Permit (2) CITY OF TIGARD BUILDING PERMIT
.111
i COMMUNITY DEVELOPMENT Permit#: BUP2021-00048
13125 SW Hall Blvd.,Ti Date Issued: 3/22/2021
TIQgRD and OR 97223 503.718.2439 9
Parcel: 2S103DD00700
Jurisdiction: Tigard
Site address: 13769 SW PACIFIC HWY
Project: Dutch Bros Subdivision: None Lot: None
Project Description: Install free standing sign and(4)wall signs
Contractor: E S&A SIGN &AWNING Owner: GROUND 99 LLC
89975 PRAIRIE RD 610 SW ALDER ST STE 1221
EUGENE, OR 97402 PORTLAND, OR 97205
PHONE: 541-485-5546 PHONE:
FAX: 541-485-5813
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: NEW Type of Const: VB Permit Fee-COM-New Construction 03/17/2021 $252.84
Occupancy Grp: U Occupancy Load: 0 12%State Surcharge-Building 03/17/2021 $30.34
Dwelling Units: 0 Plan Review 02/18/2021 $164.35
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 03/17/2021 $3.00
11x17)
Bedrooms: 0 Bathrooms: 0
Value: $16,823
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $450.53
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: `�\ Permittee Signature: C,Y\ CAB31 CL,; 1
v 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 iVE ` I& E - I ll'a•I
Commercial p T �� : �L`� FOR OFFICE USE ONLY
City of Tigard Received {� , Permit No.i C� [�
„ L .I v 1_ Date/By: zt,'0 4-1 l'►V .:Llv\ 2Uz k—=y V
1111 13125 SW Hall Blvd.,Tigard,OR 9724Y����- �i�,7Al•ytJ Plan Review
_ Phone: 503-718-2439 Fax: 503-598-1960 ,1 Date/By: 3.lt 1 Related Perm*
:G DIVISION
"I-WARD Inspection Line: 503-639-4175 '= Date Ready/By: l See page 2 for
w Internet www.tigard-or.gov yotified/Method: „3 A ' I j Supplemental Information
TYPE OF WORK REQUIRED DATA:I-AND?-FAMILYDW'i�EI!
®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
CA"fI;GORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: S
❑Accessory building El Multi-familyNumber of bedrooms:
❑ Master builder El Other:
Number of bathrooms:
rr f-- 7`''" Total number of floors:
v3...t,IO SITE INFORMATION AND LOCAT,k °.
W - so-+wGi.li
Job site address:43'-65 tW Pacific Hwy New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: Dutch Bros Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
South of SW Watkins Ave on Hwy 99 W Other structure area: square feet
REQUIRED DATA:COMMERCLAL USE
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
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Installation of new free standing sign and 4 new wall signs for Dutch Bros Valuation: $ 16,823.20
Existing building area: square feet
New building area: square feet
.❑ PROPEIYI'YOWNER IRJ, TENANT'" Number of stories:
Name: Dutch Bros Type of construction:
Address:13765 SW Pacific Hwy Occupancy groups:
City/State/ZIP:Tigard, OR 97223
Existing:
Phone:( ) Fax: ( ) New:
® ::ON`1 AC f PERSON APPLICANT BIJILDIlYtTTE `
Business name:ES&A Sign and Awning Co (Pleass�lerxufAe`xrtef
Contact name:
Mlchelle Morris Structural plan review fee(or deposit):
Address: 89975 Prairie Rd. FLS plan review fee(if applicable):
City/State/ZIP: Eugene, OR 97402 Total fees due upon application:
Phone:( )541-868-2381 Fax: :( ) Amount received:
E-mail. rllrnOrris eSaslgnS.00111 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial
CONTRACTOR roof-topmoun[d PhotoVoltaicsSolar Panel Syysst of
Installation
Business name: ES&A Sign and Awning Co Submit two(2)sets of roof plan with connection details
Address: 89975 Prairie Rd. and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP: Eugene, OR 97402 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( )541-868-2381 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: 163470 Total fee due upon application: $201.60
D'.pitally signed by:Micnells Morns
Authorized si afore: Michelle oe=Mim.u.MORis.m.ii- This permit application expires if a permit is not obtained
m� �asaslpnaom a-us
D.ee�xosvuz„oess:ze.uevo. within 180 days after it has been accepted as complete.
Print name: Michelle Morris Date:2/11/21 * Fee methodology set by Tri-County Building Industry
Service Board.
1\Building\Permits\BUP_COM_PermitApp.doc Rev-04/21/2014 440-4613T(1 I/02/COM/WEB)
a
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
1114 Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
TIGARD, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Building\Permits\BUP_COM PermitApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
_ . .
Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
TIGARD
04 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional,drawn to scale and labeled with:
A. ❑ map&tax lot# ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations, plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit -based on valuation of project.
T:\Building\Permits\BUP_COM_Per itApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal # of Plans
(Includes new,additions and alterations.) Required at
v - Submittal
Demolition Permit 2
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval,the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor,City of Tigard,Washington
County, and Tualatin Valley Fire &Rescue),if applicable.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019