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Permit CITY OF TIGARD BUILDING PERMIT S. COMMUNITY DEVELOPMENT Permit#: BUP2021-00207 T j G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/21/2021 Parcel: 1 S 136C D00100 Jurisdiction: Tigard Site address: 11705 SW PACIFIC HWY X Project: Jersey Mike's Subdivision: None Lot: None Project Description: Interior TI for new restaurant tenant. Contractor: FORTNEY CONTRACTORS LLC Owner: PACIFIC CROSSROADS PROPERTIES INC PO BOX 920 BY WYSE INVESTMENT SERVICES CO VANCOUVER,WA 98666 810 SE BELMONT ST#100 PORTLAND, OR 97214 PHONE: (360)693-7935 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM ., „ .__. Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 12/20/2021 $1,649.55 Occupancy Grp: B Occupancy Load: 48 Demolition 12/o State Surcharge-Building 12/20/2021 $197.95 Dwelling Units: 0 Plan Review 09/10/2021 $1,072.21 Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 12/20/2021 $434.00 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 12/20/2021 $659.82 Value: $190,000 Info Process/Archiving-Lg$2.00(over 12/20/2021 $20.00 11x17) Metro CET 12/20/2021 $228.00 Floor Areas: Returned Check Fee 12/20/2021 $20.00 Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $4,281.53 Required: Required Items and Reports(Conditions) 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: Ho-( Vim, De, Permiftee Signature: Ofrx,A 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 Applicatio RECEIVED Commercial AU G 2 5 2021 FOR of rice:t SE ONLY City of Tigard CITY OF TIGARD Received ? ry 11111 a 13125 SW Hall Blvd.,Tigard,OR 97 DateBy: ( 'Z� I Permit No.gP--9 w,z1 D �O r C Phone: 503-718-2439 Fax: 503 5944U d. G DIVISION ply,Revie G/J GPI' 0 Lf� Date/By: ' ti-.2) � Related Permit: TIGAKD Inspection Line: 503-639-4175 Date Ready /// / tans: ® See Page 2 for Internet: www.tigard-or.gov tified/Metho, 1Supplementallnformation ',p;7:ii.'31.1 '. ,- 9J Oa' WO 13i'4 W? '�� - * 4+l: e, ,x. r€ ir- .'X�P:. L 18"...as4 ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all [7 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the r{ y 3a .e 3 CAT Go12YOf' ONSTR ac 8 fi z t work indicated on this application. _.:. N.£ .v-kz ❑1-and 2-family dwelling ® m Comercial/industrial Valuation: $ 0 Accessory building 0 Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: .,=E r - � w ;i?���'����.'. ®��d �®� '�`i',.��i r a e`�",�r `,-_-,_.',::_,-_,7,eillTotal number of floors Job site address: 11705 SW Pacific Hwy. New dwelling area: square feet City/State/ZIP: Tigard, OR Garage/carport area: square feet Suite/bldg./apt.#: X Project name: Jersey Mike's Subs Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet .nix!.:�aa.saun F� "sh..:: + �iu,,.ryn+�c«�-"€sr',� 7-u :" Subdivision: Lot#: Permit fees*are based on the value of the work performed. Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all it equipment,materials,labor,overhead,and the profit for the li k x DESC�RWT1 i r F'l o i'3x 4.70; V 411 work indicated on this application. Ectat�x,a., ..;;s _ ;;- +t -r,s. ..k4•A.,t. -fdx 5 ±.� 4_r. :. �-. -r .F n Interior TI for a new fast casual restaurant. Valuation: $190,000 , millwork and finishes. Existing building area:tenant spadvare feet 1,816 square feet s 3 New building area: s q e 1,816 F.'' 4R 9 P OWri1� it 0- Number of stories: one Name: Daniel Watts/Watts World dba Jersey Mike's Subs Type of construction:V-B, not sprinklered Address: 5204 P Street Occupancy groups: City/State/ZIP: Washougal,WA 98671 Existing: vacant,former B Phone:(661 )623.3809 Fax ( ) New: B :: Business name: GA Miller Architecture PC A Contact name:Glen Miller Structural plan review fee(or deposit): ��7� 2.,+ r Address: 141 Del Prado St. FLS plan review fee(if applicable): City/State/ZIP:Lake Oswego, OR 97035 Total fees due upon application: Phone:(503 )636.7979 Fax::(503)636.9898 Amount received: E-mail:glen@gamillerarchitecture.com a , �� a f� `� ,'s'., r , 7:4r r) '. ��, '4_ r.. L. Commercial and residential prescriptive installation of "`'`` ': ° 3.; ` `��ai,t. -.mm:;ate.