Permit (148) CITY OF TIGARD BUILDING PERMIT
N • COMMUNITY DEVELOPMENT Permit#: BUP2016-00313
13125 SW Hall Blvd.,Ti Date Issued: 11/30/2016
and OR 97223 503.718.2439
TfC Al f7 9
Parcel: 1 S135BA00102
Jurisdiction:
Site address: 10124 SW WASHINGTON SQUARE RD
Project: Costa Vida Subdivision: OAKBURG Lot: 9
Project Description: (1)wall sign
Contractor: KUGEL CONSTRUCTION Owner: PPR SQUARE TOO LLC
PO BOX 1271 PO BOX 847
CHEHALIS,WA 98532 CARLSBAD, CA 92018
PHONE: 360-740-4305 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 11/30/2016 $53.27
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 11/30/2016 $6.39
Dwelling Units: Plan Review 11/30/2016 $34.63
Stories: Height: ft Info Process/Archiving-Sm$0.50(up to 11/30/2016 $1.00
Bedrooms: Bathrooms: 11x17)
Value: $0
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $95.29
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
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. ATT • : a “on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-00 110 through OAR•.2-00 *19* You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Iss ed By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspect' date.
This permit card shall be kept in a conspicuous place on the job site until completion of he project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Applicatio _
Commercialri
1t ..- 'a.I E
— I'OR OFFICE USE ONE\
City of Tigard Received �1,��
NOVy Date/Br / l / Permit NG':it6C16D/!O_�5/3
13125 SW Hall Blvd.,Tigard,OR 97223 N 0 1 2016
C Phone: 503.718.2439 Fax: 503.598.1960 PDateB V L� Other Permit: 6d)A]r26/6""e 7
1[c,A n D Inspection Line: 503.639.4175 �, I) i t`-' D Date Rea h,as_ /O
Internet www.ti and-or. ov <� I S See Paget for
g g Notified/Method: 1
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BUILD
�I L D INC ��IS 1()N h t �� ' >' 1 Sappiemental Information
M 01? YURif. ,�
0 New construction 0 Demolition Permit fees*are based on the value of the w. performed.
0-Addition/alteration/replacement Other: Indicate the value(rounded to the neares .ollar)of ail
A.T=iti_on_.alt : io_. ela _. equipment,materials,labor,overhead . d the profit for the
-_,.mow
- - -- - .dam. --��� <�� -�:�� --
- - - _ - - -GAT C - _ - -- - - - work Indic
_..�..�-;�::,.-��..-. �-= . -,,....._�...Qm'71<KO >CO on this application.
-. _� ;:... -- -= _- =- - a Lica
CSI
� :�r�___ .�,..._ ,�-_.__._.,.__._..._ P N .� Oaf_µ- _ _ : P t'o .
❑ 1-and 2-family ti�vellingCommerciat/mdustrialY__.r..M Valuation: S
❑Accessory building ❑Multi-family Number of bedrooms:
0 Master builder ❑Other: Number of bathroo. .
lens 'E IIa1iicA, IQII 411'0aL OCATIQI , Total number of i..rs:
Job site address: 10/01 5/,./ t,) � OA 410 c1 r oi A,7 New dwelling : -:. square feet
City/State/ZIP: v--1b IN OA.. Q 7 27 I, Garage/c; .. area: square feet
Suite/bldg./apt.no.: A p 7 I Project name: CO sr A V A.a 5*eye, Cove porch area: square feet
Cross street/directions to job site: Dec. area: square feet
I er structure area: square feet
9! j):14t- `cO cam_ 'tis :010 ' _ __
Subdivision: Lot 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 ( 3 S F A DO t OL
:::;:::,._:..n�r�..> �-:_<�<_:.�s,._�_r.:�- -._.:..j_�._.t�.._..,.:�: ..n;.:�.___.�..�,.<._. :,�,.�:._._ .::_.��.:...:..:...:..... . equipment,matenals labor,overhead,
x and the profit for the
,I)ESCRIP-TION OF WORK i work indicated on this application.
