Permit CITY OF TIGARD BUILDING PERMIT
1111 ' COMMUNITY DEVELOPMENT Permit#: BUP2016-00081
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/18/2016
Parcel: 1 S135BA00102
Jurisdiction: Tigard
Site address: 10140 SW WASHINGTON SQUARE RD
Project: Zoup! Subdivision: OAKBURG Lot: 9
Project Description: Restaurant TI build out
Contractor: ALEGIS CONSTRUCTION INC Owner: PPR SQUARE TOO LLC
6900 SW ATLANTA ST SUITE 110 PO BOX 847
PORTLAND, OR 97223 CARLSBAD, CA 92018
PHONE: 503-427-6065 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 04/18/2016 $453.95
Demolition
Occupancy Grp: A-2 Occupancy Load: 59 12%State Surcharge-Building 04/18/2016 $54.47
Dwelling Units: 0 Plan Review 03/16/2016 $295.07
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 03/16/2016 $181.58
Bedrooms: 0 Bathrooms: 0 Wash Co Trans Dev Tax 04/18/2016 $4,624.00
Value: $25,000 Info Process/Archiving-Lg$2.00(over 04/18/2016 $46.00
11x17)
Floor Areas:
Total Area: 1926
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $5,655.07
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
952-001-001. ..:.OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issue. By: . � 4..&4/14...4k), Permittee Signature: � J
Call 503.639.4175 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.
,ilui ding Permit Application
Commercial CEJ%1Ef)
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City of Tigard Received
DateBy: Permit No.:
�� /lv ao/Gang/
;. ' 13125 SW Hall Blvd.,Tigard,OR^�7,�6j3 2016 Plan Rev.•• r .
■ 503.51)8'494s y �� v Other Permit:
Phone: 503.718.2439 Fax: Date/By:-/!�
I I t, \It I i Inspection Line: 503.639.4175 Date Rea. /�/�/ la See Page 2 for
Internet: www.tigard-or.gov &.A I Y OF 1y G A RD Notified/Method: _ /`7//� Supplemental information
f U , ` /111 �i\, •^0,i CV
r 7:M 'iii, 5 of • s , r , l,i„ '' •t area'i rr srf; ) % •k _ P . ,--1 f,,,,,
,, , - s,-,r Ork:,''', ,§:fir ts` ,oe« moi, .y"r-�;&.. '''' 3„,,P,„."' x '', .�, § 'WI,'r- r re(h14. 4: r * n er"0,4,
.� / Permit fees*are based on the value of the work performed.
❑New construction ❑Demolition � �
Indicate the value(rounded to the nearest dollar)of all
•Addition/alteration/replacement ❑Other: 1, equipment,materials,labor,overhead,and the profit for the
� � _ � �$r y� w t, y "4-v.,", work indicated on this application.
,eliYi is .. wf ,•.: &L'i,..'i?, -4.1' e.�.1$�"S"" ' 'M-.,e4 ^//
❑ 1-and 2-family dwelling •Commercial/industrial Valuation: $ /r!A
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
�; w;* 'r '' ( : Total number of floors:
Job site address: 14 3 w New dwellingarea: square feet
O o w .,,,'Ta+ 5.p...wK Rd. (l.4.1,1-��,1� *7wt• Top)
City/State/ZIP: T .k Q t oi2. 91223 Garage/carport area: square feet
Suite/bldg./apt.no.: 52 Project name: Za..91 5 1-wteg215 Covered porch area: square feet
Cross street/directions to job site: 5 t,J GraN b...r, ed. Deck area: square feet
Other structure area: square feet
-- ,,,,r, >.
Subdivision: I . 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.: )5 1 3$ t3 A 0 0 10 2 equipment,materials,labor,overhead,and the profit for the
17 i M ,:421.,, 1' k..r y �_- ,i o ., : t .3f `'r` "I ` � work indicated on this a. lication.
etrr, d' ...(1- 1-C,-4"..4-1-- x.14 -0-. Valuation: $ L5,Doo
Existing building area: square feet I 1 al 24,
1 New building area: square feet 9 Zto
�, �g�,Y y]�' � �` Number of stones 5 r
Name: 'Tom t re.wea, Type of construction: 3_6
t Address: 2,e 955 -, . 0,0".1�1 A-Tjylp3 E4 Occupancy groups:
City/State/ZIP: N
v
M I i r1 o 1 O(L 910 42 Existing: 4
is Phone:( 503) 505. a4o8 Fax ( )
NCW a
Z
A 1 r aux, # P 1, fi "„g � °,° ° '”t ^.,74,;.7,;,.=:,,,', .-.17-1,7-7,.. x ,,,
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t f Ss .rr bsari ',,,, � ' +kg �a 2Yroi.9�k » d-4 i 4 r- K �. .. w .r4 -k'r0
�.
