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Permit City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT! 2 1 0 , . 4. 14 Request for Permit Action I I(,A i; n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.gov TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard, OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov • FROM: n Owner n Applicant ❑ Contractor X City Staff Chuck(✓)one REFUND OR Name: INVOICE TO: (Business or Individual) Mailing Address: City/State/Zip: Phone No.: PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): die CANCEL/VOID PERMIT APPLICATION. • REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). ❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). ❑ REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit). Permit #: 6PcP-0/.5 — Dd/.7 Site Address or Parcel #: /94(a5 �Gt.� , 9-e%/Cl� ,4,4,9e, -2_.0 A/6-9- Subdivision Name: Lot #: EXPLANATION: 7-6/j iv% z 5 9} -.---- /&A- /A/"¢-7 ,6w... e(--/be L ,,/ / 2)(A/c //1.45-/ r7-1)/e.._ Signature: >- Date: //y/./.4)Print Name: // •,V�/,¢ /`fmtJ� Refund Policy 1. The city's Community Development Director,Building()fticial or City Engineer may authorize the refund of: • .1ny fee which was erroneously paid or collected. • Not more than 80°%o of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80°%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. Route to Sys Admin: Date By Route to Records: Date / /Y/ /6 By Refund Processed: Date A/ B Invoice Processed: Date By Permit Canceled: Date //y /{0 By cel Tag Added: Date By- I:ABuilding\Forms\RegPermit.Action_U92(4.doc r a • city of TigardIMERNINIED Demw 13125 SW Hall Blvd.,Tigard,OR 97223 e�7�yes •4L-- PetmitN�1UO �S pO/.svz gl Phone: 503-718-2439 Fax: 503-598-1960 2 pa"R`°"`" Y 201 Date/Br Related Permit. Inspection n Line: 503 Q. 7 r 1u�:R D. �bo -539-4175 t1 Date• 7 ++ x, �.t See 1II Seepa Z for wwv.Lgrd or.aov ,//CT Supplemental�tallnfo Information ia( M TYPE OF WORK IJ I,DINGD1VISION ‘110 DAT-A:I-AND2-FAMILYDWELLING 0 New construction 0 Demolition Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacement Q Other Indicate the value(rotnded to the nearest dollar)of all equipment,materials,labor,CATEGORY OF CONSTRUCTION work indicated on this application.ce�and the profit for the ❑1-and 2-family dwelling PI Commercial industrial Valuation: S ❑Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other. Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: i Q S'-' _ , New dwelling area: square feet City/State/ZIP: r (, C� Q LI l'�.�s3L Q s Garage/carport area: square feet Suite/bldg./apt.#: I'Project name: ZC0/8A- Covered porch area: square feet Cross street/directions to job site: C -L-l(i ti' ty l ,`t1 elf , aa, M1t3t.e.c In d Deck area: square are feet CQ PCZ Other structure arra: square feet Subdivision: REQUIRED DATA:COMMERCIAL USE CHECKLIST I Lot#: Permit fees*are based on the value of the work performed. Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all DESCRIPTION OF WORK equipment,materials,labor,overhead,and the profit for the work inditpted on this application. �` n. t` I \ C _ valuatiliLSp0 s • stfolf/°E/1rl/T I; Existing building area.31 4,00 square feet New building area: 310 6 c, square feet Cl PROPERTY OWNER 0 TENANT Number of stories: Name- �?" l d7/it� `11i t0//trip t �e�/ri'JigJ ye 11/d ek •/4/e„ Type of construction: ' Address: /4 ( c/ 6././)Yl( I tC�I�Lyt i �C m� ( %'_hi-Wit Occupancy groups: City/State/ZIP: 7 ' rd 729 / Phone:!5 )9,..-4...-7.J.,/2:3 Fax' ) Existing: 59,0.0,4_0_ New: '., tit._IR APPLICANT 0 CONTACT PERSON BUS main FEES* Business name: -- /....7,4/J !�� (Pleeserefertojeesd,edule) Wit; Contact name: /�* Structural plan review fee(or deposit): /Q/.7, {/fit' -' Address: l �{/j r ��/` , \. )„ J - FLS plan review fee(if applicable): _ .r /i/C /�` /•C�1,-/ City/State/ZIP: 7-2(�a•/,r/ /?k qT e/ 1 Total fees due upon application- Phone: 1I • ' / L/ � `� Fax:ax• r5 �C �.�-�,.?c�-/s � ..( ) Amount received: �P�, �3 E-mail: /'S/ 01-./A-0/4 f j /1/l 3 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* i779/i Til CONTRACTORCommercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: Submit two(2)sera ofroof plan with connection details Address: and fire department access,along with the 2010 Oregon Solar Installation Specialy Code checklist City/State/ZiP: Permit fee(includes plan review Phone:( ) I and administrative fees): $150.00 Fax:( ) CCB Lie: State surcharge(12%of permit fee): $21.60 Total fee due upon application: $201.60 Authorizedsignature_ , t� j a ¢ k tif� This permit application expires if a permit is not obtained • within 180 days after it has been accepted as complete Print name: Ci-e i--C1/4.1.A IKo\`/e I Date: 5-'4:4.-E 6- I * Fee methodology set by Tri-County Building Industry Service Board 1:18uildingWemmitslBUP COM PermitApp_doe Rev.04/2112014 440-4613T(11/02/COM/WEB) A City of Tigard Ph • COMMUNITY DEVELOPMENT DEPARTMENT r , \ i) Building Permit Review — Commercial - With Land Use Building Permit #: /a ,5 — eolg.Z Site Address: 14 y 0 5 S w Pa c l-;c }}w 3 Suite/Bldg#: Project Name: - ovIn to ct Laps o n S e6 61 neve.-t3 (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: C h ti n ro e OP- we, 7 Verify site address/suite# exists and active in permit system. `B•-"River Terrace Plan District: ❑ Yes X No • X Land Use Case#: Ni MO 2C3t S - 0001 6 yPlans Match Approved Land Use: Site Plan --R Landscape Plan ❑ Other: atrForestry Plan __Q_Elevation Plan ❑ Building Height: 1'!0 CIernk Maximum Height Actual Height XConditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance ze Business License: -- y ttXl 0 tit/V\ Exists: ❑ Yes ❑ No,applicant notified to obtain business license EA--Prrblic Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ?No Applied For: ❑ Yes ❑ No,sto intake Notes: A/N.d 41--,/- --077E7_ c5//Z/�S /3), T//l LEbi/Zetei-, z 'el Approved by Planning: 1 0 tevr . ( A o d. - Date: S7 2 711 S 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: 5/2 2//---5'- Site Plans: # 3 Building Plans: # 3 Building Permit#: ErEnter building permit#above. Workflow Routing: I Planning 0 Engineering [Er-Permit Coordinator ErBuilding Workflow Sign-off: 0-Sign-off for Planning(include notes from planning review) Route Application Documents: Erfiuilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: °147-e7-/- Date: ��7//-s I:\Building\Forms\BldgPermitRvw_COM WithLandUse 04011 S.docx . • Engineering Review ❑ Slope at building pad: ❑ PFI Permit#: ❑ Conditions "Met"prior to issuance of building permit El 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 El No Assess Water Quantity Fee in-lieu: ❑ Yes El No LIDA Facility on lot: ❑ Yes Cl No El NOT Approved by Engineering: Date Notes: Approved by Engineering: M(u L- L)J-i 17-E. Date: s z/i r 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: 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: rK to Issue Permit Approved by Permit Coordinator: 4110 Date: I:\Building\Fonns\BldgPermitRvw_COM WithLandUse_040115.docx FOR OFFICE USE ONLY-SITE ADDRESS: 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. