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Permit CITY OF TIGARD BUILDING PERMIT 1111 ■ COMMUNITY DEVELOPMENT Permit#: BUP2014-00257 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/30/2014 TIGARD Parcel: 1 S135BD00200 Jurisdiction: Tigard Site address: 9785 SW SHADY LN Project: Shady Lane Drive-through Subdivision: ASHBROOK FARM Lot: PTS 5& Project Description: Shell remodel of a former gas station building. Contractor: TEAM CONSTRUCTION GROUP INC Owner: NORED, STANLEY D&AUDENE C 4201 NE 66TH AVE SUITE 105 511 NE 21ST PL VANCOUVER, WA 98661-3078 CANBY, OR 97013 PHONE: 360-699-1477 PHONE: FAX: 360-699-1454 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: Vg Permit Fee-Additions,Alterations, 12/30/2014 $2,313.95 Demolition Occupancy Grp: A-2 Occupancy Load: Plan Review 10/30/2014 $1,504.07 Dwelling Units: 0 Plan Review-Fire Life Safety 10/30/2014 $925.58 Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 12/30/2014 $299.00 Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-LRP 12/30/2014 $44.00 Value: $300,000 12%State Surcharge-Building 12/30/2014 $277.67 Info Process/Archiving-Lg$2.00(over 12/30/2014 $56.00 11x17) Floor Areas: Info Process/Archiving-Sm$0.50(up to 12/30/2014 $12.50 11x17) Total Area: 41 Metro Const. Excise Tax-Commercial 12/30/2014 $360.00 Accessory Struct: 0 Use Basement: 0 Tig-Tual School CET-Non Residential 12/30/2014 $23.78 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $5,816.55 Required: Required Items and Reports(Conditions) Fire Sprinkler: No Parapet: 1 Special Inspection(see plans) Fire Alarm: No 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: d�1�I/ir., Permittee Signature: c Call 503.639.4175 by 7:00 a.m.for the next available inspection date. G! 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 'Commercial RECEIVED Received FOR OFFICE USE O ■l Y City of Tigard Date/B : 1 .,// ' �• 5-7 " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie• v �/ Uthei I'crout ' / • /'�y,w 2 Phone: 503.718.2439 Fax: 503.598.1960 nn 2014 Date/B �.�� a �, r. Y Vs^ J TIGARD Inspection Line: 503.639.4175 OCT 0 2014 Date Ready/By. Juris ® ..ee Page 2 for Internet: www.tigard-or.gov Notitied/Method: 1 Supplemental mini CITY QF TIGARD ,-.,..44. E c N REQUIRED DATA 1-;AND 2-FAMILY DWELLING I I ❑New construction I ❑ Demolition Permit fees* are based on the value of the work periormcd- Indicate the value(minded to the nearest dollar)oIalI 1'Addition/alteration/replacement Other: equipment.materials,labor.overhead.and the pro lit for the ,+* work indicated on this application. ❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: S ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms ()B SITE IIRP41ATION AANWIL,UCATION Total number of doors: Job site address:9785 SW Shady Lane New dwelling area: square feet City/State/ZIP:Tigard,Oregon 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Retail @ Shady Lane Covered porch area square feet Cross street/directions to job site:SW Greenburg Road&SW Shady,Lane .3T Deck area: square feet 4\ 0,44 w�Q J Other structure area: square Ircl REQUIRED DATA.COMMERCIAL-USE CHECKLIST ,k Subdivision: Lot no.:200 Indicate the value baseumdedthe to■alue nearest %%oru l of ner1))n11,-I Tax map/parcel no.: 1S-1-35BD equipment,materials.labor.overhead.and the profit Cot ill, DESCRIPTION OF WORK work indicated on this application. IN permit for shell remodel of former gas station building Valuation: S5300,000.00 tt'wtad Existing building area 2,039 square feet New building area: 2,080 square feet ,0 PROPERTY OWNER ❑ TENANT Number of stories: 1 Name:Mike Jenkins Type of construction: S-B(Existing) Address:300 West 15th Street,Suite 200 Occupancy groups 4 City/State/ZIP:Vancouver,WA 98660 Existing NI _D Phone:(360)823-5102 Fax:(360)823-1102 New: A2(Restaurant) V ,:, . ,E];4PPI.ICANT ?:' . 0. CgNTACT PERSON BUILDING PERMIT FEES* Business name:Mackenzie N� (Please refer to fee schedule) T�a „`( S(,{�/1It(�'� Structural plan review tee(or deposit): Contact name:Suzannah Stanleytr✓�'f�11x�t4� FLS plan review fee(if applicable): .; Ct Address:1515 SE Water Avenue,Suite 100 City/State/ZIP: Portland,OR 97214 Total fees due upon application: X14 4-( amount rccei%ed. � Phone:(503)224-9560 �r��x'r`•:11 -1)) 2 o-•�1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:sstanley@mcknze.com Y t�.i,AylA e-li ,t `ttt;d-.Lpn _- I . ,. Commercial and residential prescripu■L inst illuion of CONTRAGTUR roof-top mounted Photo Voltaic Solar Panel S■stem.