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Permit
CITY OF TIGARD BUILDING PERMIT I COMMUNITY DEVELOPMENT Permit #: BUP2012 -00137 T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/11/2012 Parcel: 1 S136DB02600 Jurisdiction: Tigard Site address: 11201 SW 72ND AVE Project: McDonalds Subdivision: AZOIC TERRACE Lot: 1 Project Description: Exterior building renovations, drive -thru improvements and interior alterations. Contractor: RICH DUNCAN CONSTRUCTION INC Owner: STEWART /BARI PROPERTIES LLC PO BOX 21183 STEWART TRUST KEIZER, OR 97307 -1183 BY US BANK BOX 64142 ST PAUL, MN 55164 PHONE: 503 - 390 -4999 PHONE: FAX: Specifics: _ FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: Vg Permit Fee - Additions, Alterations, 09/11/2012 $2,011.95 Demolition Occupancy Grp: A -2 Occupancy Load: 78 12% State Surcharge - Building 09/11/2012 $241.43 Dwelling Units: 0 Plan Review 08/01/2012 $1,307.77 Stories: 1 Height: 22 ft Plan Review - Fire Life Safety 08/01/2012 $804.78 Bedrooms: 0 Bathrooms: 0 DC Provision Review, COM TI - Ping 09/11/2012 $256.00 Value: $250,000 DC Provision Review, COM TI - LRP 09/11/2012 $38.00 Info Process /Archiving - Lg $2.00 (over 09/11/2012 $62.00 11x17) Floor Areas: Metro Const. Excise Tax - Commercial 09/11/2012 $300.00 Use Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $5,021.93 Required: Required Items and Reports (Conditions) Fire Sprinkler: No Parapet: Yes 1 Ersn Cntrl 503-639-4175 Fire Alarm: No Protected Corridors: No Smoke Detectors: No Manual Pull Stations: No 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. Iss ued By: `4 di / � � ■ Permittee Signature: 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 Applicatio Commercial � Ei v I(R rli I it F i SF.OvI 1 City of Tigard Dat U (_ 1 7 2012 Recei /B _ _,'/' ved - =�'� Permit No.: PAQo/� —c, 37 13125 SW Hall Blvd., Tigard, OR 3� Plan Review ' It Phone: 503.718.2439 Fax: 503.5+ b pF'TIGARD Date/By: Ar �� j (b 1 other Permit: MNDc9 ADO /3 r i c ; ,, r. n Inspection Line: 503.639.4175 BUILDING DIVISION Date Read :y , rw;s: la See Page 2 for Internet: www.tigard- or.gov 1� Notified/ /Q /� C -D4 Supplemental Information p -la .411 TYPE OF WORK REQ '4• DI r DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees are based on the value of the work performed. ® Addition/alteration/replacement ❑ Other: equipment, the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 1- and 2-family dwelling Valuation: $ Y mg ®Commercialfmdustriat _ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: +; Job site address: 11201 Southwest 72" Ave. New dwelling area: square feet City/State/ZIP: Tigard, Oregon. 97223 Garage/carport area square feet :1 , SuitePoidg. /apt. no.: Project name: McDonalds Covered porch area square feet ii I Cross street/directions to job site: Corner of SW Pacific HWY and SW 72" Ave Deck area: square feet k ; ! : a it Other structure area: square feet 4 REQUIRED DATA: COMMERCIAL -USE CHECKLIST I t Subdivision, Lot no.: Permit fees* are based on the value of the work performed Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all j equipment, materials, labor, overhead, and the profit for the 1 +i. DESCRIPTION OF WORK work indicated on this application. Valuation: S$250,000.00 Exterior Building Renovation and Drive - Thru improvements Existing building area: 3,084 square feet i New building area: 3,099 square feet ® PROPERTY OWNER ❑ TENANT Number of stories: 1 Name: McDonalds Corporation LLC Type of construction: Existing 5 -B •.■' Address: 12131 — 113th Avenue NE, #103' Occupancy groups: ''1, '' City/State /ZIP: Kirkland, WA 98034 Existing: A2 ;n , Phone: (425)242 -2421 Fax: ( ) New: Unchanged ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: Core States Group (Please refer to fee scha�itlt) Structural plan review fee (or deposit): Contact name: Harry Oliver FLS plan review fee (if applicable): Address: 105 Lake Street South Total fees due upon application: City /State /ZIP: Kirkland, WA. 98033 Phone: (425) 429 -1422 I Fa : ( ) Amount received: E -mail: holiver@core- eng.