Permit FOR OFFICE USE ONLY—SITE ADDRESS:
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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
1111 _. r Transmittal Letter
T I Cl A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION A
FD
FROM: Keith Smith DEC 2019
COMPANY: smith co Ilc
PHONE: 206.713.4076 By:
RE: 9753 SW Washington Sq. Rd (�f�a
(Sue Address) �(Pdrmut Nu berr) + O 7
Washington Sq Mall
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
3 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: to replace entire set previously sent, I've added the approved landscape plans
FOR OFFICE USE ONLY
Routed to Permit Technician: ----Date: l `I Initials r
Fees Due: ❑ Yes ] Wo Fee Description: Amount) e:
Special
Instructions:
Reprint Permit(per PE): I ❑ Yes ❑No ❑ Done
Applicant Notified: _— Date: f l�lip Initials:
1:\Building\Forms\TransmittalLetter-Revisions.doe 05/25/2012
Ln COransmittal
t1 Ni • • Architecture Design Planning Retail
603 stewart street suite 610 seattle,wa 98101 206.713.4076 RECEIVED
Date To DEC 2 3 2019
December 18,2019 Brandon Taggart CITY OF TIGARD
Project Number BUILDING DIVISION
02009087.01 City of Tigard
Project Name
85C Bakery 13125 SW Hall Blvd
Washington Sq Tigard,OR 97223
From
Keith L. Smith 503-718-2449
Items Transmitted:
Enclosed U Under Separate Cover *If enclosed are not as noted,please notify us at once.
COPIES DATE SHEET NUMBER DESCRIPTION
3 12.18.19 Permit Set to replace earlier set
Action to be taken:
❑Per your request ❑For your review and comments ['For your use
For your information and record ❑For your approval ❑ Other
Remarks:
Copy/Copies to:
Czvz,z
Signature:
t�tav ---,
® Overnight Courier ['Messenger ❑UPS ❑Regular Mail ❑Other:
C\Users 1Valued Customer lUesktoplsmiihm transmittal doe
CITY OF TIGARD BUILDING PERMIT
11,11
• COMMUNITY DEVELOPMENT Permit#: BUP2019-00347
T t C A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/08/2020
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9753 SW WASHINGTON SQUARE RD D02
Project: 85C Bakery Subdivision: None Lot: None
Project Description: New canopy at exterior doors, new concrete patio,and installation of landscape areas for TI.
Contractor: GRAY WEST CONSTRUCTION Owner: PPR WASHINGTON SQUARE LLC
421 E CERRITOS AVE PO BOX 847
ANAHEIM, CA 97805 CARLSBAD, CA 92018
PHONE: 541-459-5253 PHONE:
FAX: 714-333-9756
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 06/08/2020 $729.45
Demolition
Occupancy Grp: A-2 Occupancy Load: 15 12%State Surcharge-Building 06/08/2020 $87.53
Dwelling Units: Plan Review 12/23/2019 $474.14
Stories: Height: ft DC Provision Review,COM TI-Ping 06/08/2020 $102.00
Bedrooms: Bathrooms: Plan Review-Fire Life Safety 06/08/2020 $291.78
Value: $50,000 Info Process/Archiving-Lg$2.00(over 06/08/2020 $40.00
11x17)
Wash Co Trans Dev Tax 06/08/2020 $2,083.00
Floor Areas: Tigard Trans SDC Improvement 06/08/2020 $1,576.00
Tigard Trans SDC Reimbursement 06/08/2020 $91.00
Total Area: Parks SDC Improvement 06/08/2020 $119.00
Accessory Struct: Parks SDC Reimbursement 06/08/2020 $22.00
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $5,615.90
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet: 1 Special Inspection(see plans)
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION. Oregon law requires you to Ilow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001- 090. You may t 'n a cop the les or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
•
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
a_ --aailding Permit Application
Commercial FOR OFFICE I'SE OM1IJ
City of Tigard RECEIVED ti A �S /9 i • - •
• 1SWHall Blvd,Tiard,OR97223 p P1an Review - : .62��7 irawev: _ FJ" L
11 C A R U Inspection Line: 503-639-4175 Date Ready/By. r </ Ian-. Ed See Page 2 nor
• Internet: wwwtigard-or.gov 'CITY OF TIGARD N. ed/Method: ' y /r4 Supplemental loformaltan
POING DIVISION ..!1./
v=:" -:., -ti tgl vt,,.ar:1: .' ',.r 4:a ;:��+ ) a,.;I- 'pa'>e1c 3ti-6, ' 9-et,i
0 New construction ❑Demolition Permit fees*are based on the value of the work performed
Indicate the value(rounded to the nearest dollar)of all
NI Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
,t a c4„•,; „ r '" a r work indicated on this application.
