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Permit (2) CITY OF TIGARD BUILDING PERMIT " ii Permit#: BUP2020-00247 COMMUNITY DEVELOPMENT TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/23/2020 Parcel: 2S103DD00700 Jurisdiction: Tigard Site address: 13765 SW PACIFIC HWY Project: Dutch Brothers Subdivision: None Lot: None Project Description: Demolition of a 1,628 sq.ft. building on septic. Septic tank to be pumped and filled. UPON FINAL INSPECTION, DEMO CREDITS FOR PARKS AND TRANSPORTATION WILL APPLY. 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: DEM Type of Const: Permit Fee-Additions,Alterations, 12/23/2020 $149.75 Demolition Occupancy Grp: Occupancy Load: Erosion Control w/Development 12/23/2020 $80.70 Dwelling Units: Info Process/Archiving-Sm$0.50(up to 12/23/2020 $0.50 Stories: Height: ft 11x17) Bedrooms: Bathrooms: Value: $5,000 Floor Areas: Total Area: Accessory Struct: Basement: Carport: Covered Porch: Deck: Garage: Mezzanine: Total $230.95 Required: Required Items and Reports(Conditions) 1 Ersn Cntrl 503-639-4175 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 obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By:`.\. . ,7,L.ti, r , ," Permittee Signature: y',2� 4474/9 ri.,t C'-' -'-7C`i Ail 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 ApplicatW , \d � / 3© a — 1 Commercial $�LC/El d FOR OFFICE USE ONLY City of Tigard NO V 3 0 2020 Received ) t,,� /�' n.. ,J ' Date/By: di, 4'/ \ Permit No.: QS 'an �e—r7 111 13125 SW Hall Blvd.,Tigard,Q�.1 3 % Plan Review i VV a Phone: 503-718-2439 Fa $8315981 � ril6AFDq DateBy: ,//,9- Related Permit: l I,r A K n Inspection Line: 503-639-4 t,,JJI ID!NG L�BVIS i®1 rI Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method:/� �1 le/T f�ti Supplemental Information 7 , 4w TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑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. ❑ I-and 2-family dwelling III Conunerciallindustrial Valuation: $ ❑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: 13765 SW Pacific Hwy New dwelling area: square feet City/State/ZIP: Tigard, OR 97224 Garage/carport area: 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: I 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 equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Demolish existing structures on site in preparation for new drive-thru Valuation: $ 5,000 coffee development under future building permit. Existing building area: 3,601 square feet -C_I : irk,' '4 (i fit e0 _� New building area: N/A square feet 111 PROPERTY OWNER / ❑ TENANT Number of stories: N/A Name: Ground 99 LLC Type of construction: N/A Address: 13640 Birdshill Rd Occupancy groups: City/State/ZIP: Portland, OR 97219 Existing: B/M Phone: ( ) Fax:( ) N/A New: ❑ APPLICANT 111 CONTACT PERSON BUILDING PERMIT FEES* Business name: Studio 3 Architecture, Inc. (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name: Matt Johnson Address: 275 Court St NE FLS plan review fee(if applicable): cityistate/ZIP:Salem, OR 97301 Total fees due upon application: Phone:(503) 999-2561 Fax: :( ) Amount received: E-mail: SOLAR PANEL SYSTEM FEES* 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: 1709 NE Conifer Blvd So/ar Installation Specialty Code checklist. fee(includes plan review $180.00 City/State/ZIP: Corvallis, OR 97330 Permit and administrative fees): Phone:(541 ) 224-8257 Fax ( ) State surcharge(12%of permit fee): $21.60 CCB Lie.. 200358 Total fee due upon application: $201.60 Authorized signature 7/ n This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Matt Johnson Date: 1 1/20/2020 * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP_COMPermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) City of Tigard II COMMUNITY DEVELOPMENT DEPARTMENT R TIGARD Building Permit Review — Commercial - With Land Use Building Permit #: et,.11 --cx.>947 Site Address: 13765 SW Pacific Highway Suite/Bldg#: Project Name: Dutch Brothers Demo (Name of commercial business occupying the space. If vacant,enter Spec Space.) /4/aorli-ok$evieW Proposal: Demo one building ® Verify site address/suite# exists and active in permit system. ® River Terrace Neighborhood: E Yes XI No l Land Use Case#: SDR2020-00003 N7 Plans Match Approved Land Use: XII Site Plan n® Landscape Plan -Tree protection redlined to match UFP 1 �7L Urban Forestry P1an4-- levation Plan Ilt$Building Height Maximum Height Actual Height 0 Conditions Met: ❑ Prior to Submittal ®Prior to Permit Issuance n/igi Business License: Exists: ❑ Yes ❑ No,applicant was provided a business license application ® Public Facilities Improvement (PFI) Permit Requited: ❑ Yes,applicant was notified ® No Applied For: ❑ Yes ❑ No, stop intake Notes: Meet conditions prior to issuance.