Permit CITY OF TIGARD BUILDING PERMIT
111
'''. COMMUNITY DEVELOPMENT Permit#: BUP2021-00072
Date Issued: 4/6/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135BD00200
Jurisdiction: Tigard •
Site address: 9785 SW SHADY LN
Project: Starbucks Subdivision: None Lot: None
Project Description: Drive thru menu and order point canopy about 10'
Contractor: SALEM SIGN CO INC Owner: 9785 SW SHADY LANE LLC
1825 FRONT ST NE 1800 SW 1ST AVE STE 220
SALEM, OR 97303 PORTLAND, OR 97201
PHONE: 503-371-6362 PHONE:
FAX: 503-371-0901
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 04/05/2021 $119.33
Demolition
Occupancy Grp: U Occupancy Load: 0 12%State Surcharge-Building 04/05/2021 $14.32
Dwelling Units: 0 Plan Review 03/24/2021 $77.56
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 04/05/2021 $6.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $2,100
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $217.21
Required: Required Items and Reports(Conditions)
1 Special Inspection(see plans)
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. 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 By: Va41 De Vt/effe Permittee Signature: Ovt,A a%,t
pp
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 an the job site at the time of each inspection.
Buildinu Permit Application E- "al ie 21
Commercial RECEIVE I FOR OFFICE USE ONLY
Received Permit No.:
- City of Tigard MAR 1 8 ZDZ1 Rece/By:O 14>02/ 'i 8��7-0 "004 Z
" 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503-718-2439 Fax: 503-598-1960 Date/BY
. Related Permit:
CITY OF TIGARD Y �I
TIGARD Inspection Line: 503-639-4175 r� f•� DateReady/By: / el See Page 2for
Internet: www.tigard-or BUILDING DIVISION olitied/Methu • �t/ � Supplemental Information
TYPE OF WORK 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 gl Other: .1 -N equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling Commercial/industrialValuation: $
Number of bedrooms:
CIAccessory building ❑Multi-family
El Master builder Number ofbathrooms:
❑Other:
JOB SITE INFORMATION AND LOCATION Total number of floors:
971S / C ! _ _ New dwelling area: square feet
Job site address: 1717 J W J t�/�7c--
City/State/ZIP: --5i64.1).., a/Z43 Garage/carport area: square feet
Suite/bldg./apt.#: l �7 Project name: C (�L Covered porch area: square feet
Cross street/directions to job site: bbb""" Deck area: square feet
Criv,,r 4f SW ��`^""i LIn + Syf 6Tvalowi J. 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
DESCRIPTION OF WORK work indicated on this application.
—" V � 1 C,a, - Valuation: S d
Mize. �x:51n ��- 'ty�f "t f>`� �`;" .
( Jr)�► ��� O / Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER TENANT Number of stories:
Name: c.)-0„34 tt,LS 1 Type of construction:
Address: Cii,ii5 �,f .t�A+/, tot Occupancy groups:
City/State/ZIP: `'rivj (�2 Existing:
Phone:(.2DI. ) 2ZP!- I ANT Fax,( ) New:
/],(�J APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: N\ JA Ss yr (,o i"^L, (Please refer to fee sehed Je)
n �j Structural plan review fee(or deposit): 77.c4
Contact name: „k- Beiin4
J 7 0-f-- FLS plan review fee(if applicable): I
Address: 1BZC 54. 1s4p Total fees due upon application:
City/State/ZIP: Salnw•4 dcz-- 173�I
131 2 Amount received:
Phone:(S 311 .
) tff V Fax::( )
E-mail: ftA,& - s eta, r41.9 - PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
5 Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name: S ek j Y` t(j,l WC- and fire department access,along with the 2010 Oregon
Address: �625 • . u�a Solar Installation Specialty Code checklist.
City/State/ZIP: s/I i � Ci73) Permit fee(includes plan review $180.00
and administrative fees):
Phone:3 ) 7?/► 03 42,- Fax:( ) Stale surcharge(12%of permit fee): $21.60
CCB Lic.: 6'c2(3`7 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: Mom, Date: 3464/ * Fee methodology set by Tri-County Building Industry
�1 Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-46I3T(1 I/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
C
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 13UP2oZ/ -00072
Site Address: (7�gs_ -'k) __Q � Suite/Bldg#:
Project Name: S' dieel
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: ,t2cw a4 '2-- /L( Si rt.i2
Existing Business Activity: dy�y7�' �g
Pr.dosed Business Activity: (// /1 U //
►I V• 'fy site address/suite#exists and active in permit syst
01''.er Terrace Neighborhood: ❑ Yes No
nm ou L�
2. emitted Use: Yes ❑ No ❑ Spec Space
nfirm no land use required.
Business License:
Exists: Yes ❑ No, applicant was provided a business license application
Notes:
Approved by Planning: , — Date: 6/21
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: Q,0j�j/Za2i
Site Plans: #
Building Plans: # ,;
Building Permit#: Et—Enter building permit#above.
Workflow Routing: 11�'Planning ❑ Permit Coordinator -Building
Workflow Sign-off: Ca'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: 4%/J,V Date: 03/24A.24
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_11 1819.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 A.. cant:
Revision Notice 2: Date Sent to <pplicant:
Revision Notice 3: Date Sent . Applicant:
❑ SDC Fees Entered: Wash • Trans Dev Tax: ❑ Yes ❑ N/A
Tit. .. Trans SDC: ❑ Yes ❑ N/A
P. s SDC: ❑ Yes 0 N/A
❑ OK to Issue Permit
Approved by Permit Co,rdinator: Date:
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_1 l 1819.docx