Permit (133) CITY OF TIGARD BUILDING PERMIT
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. COMMUNITY DEVELOPMENT Permit#: BUP2019-00179
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/26/2019
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9585 SW WASHINGTON SQUARE RD
Project: Wetzels Pretzels Subdivision: None Lot: None
Project Description: A new 220 sq.ft.pre-fabricated baking kiosk.
Contractor: TJU CONSTRUCTION Owner: PPR WASHINGTON SQUARE LLC
2280 GRASS VALLEY HWY#207 PO BOX 847
GRASS VALLEY, CA 98603 CARLSBAD, CA 92018
PHONE: 530-823-7200 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg Permit Fee-Additions,Alterations, 09/25/2019 $1,256.95
Occupancy Grp: B Occupancy Load: 2 Demolition
12%State Surcharge-Building 09/25/2019 $150.83
Dwelling Units: Plan Review 07/23/2019 $817.02
Stories: Height: ft DC Provision Review,COM TI-Ping 09/25/2019 $254.00
Bedrooms: Bathrooms: Plan Review-Fire Life Safety 09/25/2019 $502.78
Value: $125,000 Info Process/Archiving-Sm$0.50(up to 09/25/2019 $32.50
11x17)
Metro Const.Excise Tax 09/25/2019 $150.00
Floor Areas: Info Process/Archiving-Lg$2.00(over 09/25/2019 $32.00
11x17)
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $3,196.08
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: PrQte ed_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 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.
.ixtIssued By: \,.\\ Permittee Signature: \ 1
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 USE O\I.V
Cityof Tigard g i 9; o r i Received . „
�g1":-.1,,:'
a, Date/BY 1"i Permit No.: 1 1 z
13125 SW Hall Blvd.,Tigard,OR 97223 ""' �t..4,: ,,1}f j l�
_IN
Plan Revie ,-
Phone: 503-718-2439 Fax: 503-598-1960 Date/By: Related Permit:/1 f�J �4�_�� �
T 1 G A R D Inspection Line: 503-639-4175 l t 1 2 3 2_01 Date ReadyBy:, p, Juns: H See Page 2 for
Internet: www.tigard-or.gov 0' ei -.od7 tr� / '"?7 Supplemental Information
1 1 y; 1` ';'(..---,',A,;:' �`� �
TYPE OF itaWILOING" t Vt + REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ 7CSS�v❑i-and 2-familydwelling gCommercial/industrial I
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:-i S gs S1nl wcow"s}1Or) K4 # 'you, New dwelling area: square feet
City/State/ZIP: POI-{--10,4rA l 0( . �7X22 Garage/carport area: square feet
Suite/bldg./apt.#: iii=fig yOL§Project name: wet-ze(Spreviels Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: ( Lot#: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#:
equipment,materials,labor,overhead,and the profit for the
L, l DESCRIPTION OF WORK work indicated on this application.
in51t" 'kei eln Oc f vt.-/ ir-I c' .../ „---. Valuation: $ 11:54b90
+ bL d cx.*- o 5 1-01r +•^„�► 5 u CJS• Existing building area: square feet
`^�- -
New building area: 24_0 square feet
0 PROPERTY OWNER X TENANT Number of stories:
Name: `- 'RA-IN-Nan - P .,n., Grj Type of construction: K �•
`
Address: ( 1 a-1 ( ventiourA (vc 1 Par► Y groups:
Occu c ou s:
City/Statte//ZIPP/Y�5�l)CI D C.t.+ (. of 1oO Li
(`9 y 4 9US• 3/8 7 , Fax:&o4+()W Cje , opt Existing:
Phone: 323' -
New: x
i APPLICANT CONTACT PERSON BUILDING PERMIT FEES*
Business name: Sc0 v.� �S (Please refer to fee sckedxfe)
Structural plan review fee(or deposit):
Contact name:gnsii w in,ie.
a0 O, ,w I Rid[_ ^ FLS plan review fee(if applicable):
Address: 4rt(J4 �
q Total fees due upon application:
\�"
City/State/ZIP: es.i (jai- JL �OS s 1
� 'tT_ _ _ -—
- r_
' •
E-mail: Kw r-r e @ c.�-�(„Q_ ,.cuvk PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:--- ' 2/ -T yak Ci..,\1�t' .L\CCAC"�1 Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Qa S4 Cti1 %r
(1,--Cee. v ��- Solar Installation Specialty Code checklist.