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT V 0 1 0 11 ; ' Transmittal Letter iimitcp eci T I G A R O SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: _X_____) DATE 44FAI11VEP DEPT: BUILDING DIVISION SEP 24 2015 FROM: c y /D Pj.c, CITY OF Deis ON COMPANY: BUILDING PHONE: 5'0-s Seto_O- r7��O RE: Ol uo 5 .c JD P&-c_- , .Q___ POD 1 S coo i s2-- (Site Address) (Permit Number) ...Zu1 ,� a . -�-o (406..4-‘q r� (Project name or su division name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: l� Copies: Description: Copies: Description: 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): REMARKS: 10-6_4 pj el_-►tid:54`J 1 u... 0, S _ , \_}/ osa_o_.S 0--- ,---)30 ,6)? (4- FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes ❑ No Fee Description: Amount Due: $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: 1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 . .. , , , . ; . • ! ' • , • . • ; . , : . ; I . ; I I : . : , • 1 , i . • ' • • ____4' ' -it- . ±------! -4- ,--V-7-fir---- tr; -Fr- • ' t •1• j ,•# , „ : ,,--,• - 1 1 LS(1:41E ! • . 1 • , SEP' 2 4 2015 !! , 1 i j I -, i , • , , • : • ' . . • ' j , !il I ft „•• , ' , ! , j 'UT-11-()F11-1tARD , • , • -4 !1 „ ; 1 i , i ' •j, : , . • • ; , • ' .„ -,..- i • ' • , . • i : C::.)j • • 1 _ . . 1 ! i• • 1 i i - IVISICITS ' ., 4 ! • , ---; .. .. . !: ; . ,, ! ! etic-'NE's•-i- ! : ! ..,:,., v!,,_ . _ ...! . : I . -.< . I , . — I --r- ;1 i i --' 1-a..7 . , , . , ! - -,-- , : . •.ettv- !, , . . - • -I 1 i I • , • . , . , 1 . , . . , ; • , i , • r la- tie , . ilk 1!- ' e._ 1- ik ' itil'-' 4' 1. 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' °' �� ( ' srtwaimismsan22oD Project Infgvmation * �\ ` f PORTLAND OREGON mos 44Zw -SW Pacific Highway/qy©.s , "1 MORE 5071226 0622 +f' s• /'i' / Ci2 26 • •Zoning Map Description:C-G 'r°`' T �mTe *D+sr ''. .,- 1PJRILANUECON,. Code Compliance \ 2) 1464 Q''' ..-- Based i Based on the 2014 Oregon Structural Specialty Code +yd1 h CG ZONNEi `'TH' OF L, ç ) p'' Building Summary iF' 1 Ta Construction Type:VB ' ,>41 „'• \ yP ''''i‘ • TI Occupancy Group:A-2 Restaurant ; � r:.: • Sprinklered:No , t1; �''s; Overall Building is one story,Mixed Occupancy, e'.b /. , • 2J'•ttil 2 hour fire separation per existing drawings / , \ = N with 2 tenant spaces in building 5O = p \ Allowable Area(from Table S03)for Construction Type VB —_____ _ ____ y-_�r V LL 6Y B Occupancy 9000 sf t— I \ _ 0 M Occupancy 9000 sf - = "� 0 A-2 Occupancy 6000 sf \, FN'6--. Z a 3 u 506.3-300%allowable area increase for a one story building , I (— equipped throughout with an approved automatic sprinkler. - I N.1 m V � Tenant A Ground Floor Area: 7385 sf Tenant Tenant Tenant A Mezzanine Area: 509 sf 1 I I A B m Tenant B Ground Floor Area: 2998 sf 1 N--- 44E Overall building ground floor area: 10383 sf ( I ! I Q '\ Area Modifications(section 506) l 1 Frontage Increase: I /5 I - Building Area:10383 sfI - Building Frontage:470 If I - - , Building Frontage w/>30'depth=479 