Permit CITY OF TIGARD BUILDING PERMIT
114 q
2 -''> COMMUNITY DEVELOPMENT Permit#: BUP2016-00174
T[GA.RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/22/2016
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9546 SW WASHINGTON SQUARE RD H16
Project: Ann Taylor Subdivision: None Lot: None
Project Description: Combine 3 existing tenant spaces into 1 space
Contractor: SAJO INC Owner: PPR WASHINGTON SQUARE LLC
1320 GRAHAM BLVD PO BOX 847
TOWN OF MT ROYAL, PQ H3P3C8 CARLSBAD, CA 92018
PHONE PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 06/22/2016 $1,860.95
Demolition
Occupancy Grp: M Occupancy Load: 122 12%State Surcharge-Building 06/22/2016 $223.31
Dwelling Units: 0 Plan Review 05/25/2016 $1,209.62
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 06/22/2016 $744.38
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 06/22/2016 $351.00
Value: $225,000 Info Process/Archiving-Lg$2.00(over 06/22/2016 $92.00
11x17)
Info Process/Archiving-Sm$0.50(up to 06/22/2016 $4.00
Floor Areas: 11x17)
Metro Const.Excise Tax 06/22/2016 $270.00
Total Area: 4489
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,755.26
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. ATTEfJZION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
951-0010 throug *AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or/1.800.332 344.
Is ued
AL At By: t Permittee Signature: / ���
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. gl
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.
r •
Buildit:2 Permit ApplicatiECEIVED
Commercial 11 V FOR OFFICE USE ONLY
111‘ City of Tigard MAY 2 3 2016 Received RS /G P u p2Ul Lo- b017'/
Permit No.:
'r 13125 SW Hall Blvd.,Tigard,OR ' , Plan Review .Air: ..I:
Phone: 503.718.2439 Fax: 501` 61 OF TIGARD Date/By: OF l tither Permit:
TIGARD Inspection Line: 503.639.4175 11 DING DIVISION Date Rea y/By: /_ tuns. See Page 2 for
Internet: www.tigard-or.gov Notified/Method: W/f'C/� 0 Supplemental Information
i. # i -
TYPE OF WORK \ REQUIRED DATA:1-'AND 2-FAMILY'DWELLING
0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION
work indicated on this application.
0 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE•,INFORMATION.,AND LOCATION,, , Total number of floors:
Job site address:9546 SW WASHINGTON SQUARE ROAD New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.:H16 Project name:ANN TAYLOR Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 1 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 WOR work indicated on this application.
REMODEL OF THREE EXISITING RETIAL TENANT SPACES INTO ONE SPACE Valuation: $225000.00
4 FOR A NEW ANN TAYLOR STORE. Existing building area: 4489 square feet
New building area: 4489 square feet
;,[0°PROPERTY OWNER 0 TENANT Number of stories: 1
Name:ANN TAYLOR Type of construction: IIB
Address:7 TIMES SQUARE Occupancy groups:
City/State/ZIP:NEW YORK,NY 10036 Existing: M
Phone:(212)385-0333 X3 Fax:(514)385-1108Va New: M
\g', 0°APPLICANT 0"CONTACT PERSON . BUILDING PERMIT FEES*
Business name:ELDER-JONES
(Please refer to fee schedule)
Structural plan review fee(or deposit):
I Contact name:TIM SCHENK
FLS plan review fee(if applicable):
Address:1120 E.80111.STREET,SUIYTE 211
Total fees due upon application:
City/State/ZIP:BLOOMINGTON,MN 55420
Amount received: 4l Ae g. �°1'
Phone:(952)345-6040 Fax::(952-)854-4909 l
E-mail:tims@elderjones.com
PHOTOVOLTAICSOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
, , CONTRACTOR `v roof-top mounted PhotoVoltaic Solar Panel System.
Business name:SAJO. L tj Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:1320 BOUL GRAHAM I-1I NT IQ.d y4 L 1 Solar Installation Specialty Code checklist.
City/State/ZIP: I MOUNT-ROYAL,QC H3P 3C8 Qe- 4'3P 3e.4, Permit fee(includes plan review $180.00
n gvrreR and administrative fees):
Phone:(514)385-0333 X330 Fax:(514)385-11065 State surcharge(12%of permit fee): $21.60
CCBIic.: / 5gt 1tath7
�� Total fee due upon application: $201.60
Authorized signature: /G. • This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:TIM SCHENK Date:5/19/16 * 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)
•
6
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 wallpapering: [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: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Building\Pemuts\BUP-COM PennitApp.doc 03/03/2011
City of Tigard
ligCOMMUNITY DEVELOPMENT DEPARTMENT
T l a R D Building Permit Review — Commercial - No Land Use
Building Permit #: �() 090 I t- DD l 2 q
Site Address: 93--- 16 ,s7ki /L2,2s5,& poe Suite/Bldg#: _P_Lito
Project Name: , 4
(Name of commer ' uc-
siness occupying the space. If vacant,enter Spec Space.)
Planning Review / /� �/
Proposal: TT , Y/ X 74 0.6 ytkij)KQ '-74 1.W ax -.c7„G2c' S'
Existing Business Activity: calls — OY�_P �Y k.e 2 -el
Proposed Business Activity: 4/ // 1/
Verify site address/suite# exists and active in permit systep.
4 'ver Terrace Neigghnborhood: ❑ Yes UX No
iti
omng: ✓Y/
1a Permitted Use: Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: — c �_ Date: S/2
4/
)(e9
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: 5./A4/l1,e
Site Plans: # •3
Building Plans: # 3
Building Permit#: Q'Enter building permit#above.
Workflow Routing: Ei Planning ❑'Permit Coordinator Building
Workflow Sign-off: Er-Sign-off for Planning(include notes from planning review)
Route Application Documents: Zr Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ( I1) �0.--vu---4-L4 Date: 57a',4/G
I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_070915.docx
f .
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: El Yes N/A
(/ Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes N/A
,OK to Issue Permit
Approved by Permit Coordinator: Date: 9" i/ '
I:\Building\Forms\B1dgPermitRvw_COM NoLandUse 070915.docx
FOR OFFICE USE ONLY-SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
ON _,
" h Transmittal a Letter
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov
TO: t. >G�-- -� DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVER
JUL 1 9 ; 6
1.
FROM: V1J -e MEL tiNp, (,;I`i'i( {„ g 1 :GAD
31JIL D i(; r)MSION
COMPANY: S AN 0 t.,oN II--
PHONE:
�PHONE: 7 v't.. - Z.) 0 - 2-1E F, By
RE: 9 5--11, W mat tc Ski-,.` 5eo f. P aol is-CO/ 7 4,L
(Site Address) 'ermit Number)
0-14\-4/C-1-0-a el
(Project name or subdivision ame and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
fr
Additional set(s)of plans. /ltA, Revisions:
Cross section(s)and details. 1 Wall bracing and/or lateral analysis.
Floor/roof framing. � /' Basement and retaining walls.
Beam calculations. l Engineer's calculations.
Other(explain):
E. REMARKS: 7‘11/4,4 ShD•,✓ F Imo.t K` cAo i 1 `1-'e 1 i O H
1-.-e..7Dt c,.r; -IS Z5' ....N c-w P.--, i 5 To I--c, sk- F2i\h*4--) ,11A 1`�
Routed to Permit Tecb ate: "'
2-_ (.L Initi.o�����/e.
Fees Due: ❑ Yes L' 10 Fee Description: Amount I ue:
$
$
$
$
Speci r
Instructions:
Reprint Permit(per PE): ❑ Yes ❑No ❑ Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012