• Business name:Team Construction 6e ,al i ,• Submit two(2)sets of roof plan with connection details and tire department access,along with the 2011)Oregon Address:4201 NE 66`h Avenue,Suite 105 Solar Installation Specialty Code checklist. Permit tee(includes plan review City/State/ZIP:Vancouver,WA 98661 8180.00 and administrative lees): Phone:(360)699-1477 1X:(360)699-1454 2o. $22 1 _ State surcharge(l2 io of permit fee): 1.60 1 CCB lie.:73179 1,� a „ Total fee due upon application: $20I on 10 /• Authors ed ignature: this permit application ex ires if a permit is not obtained within 180 days after it has heel,accepted as complete. Print name:Paul Hodge Date: 10/29/14 * Fee methodology set b\ Tri-Count■ Building Indust■ Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) III 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: $ (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 03/03/2011 l - ligCity of TigarCOpy r COMMUNITY DEVELOPMENT DEPARTMENT ■ TIGARI) Building Permit Review — Commercial - With Land Use Building Permit #: �l/�I�Ol�1—rta,?5--7 Site Address: (11%5 CIA) Sw L-r) Suite/Bldg#: Project Name: (Name of commercial business occupying the s ace. If vacant,enter Spec Space.) Planning Review e r' / e)-x7/4._ S Proposal: c> ai i14 .o)It chl tp.),1clAlnc . u/ Ct s:pra l ar ck- — �/ tiVIDJ ' �4 fi-e rytnP 4' O .t-f a r t►� v'}'l wt2 , Lid" Verify site address/suite #exists and active in permit system. 137 Land Use Case #: St Q.WI4- —0000 3 ❑ Plans Match Approved Land Use: Eto Plan E Landscape Plan ❑ Other: 3T Urban Forestry Plan ❑ Elevation Plan Building Height: Maximum Height Actual Height ❑ Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance Notes: S a{ 911 1s Opcio-!-e1 re ire_chunc..Q Cloy) (,P?' Leh&hens) , tawi5(L )C Up Ou.ns ii+ e' W1341 on LP Approved by Planning: kali&sot Cry s Date: tD1.301 t4 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 Submittal Date: /Oh Site Plans: # Building Plans: E Building Permit#: � ntts ding permit#above. Workflow Routing: 1[�1'P a i'ng eering Ef I'ernut Coordinator L9—Sutldtng Workflow Sign-off: [Sign-off for Planning(include notes from planning review) Route Application Documents: [hiding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: AAA/ I:\BuildingWorms\BldgPennitRvw_COM_WithLandUse 042914.docx Engineering Review ❑ Actual Slope: ❑ PFI Permit#: ❑ Conditions Met Notes: Approved by Engineering: 56e J r { 1 - O 1 1 Date: l D. 30 •i 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: 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: / OK to Issue Permit Approved by Permit Coordinator: Date: 11/3/1 I:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_042914.docx 4. . .,t 4* City of Tigard MGRIT kL 111111 ■ ill COMMUNITY DEVELOP P E TIC,AR E) Building Permit Review — Commercial - With Land Use Building Permit #: di//ao/y— .5-7 Site Address: Ctl%5 S ) avAcIA6 Lin Suite/Bldg#: Project Name: (Name of commercial business occupying the s ace. If vacant,enter Spec Space.) Planning Review Re 4i 4_ /Zr i4- ilth Proposal: p) ty12 94kh v.), likAlncc uJ/ G aki a& 1-un, Ear a cl t-1 _ "htkiVair (Af-ca-'Lv op 4J 0Sc-Cc1 a.f-al c k IA►Pro -rnt12.-4/k.M- E Verify site address/suite#exists and active in permit system. La Land Use Case#: SVR'LOW `0000 3 ❑ Plans Match Approved Land Use:�/ ‹ite Plan Ll Landscape Plan ❑ Other: [ Urban Forestry Plan ❑ Elevation Plan Building Height: Maximum Height Actual Height ilk ❑ Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance Notes: Std ¶1r s v pd d to Ire Floc-+ ct irecincpnc Q S I @ n (,per CO tha ls� , Laanciscct.( -a- Ur. pill ,,p Il 4 h - CP Approved by Planning: k(j 4c$Ct Glyrtss Date: 101' 01 i4 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 Submittal Date: /%/i7 Site Plans: # Building Plans: # Building Permit#: nter •ding permit#above. �, �� _ Workflow Routing: l�a ping �En�gineering 1J'1'ernut Coordinator 1 .