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Permit (12) INCITY OF TIGARD BUILDING PERMIT I1 COMMUNITY DEVELOPMENT Permit#: BUP2017 00012 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/07/2017 T tt ,' R° g Parcel: 1S136CD00100 Jurisdiction: Tigard Site address: 11705 SW PACIFIC HWY Z Project: Papa Murphy's Pizza Subdivision: None Lot: None Project Description: TI for new tenant. Minor non-structural partitions. Contractor: BEN FACKLER CONSTRUCTION INC Owner: PACIFIC CROSSROADS PROPERTIES IN PO BOX 194 BY WYSE INVESTMENT SERVICES CO 97128, OR 97128 1501 SW TAYLOR ST STE 100 PORTLAND, OR 97205 PHONE: 503-472-7767 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 02/07/2017 $1,166.35 Demolition Occupancy Grp: A-2 Occupancy Load: 30 12%State Surcharge-Building 02/07/2017 $139.96 Dwelling Units: Plan Review 01/24/2017 $758.13 Stories: Height: ft Plan Review-Fire Life Safety 02/07/2017 $466.54 Bedrooms: Bathrooms: DC Provision Review,COM TI-Ping 02/07/2017 $224.00 Value: $110,000 Info Process/Archiving-Lg$2.00(over 02/07/2017 $30.00 11x17) Info Process/Archiving-Sm$0.50(up to 02/07/2017 $2.50 Floor Areas: 11x17) Metro Const.Excise Tax 02/07/2017 $132.00 Total Area: 1784 Wash Co Trans Dev Tax 02/07/2017 $15,628.00 Accessory Struct: Parks SDC Improvement 02/07/2017 $1,929.00 Basement: Parks SDC Reimbursement 02/07/2017 $349.00 Carport: Covered Porch: Deck: Garage: Mezzanine: Total $20,825.48 Required: Required Items and Reports(Conditions) Fire Sprinkler: No Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 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: Zilecza 4/ ,,,,10'2739.4175 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. • J r Building Permit Application Commercial FOR OFFICE 1 sr.OyLv -1 Received City of 17:0 Date/By: /7 I Permit No.: '111 c'/ 7—'0.0ot 1111 ill " 13125 SW Hall Blvd.,Tigard,OR 97223 3 Plan • �, /I (.7 V r < (�c Phone: 503.718.2439 Fax: 503.598.1960 ,i AN 2 1 O l i Dmetsy:g y 9' 'j� Other Permit/7,1/.1,14A//7 a,)/ TI ci A R 1� Inspection Line: 503.639.4175 Date Rea.• :y: /// Juris: !El See age 2 for Internet: www.tigard-or.gov `i •"fir t !.a9 4ARD, Notified/Me.ori; -�-��. �,,, i ,�� ,1< k-Y{'1&.y �t- ,�� (� ;�� t -F'�-? Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction 0 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:T.I. equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:11705 SW Pacific Hwy New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.:Suite Z Project name:Papa Murphy's OR130 Covered porch area: square feet Cross street/directions to job site:SW Dartmouth St Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST 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 equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Tenant improvement to an existing suite. Minor non-structural partitions. Valuation: $$110,000.00 New panel and related electrical circuits into existing service.Modify ducting Existing building area: 1784 square feet using existing Roof Top Unit. New building area: N/A square feet 0 PROPERTY OWNER El TENANT Number of stories: 1 Name:Jerry Kenney Type of construction: V-B Address:24794 SW 65a'Ave Occupancy groups: City/State/ZIP:Tualitin,OR 97062 Existing: M Phone:(503)970-5700 Fax:( ) New: M ® APPLICANT 0 CONTACT PERSON * BUILDING PERMIT FEES Business name:Ken McCracken,Architect (Please refer to fee schedule) Structural plan review fee(or deposit): $758.13 Contact name:Marty Lakey Address:16219 SE 12°St,Ste 202 FLS plan review fee(if applicable): 466.54 City/State/ZIP:Vancouver,WA 98683 Total fees due upon application: $1,224.60 Phone:(360)719-1952 Fax::(360)719-1955 Amount received: E-mail:mlakey@pmdginc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name To 6e delereeked 'f4G_,e.114A l- . /�� Submit two(2)sets of roof plan with connection details Address: ��� and fire department access,along with the 2010 Oregon P© boy Solar Installation Specialty Code checklist. City/State/ZIP: p--?d II,Ne1Ja,Q,, 0/L 972-T Permit fee(includes plan review $180.00 `J / and administrative fees): Phone: ) 4/73-77(07 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: /<O p g,,—) /46l Total fee due upon application: $201.60 Authorized signature: 40,4 4 ir This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Martin D.La ey(KMA) Date:01/18/17 * Fee methodology set by Tri-County Building Industry Service Board. 1•\Ruildinu\Permitc\RI IP-CFM PermitAnn rine 11,/')4171111 4404111T(11/(1P/COM/WPM City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT 11111 TICARD Building Permit Review — Commercial - With Land Use Building Permit #: 8 ,,,,?0J-7-000 Id Site Address: 11705 51,•) 'Pact-Pc, 1-}-w1 Suite/Bldg#: Z Project Name: Pala. !Aux-Oil s (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review r Proposal: r OA�.lnCir 0c ILS_ fr Mel .6 alit or;t-4e 1re.-4-&, I 411 -YQS4— -GO cl 20 1 1 + clsnw ,1 cs-1-0,.101 i, 11,„t,4-• j'Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ Yes 'No k.-Land Use Case#: AMD a0 II — booOl 4—Plans Match Approved Land Use: ❑ Site Plan ❑ Landscape Plan El Other: ❑ Urban Forestry Plan ❑ Elevation Plan t((pc ,21"-Building Height: Maximum Height Actual Height N I IN,O'Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance Business License: Exists: ❑ Yes ❑ No,applicant notified to obtain business license Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified ,$5 No Applied For: ❑ Yes ❑ No,stop intake Notes: Approved by Planning: 6".4.... C `� Date: a i jt(-17 Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: ## Building Permit#: E[d'" nt building permit#above. �-- Workflow Routing: .� ing C ngineering g---hermit Coordinator [ wilding Workflow Sign-off: [IP'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: s --- Date: /g1 V/7 I:\Building\Forms\BldgPennitRvwCOM WithLandUse 060116.docx •Y Engineering Review El 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: 042 Date: 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: 3DC Fees Entered: Wash Co Trans Dev Tax: 'Yes ❑ N/A Tigard Trans SDC: ❑ Yes (K)N/A Parks SDC: '!Yes ❑ N/A OK to Issue Permit Approvedby Permit Coordinator: /J� Date: 1 I:\Building\Forms\BldgPermitRvw_COM_WithLandUse_070915.docx a 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] $ 110000 MULTIPLIER(25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 27500 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 $ 0 (b) An accessible entrance: $ 0 (c) An accessible route to the altered area: $ 0 (d) At least one accessible restroom for each sex or a single unisex restroom: $ 20000 (e) Accessible telephones: $ 0 (f) Accessible drinking fountains:and, $ 0 (g) When possible,additional accessible elements such as storage and alarms: $ 8000 TOTAL(shall equal line [2)of Valuation Computation): $ 28000 I:\Building\Permits\BUP-COM PernntApp.doc 03/03/2011 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11705 SW PACIFIC HWY Z, TIGARD, OR, 97223 March 30, 2017 at 9:28:45 AM Record Type: Record ID: Commercial - Building BUP2017-00012 Inspection Type: Inspector: 299 Final inspection Jeff Grove Result: PASS - CofO Comments: Violation Summary: Inspector Contractor