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Permit n CITY OF TIGARD BUILDING PERMIT 8 COMMUNITY DEVELOPMENT Permit#: BUP2015-00165 T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/28/2015 Parcel: 1S 134BC00200 Jurisdiction: Tigard Site address: 12196 SW SCHOLLS FERRY RD Project: Mod Pizza Subdivision: GREENWOOD TERRACE CONDO Lot: 17 Project Description: Interior TI to convert space to pizza restaurant Contractor: ALEGIS CONSTRUCTION INC Owner: ATLAS GREENWAY LLC 6900 SW ATLANTA ST SUITE 110 333 NW NINTH AVE, STE 1009 PORTLAND, OR 97223 PORTLAND, OR 97209 PHONE: 503-427-6065 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 07/28/2015 $2,011.95 Demolition Occupancy Grp: A-2 Occupancy Load: 98 12%State Surcharge-Building 07/28/2015 $241.43 Dwelling Units: 0 Plan Review 06/16/2015 $1,307.77 Stories: 1 Height: 0 ft Plan Review-Fire Life Safety 06/16/2015 $804.78 Bedrooms: 0 Bathrooms: 0 Park-Commercial and Industrial 07/28/2015 $2,543.00 Value: $250,000 TDT-Transportation Development Tax 07/28/2015 $3,390.00 DC Provision Review,COM TI-Ping 07/28/2015 $299.00 DC Provision Review,COM TI-LRP 07/28/2015 $44.00 Floor Areas: Info Process/Archiving-Lg$2.00(over 07/28/2015 $90.00 Total Area: 2590 11x17) Metro Const.Excise Tax-Commercial 07/28/2015 $300.00 Accessory Struct: 0 Use Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $11,031.93 Required: Required Items and Reports(Conditions) Fire Sprinkler: Yes 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. ATTE : Oreg• law requires you to follow the rules adopted by the Oregon Utility Notifi . •n Center. Those rules are set forth in OAR 952-001-0 0 through OAR 952 r : You may obtain a copy of the rules or direct questions to OUNCb ",:•503.232.1987 or 1.800.332.2344. Issu d By: A,// J ,'/ Permittee Signature: i Call 503.639.4175 by 7:00 a.m.for the next available inspec'.n date. / This permit card shall be kept in a conspicuous place on the job si , . it completion of the project. Approved plans are required on the job site at the time of each inspection. t e-Build.in2 Permit Application Commercial I t ll: OFFICE USE ONLY Received City of Tigard f Permit Nu.. 111 • 13125 SW Hall Blvd.,Tigard OR .�EIVE Date/ �c0 � 4 �o�o/s-lJ��t'O • , g Plan Revie ��=�� Other Permit: Phone: 503.7182439 Fax: 503.598.1960 DateIB • r II TIGARD Inspection Line: 503.639.4175 JUN 15 2015 Date R -y: /^ _Tuns: ® See Page 2 for Internet: www.tigard-or.gov Notified/Me ..: W I�r Supplemental Information iI. TIGARD ,2(DiZ.,,�.Q C Pik& ,. TYPE N 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 ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. wJ ❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $ ,IIC ❑Accessory building El Multi-family Number of bedrooms: ' ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: .6, Job site address: 12196 SW SCHOLLS FERRY RD New dwelling area: square feet V City/State/ZIP:TIGARD,97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:MOD PIZZA GREENWAY Covered porch area: square feet MP Cross street/directions to job site:CROSS STREET:SW BOONES BEND DR Deck area: square feet " Other structure area: square feet et REQUIRED DATA:COMMERCIAL-USE CHECKLIST Q n Subdivision: Lot no.: 12198 Permit fees*are based on the value of the work performed. l Tax map/parcel no.: 15134BC-00200 Indicate the value(rounded to the nearest dollar)of all r'� equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. k./ 4.Interior tenant improvement of an existing space in a mult-tenant single level Valuation: $$250,000.00 building.Work includes non-structural partitions,suspended ceilings,casework, Existing building area: square feet \ finishes,food service equipment,mechanical,plumbing&electrical New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: 1 Name:MOD SUPER FAST PIZZA,LLC Type of construction: V-B I 1 Address: 12011 NE 1ST STREET,BUILDING C#202 Occupancy groups: City/State/ZIP:BELLEVUE,WA 98005 Existing: B Phone:(425)209-1089 Fax:(N/A) New: A-2 ® APPLICANT ED CONTACT PERSON BUILDING PERMIT FEES* Business name:GRAPHITE DESIGN GROUP review refer(or deposit): leJ Structural plan review fee(or deposit): Contact name:ANDREA SURGUY FLS plan review fee(if applicable): Address: 1809 7T"AVENUE SUITE 700 City/State/ZIP:98101 Total fees due upon application: .,_57,142:06r Phone:(206)224-3335 Fax::(N/A) Amount received: t l .1,Fj E-mail:andrea.surguy @graphitedesigngroup.