Permit CITY OF TIGARD BUILDING PERMIT
` m COMMUNITY DEVELOPMENT Permit #: BUP2009 -00117
TIG ARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/28/2009
Parcel: 1 S 1260000300
Jurisdiction: TIGARD
Site address: 9538 SW WASHINGTON SQUARE RD H14
Subdivision: Lot: 0
Project: Orange Tree Yogurt
Project Description: TI
Owner: FEES
PPR WASHINGTON SQUARE LLC Description Date Amount
BY THOMPSON PROPERTY TAX SERVUCES, Permit Fee - COM 08/28/2009 $366.70
2235 FARADAY AVE STE #0 Plan Review 06/22/2009 $238.36
PHONE Plan Review - Fire Life Safety 06/22/2009 $146 68
12% State Surcharge - Building 08/28/2009 $44.00
Contractor:
MODERN VISIONS CONSTRUCTION
16030 SW FARMINGTON RD
ALOHA, OR 97007
PHONE: 503 - 784 -1563
FAX.
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 1 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $50,000
Floor Areas:
Total Area 0
Accessory Struct 0
Basement. 0
Carport: 0
Covered Porch. 0
Deck: 0
Garage: 0
Mezzanine 0
Total $795.74
Required: Required Items and Reports (Conditions)
Fire Sprinkler Yes Parapet:
Fire Alarm Yes Protected Corridors No
Smoke Detectors: Yes 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 - - • • ante w . • 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 ENTION Oregon la equir- • u to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952-041-0010 through OAR 952- -0100 Yo y obtain a copy of the rules or direct questions to OUNC by calling 503.246 6699 or 1 800 332 2344
l ai s h _ nah...gh.. Issu = By: � Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that bu loess day.
This permit card shall be kept in a conspicuous place on the job site un it completion of the project
Approved plans are required on the job site at the time of each inspection.
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6R TREE Y3600 e lpe, 5 C- 1 0 ttik 'Z 44 H IAN
' Building Per Application
IVED
Commercial it IN! _ OFFICE USE ONLY
City of Tigard Received r a ` '/ (!
° 13125 SW Hall Blvd , Tigard, OR 97223 CI T.: Review. �1
C Phone 503.639.4171 Fax 503.598.1960 BUILDING DIV1S I eB / t, 1 d' Other Permit
®
I I C. A It D Inspection Line 503.639.4175 Date Ready/B / See Page 2 for
Internet: www.tigard- or.gov Notified/Method e. r ' act �O ♦ Supplemental Information
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.
Valuation: $ 0 no 0
❑ 1- and 2- family dwelling Commercial/industrial /
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
ct 53 g JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: S (,t W A.s( n. i H toy, SCVA.0.ytp /Z H tI N dwelling area: square feet
City /State /ZIP: Ti ,.,k 0 K.. 01 Y1 2_7- 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: I Li. Project name: 0 t( e --r- ee j9 ut ,.f 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: Lot no.: Permit fees* are based on the value of the work performed.
Tax map/parcel no.: 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.
Tev.t7„ .,f- i - pr a tr,�� ew Valuation: $
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I 51. TENANT Number of stories:
Name: `k � l ) g r� Type of construction:
Address: -4-j i 3 q (6 1 � S S 3 rA Si- Occupancy groups:
City /State /ZIP: Pe I l / G e t) LA e I v A 4 goo b / Existing:
Phone: (COS) 2V. 8 -- slf y 7 Fax: ( ) ----- New:
(R APPLICANT ❑ CONTACT PERSON NOTICE
Business name: fA$e_Py h 0: 5 i rnn s 6 w J 1-telAr 4 lbv, All contractors and subcontractors are required to be
Contact name: h�n0 �h vv. licensed with the Oregon Construction Contractors Board
� i under ORS 701 and may be required to be licensed in the
Address: 6 G 3 Q S Val
`t v5v5414‘ jurisdiction in which work is being performed. If the
City/State /ZIP: � _ J) N �t 9 y! 00 1 2
applicant is exempt from licensing, the following reasons
apply:
Phone: (416?) /Q ` i5 6 3 I Fax:: ( ) yy 49.