If I If=(470/470-0.25)30/30=.75 Allowable area for an A-2 occupancy is 6000 sf - . - s. I - 6000 sf X.75=4500 sf II 6000 sf+4500 sf=10,500 sf 1_ _ • , I __ • I 1 �i1ee 1 aJ _ _- C j , 0 F-. -- _ U to EGT NO: 1 Site Plan "`°' 15417DATE 0SIDSIDOS A-)� scale: F'=80' 0" Aoo, _ ___ - CITY OF TIGARD Approved by Planning Date: 572-7 hs Initials: 0-1l3 • .. MCA ,,,,,ADART. Q SW AIDER STREET,SUITE 200 PORTLAND OREGON mos ?NONE 5071226:0622 K (; MILLER FAX 50312260626 C.1_ WWV/14CA-AROXTECTS.COM d'i3O,,IIMD, OREGON •Restrooms: 1464 �c ' Tenant A Occupant Areas: Based on occupant load(half to men/half to women)2014 Code Q Class. Location SF OLF #OCC Existing in Restaurant: �� OF Ql` ee A-2 Seating 5,726 15 381 Q A-2 Dance Floor 623 5 125 TenantA:Restroom Fixtures req'd forA-2 Restaurant Occupancy: X A-2 Stage 249 15 16 403 occupants divide by 2=202 men/202 women Z Subtotal A Occ. 6,597 522 y fixture Required by Existing in Required 26,L VI Q Kitchen 344 200 2 2014 code TenantA c W S N Food Prep 160 200 1 Wc-male 1:75 2 wc/1 urinal 2 wc/1 urinal = Q 0 csi Subtotal G.F. 7,101 sf 525 occ WC-female 1:75 3 3 d O 2 0^. Mezzanine(storage) 509 sf 200 3 Lav-male 1:200 2 2 r I,) V 612. TenantA Total 7,610 sf 528 occ Lav-female 1:200 2 2 ce Drinking Fount 1 per floor 1 1 m .JQ 0 Tenant B Occupant Areas: u°Ca pi '" Q Class Location SF OLF #OCC Tenant A:Restoom Fixtures req'd for A-2 nightclub occupancy: z V 3 V A-2 Banquet Area 2,505 15 167 125 occupants divide by 2=63 men/63 women w ga F" B Office 143 100 1.5 v u Total 2,648 169 fixture Required by Existing in Required 2014 code TenantA Wc-male 1:40 2 we&1 urinal 2 CCa Egress Width-TenantA WC-female 1:40 3 2 Q 528 x.2"(load factor)=105.6" Lav-male 1:75 2 2 N 4 means of egress are provided.Two doors @ 36",one door @ 44",one door @ 48" Lav-female 1:75 2 2 Q Total of 164"width Drinking Fount 1 per floor 1 1 Egress Width-Tenant B 169 x 0.2"=33.8" Tenant B:Restroom Fixtures req'd for A-2 Banquet Occupancy: 2 means of egress are provided,one door is 42",one opening is 6'-0"width 169 occupants divide by 2=85 men/85 women 114"x.2=22.8" fixture Required by Existing in Required 2014 code Tenant B We-male 1:75 1wc 2 H WC-female 1:75 - 2 r Lav-male 1:200 1 1 6Y Lay-female 1:200 - 1 Drinking Fount 1 per floor - 1 w W 0 0 v PROJECT NO: 15-IO DATE: 0512512016 A002 1• 1. - - MCA ,_`\ctg,D ARr� V.,,,,, 813SW AIM STREET,SLATE 200 �J ./'a PHRNEAND OREGON 97205 -_-- -as ---_..--- .--- - -- PHONE 503/226.0622 J K ,. MILLER FAX 50712260626 C-,_) ra WWW.NU-ARaD,EGTIGON I PORTLAND, REGOfJ — — /l k" 464 Q 9l2 SOH [- - 1 ,,k- IF,1 1131 17� OF ��� Q MEZZANINE ABOVE POOL TABLES F* [I01_ [Ed .T0-1 IFi (2- Mezzanine Plan R r \� scale: 1/16„.;-1-t7---- ------ - - UL] 161 N 3 4 7 n- < Q y„) S fa: PHI i1!i 7::; \ (t.) v Ioc _ ❑a 1 a i ex aU _ -' x MEN Z 0 H v STAGE DANCE FLOOR azo sq ___.z Fm Q U I:: X 42 TENANT A �T WOA�EN Q 7.385Sg11:1. , _ m STORAGE iC l 01 [2' TNBQLl [A lfi =ilii255 °ri L, RIT9 fib (1S l E 11 1111 - L —_ �_—.- 91 P�1 IPRE KITCHEN 11 _ -- SYMBOLS I 42 it fffQ11R1171ff(T11pt1 ..— -.l `-------- ---- —--—- 11• I 1 'LI ___- lit IJJQ1 SEADNGMt ^ J INTatNAur ur ExrtsRCN - s720, i� IL' 113 WI Jm-b W101 BA116lY BACKUP a m ` - a _ _y COVERED WALKWAY J U M. -- -n_ 11 _LI_-__ I1 n E n -- C7 CIV a # az (-1-') Ground Floor Plan -. m w �� scale: 1/16"=1'-0'`- PROJECT NO: IS-10 DATE 05525/2015 A003