�� � Approved by Planning: Oetivtabti Date: 12/3/2020 Revisions (after Building Submittal o ) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: ❑ Approved 0 Not Approved Revision 3: ❑ Approved 0 Not Approved Btrildli>.Aerlrtit Stibtxiittal Original Submittal Date: 1f d Site Plans: # Building Plans: # Building Permit#: 2. building permit# above. Workflow Routing: [ lanning 0 Engineering ermit Coordinator 0 Building Workflow Sign-off: 0 Sign-off for Planning(include notes from planning review) Route Application Documents: 0 Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: fl p 7/ By Permit Technician: - Date: /g1 fj/) 1:1Building\Forms\BIdgPemrritRvw COM_WithLandUse_111819.docx :agtneeripk.Review Ls J1ope at building pad: Z� [ PFI Permit 3# Op 2orti _v s E Conditions "Met""tior to issuance of building permit /I fp- ErEasements (encroach'ents)per engineering conditions of approvaLand plat (not typical on SDR/CUP)h4- E. Water Quality/Quantity f.edify Assess Water Quality Fe.+n-lieu: ❑ Yes a No Assess Water Quantity Fee m lieu ❑ Y,e5 LI No LIDA Facility on lot: Yes [1 No ❑ NOT Approved by Enginecdng: Date Notes: Approved by, Efigineering: � GfuL.,, Date: /Z142 f?'m) Revisiw (after Building Submittal only) �� 1>iaviewer Date ,1evision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved Perri it Cbotdtnatot J evieW ( J2QJC onditions "Met"prior to issuance of building permit Approved,NOT Released: Trees moircfiur, ltJ-%r rrl 11/41:01.9}. Date: PO— I17-131 12CW 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: T` SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: ❑ Yes X N/A / OK to Issue Permit Approved by Permit Coordinator: Date: 1'LI`Ll 120W I:1BuildinglForms1B1dgPermitRvw_COM_WithLandUse_11 I819.docx Branden Taggart From: Jill Bentley Sent: Thursday, December 10, 2020 7:43 AM To: Branden Taggart Subject: RE: Demo Permit - 13765 SW Pacific Hwy Hey Branden, You are correct in that this location is not connected to sewer. Kind Regards, Jill (she/her/hers) t. AWO,,,_yr _ Jill 4 1 gti CAkEEANV I City of Tigard-Utility Bilttng 7 'G I ----- ,' Senior Accounting Asst (888)826-7211 Payments a , (503)718-2460 UB Main jilib@tigard-or.gov (503)718-2494 13125 SW Hall Blvd, Tigard, OR 97223 From: Branden Taggart<brandent@tigard-or.gov> Sent:Tuesday, December 8, 2020 6:07 PM To:Jill Bentley<JILLB@tigard-or.gov> Subject: Demo Permit- 13765 SW Pacific Hwy Hey Jill, We received a demo permit for 13765 SW Pacific Hwy. This building does not appear to be connected to sewer. Can you confirm this please? Thanks, Branden Taggart III q City of Tigard 0, � Senior Permit Technician Community Development TICAFU7 13125 SW Hall Blvd Tigard, OR 97223 (5031718-2449 bra ndentiitigard-o r.gov 1 Branden Taggart From: Branden Taggart Sent: Tuesday, December 22, 2020 2:07 PM To: matt@studio3architecture.com Cc: Corey Cabrera; Dianna Ornelas Subject: Dutch Brothers Demolition Permits: BUP2020-00247 & BUP2020-00248 Attachments: BUP2020-00248 Invoice.pdf; BUP2020-00247 Invoice.pdf Hi Matt, The Dutch Brothers demolition permits for the buildings located at 13765 and 13775 SW Pacific Hwy are ready to issue. I have attached invoices above for you to reference, and the fees due are as follows: Dutch Brothers Demolition Permits Permit # Fees Due BUP2020-00247 $ 230.95 BUP2020-00248 $ 230.95 Total: $ 461.90 The above fees can be paid online through our website: https://aca.accela.com/TIGARD/Default.aspx. From there, click on the Building tab, enter the permit numbers in the Record Number field, and click Search. Once paid online, please notify us at tigardbuildingpermitsca tigard-or.gov, and we will email the permit paperwork to you. Additionally, per Dianna's email: • Demolition of all buildings must be completed and inspections finaled prior to submittal of new construction permits. • New addresses must be applied for and assigned prior to submittal of new construction building permits. Thank you, Branden Taggart City of Tigard s. : Senior Permit Technician Community Development 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brandent@tigard-or.gov 1