Permit y v CITY OF TIGARD BUILDING PERMIT
t: COMMUNITY DEVELOPMENT Permit #: BUP2013 -00170
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/10/2013
Parcel: 1 S135BA00102
Jurisdiction: Tigard
Site address: 10114 SW WASHINGTON SQUARE RD
Project: Strada Subdivision: OAKBURG Lot: 9
Project Description: Permit to allow temporary occupancy of space for the purpose of interviewing potential employees fro Strada
Restaurant.
Contractor: Owner: PPR SQUARE TOO LLC
PO BOX 847
CARLSBAD, CA 92018
PHONE PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee - Additions, Alterations, 07/10/2013 $53.27
Demolition
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Building 07/10/2013 $6.39
Dwelling Units: 0 Plan Review 07/10/2013 $34.63
Stories: 1 Height: 0 ft Plan Review - Fire Life Safety 07/10/2013 $21.31
Bedrooms: 0 Bathrooms: 0 Info Process /Archiving - Sm $0.50 (up to 07/10/2013 $1.00
Value: $500 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $116.60
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. • ' •`: . -eon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -. ∎ 1 -0010 through OAR • •2- 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.
Is ued By: 10 L Al t� / 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.
•
. 'Building Permit Application
Commercial . FOR OFFICE USF. ONI Y
l i : . . City of Tigard Date/B d P erm it No,
in , et o� 3_66/
° 13125 SW Hall Blvd., Tigard,OR 97223 I 1��
�- ` Phone: 503 -718 -2439 Fax: 503 - 598- 1960U� I 0 2(2;3 Plan Revie ;3 Date/13y: ' '' 7 �' 13 Other Permit:
t� n R D Inspection Line: 503 -639 -4175 Date Ready/By: Juris: El See Page 2 for
4 . Internet: www.tigard- or.gov CITYOFTIGA� Notified/Method: Supplemental Information
BUILD vni�L
Z3 TYPE OF WORK REQUIRED DATA: l- 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
i ❑Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ l- and 2- family dwelling ❑ Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
:Z. /0 /l JOB SITE INFORMATION AND LOCATION Total number of floors:
\-• Job site address: Des/ ifi 1 p �jij/, A}2 New dwelling area: square feet
M City /State /ZIP: / ( g OI . q7 2215 Garage /carport area: square feet
., Suite/bldg. /apt. no.:L Project name: Covered porch area square feet
C \ Cross street/directions to job site: Deck area: square feet
1
to Other structure area: square feet
1 ' REQUIRED DATA: COMMERCIAL -USE CHECKLIST
t Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
K1
IQ Tax map /parcel no.: Indicate the value ( rotded to the nearest dollar) of all
sf) equipment, materials, labor, overhead, and the profit for the
D / DESCRIPTION OF WORK • • work indicated on this applicatio - n.
�r Or Dl�r. n � MI ✓ ei . , (Y /�'!9 Valuation: $ o in
( /n �/ t ri Cr b f /j i tC �, / &P r fit/ , / _J Existing building area square feet
. t f/ /if7� I l I r:f s Ce New building area: square feet
❑ PROPERTY OWNER . ❑ TENANT Number of stories:
i
Name: stra d E S '1, Ur t Type of construction:
Address: 1 • Occupancy groups:
City /State /ZIP: Existing:
I Phone: ( ) Fax: ( ) New:
❑ APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer. to fee schedule)
Business name:
Structural plan review fee (or deposit):
Contact name:
4 FLS plan review fee (if applicable):
Address:
Total fees due upon application:
City /State /ZIP:
Phone: ( ) Fax: : ( )
Amount received:
Q E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM'FEES*
. Commercial .1 • residential prescriptive installation of
l C TRA TOR roof -top mou .t:• ' u otoVoltaic Solar Panel S • .
Business name: iq Submit two (2)s- a ' s of plan with , - ctiori details
/ and fire department access, ' • : with the 2010 Oregon
Address: Solar Installation S e • Co' : checklist.
City /State /ZIP: Permit f includes plan revs • $180.00
strative_fees):
Phone: ( ) Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB tic.:
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.
Print name: Date: * Fee methodology set by Tri -County Building Industry
Service Board.
IABuilding\Permits kBUP_COM PermitApp.doc Rev. 12 440 -4613T(I /02 /COM/WEB)
u13 /'k) T t.c 4 / : o 07,P ;Oct
M
•
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 [21 of Valuation Computation): $
1: \ Building \ Permits \BUP_COM_PermitApp.doc Rev. 12/11/2012
114 q Building Division
Over- The - Counter (OTC) Building Permit
T l n K D Check List
Project Description: --- (
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work *: (.� Occupancy Group: 16 Type of Construction: G75
Type of Use * *: COOU Occupancy Load: Oregon Specialty Code: 'ZC)(O
SPECIFICS
Number of Stories: f Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT - SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport: Mezzanine:
SETBACKS
Sideyard Setback — Left Sideyard Setback — Front
Sideyard Setback — Right Sideyard Setback — Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access. Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: tt/6 Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ FEES DUE
$ DC Prov Rvw, COM TI — Ping
$ DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI (effective 7/1/2013) $ 'r..2 - Permit Fee —Add, Alt, Demo
Project Valuation Planning LRP $ ( '3 — 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ 2� Plan Review, Structural
$5,000 - $74,999 $70.00 $10.00 $ 2 , 3 Plan Review, Fire Life Safety
$75,000 - $149,999 $174.00 $26.00 $ Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $278.00 $41.00 $ l , 0c2) Info Proc /Arch, Sm (up to 11x17 $0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc. Admin Fee
$ Other:
$ Other:
Building Staff: $ Other:
Date /Time: $ ( I SO , 0 TOTAL FEES DUE
*TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
**CLASS OF WORK ACS = accessory; ADD = addition; ADU = accessory dwelling unit; ALT = alteration; DEM = demo; NEW = new;
OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies).
I: \Building \Forms \OTC - BUP.docx 07/01/2013