Permit C ITY OF TIGARD BUILDING PERMIT
_ PERMIT #: BUP2009 -00007
COMMUNITY DEVELOPMENT DATE ISSUED: 1/29/2009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S136CC - 02100
SITE ADDRESS: 11746 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: DUTCH BROTHERS COFFEE LOT: JURISDICTION: TIG
PROJECT: DUTCH BROS. COFFEE
Project Description: New coffee drive -thru.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: NEW FIRST: 377 sf N: NR S: NR E: NR W: NR
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: N S: N E: N W: N
OCCUPANCY GRP: M TOTAL AREA: 377 sf ROOF CONST: A FIRE RET?
OCCUPANCY LOAD: 2 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: 19 ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: N MEZZ ?: N REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: 13,921 PRO CORR: N PARKING: 4
VALUE: $ 350,000.00
Owner: Contractor:
GRUNBAUM FAMILY TRUST DALKE CONSTRUCTION CO INC
21390 SW EDY RD 2180 16TH ST NE
SHERWOOD, OR 97140 SALEM, OR 97301
Phone: Contact #: PRI 503 - 585 -7403
FAX 503 - 585 -1978
Reg #: LIC 63080
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 1/12/2009 $892.11 Ersn Cntrl 681 -4444
[FLS] FLS Pln Rv 1/12/2009 $548.99 Reinforced concrete
Structural welding
[BUILD] Permit Fee 1/29/2009 $1,369.70
[TAX] 12% State Surch 1/29/2009 $164.36
(additional fees not listed here)
Total $5,117.46
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 wi _ •ire if wor is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law r "quire out• ollow the rules adopted by the
Oregon U • • ' • ' -tion Center. Those rules are set forth in OAR 952 - 001 -0010 thro gh OA • 5 (101 -0100. You may obtain a copy
of the rules or dire qu= ns t• OUNC by calling 503.246.6699 or 1.800.332.2344.
Iss ed By: Permit Signature.
'
y `. -� g I►
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
- I [ 5w 4&c■-c ■ c. !iw •
- Building Permit Application RECEVE Commercial FOR OFFICE USE ONLY
City of Tigard JAN 0 8 2009 Dat Received eB • • _ * Permit ` r ar dr , r46Y6.
:� . 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revi ';gma '
Phone: 503.639.4171 Fax: 503.598.1960 Date ,►i1tA (I Other Permit �
, , • • _ I
TI G i1 R D Inspection Line: 503.639.4175 CITY OF TIGAR B . Date Ready :y: n , ® See Page 2 for `
Internet: www.tigard - or.gov BUILDING DIVISI • 0 otified/Method: • G 7 , • S upplemental Information
Lin l• 21.CA kV 1 r,l�nn. ,n
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
&clew 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 CON work indicated on this application.
❑ I- and 2- family dwelling 2/C— JC -oommerciai/industrial Valuation: $ 3 s / Dam
❑ Accessory building ❑ Multi - family Number of bedrooms:
ID Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ' I �4 'jw RAG tFtc. H 1 b 1..." -/ New dwelling area: square feet
City /State /ZIP: " f b ik tz,0 0 2 - .17 Zi 5 X205. 0404F6,ti Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Ov4k lams-pinetft Covered porch area: square feet
Cross street/directions to job site: SW 7911 Ptve, G ,...F H■,•{ 91 Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Ail e; Lot no.:20c 2 1 Permit fees* are based on the value of the work performed.
r
Tax map /parcel no.: S 13 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.
(� J 6 'J � r, C S + 1 1 i', Valuation: $
f ✓ Existing building area: square feet
J New building area: square feet
PROPERTY OWNER I 0 TENANT Number of stories:
Name: (2 ,� j- , lc%A, r Type of construction:
Address: a Z) 6 S, J ,',v II Occupancy groups:
City /State /ZIP: < / Aj a ci o_Q 9--) j 46.87 6 Existing:
Phone: ( 5,43) 349 - LZ4s Fax: ( .� ) New:
❑ APPLICANT I;LONTACT PERSON NOTICE
Business name: /.1,, ,4.: ,, All contractors and subcontractors are required to be
Contact name: i F ) licensed with the Oregon Construction Contractors Board
y under ORS 701 and may be required to be licensed in the
Address: 1 15 13 h 51_ eet. 5c jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State /ZIP:
50, Ne" O2 q 7 3 .- app
Phone: (5•' 3 3 - ui fr 7 Fax:: ( 5,3) 3 c --1 Z( c
E -mail: b e eu. ) 4 .ws .
/ CONTRACTOR
Business name: a) Ise `6"v$?., -AL_ C BUILDING PERMIT FEES*
(Please refer lo fee schedulee
Address: P O. I5oS( 5% 70 V I Z.
Structural plan review fee (or deposit):
City /State /ZIP: 5e, iem. 012- 9? 4
FLS plan review f e e (if applicable): 5 C � J O P 99' Phone: (5„) ` S 15 •S_ 74 I Fax: (3% 3 SAS – /91 /91
CCBIic.6S.a r.
Total fees due upon application: Hu I , 1 4
Amount received:
' i
Authorized signs e: permit application expires if a permit is not obtained
��fl within 180 days after it has been accepted as complete.
Print name: J�� � r ,�/ Date
i 6 )0Q
� / • Fee methodology set by Tri- County Building Industry
Service Board.
I: \BuildinglPetmits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(I1/02 /COM/WEB)
r.
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
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 per -cent (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: $
(I) 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 06 /25/08
CITY OF TIGARD a v o 2d9-- Go o 7
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 �Y��II�'� A\
Inspection Requests (24 Hrs.): (503) 639 -4175 ' : � ii 1 �
INSPECTION WORKSHEET FOR DATE: 44 0, / (1/1 TIME: PAGE:
SITE ADDRESS: / T.? 7 t ()A U 1^ L CLASS OF WORK:
SUBDIVISION: I LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: ''jj
OWNER: PHONE #: // z'_ SY3 I
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
..2-4 c7A, (27_ ejt,k1.-:_ r
Corrections /Comments / Instructions:
A IL-. � A . u E /
CO - iv
�
. .
v tic -1--e
.
'ASS I PARTIAL APPROVAL ❑ CANCEL f{ NO ACCESS
El FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: c
Date: kit/161 0 Phone #: (503) 718- ' _
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2009-00007
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2912009
Phone: (503) 639 -4171 . (Pn
Inspection Requests (24 Hrs.): (503) 639 -4175 .. - '!� -. "' .
INSPECTION WORKSHEET FOR DATE: 2/17/2009 TIME: 7 :00AM PAGE: 6
SITE ADDRESS: 11746 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: DUTCH 13ROS. COFFEE LOT #: TYPE OF USE:
PROJECT NAME: C)(JT'CH IJROS. COFFEE
DESCRIPTION: New coffee drive -thru.
OWNER: GRUNL3AUIv1 FAMILY TRUST, PHONE #:
CONTRACTOR: DALKE CONSTRUCTION CO INC PHONE #: 503
Inspection Request Scheduled For: Date: 7.71712009 Pour Time: 1:00
Code # Inspection Description Confirm # Contact # Message
2 �0 Slab 080557 -01 603-999-2315 N
Corrections /Comments /Instru . ns:
ILL-, A - I I IA ( ( L_ A- it_- 7 L-A-M S
01--, 1----.- T ao s tJ ri4 W A r,1 . 7C -- T 1L)
❑ PASS e re.--
PARTIAL APP: e ❑ CANCEL ❑ NO ACCESS
El FAIL - ' LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Apvi
Inspector: a _ = Date: I /7 Phone #: (503) 718- 26 yV