review)
Route .\pphcation Documents: uLq—ITlldmg original permit application, site plans, building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date: /<{
I:\Bu i Id ing\Fonns\Bldg Penn itRvw_COM_No IandUse_070915.doex
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:
rISD
C Fees Entered: Wash Co 'Frans Dev '1'ax: El N/A
Tigard'1'rans SDC: El Yes N/A
Parks SDC: ❑ Yes (ll�f N/A
?OK to Issue Permit
Approved by Permit Coordinator: Date:
1: Building Forms BldgPennitR%"_COM NoLandUx_070915.doc<