w `$�s5k� e.,S d_- _-r u9}- tAo4._�ti�! 6-.-.ie. - lR[ t 4.:l?i,,e,,'w,
c� Valuation: $
0 1-and 2-family dwelling W Commercial/industrial
❑Accessory building 0 Multi-family Number ofbedtnora:
❑Master builder ' 0 Other Number ofbatuoorns:
r Inrsd$'',`,7 l r> .--a„..„-.a4. je ,T' fei`1:t; TotalP. st number of floors:
.Job site address: 9753 SW Washington Square Road New dwelling area: square feet
City/Sate/ZIP: Tigard, OR 97223 Gerageicarportarea: square reef
iite/bldgiapt#: D02 Project name:85C BAKERY Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
WASHINGTON SQUARE MALL Other structure area: square feet
's : i01 li tX ln7 d'75i1'1'l-p�'LJV: 911 "'"1 r'ei's ttt1it}.
Subdivision: Lot#: :. Permit fees*are based on the value of the work performed.
Taxman/Panel#: 1 S 1260000300/R236587/R236596 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,aldtheprora for the
'G' y � Cam' KS R .- 4'
Ari-• "1, rr.,u(r1 ,) :-�rrlr'4 b 7 +•" workindi®tedmnthisapplicttion.
� '".•''��ate•� et$_.. -. r �-, � - —
TENANT IMPROVEMENT FOR A BAKERY, NEW CANOPY AT Valuation: $ 50,000
EXTERIOR DOORS,NEW CONCRETE PATIO, INSTALLATION Existing building area: 3928 square feet
OF LANDSCAPE AREAS PER MMD2019-00026 New building area: 3928 square feet
pe":; 58 ' i^,i77ij4aS,'' 'iiv eL!,.? ; h'11, tt 4Fn_vp8; -e:' Numberofstories: 1
�,
Name: 85C BAKERY 'type of construction: IIA
Address: 9753 SW Washington Square Road Occupancy groups:
City/State/ZIP: Tigard,OR 97223 Existing: M,A2
Phone:( ) Fax:( ) New: M,A2
'• .4,,41 a'n rf-,{e gi" ".0. _ T1 Y:'.+ Et.ii. a7r; r i :7a_iX 2s.:;;: . 4r? a 8q,l� w.,4i,�` T . ,¢ ,.
Business name: SMITH CO LLC 43W� ,," Hr '' ��'
Structural plan review fee(or deposit):
' Contact name: KEITH SMITH .
Address:1725 WESTLAKE AVE. N.,SUITE 210 FLS plan review fee(if applicable):
City/State.21P:SEATTLE,WA 98109 Total fees due upon application:
Phone:( ) Fax::( ) Amount received:
L.._..,_._. ", ta(pit d ifivc,i s.ts 4 i-' / '> 'fi
E-mail: KSMITH@SMITHCO.ORG ,o', � ,-ec... 4.a2"'.1-'4. :-� -'
esidential prescriptive
on
-7 e - " "' sv.,i "- ,,Y a Commercial
nr of
,, roof-top mouedPhotoVoltaic Solar Panel System.
Business name: T'6 T Submit two(2)sets of roof plan with connection details
�rlrGe /.e JZ S ( O and fired department access,al�p ( / ep ode with the 20t0Oregon
Address: L� � f (�t'�r (f2 Solar berrallation Specialty Code checklist.
