Permit (19) r � CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016-00012
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/08/2016
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9477 SW WASHINGTON SQUARE RD A07
Project: Yankee Candle Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: TI for new tenant.
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
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 01/21/2016 $1,389.83
Demolition
Occupancy Grp: M Occupancy Load: 39 12%State Surcharge-Building 01/21/2016 $166.78
Dwelling Units: 0 Plan Review 01/12/2016 $903.39
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 01/12/2016 $555.93
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 01/21/2016 $220.00
Value: $146,507 Info Process/Archiving-Lg$2.00(over 01/21/2016 $56.00
11x17)
Info Process/Archiving-Sm$0.50(up to 01/21/2016 $5.00
Floor Areas: 11x17)
Metro Const.Excise Tax 01/21/2016 $175.81
Total Area: 1404
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,472.74
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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 rw 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 50 . 2.1 7 or 1.80 2 4.
Issued By: Permittee Signature:
all 511 39.4175 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.
T l LIeG -3
Building Permit Application
h ,
Commercial ,`
Received
City of Tigard Date B Permit No.: /
13125 SW Hall Blvd.,Tigard,OR 9722 ed/Method:
eview
Phone: 503.718.2439 Fax: 503.598.1960 : 1 Other Permit:Inspection Line: 503.639.4175 i eH See Page 2 forInternet: www.tigard-or.gov � / !�! �� Supplemental Information
w Mill ' 44
TYPE OF WORKL EQUIRED'DATA I.AND 2-FAMILY DWELLIN
❑New construction ❑De Perm ees*are based on the value of the work perf ed.
Indicate a value(rounded to the nearest dollar) all
Addition/alteration/replacement ❑Other: equipment, aterials,labor,overhead,and the ofit for the
CATEGORY OF CONSTRUCTION work indicate n this application.
❑ 1-and 2-family dwelling Commercial/industrial Valuation: $
NN
F-1Accessorybuilding ElMulti-familyNumber of bedroo
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of flo .
Job site address: 1 S�fi Q New dwellinga: .are feet
City/Siate/ZIP: 2'Z3 Garage/car/rt area: squ feet
Suite/bldg./apt.no.: A 01 Project name: L0'(�.roc�s Cover porch area: square fe
Cross street/directions to job site: D area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: �E,,&L)yWL Lot no.: Permit fees*are basqdIon the value of the wo performed.
Tax map/parcel no.: Indicate the value( de t neaze lar) 1
equipment,materi ab , nea tlrofi for the
D ION OF WORK work indicated on thi a is to
A Valuation: $
Existing building area: !�p square feet
New building area: a square feet
❑ PROPI ATY OWNER TENANT Number of stories: I
Name: UpwiLed („& Type of construction:
Address: Cftw L08 Occupancy groups:
City/State/ZIP: OQ _ N Pf Qt
� Existing:
Phone:( ) bL 4L3a L I) Lr gC(j New: 14
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: wrefeto fk
k
Structural plan review fee(or deposit):
Contact name:
Address: FLS plan review fee(if applicable):
City/State/ZIP: Total fees due upon application:
Phone:( ) Fax::( )
Amount received:
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: u -s.�, Submit two(2)sets ofroofplan with connection details
and fire department access,along with the 2010 Oregon
Address: O U cj LI -"ta Solar Installation Specialty Code checklist.
City/State/ZIP: STV(tT� ` 1 Permit fee(includes plan review $180.00
and administrative fees
Phone:( ( $ Fax:( )
��++��tt State surcharge(12%of permit fee): $21.60
CCB lic.: lw V Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: �40Date: fy IO * 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)
il�
i 1
City of Tigard Ak' "r ko/'��
~ COMMUNITY DEVELOPMENT DEPARTMENT
■
Building Permit Review — Commercial - No Land Use
Building Permit #: &e&1(0--000/„2
Site Address: 7A Z7 �w Suite/Bldg#:
Project Name: ca )A��
(Name of commercial business occupying the space. if vacant,enter Spec Space.)
Planning Review 1
Proposal: T1 6q.`(A W0'k1S
Existing Business Activity: $Q,JeS-or1C, +eA rctalI
Proposed Business Activity-: ..0
Vverifysite address/suite# exists and active in ermit s stem.
P y
11 River Terrace Neighborhood: ❑ Yes '2C No
oning:
Permitted Use: U Yes ❑ No ❑ Spec Space
Confirm no land use required.
VBusiness License:
Exists: ❑ Yes 4o, applicant notified to obtain business license
Notes:
Approved by Planning: YK1( Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date:
Site Plans: # 1449—
Building Plans: #
Building Permit#: ter building permit# above.
