Permit 1r , CITY OF TIGARD BUILDING PERMIT
1 I COMMUNITY DEVELOPMENT Permit#: BUP2014-00179
T t to A R L7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/20/2014
Parcel: 1 S 135BA00102
Jurisdiction: Tigard
Site address: 10114 SW WASHINGTON SQUARE RD
Project: Pieology Subdivision: OAKBURG Lot: 9
Project Description: TI and change of use
Contractor: WESTERN CONSTRUCTION SERVICES INC Owner: PPR SQUARE TOO LLC
2300 E 3RD LOOP SUITE 110 PO BOX 847
VANCOUVER,WA 98661 CARLSBAD, CA 92018
PHONE: 360-699-5317 PHONE:
FAX: 360-694-7818
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 08/20/2014 $1,649.55
Demolition
Occupancy Grp: A-2 Occupancy Load: 81 12%State Surcharge-Building 08/20/2014 $197.95
Dwelling Units: 0 Plan Review 08/04/2014 $1,072.21
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 08/04/2014 $659.82
Bedrooms: 0 Bathrooms: 0 Park-Commercial and Industrial 08/20/2014 $3,078.37
Value: $190,000 TDT-Transportation Development Tax 08/20/2014 $4,753.00
DC Provision Review,COM TI-Ping 08/20/2014 $278.00
DC Provision Review,COM TI-LRP 08/20/2014 $41.00
Floor Areas: Info Process/Archiving-Lg$2.00(over 08/20/2014 $26.00
Total Area: 2439 11x17)
Info Process/Archiving-Sm$0.50(up to 08/20/2014 $5.00
Accessory Struct: 0 11x17)
Basement: 0 Metro Const.Excise Tax-Commercial 08/20/2014 $228.00
Carport: 0 Use
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $11,988.90
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued I/ // Permittee Signature: Al j
Call 503.839.4176 by 7:00 a.m.for the next available inspection da':.
This permit card shall be kept in a conspicuous place on the job site with completl•• •f the project
Approved plans are required on the Job site at the time of each Inspection.
`ltuilaing Permit Application
Commercial RECEIVE IVE FOR OFFICE USE ONLY �, )
City of Tigard L Le i Received Q Permit No.: ,Pad/ ct 179
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review "�j�
C Phone: 503.718.2439 Fax: 503.598.1960 AUG 4 2014 Date/B : rTi,�I� � Other Permit: MNij (i. s
T I G A IZ D Inspection Line: 503.639.4175 Date Ready/ ' funs ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGAR!N°tified/Method:f�q,/iy f Supplemental Information
v ID
TYPE OF WOIirl r
per=`�$ /! 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 CONSTRUCTIO work indicated on this application.
El I-and 2-family dwelling ®Commercial/industrial Valuation: $
El Accessory building ❑Multi-family Number of bedrooms:
El Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION MINK Total number of floors:
Job site address:10114 SW Washington Square Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Pieology Pizzeria Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
'.iiiiR�EQUIRED DATA:COMMERCIAL-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.
Restaurant tenant improvement(2,440 sq.ft.)in vacant space Valuation: S$190,000.00
Worictircludes-sew4pel kitchen-exhaust-hood i,i 1.31262 5014 k-d-ki r 7— Existing building area: 30000 square feet
New building area: 30000 square feet
❑ PROPERTY OWNER ® TENANT MR Number of stories: 1
Name:iL Boushe Type of construction: V-B
Address:70 SW Century Drive,Suite 100-364 Occupancy groups:
City/State/ZIP:Bend,Oregon 97702 Existing: M and A2
Phone:(541)639-2074 Fax:( 1 New: A2
® APPLICANT ® CONTACT PERSON I BUILDIN rr
Business name:Western Design Group
Structural plan review fee(or deposit):
Contact name:David Hardister
FLS plan review fee(if applicable):
Address:2300 East 3rd Loop,Suite 110
City/State/ZIP:Vancouver,WA 98661 Total fees due upon application:
Phone:(360-)699-5317 Fax::( ) Amount recei\ed:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:dhardister@westerndesigngroup.net
Commercial and residential prescriptive installation of
CONTACC ` roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Western Construction Services Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:2300 East 3rd Loop,Suite 110 Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver,WA 98661 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(360)599-5317 F: :( ) State surcharge(12%of permit fee): $21.60
CCB tic.:OR63717 / Total fee due upon application: $201.60
c
/
Authorized signature: // :;// This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:David Hardister Date:7.1.14 * Fee methodology set by Tri-County Building Indu<.
Service Board.
I:\Building\Permits\BUP-COM PennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
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City of Tigard
■
COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Commercial - With Land Use
Building Permit #: I. -)1A.,P�r - OD/79
Site Address: /OK G/ (/(/Z 4o .-c Suite/Bldg#:
Project Name: rd
(Name of co ercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: a4,14 / -ilksJ 1.n 4 kod F4:041.e (R40/5-y)
P t( lv✓� (/0
❑ Verify site address/suite #exists and active in permit system.
