Permit CITY OF TIGARD BUILDING PERMIT
i Ill
IIII s COMMUNITY DEVELOPMENT BUILDING
BUP2014-00091
T I G A R 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/08/2014
Parcel: 2S 113AC01201
Jurisdiction: Tigard
Site address: 7331 SW BRIDGEPORT RD 103
Project: Pizzasmith Subdivision: COUNCIL VIEW ACRES(LOTS 1-20) Lot: 18
Project Description: TI-demolish previous retail and build restaurant.
Contractor: PACIFIC CREST CONSTRUCTION INC Owner: BV CENTERCAL LLC
24111 NE HALSEY ST#400 ATTN: FRED BRUNING
TROUTDALE, OR 97060 7455 SW BRIDGEPORT RD
TIGARD, OR 97224
PHONE: 503-793-1267 PHONE:
FAX: 503-665-6371
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 05/08/2014 $1,709.95
Demolition
Occupancy Grp: A-2 Occupancy Load: 75 12%State Surcharge-Building 05/08/2014 $205.19
Dwelling Units: 0 Plan Review 04/24/2014 $1,111.47
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 04/24/2014 $683.98
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 05/08/2014 $278.00
Value: $200,000 DC Provision Review,COM TI-LRP 05/08/2014 $41.00
Info Process/Archiving-Lg$2.00(over 05/08/2014 $76.00
11x17)
Floor Areas: Info Process/Archiving-Sm$0.50(up to 05/08/2014 $32.50
11x17)
Total Area: 0 Metro Const.Excise Tax-Commercial 05/08/2014 $240.00
Accessory Struct: 0 Use
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,378.09
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: Yes
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: 1" _
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 Applicatin
CEIVEP
Commercial FOR OFFICE USE ONLY
Received ■III _ City of Tigard ee DDnn qq
Date/By: � ,b Permit No.:AAA.i pt/'�Qg/
" 13125 SW Hall Blvd.,Tigard,OR 97BR 2 4 2014 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: a,; v/ 1,'4_ Other Permit: 1.4/../D(901/-1500.8
T 1 G A RD Inspection Line: 503.639.4175 CITY OF TIGARD Date ReadyB•. laris: ® See Page 2 for
Internet: www.tigard-or.gov Notited/Method 9j�y l Supplemental Information
BUILDING DIVISION i/,ti4 Ait,�,c"I".//t-N
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 Z Other:Remodel equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. `
❑ 1-and 2-family dwelling Valuation: $ /
®Commercial/industrial
❑Accessory building ID Multi-family Number of bedrooms: 77..
❑Master builder El Other: Number of bathrooms: IV
. V
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:P' 733/ 14.4 vat_pc 4.1_7-- New dwelling area: square feet
City/State/ZIP:Tigard,Oregon 97224 Garage/carport area: square feet `\
Suite/bldg./apt.no.:t 103 Project name:Pizzasmith Restaurant TI Covered porch area: square feet
Cross street/directions to job site:SW Bridgeport Road Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST (`t`
Subdivision:Council View Acres Lot no.: 1-20 Permit fees*are based on the value of the work performed. C/
Tax map/parcel no.: 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.
Tennant Improvement:demolish existing retail suite and build resturaunt Valuation: 55200,000.00
Existing building area: 2208 square feet
New building area: 2208 square feet
❑ PROPERTY OWNER ® TENANT Number of stories: 1
Name:MB Restaurants Type of construction: II-B,
Address:9700 SW Capitol,Hwy,Suite#260 Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing: M
Phone:(503)595-1361 Fax:( ) New: A-2
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Soderstrom Architects (Please refer ta fee schedule)
Structural plan review fee(or deposit):
Contact name:Marlene Gillis
FLS plan review fee(if applicable):
Address: 1200 NW Naito Parkway,Suite 410
City/State/ZIP:Portland,OR 97209 Total fees due upon application:
Phone:(503)228-5617 Fax::(503)273-8584 Amount received:
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Pacific Crest Construction,Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:24111 NE Halsey Street,Suite 400 Solar Installation Specialty Code checklist.
Permit fee(includes plan review
City/State/ZIP:Troutdale,Oregon 97060 Permand administrative fees): $180.00
Phone:(503)793-1267 Fax:(503)665-6371 State surcharge(12%of permit fee): $21.60
CCB lic.:56255 ,(30!/ </�
fr Total fee due upon application: $201.60
Authorized signature: CA.)� V/ _ 7- This permit application expires if a permit is not obtained
\� within 180 days after it has been accepted as complete.
Print name:Marlene Gillis Date:4-24-14 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building1Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
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Building Permit Number: u ec940— G i/
1111 • ' Building Permit Review
Commercial Projects with Approved Land Use
TIGARD
/',3
Sije Address: 7f- J 560 § it9q-'o . hL-
(Verify site address is valid. 1
Project Name : fl44' 77/ /i f ev--!ttrai f—
Planning Review
0 Land Use Case Number: 11 Iv/) 2i011(- 06003
SPla Match Approved Land Use: G5
ite Plan Landscape Plan
❑ Urban Forestry Plan ❑ Elevation Plan
❑ Building Height: Maximum Height Actual Height
Conditions Met:A// CI Prior to Permit Submittal ❑ Prior to Permit Issuance
Approved by: Date: 2.7.72 /
Notes:
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Building Permit Submittal
Original Plan Submittal: Date: 94(94 By:�
Site Plans: #
Building Plans: # -5
Create Case Record#: krEnter case#above for Building Permit Number.
Workflow Routing: lanning OkEngineering 'Z.-Permit Coordinator U4uilding
Workflow Sign-off: S -off for Planning staff,including notes from planning review(page 1)
Route Application Documents: [y'Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
o al plan review routing form.
Ptuilding: original permit application,site plans,building plans,engineer and
��} beam calculations and trust details,if applicable, etc. �/
Reviewed y: �J , ��'dC Date: 9,f�Y
Notes:
I:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_123013.docx
Engineering Review— reviewed by: 7--:(5".^/
❑ Actual Slope:
❑ PFI Permit#
❑ Conditions Met
Notes: jl.J o n Co 6N�Sr c4 211ln1 to f S S •1 5.
i1
Approved by: ' y
rr : Date:Y l✓ �I 9 f y
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
Notes:
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applic. -t
Revision Notice 3: Date Sent to A. rl'ant
Okay to Issue Permit- � / Date: f
1:\Building Worms\BldgPermitRvw_COM_W ithLandUse_123013.docx
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