-�uildtng Workflow Sign-off: L'I�Sign-off for Planning(include notes from planning review) Route Application Documents: [ ding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: � _ ,- _ _ Date: /% l, l:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_042914.docx Engineering Review El Actual Slope: ❑ PFI Permit#: ❑ Conditions Met Notes: Approved by Engineering: j 6 e f T j q • O 1 q Date: j p, 30 •J y Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved r-av!aw =... .. ,...;eun..'1:en :m k ..::.. ,.a.--tx...x: ri..a*: 11Wh�:r ;ec::.a- -. • �.,.... =.ten Permit Coordinator Review ❑ Conditions Met- Prior to Issuance of Building Permit 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: /0. OK to Issue Permit ii %v ` /PC Approved by Permit Coordinator: Date: �l 3 L\Building\Forms\BldgPermitRvw_COM_WithLandUse 0429I4.docx ' Buik ling Permit Application Commercial RECEIVED FOR OFFICE USE ONLY City of Tigard j��INJ' v�1 Received 57 g Date/B , f Permit No: / � �/ ,� Mil " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie • v T Phone: 503.718.2439 Fax: 503.598.1960 Date/B : ��H. ` Other Permit. '/ / ` c3 A OCT an TIGARD Inspection Line: 503.639.4175 L I Lu� Date Ready/By: Juris ® .ee Page 2 foe Internet: www.tigard-or.gov Notitied`Method: 'gyp Supplemental Information CITY OFTIGARP ""V TYPE OF V 1 113G 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 5 Addition/alteration/replacement [ Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION i led on this application. ❑ I-and 2-family dwelling ® m Comercial/industrial Val ion: $ ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: �1 JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:9785 SW Shady Lane New dwelling area: square feet City/State/Z1P:Tigard,Oregon 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Retail @ Shady Lane Covered porch area square feet i Cross street/directions to job site:SW Greenburg Road&SW Shady Lane T Deck area square feet `{„A/ (pAq Other structure area: square feet 1 � REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: J Lot no.:200 Permit fees* are based o the value of the work pctiitrm:d ' Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: 1S-1-35BD equipment,materials,labor,overhead.and the profit for ill; - DESCRIPTION OF WORK work indicated on this application. - I I�permit for shell remodel of former gas station building Valuation: $$300,000.00 &+1df Existing building area 2,039 square feet 1 I New building area: 2,080 square feel I 1 ® PROPERTY OWNER ❑ TENANT Number of stories: 1 I Name:Mike Jenkins Type of construction: V-B(Existing) Address:300 West 15th Street,Suite 200 Occupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing: N1 Phone:(360)823-5102 Fax:(360)823-1102 1 ? New: A2(Restaurant) I 1 ® APPLICANT ® CONTACT PERSON FEES* —1 BUILDING PERMIT FEES Business name:Mackenzie 'r�a �s lllt•,1,(� viewerejerrajeeosit): (J` Structural plan review tee(or deposit):schedule i Contact name:Suzannah Stanley 1 ��L�•f�,ay� I FLS plan review fee(if applicable): Address:1515 SE Water Avenue,Suite 100 1 _-1 r Total fees due upon application: City/State/ZIP:Portland,OR 97214 I. Phone:(503)224-9560 [��) l20 1 Amount reed's ed. PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* kf. E-mail:sstanley @mcknze.com , Y�Lt�fi1Qy(A@ :`�,� ti�n�d+ �vrl I Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:Team Construction Submit two(2)sets of roof plan with connection details I and fire department access,along with the 2010 Oregon Address:4201 NE 66th Avenue,Suite 105 Solar Installation Specialty Code checklist. l City/State/ZIP:Vancouver,WA 98661 Permit fee(includes plan review $180.00 11 and administrative fees): _ Phone:(360)699-1477 :(360)699-1454 State surcharge(12%of permit tee): $21.60 CCB lic.:73179 Al ' Total fee due upon application: $201.60 I ', , Authorized signature: This permit a PP lic ation expires if a permit is not obtained within 180 days attci'it has been accepted as complete. Print name:Paul Hodge Date: 10/29/14 * Fee methodology set by-In-Count) Building I ndustt Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/W EB)