Workflow Routing: [SP1 tying ermit Coordinatorm-g
Workflow Sign-off 0- i�gn-.o-f-f-for Planning(include notes from planning review)
Route Application Documents: D-TrE ding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date:
1:\Building\Fonns\B1dgPennitRvw_COM_NoLandUse_070915.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 54�/A
Tigard Trans SDC: ❑ Yes E�rN/A
Parks SDC: ❑ Yes , 'N/A
7�bK to Issue Permit
Approved by Permit Coordinator: Date:
1:\Bui1ding\Fonns\B1dgPennitRvw COM_NolandUse 070915.docx
n _
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PAGE 3 OF 3
TENANT PROJECT CONTACT SHEET ea,e3m3 yy q n
National Services Group,Inc. NSG P� a 330177.2016 �A N A 2 2 0 1 III
626 C Admiral Drive,PmbSulte 120 Annapolis MD 21401 Fax 410 544 1692
National Account Manager: Lauren Chase Tel:410 544 1700 7¢rs+$,OF.:HGA 1)
PROJECT MALL/SC IX`IlLDING DIV1�0-N
,.� YCC # 435 Contact Mall manager Thomas Randal Cd�napt Karen Mayn
Tar- Yankee Candle C.rparatia,: Washington Square corporation Macerich
Add— 9477 SW.Washington Square Rd. Amir...: 9585 SW.Washington Square Rd. Amrees: 11411 North Tatum Blvd.
tltlreae,spe.. Space A 07 Atltlresa Atltlreu
C Zip Portland,OR 97223 ciyzip Portland,Oregon on 97223 city zip Phoenix,AZ 85028
caumry Country: Gauntry:
T-1 pM cave Conway TO 503 639-8860 Tel 602 953-65421
!Tel 473.666-8306 ext 4004 Fax 503 Fax 11
ball
Coll 413-575-0665 Email: Email:
Cade An 1.in. 1 Mellp WWW. vAVA'. www.
I�Addreea oa,iaad Address Verification(LL Letter) SOFT PREVIOUS TENANTS Fir&Sgft —PROJECT COST
T Prev,Work Relocation GC $108,847.00
aeWak ce
a aPt«aTynpant Inline Best Buy mobile previous SPKR S5,760.00
$8,208.0
Sn Famaea 7404ft' — X ----------- -HVAC x750.000
Ileac wnat.eaat:
$148,607.00 i PLUMBING
TENANT OWNER TENANT GC ELECTRICAL $18,076.00
Thomas J Lunde comact
em Yankee Candle Company rperation HorizonRetailConstruction provic FIRE ALARM $a 867.00
Camomt,an
Retail Development AM— 1500
16 Yankee
Com= South Deerfield,IAddress
rive TOTAL COST
MA 01373 city : Sturtevant,oWID53177 Flood z Strip I at,
$146-,507 00
ry 339-832-3848 cell coumry: Mobile 262.880.8151 Panel
e413-665-8569 Facsimile Tel Fax 262.865.6118 Prop Owner - - - -
413-665-8306 ext 4002 Tdeplwne: Tel Fax 262.865.6118 Map Date
re. I
.men E-11: Prop Tax ID#
Lnk _ — -- -_..Lot Sick Parcel —. —
met Aaaialanr u,
ARCHITECT MEP OTHER DESIGNER III
mem� Jimmy L Powers AIA 5682 correct Engineer comact Brett Warner AIA
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I" gym: Jimmy L Powers AIA corlwratwn: KLH Engineers corpomlon. RJC Interiors LLC
12035 Colwick AM— 1538 Alexandria Pike Address: 6467 Glenway Ave
AWre ar5pa e. Addr.aa: Ste 11 Adde— Suite 143
Mzip San Antonio TX 78216 city zip Ft Thomas KY 41075 city zip. Cincinnati OH 45211
ant Country Courtry Mobile 513 661 5063
Tel 513 661 5063 Ta one: 859 442 8050 Te one 513 it
laph leph 47 0410 3
ax 513 766 7653 Facamda 859 Faceimils 513 766 7653
amide: Email #REFI - -. Email. #REFI
www Link i www-link Brett Warner<bwamerQrjc•interiors.com>
a BLDG PLAN TRK# FIRE PLAN TRK#
BUILDING-LOCAL FIRE ZONING
d �,iam
Permt Center,Att:Dan Nelson contact Permt Center,Att:Dan Nelson Contact Permit Center,Att:Dan Nelson
apl City of Tigard Carpmle— City of Tigard Corporaaon City of Tigard
u''I Atldaa 13125 Southwest Hall Blvd. Address: 13125 Southwest Hall Blvd. Address 13125 Southwest Hall Blvd.
mre.a,spem# Building Division Address: Building Division Address, Building Division
clryz.p Tigard OR 97223 ckyzip: Tigard OR 97223 city zip Tigard OR 97223
caumry Country: Country.
503-718-2439 EXT 3 Telephone: 503-718-2439 EXT 5 Telephone: 503-718-2439 EXT 5
F. 503 Facsimile 503 Faceimil. 503
Emee: - Email Email:
www-onk httpd/wwwtigardongov/ L. www U. http://www.tigardor.govl _. _._j www-cnk httpUwww tigerdoygovl
www.
Link http:ttwww.tlgardor.gov/city_hall/community_developq www Lnk http:/tw .tigard-or,gov/city hall/community_develoA www rnx http:!/wwwtigardor.gov/city_hall/community_developt
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cam.m County Contact Contact State Contact correct
-i,, COUNTY Corpxation. STATE corporation: OTHER
Add— Address: Add—
Atltlmarapace. Adtl—. Atltlreae:
c,,yzip: county state City zip: City zip:
CoumK. Coumry. Cwmry:
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Tel Tel Telephone'. State Tel Telephone:
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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
9477 SW WASHINGTON SQUARE RD A07,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2016-00012
Jeff Grove
Violation Summary:
Inspector Contractor