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:3456 4144 t:_L+��T2uc%/o/0 /A- Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: b g ,,,,,,,,e- ,9i` 1 fr� 5T_ .$r� 1/6 Solar Installation Specialty Code checklist. City/State/ZIP: `PAD Qv_ 9 7 3-9-.3 Permit fee(includes plan review $I80.00 and administrative fees): Phone:( ) 9?7 —(epee)C I Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 1 9,Lp(P g Vv-3//k Total fee due upon application: $201.60 Authorized signature: 4.--. ...--- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: A tJ U p - sue-(!IA Date:06/09/2015 * Fee methodology set by Tri-County Building Industry �f Service Board. L:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-46131(1 1/02/COM/W EB) Is * PL.fi IJS 42 E fit-/-ED City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT Building Permit t Review — Commercial With Land d Use , ,` I) Building Permit #: 64,t 8, -6.15--601&S"--- cO 15-601&'c Site Address: 1 21 C (o S v ' ScAl of l s krexr Suite/Bldg#: Project Name: M O0 Pi Z2q O (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: rn-k ri o r -I,v) („„ii- i m pro vie'crux)t7 Verify site address/suite#exists and active in permit system. —e—fiver Terrace Plan District: ❑ Yes —S—No Land Use Case#: I v! M 1) 201S — 0 0 0 Z I pPlans Match Approved Land Use: Site Plan ❑ Landscape Plan ❑ Other: ❑ Urban Forestry Plan ❑ Elevation Plan Building Height: Maximum Height e Y — Actual Height 42Y 1 S"h►')a- 19 Li;l .AD Conditions Met: ❑ Prior to Submittal El Prior to Permit Issuance Business License: Exists: ❑ Yes ❑ No,applicant notified to obtain business license n—Public Facilities Improvement(PFI) Permit: N` Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes Cl No,stop intake Notes: Approved by Planning: Alpo vi I . g v p a 4.&.. Date: (O`l(D// ( 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: & /4 /‹ Site Plans: # Building Plans: # '" 4 Building Permit#: J nter building permit#above. Workflow Routing. a—Planning B iigineering .permit Coordinator $Building Workflow Sign-off: 2Y§ign-off for Planning(include notes from planning review) Route Application Documents: ,B1uilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 4` Date: 4/6//� I:\BuildingWorms\BIdgPermitRvw_COM_WithLandUse 040115.docx Engineering Review ❑ Slope at building pad: ❑ PFI Permit#: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP) ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date Notes: Approved by Engineering: ki I ktti Lv Date: t 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 ❑ Approved,NOT Released: Date: Notes: l r7 I" f) C- ' s - e ✓\-{v A c.c 1'1 _ ApP I c k f- n„A-; - m 5 u o -c,c c cL e-r-, 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: Q . Date: (o — (7- 15 I:\Bui Iding\Forms\BldgPermitRvw_COM_W ithLandUse_040115.docx GRAPHITE Graphite Design Group 1809 7th Avenue,Suite 700 Seattle,WA 98101 206.224.3335 www.graphitedesigngroup.com TRANSMITTAL • I Date: June 11, 2015 To: Dan Nelson City of Tigard Building Department 13125 SW Hall Blvd. Tigard,OR 97223 (503)718-2439 Re: MOD Greenway Building Plan Review Priority: ❑ Urgent • Routine We are sending you: For your: Action Required: • Attached ❑ Under separate cover • Information and use • As indicated ❑ Prints ❑ Originals ❑ Review and comment ❑ For signature&return ❑ Submittal ❑ Samples • Other ❑ As requested ❑ No action required Via: ❑ Email ❑ Courier • FedEx/Other ❑ Hand-Deliver ❑ US Post ❑ Fax Dear Plan Reviewer, Please find the following related to the health plan review submittal for the MOD Greenway project. (1) Completed Building Permit Application (1) Completed Commercial Application Checklist (1) Check in the amount of$2112.55 (check#6519)for the application fee. (1) Revision narrative (1) Notice of Type 1 Decision Minor Modification (MMD) 2015-0021,MOD Pizza (4) Complete 24"x36"drawing set Please mail or email a receipt to my attention at your earliest convenience. Thanks, y,- An rea Surgu Project Architect 1809 Seventh Avenue,#700,Seattle,WA 98101, 206-224-3335 andrea.surguy @graphitedesigngroup.com GRAPHITE Graphite Design Group 1809 7th Avenue, Suite 700 Seattle,WA 98101 206.224.3335 RECEIVEDwww.graphitedesigngroup.com JUN 152015 REVISION 01 CITY OF TIGARD • IBUILDING DIVISION June 11, 2015 MOD Pizza Greenway 15001.09 To all document holders of record: This Revision no. 1 forms a part of the Contract Documents and modifies,supplements, and, if in conflict, supersedes all previously issued information as noted below. The following scope is included in REV No. 1: Architectural Revise drawings and insert sheets (attached)as follows: A-001,General Information 1. REMOVED plumbing and electrical drawings from drawing index. 2. REVISED separate permits to include plumbing and electrical A-003, Egress Plan 3. REMOVED Patio 4. REVISED Occupancy calculations to reflect the removal of the exterior patio A-111, Floor Plan 1. REMOVED Patio A-112, Finish Plan 1. REMOVED Patio A-113, Equipment&Furniture Plan 1. REMOVED Patio A-602, Equipment,Casework,Furniture Legends 1. REVISED equipment legend to reflect removal of patio 2. REVISED casework legend to reflect removal of patio 1. REVISED furniture legend to reflect removal of patio Cheryl Caines From: Cheryl Caines Sent: Wednesday,June 17, 2015 9:52 AM To: 'andrea.surguy @graphitedesigngroup.com' Subject: Tigard - MOD Pizza Building Permit Attachments: RE: 15019 - Greenway Shops, MOD Pizza, Minor Modification Application Hi Andrea, I am filling in for our Permit Coordinator, Albert Shields, who is out of the office. He reviews permits for a change of use or additions/expansions to see if System Development Charges apply. He determined that they do apply. These fees are collected at the time of building permit issuance. The Transportation Development Tax (TDT) is a Washington County tax assessed at building permit issuance that captures traffic impacts to arterial and collector streets. The Parks System Development Charge is a Tigard fee that goes to pay for parks acquisition and maintenance.The calculations are based upon square footages of the proposed and existing uses. TDT: $3,390 Parks: $2,543 $5,933 I've attached an e-mail string that shows these totals for MOD Pizza. Please let me know if you have any questions. Thank you, Cheryl Caines Associate Planner City of Tigard (503) 718-2437 1 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12196 SW SCHOLLS FERRY RD, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - C of O BUP2015-00165 Chip Barnett Violation Summary: Inspector Contractor FOR OFFICE USE ONLY—SITE ADDRESS: /,2(96 $it) SC hod L LS /__E-7___12_,!Y le-..a This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. IIII City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter T I G A R I i 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov 1'0: „ZSf}-r�/ /1/&LSO/ / DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED JUL 3 0 2015 FROM: 5 I p -TO cI CITY OF TIGA' COMPANY: 4 Le si s AC7iriJ L, BUILDING DI " ION PHONE: S 63. ON- - o -j' By: RE: 1Z19GS., S l S ,r� r�P //'�o/S -DO/ 6 .� tte ress ). Permit Number) roject name or subdivision name and lot number) 11 ATTACHED ARE THE FOLLOWINTEA Copies: Description: 0 Copies: Description: Z- Additional set(s) of plans. ( Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. _ Engineer's calculations. Other(explain): ,: ' viw.,A \ S REMARKS: N.1.--)Po. .. PRv o\--17oJ-\ U L u L-136 p,oO FOR O FICE USE ONLY Routed to Pe. it Technician: Date: 7(30r Initials:4) Fees Due: a Yes ��O Fee Description: Amount Due: $ $ $ $ Special Instructions: _ Reprint Permit (per PE): ❑ Yes 1 0 No ❑ Done Applicant Notified: Si jS Date: )73(//S' Initials: , I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012