City/StatetZlP: � Y t �j� �2S Permit fee(includes plan review $180.00
• ' and administrative fees):
Phone:(7/'-cif /_ i 3 )') JFax:( ) Sate surcharge(12%of permit fee): $21.60
CCB Lie.' /Ll�J 3 c7.)
L l2 Total fee due upon application: $201.60
Authorized signature: l t.-,f This permit application expires ins permit Is nod obtained
within 180 days after it has been accepted as complete.
l Print name: KEITH L.SMITH Date: 11.12.19 . Fee methodology set by Tr-County Building Industry
Service Board.
L\Buildiog\PenniistBUP_COM.PermitApp.doc Rev.04f21/2014 440-4613T(11/02/COM/WEB)
City of Tigard
14 COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - With Land Use
Building Permit #: the( j/ ? - COS i2
Site Address: 1-S3 Sv \„fcLdh�+y�vr tan, ��(. Suite/Bldg#: POL
Project Name: b C �„ ir-y
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: IL lr- 0,,6 Ca,.-(1 A - 'ate- < < rS- ' "6 . AIL ,i,
n/yerify site address/suite#exists and active in permit syste
C er Terrace Neighborhood: 0 Yes Lid No r
eand Use Case#: �� `q�()�uj �1��Uv�� �1��Sb
laans tch Approved Land Use: ���t
LEf Site Plan M..Landscape Plan 7 L-2.O ❑ Other:
M
0 Urban Forestry Plan l Elevation Plan
C�tY/Byiiding Height: Ma:ytnum Height 2 D Actual Height Ck t
[ 'Conditions Met: L rior to Submittal ❑ Prior to Permit Issuance
Business License:
Exists: 0 Yes Lrd No,applicant was provided a business license application
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified 121 No Applied For. ❑ Yes ❑ No,stop intake
Notes: f
Approved by Planning: /-1�/ f (L Date: I .- n-11
Revisions (after Building Submittal only) I Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: / //(e/7
Site Plans: # 3
Building Plans: #
Building Permit#: 1 Enter building permit#above.
Workflow Routing: •ibP•Planning ngineering t Coordinator Building
Workflow Sign-off: (Sign-off for Pla ning(include notesfrom 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: Date: to/ ///
I:\Building\Forms\BldgPennitRvw_COM_WithlandUse_111819.docx
Engineering Review
Er Slope at building pad: 2"f
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP)
• Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes [ No
Assess Water Quantity Fee in-lieu: ❑ Yes Er;
LIDA Facility on lot: 0 Yes Di No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: � Date: /?.BIZ/./40 f l
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
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:
,eVision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ N/A
Tigard Trans SDC: es ❑ N/A
Parks SDC: Q Yes ❑ N/A
OK to Issue Permit
Approved by Permit Coordinator: `� ' Date: i4-*/).°
I:\Building\Forms\BldgPermitRvw_COM_W ithlandUse_111819.docx
TDT/TSDC Estimate 85C Bakery 1/6/2020
9753 SW Washington Square Rd. AMS
TDT&RESIDENTIAL TSDC RATES EFFECTIVE 7/1/19
NON-RES:TSDC CITYWIDE EFFECTIVE 10/1/19
O Yes
Project is in River Terrace ? ® No
* For TDT and residential formula has been replaced with published rate per unit.