E -mail: TK 0 I lei HO (L1 I t to en 1 CONTRACTOR
•
Business name: rifk n A.P.V h i 0 " - $ CV tA.s ) L r t7 11 BUILDING'PERMIT FEES*
Address: 1 6 2 0 S ) F -ow .A. N ► 1 4 . k A . (Please re to fee schedule
� Structural plan review fee (or deposit): Q � 3 (D
City /State /ZIP: ,s4 I a h t. 8 q � o 0
Phone: (5 ) 7 g 4 i 3 - 6 3 Fax: ( ) NV� FLS plan review fee (if applicable): I y
CCB lic.: 1 4,6 L{ 8 ' `I, 19.OL; Total fees due upon application:
Amount received: 3.8S ,
Authorized sly .7 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: - T o I J K i �,,� Date: () — Z - — C 9 * Fee methodology set by Tri -County Building Industry
7 Service Board
I: \Building\Permits\BUP -COM PermitApp.doc 2 /23/07 440- 4613T(I1/02 /COM/WEB)
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 \Permits \BUP -COM PermitApp.doc 06/25/08
I' . • ♦ 1
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111111 e ° B uilding Division
Plan Submittal Requirements
T ► G A R D Commercial & Multi - Family - New, Additions or Alterations
1. SITE PLAN (fully dimensional, drawn to scale) 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.
4. EXTRA SET OF THE FOLLOWING:
A. Two (2) copies of site plan to include vicinity map.
B. One (1) copy of erosion control plan with details.
C. Fire Department Building Survey, and full set of architecture drawings.
I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08
Building Division
e
Plan Submittal Requirement Matrix
T ► G n R D Commercial & Multi- Family - New, Additions or Alterations
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 2
Fire Protection System 2
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
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)
I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08
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.
ipq BUILDING DIVISION
TIGARD TRANSMITTAL LETTER
a
TO: at n DATE RECEIVED:
DEPT: BUILDING DIVISION E - ' ' i r , ' )
AUG 10 2009
X FROM: n);,1 / ( C i V OF Wi', : 0
COMPANY: B°,�;° 0." 17 ,;. y;3iv
X PHONE: ' . By
RE: zoec, 3%- 5s t 7 _ . _ _ _ -. . . ._ , . . . .., .,-. 0 ii, 8
t i 1 P-60q
(Site Address) 'emu ase `u .er l,ll
-- Qv r' 4—
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS: CI) LJa Qn, (..___) fit/, ,�- () �! � r
. 0
FOR OFFICE SE ONLY
Routed to Permit Techn : Date: S I � nitials{
❑ Yes No
Fees Due: Description: Amount Fee Descrp
$
$
$
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
I \Building\ Forms \TransmittalLetter- Revisions.doc 4/4/07
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.
BUILDING DIVISION
TIGARD TRANSMITTAL LETTER
a
DEPT: BUILDING DIVISION
OCT 1 5 2009
—
9AV / l' CITY OF TIGARD
S- FROM: ‘'u k BUILDING DIVISION
COMPANY:
PHONE: 20G l 7.? l 1000 By, � L)
RE: 1 5 3 8 LA O Y (Permit/Case - O � 0A,L t \\ P 201)C - OGA' 1.
(Site Address) mit/Case umber)
(Project name name an lot m er)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions: S I' n o ,W Q i v Go �
( 2
Cr section(s) and details. Wall bracing and/or lateral analy .
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS:
FOR OFFICt USE ONLY
Routed to Permit chnician: Date: 10121 09' Initials
Fees Due: es ❑ No Fee Description: Amount ue:
f\ 1..— - PEA b3 V I ( $ `3 ( i co
$
$
$
$
Special
Instructions:
Reprint Permit (per PE): , ❑ Yes ❑ No ❑ Done
Applicant Notified: `/ Date: L (' , a A.. p 9 Initials:
I \Building\ Forms \TransmtttalLetter - Revisions doc 4/4/07