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Permit (2) 71CITY OF TIGARD BUILDING PERMIT I COMMUNITY DEVELOPMENT Permit#: BUP2023-00050 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 4/19/2023 Parcel: 2S115AB01900 Jurisdiction: Tigard Site address: 16200 SW PACIFIC HWY J1 Project: Chipotle Mexican Grill Subdivision: 1994-028 PARTITION PLAT Lot: 2 Project Description: Interior demolition prior to TI. Contractor: WESTERN CONSTRUCTION SERVICES INC Owner: SN PROPERTIES PARTNERSHIP 2300 E 3RD LOOP SUITE 110 1121 SW SALMON ST VANCOUVER,WA 98661 PORTLAND, OR 97205 PHONE: 360-699-5317 PHONE: FAX: 360-694-7818 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 04/19/2023 $707.41 Occupancy Grp: Occupancy Load: Demolition 12%State Surcharge-Building 04/19/2023 $84.89 Dwelling Units: Info Process/Archiving-Lg$2.00(over 04/19/2023 $14.00 Stories: Height: ft 11x17) Bedrooms: Bathrooms: Value: $48,000 Floor Areas: Total Area: Accessory Struct: Basement: Carport: Covered Porch: Deck: Garage: Mezzanine: Total $806.30 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. 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 obtai ftg0 rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 7 Permittee Signature: `'/14. 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 ONLY City of Tigard Received Permit No DECEIVED ixutel3y �y - � �t� 5� 13125 SW Hall Blvd.,Tigard.OR 972 3 Phut Review � al j Phone: 503-718-2439 Fax: 503-598-1960 Date/By. Related P.ymiiliti If Alp"-6104q TIGARD inspection Line. 503-639-4175 APR Date Ready/13y: his RI See Page 2 for -. Internet: www.tigard-or.gov 19 2023 NotiliedlMethod: 7.. �c, Supplemental Information TYPE OF 1'OF TIGARD REQUIRED DATA:I-AND 2-FAMILY DWELLING DemD�o thou it9 DIVISION ❑New construction 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. ❑ i-and 2-family dwelling ®Cottimercial/industrial Valuation: g ❑Accessory building ID Multi-familyNumber of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 16200 SW Pacific Hwy Suite J 1 New dwelling area: square feet City/State/ZIP: Tigard OR 97224 Garage/carport area: square feet Suite/bldgapt.#: ,Ji Project name:Chipotle Tigard Towne Square Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area square feet REQUIRED DATA:COMMERCIAL-USECHECKLISI' Subdivision: l.ot Permit fees'are based on the value of the work performed. tnap/P 2S115AB01900/R2037719 Indicate the value(rounded to the nearest dollar)of all Tax arcel#: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Demo interior previous bank building to become Chipotle Mexican Grill Valuation: $48,000 Existing building area: 2161 square feet New building area: 2161 square feet ® PROPERTY OWNER 0 TENANT Number of stories: 1 Name: SN Investment Properties LLC Type of construction: Ill-B Addiuss: 1121 SW Salmon St Ste 500 Occupancy groups: City/State/ZIP: Portland OR 97205 Existing: g Phone:(503 ) 450-0806 Fax:( i New: A-2 ® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* Business name: Western Construction Services (Pteatt refer*Yee seheda4) Structural plan review fee(or deposit): Contact name:Sue Tibbs FLS plan review fee(if applicable): Address:2300 E Third Lp Ste 110 Total fees due upon application: City/State/ZIP: Vancouver WA 98661 Phone:(360 ) 947-4745 Fax::( ) Amount received: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:stibbs©westemconstruction.com CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: Western Construction Services Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:2300 E Third Lp, Ste 110 Solarinsta/lation Specialty Code checklist. City/State/ZIP:Vancouver WA 98661 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360 ) 947-4745 Fax:(360 1694-7818 State surcharge(12%of permit fee): $21.60 CCB Lie.:63717 Total fee due upon application: 5201.60 Authorized signature: �fr�r/' /,{� This permit application expires If a permit is not obtained (t�/v✓t��� l G2. V�� within 180 days after it has been accepted as complete. Print name:Sue Tibbs Date:4/18/23 * Fee methodology set by Tri-County Building Industry Service Board. 1:1BuildingtPennitstBUP_COM PemtitApp.doe Rev.04/21/2014 440-4613T(11/02/COM/WEB)