❑ LLgnd Use Case#: //V1/V cOlet OO(J/S,
Lam" Plans Match Approved Land Use:
❑ Site Plan ❑ Landscape Plan ❑ Other: -I n}7'i i ( 64-044" ON
❑ Urban Forestry Plan ❑ Elevation Plan
c❑ uilding Height: Maximum Height Actual Height
onditions Met: /per ❑ Prior to Submittal ❑ Prior to Permit Issuance
Notes:
Approved by Planning: G)7e IF Date:
Revisions (after ding Submittal only) Reviewer Date
Revision 1: Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submits 1
I
Original Submittal Date:
Site Plans: #
Building Plans: # 33
Building Permit#: .Enter building permit#above.
Workflow Routing: L 1lanning g—E"ngineering Ei-15-e-rmit Coordinator -8-Building
Workflow Sign-off: -a-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: Date: 0(1
I:\Building\Forms\BldgPermitRvw_COM_WithLandUse 042914.docx
Engineering Review
❑ Actual Slope:
El PFI Permit#:
❑ Conditions Met
Notes: N o c� J 6 R , l S 8 U�J
Approved by Engineering: v Date: ,,' V ( (y-
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved Cl Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
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:
22Q)K to Issue Permit
Approved by Permit Coordinator: Date: S' 1'�
1:\Building\Forms\BldgPermitRvw_COM_WithLandUse 042914.docx
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City of Tigard
111111 ,
COMMUNITY DEVRW.OPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #:
Site Address:
/0//47( (jii,5€/,,, 4-, � ;,.,.e Suite/Bldg#:
Project Name: R P.di v
(Name of commerciNbGs ness occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: y1l/9,'7L (.... 4p,,,,„/ ,,,,, (y‘,..„,/. j4 vl '`f,
us
rps owpc a- rise
E Verify site address/suite#exists and active in permit system.
❑ Zoning 44 I if 6, �,_ /-
❑ Permitted Use: L�' ❑ No ❑ Spec Space •
❑ Land Use Required: 6d'Yes ❑ No Type Required
Notes: 44 44 0 i eed..4e p c we COo l/a9 Ov1/ J/' , p e-'4 !1- 4 2:2-6e7�
Approved by Plannin g: o j t * Pte-! Date: S-11
Revisions (after Building Submittal on Reviewer, __Date ,
Revision 1: ❑ Approved Lt Not Approved �_ )11/4, i
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: .
Site Plans: #
Building Plans: #
Building Permit#: ❑ Enter building permit#above.
Workflow Routing: ❑ Planning ❑ Engineering ❑ Permit Coordinator ❑ Building
Workflow Sign-off: ❑ 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: Date:
I:\Building\Forms\BIdgPermuRvw_COM_Nol.andUse_042914.doex
City of Tigard
IITDT—COUNTYWIDE TRANSPORTATION DEVELOPMENT TAX'✓e''''''' 7/2//i�/ C)
TIGARD Rate Calculation Worksheet e ecr /92ER
APPLICANT ---.7 �O O�� DATE �) �/
MAILING ADDRESS PREPARED BY �/
CITY/ZIP/PHONE PLANS CHECK j?�,'_t J �9
TAX MAP# / S/ 3 S;3/ off) a 2_.— PROJECT TITLE
SITUS#ADDRESS fv/�,� /, �ila��6 �� T ' 6_61-0 Gy
FORMER USE(S)
USE ITE # TDT
# CODE UNIT. X RATE = AMOUNT DESCRIPTION/NOTES
0.O Flax r9LP Y = /79 i, d,Z, /1.e '
: ix = �z30 BAs , akg,- f -
x =
x =
TOTAL TDT,FORMER USE(S)
PROPOSED USES) 2'��
USE ITE # TDT
# CODE UNIT X RATE _ AMOUNT
/ DESCRIPTION/NOTES
912^ ><1.-. x /6, -73 = /4g-v/Zn) . ,,: vi4///'
x =
x
TOTAL TDT,PROPOSED USE(S) '/e/i Sit - '/, X33 L
7 Z. 1.,
LESS TOTAL TDT,FORMER USE(S) — 1/e9/ 76 2--- 2 .4 L 0 ------ fi-T-
r
"1 /-- " /9x/ 3
l D y S 3 r r-
TDT INCREASE/ DECREASE) / ^ (INCREASE=TDT DUE)
(�/ 'Y4/ Less 76 --z/seo
PAYMENT METHOD i,•2 De-ve-i-Dx� 20 YR . tT� l inro--
Ab
CASH/CHECK -•--
_ OSE-� =ftZS�� 22.5 AL CREDIT
BANCROFT AGREEMENT S0,0/ \ ÷--a.-1.s 5_ _E s J 1. lees
(PROMISSORY NOTE) I�G2 ��` o0 /t
.250 0 4-�oo = l �• 2 ELI
DEFER TO OCCUPANCY - .( 'cJ���((h/li./4 t' , .�i`Z
I/OFS/CD/FORMS/TDT Rate Calculation Worksheet.indd(Rev.4/22/09) -4.-- 9 e£5 ey.s/4./.4.
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
10114 SW WASHINGTON SQUARE RD,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2014-00179
Chip Barnett
Violation Summary:
Inspector Contractor