City/State/ZIP: Y \caLk C.t'1 , 61(a-t.).a Permit fee(includes plan review $180.00
and administrative fees):
Phone:(fi) ." Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: I L- ) C) hve. k' Total fee due upon application: $201.60
Authorized signature: , This permit application expires if a permit is not obtained
within 180 days after it has been accepted as cot►plete.
Print name: X . J 1/l)I k Date: 1I 181 ' 9 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PernvtApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard
1111 N COMMUNITY DEVELOPMENT DEPARTMENT
1
T 1 c A R D Building Permit Review — Commercial - No Land U s e
Building Permit #: , -RiA2(, /1'- JO/ 7c7
Site Address: 15,S je.J 4 r + !t Suite/Bldg#: /04,-
,-
Project Name: lit Jt'-�_.Ot?--1 -)t -ril r4-2 .5
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
}} ii p i-
Proposal: �.,•('F,11,6, d-F L 4,4 ` tril-Akti i Li_1- bvAtA cal---4 s,,, 117&d, c4014z 5 A%
i
i .el . SI N. •Cia:r' ab-z tc #4/1"t_ Ott 461e:1tj)
Existing Business Activity: IJL/4A. _
osed Business Activity: \�— 1 CL4y f 41-I44,1
1-I 4111G Iy$i,�t1-)
ProVeri site address suite# exists and active
JJ fy / ti e in permit sys� "'�,0,�: ujvi `6��1
NJ ''ver Terrace Neighborhood: ❑ Yes IJ No
LpTJ oning: ()C,
ermitted Use: L.V Yes ❑ No ❑ Spec Space
nfirm no land use required.
Business License:
Exists: ❑ Yes lid No,applicant notified to obtain business license
Notes:
Approved by Planning: )2-,,,L Date: 7--0--11
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 71;14/1
_....:_ . .__.._. __ _ -
Building Plans: #
Building Permit#: n�ter building permit#above.
Workflow Routing: C�ning ❑ Permit Coordinator ❑ Building
Workflow Sign-off: off for Planning(include notes from planning review)
Route Application Documents: Wig: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: g7kfrvy, 215
By Permit Technician: Lw..57 - Date: fid'' y
I:\Building\Forms\B1dgPermitRvwCOM NoLandUse 060116.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:
�J SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes VN/A
Tigard Trans SDC: ❑ YesCll/N/A
Parks SDC: ❑ Yes �I 'N/A
OK to Issue Permit �j /-�
Approvedby Permit Coordinator: i W" '7 te: Z /9
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
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
11111
r Transmittal Letter
1 !(:)n li n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION
RECEIVED
FROM:
eri 4e,/h,if_ JUL 2 4 2019
CITY OF TIRD
COMPANY: 541„1- c Gvr/,cej BUILDING DIVISION ---
By:�J / -
PHONE: 63D --c13lJ — l�V
RE: q5F3— -51J 6LigJA/A7APY - 154 t 00/ 71
(Site Address) I� K (Permit Number)
4-4z2'r T A'e 7 c
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
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.
1.,------Other(explain): •
REMARKS: Ze' ,J A . _;
/
MO
Routed to Permit T hnici . Date: i v JC' Initials:
Fees Due: ❑Yes No Fee Description: Amount Due:
V7(
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes N ❑ Done
Applicant Notified: d Date: 7 /3// Initials:
I:\Building\Forms\TransmittalLetter-Revisions 061316.doc