RC p f.4Ft�I C.r e X. )(''iv& c( ,J IIS,,.6 .Nat.✓ Valuation: S 46 04T'0
Existing building area: square feet
. .. < .. �.
New building area: square
feet
_ate - RtM: , : _ _
=._ CIN/1I07,_ ---- _ Number of
bestories:
Name: OA.Luca OA, ✓
RA's1r,,.,,r-.e,�s GCC Type of construction: iii C:^. 5,CY 0
Address: icer r. sw frivalAy S,+xote s OQ _ Occupancy groups:
City/State/ZIP: 4.c,Au04yic,,,,i, t*'R 97 o , Existing:
Phone:(547) 7 y(c.5 6 83 :(
New:
.0 . rrl;AC N 1111•010#4.0.41-44#1&_-11-•
Business name: �_; �lpler�ferhireescedrite)
Structural plan review fee(or deposit):
Contact name: ZpiNNL czc\4_s�,0 Sat,
Address: FLS plan review fee(if applicable):
City/State/LIP: Total fees due upon application:
Phone:( c. }) R Z_ Z9 O 6 Fax::( )
Amount received:
E-mai,: 0,0„,,( PIiOTOYOi,TAIC�SO I�AIQELSYST)+hiTfEES* -
E.c_ 0-eC3�*1— („"sl c.ton,.
CO\'TRrC O$ Commercial and residential prescriptive installation of
a. ` -aa` -.r -ny = r ..: - : ,.� <: roof-top mounted Photovoltaic Solar Panel System.
Business name: k us . eo JO ter- Submit two(2)sets of roof plan with connection details
Address and fire department access,along with the 2010 Oregon
PCb P,-e, j I a 7 I Solar Installation Specialty Code checklist.
City/State/ZIP: ; CI* /4 iF/--1 5_1 1.04- 4 9 6-3 2 Permit fee(includes plan review
$180.00
/ and administrative fees):
Phone:(?j60) 7610- 6/50 6- Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.: aogg57
/� .6). 7"..,„,c_______------
_ Total fee due upon application: 5241.60
Authorized signature: „C/J/ ,_ _ This permit application expires if a permit Is not obtained
within 180 days after it has been accepted as complete.
Print name: ,fl,�ox� t► TioattaJ Date: B_1_1 G * Fee methodology set by Tri County Building Industry
Service Board.
I:\BuildinglPermits\BEIP-COM PennitApp.doc 02/24/2011 440-4613T{I 1/02/COM/WEB)
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III, ,III IIII All III, 1111 1111 1111 1111 ,111 1111 III 1111 1111 1111 IT IIID 1111 Transmittal
OREGON
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Iffi ARCHITARCHITECTURE
INC. ® Letter
R L'
221 West Tenth St.- Medford, OR 97501 (541) 772-4372 Fax: (541)499-6329 www.oregonarchitecture.biz
Owner ❑ Date October 25, 2016
Architect ❑ Job Name Proposed Restaurant
Engineer ❑ Washington Square II -Suite A07
Consultant 10124 SW Washington Square
Contractor ❑ Rd Tigard, Oregon 97223
Other
Branden Taggart
Community Development
City of Tigard Permit Center
13125 SW Hall Blvd, Tigard, OR 97223
Enclosed are (4) sets of 24x36 plans and additional 11x17 with information the exterior signage details for
building plan review and planning department review.
The following sheet conclude a single set0 V • 47
A2.0— Elevations Grp AL
u
A3.0—Section 54'1 .+
3 sheets from Sign Guys, I C `7! 7‘,(//,
'
And technical specs for attachment. �' ( `` It`
Payment for plan review fee is$127.00, and the planning fee for a sign permit is$201.00, will be delivered on
Friday October 28, 2016.
If any additional information is needed contact Patrick via e-mail at patrick@oregonarchitectue.biz.
Or I can be reached via telephone at the above number.
Thank you.
Signed'
(Mark McKechnie, AIA )
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10124 SW WASHINGTON SQUARE RD,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2016-00313
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor