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Permit CITY OF TIGARD BUILDING PERMIT 11,1 • . COMMUNITY DEVELOPMENT Permit#: BUP2022-00116 Date Issued: 6/14/2022 T I G A It p 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S115BA00100 Jurisdiction: Tigard Site address: 16200 SW PACIFIC HWY M Project: Tigard Town Square Subdivision: None Lot: None Project Description: Non-structural demolition. Contractor: PSR WEST COAST BUILDERS Owner: TECOLOTE RESOURCES INC 3458 MT DIABLO BLVD KELLY'S LEGACY LLC ET AL LAFAYETTE, CA 94549 BY HESLIN HOLDINGS INC 23421 SOUTH POINTE DR STE 270 LAGUNA HILLS, CA 92653 PHONE: 925-299-0518 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB Permit Fee-Additions.Alterations, 05/18/2022 $1,060.77 Occupancy Grp: B Occupancy Load: 0 Demolition 12%State Surcharge-Building 05/18/2022 $127.29 Dwelling Units: 0 Plan Review 05/18/2022 $689.50 Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 05/18/2022 $2.00 Bedrooms: 0 Bathrooms: 0 11x17) Value: $94,000 DC Provision Review,COM TI-Ping 05/18/2022 $274.00 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $2,153.56 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 952-001-0010 through OA 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by callmg543.232.1987 or 1. 0,432.2344. Issued By: 1,-, LZ17I j71\ I� PermitteeSignature: ;�� / Cal 503.639.4175 by 7:00 a.m.for the next available in �ec on ate. ' i This permit card shall be kept in a conspicuous place on the job site riritil c pletion o4he oject. Approved plans are required on the job site at the time of each inspection. ` Building Permit Application Commercial FOR OFFICE USE ONLY 1111 - City of Tigard RECEIVED Received 'J /e2 7.2- .f a)/go' ece e' • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503-718-2439 Fax: 503-598-1 PR 2 $ 2022 Date/By: �'' 9 • al Related Permit: T I GARD Inspection Line: 503-639-4175 Date Ready/By: nuts: 1 See Page 2 for v Internet: www.tigard-or.gov CITY OF TIGARU eifiediMethod: Supplemental Information ''I' n�K�f �J_�1;_ jy • i TYPE O#WbK G DIVISIOI, REQ IRED DATA:1-AND 2-FAMILY DWELLING 0 New construction 1rDemolition 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 dwelling .ig Commercial/industrial Valuation: $ - ❑ Accessory building ID Multi-familyNumber of bedrooms: ❑ Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: Jlfl Z t Ss� p ✓�,_ " y 4rp New dwelling area: square feet City/State/ZIP: —0/ 49,Q q 72 0 Garage/carport area: square feet Suite/bldg./apt.#: 49 Project name: 72 /b v aJ.: J4,r'�S Covered porch area: square feet Cross street/directions to job site: >Q �v ,/,s>y 7/7 Deck area: square feet / Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 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. Valuation: $ ,...c.c.. / Existing building area: square feet New building area: square feet t'PROPERTY OWNER 0 TENANT Number of stories: iP.C.1/ Name: (-.�L)U .�,..I-i2 J,L� Type of construction: 11`, 15, Address: 2 3 si2) s f .PAL DAL, Occupancy groups: City/State/ZIP: LA.‘0,7vda%� s4/ c_.a_S / <4. Existing: Phone:(q l L 27 7— lie{6O Fax:( ) New: ((APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* 'J (Please refer to fee schedule) ,..r'CY� Business name: . / S ���"'CCCC I� -7- �-�'T ' ��T`5 •�� Structural plan review fee(or deposit): Contact name: '-fo,,, _ d r"7','T FLS plan review fee(if applicable): Address: r(o)D i -St? 72 '-ho A11., . lastYJ�r7 p 7 Total fees due upon application: City/State/ZIP: er,�-1-L4.Ajt, , 0.p` I 2 Phone:(�juy 2�/,ems51 Fax::( .-- )---- Amount received: E-mai )� 7 p PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* NQ r.IS h rat a hC�tt�c�9+ r G vH.1 Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: /'Jr Submit two(2)sets of roof plan with connection details a �. and fire department access,along with the 2010 Oregon Address: `45o n- , D„yr��„, 2_�e, , Solar Installation Specialty Code checklist. City/State/ZIP: Permit fee(includes plan review $180.00 �`/A'� erg, G4 and administrative fees): Phone:(92 S Z q e/„c 5 i�� Fax:( ) State surcharge(12%of permit fee): $21.60 ' 7 CCB Lie.: / 7 (' � 7U 7%/L) 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. '� 57.c4 Print name: 7;s4 Date: , /+�Z * Fee methodology set by Tri-County Building Industry i�T 2 Service Board. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Accessibility: Barrier Removal Improvement Plan Commercial & Multi-Family - Additions or Alterations T 1 GARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov 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 percent(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: $ (1) Accessible drinking fountains:and, $ (g) When possible,additional accessible elements such as storage and alarms: $ TOTAL(shall equal line [2] of Valuation Computation): $ 1:\Building\Permits\BUP_COM_PcrmitApp.doc Rev.03/05/2019 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT lig " Plan Submittal Requirements Commercial & Multi-Family - New, Additions or Alterations TIGARI) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov 1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with: A. ❑ map& tax lot# ❑ project name ❑ site address ❑ suite number ❑ zoning ❑ applicant name ❑ phone number B. North arrow. C. Scale (architectural or engineering only). D. Street names. E. Setbacks. F. Parking,including disabled access. G. Finished floor elevations. 2. EROSION CONTROL PLANS AND DETAILS. 3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of plans required based on submittal type (no redlines or tape-ons accepted). All details listed below shall be incorporated into the plans: A. Scale (architectural or engineering only). B. Foundation plan. C. Floor plan(s). D. Cross sections. E. Reflective ceiling plan. F. Seismic bracing detail for suspended ceiling. G. Roof plan. H. Exterior elevations. I. Structural calculations, plans, details and specifications. J. Accessibility barrier removal worksheet. K. Deposit- based on valuation of project. I:A Building\Permits\BLIP_COM_PernitApp.doc Rev.03/05/2019 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT N . . . Plan Submittal Requirements Matrix - Commercial & Multi-Family - New, Additions or Alterations TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov Type of Submittal # of Plans (Includes new, additions and alterations.) Required at Submittal Demolition Permit 2 (site plan is required showing location and square footage of all buildings to be demolished,erosion control plan and tree protection,if applicable) Site Work 3 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 3 Fire Protection System 3 Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Solar Photovoltaic 2 (Requires check list for prescriptive installation. If not prescriptive installation,engineering is required.) Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington County, and Tualatin Valley Fire& Rescue),if applicable. I:\Building\Permits\BUP_COM_Pcrmit9pp.doc Rev.03/05/2019 illhCity of Tigard 4 COMMUNITY DEVELOPMENT DEPARTMENT it l Building Permit Review — Commercial - No Land Use e ms.: - - - z.'.2.1 A s.-- R..attaditA,.; .•, r�s s: : - ._ TK+: m aitS _ _._. , Building Permit #: /(..1�„2U j//fp Site Address: 1/6'200 Svc CPGICt - ffvUy Suite/Bldg#: /v, Project Name: Sec S .e, (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review 'rL,, Proposal: IAfe.,C dlr dQ,44 0 TO(' ✓�u.l ""e,VtavI� `✓ta Vte4tJ C(/LCLyd-- i l/1rit)Ve144 ) Existing Business Activity: 3feX.- " /Sp i,,e, CPrrvI ev4y &roceir ) Proposed Business Activity: lib Verify site address/suite#exists and active in permit system. ❑ River Terrace Neighborhood: 0 Yes El No g zoning C K Permitted Use: 0 Yes 0 No (x Spec Space Zt Confirm no land use required. Business License: Evists: glYes 0 No,applicant was provided a business license application Notes: 06 ‘l4eti`-b +e Vl\ (VUtrf kiLel/`er'►'+ AVuL0 ii t'( it,(S Ovlly Approved by Planning: J, /, 4 Date: -//A/70 2.-2..Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: ❑ Approved 0 Not Approved Building Permit Submittal Original Submittal Date: S'-- 27,2-2_ Site Plans: # 3 Building Plans: # Building Permit#: •ifl-E ter building permit#above. Workflow Routing: ' Planning 0 Permit Coordinator Building Workflow Sign-off: $-Sign-off for Planning(include notes from planning review) Route Application Documents: _El-guilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: �/ /2Z By Permit Technician: /4„.. . � Date: ,� /LY 1:\Building\Fonns\BldgPermitRvw_COM NoLandUse_111819.docx RECEIVED APR 2 8 202Z 401 Co CITY OF TIGARD BUILDING DIVISION PS R Trader Joe's #000 Tigard Towne Square ‘DERS ' Apr 19,2022 Proposal -Demolish Permit Scope PSR West Coast Builders Inc. Scope Total Notes • Demolition of existing Toilet Rooms,fixtures,&finishes;Cut&cap of existing Sewer line to existing Toilet Rooms;Saw-cut&removal of concrete for the Demolition $88,300.00 new underground Plumbing lines for Trader Joe's Toilet Rooms,Breakroom, Mop Sink,&Demo Prep Area;Saw-cut and removal of concrete for new Freezer Slab;Saw-cut and removal of concrete for new underground Electrical Walker Duct trench for Trader Joe's Check Stands. Subtotal $88,300.00 G.C.Fee @ 6% $5,298.00 Bid Amount $93,598.00 Owner Contractor PSR West Coast Builders Peter Schadek 3458 Mt.Diablo Blvd Lafayette,CA 94549 925.299.0518 925.299.0517