Business name: �,- 1r�iE T1 o S Structural plan review fee(or deposit):
44. Contact name: [Ia.., CSka.wE..
FLS plan review fee(if applicable):
,` Address: 3 7 2? Pe, .1 fid,
Total fees due upon application:
1 i City/State/ZIP: C l6Jt1eIA.,p 01-1 441,09
'',I 11 'hone:(2[.(0) --I 49.7 g,» Fax::(21(o) 749. i'3.,...-' Amount received: 7113.11
4mail: ra.S. VOLTAIC�:t .!MEW
'` . ' .,, , CONTRACTOR Commercial and residential prescriptive installation of
, roof-top mounted Photo Voltaic Solar Panel System.
: ' Business name: Tamp- ill_ f ,/ �j Submit two(2)sets of roof plan with connection details
t and fire department access,along with the 2010 Oregon
Address: Solar Installation Ssecial Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: t ell Q 6 Total fee due upon application: $201.60
Authorized signature: --t242....2-6,i. This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 'V '.�4, iL' Date: 2.1 up(�(p * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PennitApp.doc 02/24/2011 440-4613T(11/02/COM/W EB)
City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
i li ■
TIGARD Building Permit Review — Commercial - No Land Use
.....-
Building Permit #: r w Pp90/(Q - OCA O g j
SciA11,4fr 24
Site Address: j 0 1 y Q S w wU S h , ton Suite/Bldg#:
Project Name: Z40 Up
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: N 0 _W -e li rim t- TL
Existing Business Activity: C,t rn CA
Proposed Business Activity: C/I� 'or,Q 54 v vee'i
l Verify site address/suite# exists and active in permit system.
7 River Terrace Neighborhood: ❑ Yes No
Zoning: Ail` U G
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: / y`° n1-2-6t. Ril e7 Date: 3Ji&/ I
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: E Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: c5-7/&//,6
Site Plans: # --
Building Plans: # 3
Building Permit#: RI Enter building permit#above.
Workflow Routing: Planning X Permit Coordinator Building
Workflow Sign-off: PKI Sign-off for Planning(include notes from planning review)
Route Application Documents: Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: -C-,---(--(-) Date: /,6
I:\Building\Forms\B IdgPennit Rvw_COM_Noland Use_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:
SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: ❑ Yes P:%'N/A
Parks SDC: ❑ YesN/A
IdOK
to Issue Permit
Approved by Permit Coordinator: Date: 3//6'14
1:Building\Fonns\BldgPennilRvw_COM_NoLandUse_0709I5.docx
TDT Estimate Zoup! 11/18/2015
10140 SW Washington Sq.Rd. 1S135BA00102 AMS
TDT RATES EFFECTIVE 7/1/15
TSDC CITYWIDE&TSDT RT OVERLAY RATES EFFECTIVE 7/1/15 INSIDE RIVER TERRACE
0 Yes
Project is in River Terrace ? p No
Former Use
Rate Type Use# ITE Code # Units Rate TDT Amount Description
TDT 1 814 1.97 $10,766 $21,220 Spec. Retail Center
TDT 1 0.00 $0
1 0.00 $0
1 0.00 $0
Total TDT and TSDCs Former Uses $21,220
Proposed Use
Use# ITE Code # Units Rate TDT Amount Description
TDT 1 932 1.97 $20,151 $39,718 High turn restaurant
1 $0
1 $0
1 $0
2 $0
2 $0
2 $0
2 $0
3 $0
3 $0
3 $0
3 $0
Total All TDTs&TSDCs Proposed Uses $39,718
Less: Total All TDTs&TSDCs Former Uses $21,220
Total All TDTs&TSDCs Net Increase $18,498
Total Net County TDT $18,498
Less: 75%Redevelopment Discount $13,873
Total Net Net County TDT $4,624
TDT TSDC Imp + Reim
Target Recovery Rate 28.0% 30%
Estimated Total Impact $66,064 $0
Estimated Unmitigated Impact $47,566 $0
All TDT&TDSC TSDC RT Overlay
Target Recovery Rate 28% 30%
Estimated Total Impact $66,064 $0
Estimated Unmitigated Impact $47,566 $0
TDT=County Transportation Development Tax
TSDC Citywide=City of Tigard Transportation System Development Tax(TSDC-Imp&TSDC-Reim)
TSDC RT=River Terrace Transportation System Development Tax Overlay
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
10140 SW WASHINGTON SQUARE RD,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2016-00081
Jeff Grove
Violation Summary:
Inspector Contractor