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Permit CITY OF TIGARD BUILDING PERMIT II ' ' COMMUNITY DEVELOPMENT Permit#: BUP2021-00041 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 514/2021 T[C �R.>i Parcel: 2S103DD00700 Jurisdiction: Tigard Site address: 13769 SW PACIFIC HWY Project: Dutch Bros Coffee Subdivision: None Lot: None Project Description: A new 500 s .ft.drive-through coffee building. p q 9 9 Contractor: LUNA DESIGN&CONSTRUCTION LLC Owner: GROUND 99 LLC 1709 NE CONIFER BLVD 610 SW ALDER ST STE 1221 CORVALLIS, OR 97330 PORTLAND,OR 97205 PHONE: 503-702-1851 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 05/04/2021 $3,219.95 Demolition Occupancy Grp: Occupancy Load: 5 12%State Surcharge-Building 05/04/2021 $386.39 Dwelling Units: 0 Plan Review 02/09/2021 $2,092.97 Stories: 1 Height: 20 ft DC Provision Review,COM New-Bldg 05/04/2021 $205.00 Bedrooms: 0 Bathrooms: 1 DC Provision Review, COM New-Ping 05/04/2021 $205.00 Value: $450,000 Plan Review-Fire Life Safety 05/04/2021 $1,287.98 Info Process/Archiving-Lg$2.00(over 05/04/2021 $134.00 11x17) Floor Areas: Info Process/Archiving-Sm$0.50(up to 05/04/2021 $22.00 11x17) Total Area: 500 Metro CET 05/04/2021 $540.00 Accessory Struct: 0 Tigard CET-Non-Residential-Admin 05/04/2021 $180.00 Basement: 0 Tigard CET-Non-Residential-AH 05/04/2021 $4,320.00 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $12,593.29 Required: Required Items and Reports(Conditions) 1 Special Inspection(see plans) Fire Sprinkler: No Parapet: Yes Fire Alarm: No Protected Corridors: No Smoke Detectors: No Manual Pull Stations: No 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: Permittee Signature: r gria4zr:,460.„: 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. gilding Permit Application :ommercial gy 'E F'OF OFFICE USF,ONIv �/ �y y Received (f��✓vi " rG+l.tl � City of Tigard nateBy: t77 'fir Permit No.: 13125 S W Hall Blvd.,Tigard,OR 97223 Plan Review_l Phone: 503-718-2439 Fax: 503-598-196 �N 0 Z�Z1 Date/By: ��� �J Related Permit: Inspection Line: 503-639-4175 Date Ready/By: J tuns: ® see Page 2 for 1111111'TIGARD" ITY OF TIGARD Notified Medved: /h/a I h Supplemental Information a Internet: www.tigard-or.gov / VILDING DIVISION (1'F"r"""t''t /` "+ TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 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 ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling Commercial/industrial Valuation: $ Number of bedrooms: 0 Accessory building 0 Multi-family ❑Master builder 0 Other: Number of bathrooms: JOB SITE LNFORMATION AND LOCATION Total number of floors: Job site address: 13769 SW Pacific Hwy New dwelling area: square feet City/State/ZIP: Tigard, OR 97224 Garage/carportarea: square feet Suite/bldg./apt.#: Project name: Dutch Bros. Coffee 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 DESCRIPTION OF WORK work indicated on this application. New Dutch Bros. Coffee building. Existing buildings demolished under Valuation: $ 450,000 0 separate demolition permit. Existing building area: 0 square feet New building area: 500 square feet 1 II PROPERTY OWNER 0 TENANT Number of stories: 1 -...... Name: Ground 99 LLC Type of construction: V-B Address: 13640 Birdshill Rd Occupancy groups: City/State/ZIP: Portland, OR 97219 Existing: 4 Phone:( ) Fax:( ) New: B 0 APPLICANT • CONTACT PERSON BUILDING PERMIT FEES* Business name: Studio 3 Architecture, Inc. (Ploase refer to foe schednlç) it Contact Structural plan review fee(or deposit): Address: me: Matt Johnson FLS plan review fee(if applicable): Address: 275 Court St NE City/State/ZIP:Salem, OR 97301 Total fees due upon application: Phone:(503) 390-6500 Fax::( ) Amount received: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: matt@studio3archtitecture.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: Luna Design and Construction Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 1 709 NE Conifer Blvd Solar Installation Specialty Code checklist. City/State/ZIP:Corvallis, OR 97330 Permit fee(includes plan review $180.00 and administrative fees): Phone:(541 ) 224-8257 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lie.: 20035$ Total fee due upon application: $201.60 Authorized signature hfq*y�" ei This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Matt Johnson Date: 12/16/2020 * Fee methodology set by Tri-County Building Industry Service Board. I:1 Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) i - - il2_,D)ZI City of Tigard III ii COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Commercial - With Land Use Building Permit #: */_/ lit Site Address: 13769 SW Pacific Highway Suite/Bldg#: Project Name: Dutch Brothers Coffee (Name of commercial business occupying the space. If vacant,enter Spec Space.) Plargiink!tevieW Proposal: New building only ® Verify site address/suite# exists and active in permit system. f] River Terrace Neighborhood: ❑ Yes ® No ® Land Use Case#: SDR2020-00003 29 Plans Match Approved Land Use: n Site Plan WaLandscape Plan E Other: WaUrban Forestry Plan X] Elevation Plan ® Building Height: Maximum Height 45 Actual Height 20 0 Conditions Met: ® Prior to Submittal 0 Prior to Permit Issuance A Business License: Exists: ❑ Yes ® No,applicant was provided a business license application ® Public Facilities Improvement (PFI) Permit PFI2020-00494 Required: ® Yes, applicant was notified ❑ No Applied For: ® Yes ❑ No,stop intake Notes: Meet conditions prior to issuance. Approved by Planning: gemAek Date: 1/28/2021 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved E Not Approved Revision 2: ❑ Approved , ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved . 8uildirko Permit Submittal Original Submittal Date: /OM Site Plans: # Building Plans: # Building Permit#: me building permit bove. Workflow Routing: [� l2s a ng ngineering 0""'I'ern it Coordinator IK1-13mlding Workflow Sign-off: ff 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: 1'1o(alrto vl.d A a'4,of,i 1N CiGce t Lv7>i l 01�/ 4 "... fr.,e-r1J ei '.r.4406. By Permit Technician: - ��` Date: ,.),A1M/ 1:\Building Worms\BldgPermitRvw_COM_W ithLandUse_111819.docx 0. kirleeritlk Review Of Slope at building pad: Z 7 a Pl PFI Permit#: r r( 2020 OD 4-f914- ❑'r-Conditions "Met"prior to issuance of building permit l ' Easements (encroachments) per engineering conditions of approval and plat (not typical on SDR/CUP) Water Quality/Quantity Facility. Assess Water Quality Fee in-lieu: ❑ Yes ErNo Assess Water Quantity Fee in-lieu: ❑ Yes IfrNo LIDA Facility on lot Yes ❑ No ❑ NOT Approved by Engineering: Date Notes: Approved by Engineering: -a a ( .)+1..j� Date: /Li-—Z 1 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Petiit Coordinator Review gr 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:SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes J`J Q N/A paS2GQ Tigard Trans SDC: ❑ Yes N/A .pr- ?re Q10.0 Ves Parks SDC: ❑ Yes / N/A 0 OK to Issue Permit Approved by Permit Coordinator: Date: 4I2:1 i7i VI I:\BuiIding\Forms\BldgPermi1Rvw_COM_WithlandUse_111819.docx