Former Use ITE Rate per Rate per TDT/TSDC
Rate Type Use# Code PHVT PHVT Unit* # Units Amount Description
TDT 1 820 $12,314 3.93 $48,369 3928sf Bakery
TSDC-Imp 1 820 1.86 5,570 $10,360 3.93 $36,593 Shopping Center
TSDC-Reim 1 820 1.86 320 $595 3.93 $2,102
TSDC-RT 1 $0 0.00 $0
TDT 2 $0 0.00 $0
TSDC-Imp 2 $0 0.00 $0
TSDC-Reim 2 $0 0.00 $0
TSDC-RT 2 $0 $0
Did total TSDC need to be reduced to 80%of TDT? Use 1 Yes Use 2 No
Total TDT and TSDCs Former Uses $87,065
Proposed Use ITE Rate per Rate per TDT/TSDC
Use# Code PHVT PHVT Unit* # Units Amount Description
TDT 1 820 $12,314 3.93 $48,369
TSDC-Imp 1 820 1.86 5,570 $10,360 3.93 $36,593
TSDC-Reim 1 820 1.86 320 $595 3.93 $2,102
TSDC-RT 1 $0 0.00 $0
TDT 2 820 $6,157 0.34 $2,083 338.3sf Patio
TSDC-Imp 2 820 1.86 2,785 $5,180 0.34 $1,576-at 1/2 Shopping Cen
TSDC-Reim 2 820 1.86 160 $298 0.34 $91
TSDC-RT 2 $0 0.00 $0
Did total TSDC need to be reduced to 80%of TDT? Use 1 Yes Use 2 Yes
Total All TDTs &TSDCs Proposed Uses $90,814
Less: Total All TDTs&TSDCs Former Uses $87,065
Total All TDTs&TSDCs Net Increase $3,749
Total Net County TDT $2,083
Total Net TSDC-Imp $1,576
Total Net TSDC-Reim $91
Total Net TSDC RT Overlay $0 No TSDT-RT
TDT TSDC Imp+ Reim
Target Recovery Rate 28.0% 30%
Estimated Total Impact $7,439 $5,554
Estimated Unmitigated Impact $5,356 $3,888
All TDT&TDSC TSDC RT Overlay
Target Recovery Rate 29% 30%
Estimated Total Impact $12,993 $0
Estimated Unmitigated Impact $9,244 $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
Extended Combination SDC Calculator-091018-I:\Community Development\Permit Coordinator\SDC Calculators
Parks Estimate 85C Bakery 1/6/2020
9753 SW Washington Square Rd. AMS
ALL PARKS RATES EFFECTIVE 7/1/19
O Yes
Project is in River Terrace ? .O No
Note: All Neigh-Imp# Units entries =0 if project is in River Terrace;
All Neigh-RT# Units entries=0 if project is elsewhere in the city.
Former Use
Rate Type Use# ITE Code # Units Rate Parks Amount Description
Parks-Imp 1 820 5.82 $477 $2,776 3928sf Bakery
Parks-Reim 1 820 5.82 $87 $506 Shopping Center
Neigh-Imp 1 820 5.82 $0 $0
Neigh-RT 1 $0 0
2 $0
Total Parks Former Uses $3,282
Proposed Use
Use# ITE Code # Units Rate Parks Amount Description
Parks-Imp 1 820 5.82 $477 $2,776 3928sf Bakery
Parks-Reim 1 820 5.82 $87 $506 Shopping Center
Neigh-Imp 1 820 5.82 $0 $0
Neigh-RT 1 $0
Parks-Imp 2 820 0.50 $239 $119 338.3sf Patio
Parks-Reim 2 820 0.50 $44 $22 at 1/2 Shopping Center Rate
Neigh-Imp 2 820 0.50 $0 $0 0
Neigh-RT 2 $0 0
Total Parks Outside RT Proposed Uses $3,423
Less: Total Parks Outside RT Former Uses $3,282
Total All Parks Outside RT Net Increase $141
Total Parks RT Proposed Uses $0
Less: Total Parks RT Former Uses $0
Total All Parks RT Net Increase $0
Total Parks-Imp $119
Total Parks-Reim $22
Total Neigh-Imp $0 No Neigh-Imp
Total Neigh-RT $0 No Neigh-RT
For Non-Residential Calculations:
Prior Use:Bakery=675/EE; 3928/675=5.82EEs.
Proposed Use: xxxx=xxxsf/EE; xxxx/xxx=xxEEs.
Parks-Imp=Parks Improvement,Citywide including River Terrace
Parks-Reim=Parks Reimbursement,Citywide including River Terrace
Neigh-Imp=Neighborhood Parks Improvement Outside River Terrace
Neigh-RT=Neighborhood Parks Improvement Inside River Terrace