Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2020-00248
Date Issued: 12/23/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel 2S103DD00700
Jurisdiction: Tigard
Site address: 13775 SW PACIFIC HWY
Project: Dutch Brothers Subdivision: None Lot: None
Project Description: Demolition of(2)buildings: (1)1,350 sq.ft.building and(1)623 sq.ft.building on septic. Septic tank to be pumped
and filled. UPON FINAL INSPECTIONS, 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: Info Process/Archiving-Sm$0.50(up to 12/23/2020 $0.50
Dwelling Units: 11x17)
Stories: Height: ft Erosion Control w/Development 12/23/2020 $80.70
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)
Fire Sprinkler: Parapet: 1 Ersn Cntrl 503 639 4175
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: ( ,, ` + u' r i Permittee Signature: fy t `,.. 7
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 Application (3 .-Q
Commercial
Received
City of Tigard F�jEIVEn 4)1 /hi �577-' Perms No 44410A4O7A '1,if
Date/By:
" 13125 SW Hall Blvd.,Tigard,OR 7 Plan Review
Phone: 503-718-2439 Fax: 503-59R-19GQ3 0 2020 Date By: Related Permit..
TIGARD Inspection Line: 503-639-4175 NOV Date ReadyBy: Janis: la See Page 2 for
Internet: www.tigard-or.gov Notified/Method: ld..l h I '77-6 Supplemental Information
�L CITYYOFTIGARD & .�,,�,.14.f ,�,,,(-
TYPEBUN��ING DIVISION 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0 1-and 2-family dwelling IIII Commercial/industrial Valuation: $
0 Accessory building ❑Multi-family Number of bedrooms:
ElMaster builder ElOther: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13775 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: 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.
ar
Demolish existing building and detached garage. Valuation: S,j ULU /J�.-/�lq�t
r
" Sri AI- r e 6. n-/,o/X .1,:—. Existing building area: square feet /)- eiVitk
New building area: square feet V-7 .
• PROPERTY OWNER ❑ TENANT Number of stories:
Name: Ground 99 LLC Type of construction:
Address: 13640 Birdshill Rd Occupancy groups:
City/State/ZIP: Portland, OR 97219 Existing:
Phone:( ) Fax:( ) _ New:
❑ APPLICANT 111 CONTACT PERSON BUILDING PERMIT FEES*-
(Please refer to fee schedule)
Business name: Studio 3 Architecture, Inc. Structural plan review fee(or deposit):
Contact name: Matt Johnson
FLS plan review fee(if applicable):
Address: 275 Court St NE
cityistate/ZIP:Salem, OR 97301
Total fees due upon application:
Amount received:
Phone:(503) 999-2561 Fax: :( )
E-mail: matt@studio3archtitecture.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Submittwo(2)setsofroofplanwithconnectiondetails
Business name: Luna Design and Construction
and fire department access,along with the 2010 Oregon
Address: 1709 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.: 200358
Total fee due upon application: $201.60
Authorized signatureil r7 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_COM_PennitApp.doc Rev.04/21/2014 440-4613T(1 I/02/COM/WEB)
ohCity of Tigard
M COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - With Land Use
N aoroiiT4'Y +"8vFy3'Afir.*wirau,a :4 .,,.-i..:s3b:YisC aii.x*iiI.ti,,iti+inkm 4TSCIP�dar-iaR8sisimi'iw .ia c,, 4..w.p.ai..-
Building Permit #: et.„0, 0,k-0aa1-4-
Site Address: 13775 SW Pacific Highway Suite/Bldg#:
Project Name: Dutch Brothers Demo
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Plaolur)R Review
Proposal: Demo two buildings
X Verify site address/suite#exists and active in permit system.
l River Terrace Neighborhood: ❑ Yes ® No
® Land Use Case#: SDR2020-00003
E Plans Match Approved Land Use:
$l Site Plan n/11 Landscape Plan Tree protection redlined to match UFP
id Urban Forestry Plan4-1112 Elevation Plan
rAl Building Height: Maximum Height Actual Height
0 Conditions Met: ❑ Prior to Submittal ®Prior to Permit Issuance
nlai Business License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
rg] Public Facilities Improvement(PFI)Permit:
Required: ❑ Yes,applicant was notified I No Applied For: El Yes ❑ No, stop intake
Notes: Meet conditions prior to issuance.��,Q�
Approved by Planning: dC'M.e`"`i Date: 12/3/2020
Revisions (after Building Submittal oni') Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
litttldhik Permit StibzWittal
Original Submittal Date: /ilglr,)
Site Plans: #
Building Plans: #
Building Permit#: 1�4,/e�nter building permit#above.
Workflow Routing: i�Yf nnning ❑ Engineering L ernut Coordinator ❑ Building
Workflow Sign-off: LI.-.5�r-fff for Planning(include notes from planning review)
Route Application Documents: uildtng. original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: ii.„-ivit,) en Are By Permit Technician: Date: 404
/4/171
I:1B ui Id ing\Fonns\BldgPenn itRvw_COM_W ithLandUse_1118I 9.docx
neetirze•Review
12 Sl�o e at building pad: 3
[�24�F1FI Permit#: L ?az/ �-DU`f` *
LYC ditions ;`Met"prior to issuance of building permit i? /'-
l.J'-asements (encroachments)per engineering conditions of approval and plat (not ypi aal on SDR/CUP) !y�✓
Water Quality/Quantity Facility.
Assess Water Quality Fee in-lieu ❑ Yes 2"-No
Assess Water Quantity Fee in-lieu: ❑ Yes
LIDA Facility on lot: ❑ Yes No
❑ NOT Approved by Engineer i Date
Notes:
Approved by Euglneering: Date: (2/20-12Olt
Revisions..(t£trer Building Submittal only) Reviewer Date
Ralfision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
Perim Cbotduzatot Review
Conditions"Met"prior to issuance of building permit
'Approved,NOT Released: (eel{ avkArri roec. CitttiV Date: 1 2-IS1207A
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 'N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: 0 Yes 't N/A
OK to Issue Permit n ,
Approved by Permit Coordinator: Date: I ZIZI )u1 Z-0
1:\Building\Forms\B Id gPermitRvw_COM_WithtandUse_111819.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)
Ili A WOcw4 4 - Jill
6�Eat'OCAN8tANyr r'r 3 i• City of Tigard-Utility Billing
Senior Accounting Asst
11141 , TPGARt7 (888)826-7211 Payments
„ . (503)718-2460 UB Main
jiiib@tigard-or-gov
(503)718-2494
'" ' 13125 SW Hall Blvd.
� s 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
s City of Tigard
ir ;; Senior Permit Technician
Community Development
TICARD
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
brandent@tigard-or.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 tigardbuildingpermits@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
a City of Tigard
S M . Senior Permit Technician-
Community Development
13125 SW Flail Blvd
Tigard, OR 97223
(503)718-2449
brandent@ttgard-or.gov
1