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* C ©NTRACTOR n r • ed Commercial and residential prescriptive ' :. lation of roof -t...• PhotoVoltaic Solar ' -1 System. Business name, sm. _ D T G and fire d in a al : with the connection 0 Oregon l n Address: , (p, • AX I 18 3 Solar Installation ,.:::.l 'ode checklist. City/State/ZIP: 1� I x p e ._ 6 2 q? 3e? l ! 8 Permit fee (incl ,Dan review $180.o0 Phone: (� 2 q and : i. ' .' . : ; , fees): dJ ) J�O �� 1 Fax: ( ) Statesurch. _4- (12% of permit - • $21.60 CCB lie.: 1 54? *0 t /( (e1/ v Tt : fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is no obtained `/� within 180 days after it has been accepted as complete. Print name: Jeff Chapman Date: 6/29/12 * Fee methodology set by Tri County Building Industry Service Board. I: \Building\Pennits\BUP -COM PermitApp.doc 02/ 24/2011 440 4613T(1 I /02/COM/WEB) .114 Ni Building Division Development Code Provision Review T I G A R D Commercial Projects with Approved Land Use Building Permit No.: e ttPv2(1/d2 Ze/ 7 Land Use Casefilc No.: /` '1J v / 0 1 DoO / 3 7Q 'Yn/ f-72- 0 y-2) Routed Plans: Submittal Date: 7'/ 7A2- Submittal Date: (51/Z.-- Submittal Date: To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. STAFF: please only mark those items on the left side that are approved. Planning Review (contact il 4 ldl ��m at 503-718-d- ` l or A. d 4,1 @ ti or. Land Use Approval AVM /1 -00013 ❑ Building Plans Match Approved Plan: Yes No ❑ ❑ Maximum Building Height ❑ Conditions Met S ,/ B IS do b e re vlseJ S � reel c /O Notes: t an ✓I ee � =N ' ` Lets kS Shot.04 ‘.o /!'l�l/a1C7J1 DUU1 Original Plan: Approved ❑ Not Approved Date: 2 11- Revision 1: Approved Not Approved ❑ Date: 424 Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503- 718 -2464 or MikeW @tigard - or.gov) ❑ Actual Slope: ❑ PFI Permit # ❑ Conditions Met 1 ��=J� ^� Notes: ?z 4i ; yG ei - U4 ' b ' L -( -v I`✓ / N O 4t-/T fi` c. is 17-T- 4-, J %'/ / tX G-A�c.� rivk-s 10Ww'/ j m,C T, N (- c U .. 1.5 r g. j¢-Ai •5 ? Original Plan: Approved ❑ Not Approved( Date: e .2 - /1 2 — Revision 1: Approved Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) ❑ Street Trees ❑ Protected Trees Notes: Si-,1e, f la., 6ee.4 i 4. ,' v' 5.4 o S 110/4“2‘4144 'Bikes Original Plan: Approved ❑ Not Approved ,i4 Date: -Z" �- Revision 1: Approved 6r, Not Approved ❑ Date: 7 ' .5 /J- Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @ tigard- or.gov) ❑ Planning Okay to Issue Permit ❑ Arborist Okay to Issue Permit ❑ Engineeringy to Issu l �` Notes: 1 GCLi s �� LL /i `GGt 44, Pi • Z9,7 Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes No 0% r 2_ 7 Date Routed to Building: . J Page 2 of 2 l Building Division Development Code Provision Review T [ G n R D Commercial Projects with Approved Land Use Building Permit No.: g tfuP,a0/,,z - e0/3 7 _ Land Use Casefile No.: // ,1� J c- r 00n / 3 �Ot1N /e- 0 y‘a Routed Plans: / /OW-- Submittal Date: 7// 7 / / 2-. Submittal Date: Ci (G Z Submittal Date: To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (V) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. STAFF: please only mark those i tems on the left side that are approved. f Planning Review (contact _A iy 4L. F at 503 - 718 -d-'t) l or A D''1 n , Kt' @tigard- or.gov) I A Land Use Approval /W olC/1 -4OU/ ❑ Building Plans Match Approved Plan: Yes No ❑ ❑ Maximum Building Height ❑ Conditions Met )) / Notes: _s i i'C bran 4eea:6 ,k, b r`evia d l0 ho e /014' e 014G p' — rb /24 f" c3 4S 3'!�: >INi vt cn AMID. - O[lil1I t Original Plan: Approved ❑ Not Approved Date: < . j - Revision 1: Approved Not Approved ❑ Date: r , a04 Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) ❑ Actual Slope: ❑ PFI Permit # ❑ Conditions Met Notes: it -t-iS (Mt- 4 ii - X 157J/ 6 14-i7 .. Oki t- to rc c i 17- • pa /LOv /I L C. i4 ./44 - p›.- , � ; G d,,,../,, M Ci,,7^-r "4 C s..a wr 01 u p -C.:1..- h•^ -- r 7 47l1 6 Pc ? . Original Plan: Approved ❑ Not Approved Date: el L 1 Revision 1: Approved , Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2