Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2010 -00135
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/01/2010
Parcel: 2S102CC00500
Jurisdiction: Tigard
Site address: 13560 SW PACIFIC HWY
Subdivision: Lot: 0
Project: Starbucks
Project Description: TI
Owner: FEES
13500 PACIFIC CORP Description Date Amount
BY CAPOZZOLI ADVISORY FOR, PENSIONS Permit Fee - Additions, Alterations, 10/01/2010 $1,008.06
INC, 21500 HAGGERTY ROAD, SUITE 100 Demolition
PHONE: Plan Review 06/16/2010 $655.24
Plan Review - Fire Life Safety 10/01/2010 $403.22
12% State Surcharge - Building 10/01/2010 $120.97
Contractor:
TEAM CONSTRUCTION
4201 NE 66TH AVE STE 105
VANCOUVER, WA 98661
PHONE: 360 - 699 -1477
FAX: 360- 699 -1454
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 1 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $87,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,187.49
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 a = • - • - • proved 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. NTION: Oregon law - qui = ou • follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-s 11-0010 through OAR 952 -e • 0100. Y • u • - obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: _ 4(1 �� ��` Permittee Signature: k '
Call 503.639.4175 by 7:00 a.m. for an Inspection that business day.
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.
Building Permit Application
Commercial RECEIVED FOR OFFICE USE ONLY
11 City of Tigard ReceiDate /By: U ved &: l /„ 1 0 '� Pennit No.: ; uP 9 /c 0
Tigard
° 13125 SW Hall Blvd., Tigard. OR 97223 JUN 1 2 10 Q Phone: 503.639.4171 Fax: 503.598.1960 Plan Review
�� to Other Permit:
Plan Review
c%I��.
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready : y: 0 See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISIO Notified/Method: El 01
i Supplemental Information
*.licA'4 Celt- CoarA 4
TYPE OF WORK REQUIRED 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.
❑ 1- and 2- family dwelling Valuation: $
® Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
` JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13560 SW PACIFIC HIGHWAY New dwelling area: square feet
City /State /ZIP: TIGARD, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: STARBUCKS Covered porch area: square feet
Cross street/directions to job site: In parking lot of Tigard Marketplace Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 2S102CC00500 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.
Tenant improvement to existing Starbucks Coffee Space - Remaining Starbucks Valuation: $87,000.00
Signage and exterior screens & footings under deferred submittal as needed. Existing building area: 2174 square feet
New building area: 2174 square feet
❑ PROPERTY OWNER 0 TENANT Number of stories: 1
Name: STARBUCKS COFFEE COMPANY Type of construction: EXISTING
Address: 2401 Utah Ave S Occupancy groups: pi - Z
City /State /ZIP: Seattle, WA 98134 Contact: Wendy Boukbalil Existing: V -B
Phone: (206)342 -6618 Fax: (206)318 -3734 New: V -B (NO CHANGE)
❑ APPLICANT 0 CONTACT PERSON NOTICE
Business name: THE DESIGN COLLECTIVE All contractors and subcontractors are required to be
Contact name: Danielle Ross licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 2303 W Commodore Way Suite 205 jurisdiction in which work is being performed. If the
City /State /ZIP: Seattle, WA 98199 applicant is exempt from licensing, the following reasons
apply:
Phone: (206) 282 -2730 Fax: : (206) 282-2739
E -mail: danieller@thed -c.com
CONTRACTOR
Business name: To erl a ermined t C Y f� � G a- C- BUILDING PERMIT FEES*
Address: Li t/ d �' G E . (Please refer w fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP: cuver1e 0.,e_i- j l4 / ei 6 -6,6 1
FLS plan review fee (if applicable):
Phone: ( 0) /_ Og I y 7? Fax: (��Q) (D ell .- (yet -� Total fees due upon application: # / of $, do
CCB lic.: i — 3,3, 013 i ho Amount received: (p SC. 2Y
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: b i t e r..0S Date: b ( p . i t . ?b(c * Fee methodology set by Tri- County Building Industry
Service Board.
1: \Building \Permits \BUP -COM PermitApp.doc 10/01/09 440- 4613T(11/02/COM /WEB)
•
° Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
miLS fog IS No►J - A- 17Pi_1 CASL.C= SINJCE Au, c M p
AN - P4 $ w t w 27E. PtccESSI I2 L E
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] $ 87,000
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 21,750
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: \Buildin \Permits \RUP -CO\I PermitApp.doc U6/25/118