-. Illy - roof-top mounted Photo Voltaic Solar Panel System. Business name: iSTr V—©,c-S.h ci Cev..\t�rc�Lv fJ` (�•�►p ,'� Submit two(2)sets of roof plan with connection details Address: and fire department access,along with the 2010 Oregon , X Solar Installation Specialty Code checklist. _ City/State/ZIP: \KAr1C wolf �A Cl 50:( " Permit fee(includes plan review $180.00 and administrative fees): 1 Phone:(3(00 ( --1C, Fax:( ) State surcharge(12%of permit fee): $21.60 ' CCB Lic.: t%Atip Total fee due upon application: $201.60 Authorized signature: if — L j1�•/ � i✓t This permit application expires if a permit is not obtained a` within 180 days after it has been accepted as complete. It Print name:Glen Miller Date:8/1 9/2021 * Fee methodology set by Tri-County Building Industry 11 Service Board. l I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) 1,/, } City of Tigard .1111111 r COMMUNITY DEVELOPMENT DEPARTMENT TIcn ;D Building Permit Review — Commercial - No Land Use -- Ty g �uPZi o0.2-07 Building Permit #: r Site Address: I I l,ijC 5(.1 et)AC(fl mu'j Suite/Bldg#: Project Name: JelTseY M t 'S cogs (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: Ill 1 'Ql o Q T. Existing Business Activity: an NI ') oc(N(e Q'rmus tlrVlq-1-� Propos d Business Activity: o9'nY1 ORtNorig> er AQustt 41er) - t erify site address/suite#exists and active in permit system. Ricer Terrace Neighborhood: ❑ Yes IX1V o oning: (j-� �/ rmitted Use: 1Q Yes ❑ No ❑ Spec Space Confirm no land use required. 0 Business License: Exists: ❑ Yes No, applicant was provided a business license application Notes: Approved by Planning: -o Date: g 404/ 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: A9 -Val Site Plans: # Building Plans: # Building Permit#: `[] Enter building permit#above. Workflow Routing: Manning ❑ Permit Coordinator ding Workflow Sign-off: lg.—Sign-off for Planning(include notes from planning review) Route Application Documents: g: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: (� C� �L �" Date: r"/ 2..,r I:\Building\Forms\BldgPermitRvw_COM_NolandUse_111819.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 Applica . Revision Notice 2: Date Sent to Ap 'cant: Revision Notice 3: Date Sent t pplicant: ❑ SDC Fees Entered: Was o Trans Dev Tax: ❑ Yes ❑ N/A • rd Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A ❑ OK to Issue Per Approved by ermit Coordinator: Date: I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_111819.docx Dianna Ornelas From: #Building Permit Technicians Sent: Sunday, September 5, 2021 8:36 AM To: GA Miller Architecture PC Subject: BUP2021 00207 11705 SW Pacific Hwy, X Jersey Mike's Attachments: BUP2021-00207.pdf Hello Glen, This permit has been approved by planning and the plan review submittal fee due is$1,072.21 (see attached invoice). The fees can be paid online at https://aca-prod.accela.com/TIGARD/Welcome.aspx by searching for the permit record number BUP2021-00207 under the Building tab. Once the fees are paid,the plans will be routed for plan review. Please allow approximately 4 weeks for processing. The permit technicians will contact you when the permit is ready to issue and with instructions to pay the remaining permit fees due. Thank you. Dianna L. Ornelas Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits 1