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Permit
CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2019-00204 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/05/2019 TIGARD 13125 1S135BA00102 Jurisdiction: Tigard Site address: 10218 SW WASHINGTON SQUARE RD Project: Ezell's Famous Chicken Restaurant Subdivision: OAKBURG Lot: 9 Project Description: Tenant improvement to include upgrades to finishes for new tenant. Contractor: RENKO NW INC Owner: PPR SQUARE TOO LLC PO BOX 1812 PO BOX 847 CLACKAMAS, OR 97015 CARLSBAD, CA 92018 PHONE: 971-253-9196 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 11/05/2019 $377.90 Demolition Occupancy Grp: A-2 Occupancy Load: 22 12%State Surcharge-Building 11/05/2019 $45.35 Dwelling Units: 0 Plan Review 08/15/2019 $245.64 Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 11/05/2019 $102.00 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/05/2019 $151.16 Value: $20,000 Info Process/Archiving-Lg$2.00(over 11/05/2019 $6.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $928.05 Required: Required Items and Reports(Conditions) Fire Sprinkler: 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. 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 503.23 ., 7 or 1.800.332 4. Issued By: Permittee Signature: • "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. Y I Building Permit Application Commercial City of Tigard Date/B d d'f l-� 11l Permita. a 0.0261/ 13125 SW Hall Blvd.,Tigard,OR 97223 1 Plan Review ' Phone: 503-718-2439 Fax: 503-598-1960 AUG 1 b 2019 Date/By: "Op -"p�©^ )� Related Permit: TI G A R D Inspection Line: 503-639-4175 Date •> y/By: Jnris: fa See Page 2 for Internet: www.tigard-or.gov .✓I I ,-)r- tX11s• Noti:_..Method: t / Supplemental Information 11 19! ',7,0`,(''' "1441Cis TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 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 10 Other: r .c. 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: l Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 'Z t New dwelling area: square feet City/State/ZIP: 7' A.►- t Garage/carport area: square feet Suite/bldg./apt.#: Project name: C Y Fa44. C-4;tC � Covered porch area: square feet Cross street/directions to job site: 6h']aa/r en/I`' Deck area: square feet 1 Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 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 equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. ea •.- p i.%xt/it !.!1 epo'xii ,t tr4,,,j-- Valuation: $ /T%L); Existing building area: .l y40 square feet L J (/ New building area: --- Q •--- square feet 0 PROPERTY OWNER NI TENANT Number of stories: .- j— Name: L.-- --C�G l S bins Ct. -1, i.C7e l.,yyt/i7 Type of construction: V-43 . Rif( yi-r.) i �r Address: , -7(1 S �� 3 ,,.. €� � --- r ,' , '7' Z Occupancy groups: A-' , City/State/ZIP: �'ir it,e 44/4 9d'/ CP Existing: /1 - 1- Phone: Phone:( ) Fax:( ) New: /- — - ... 0 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* r (Please refer to fee schedule) Business name: r�"e.e. ' ,, e I ? Structural plan review fee(or deposit): y ._L.� Contact name: i,'t/',id Ze_p �� FLS plan review fee(if applicable): Address: _2/.2_l ,y4 Zit ''7. Total fees due upon application: City/State/ZIP: �r �� r 'ji x 7ei'77 Amount received: Phone:(zoo) ,d'I( , d c cp / Fax::( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: dctAirl y�66 / ° Ce--17.1 Commercial and residential prescriptive installation of d CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: /�,��ALS Al �✓ - Submit two(2)sets of roof plan with connection details ii+ and fire department access,along with the 2010 Oregon Address: PO 130A„- /, '/2_ Solar Installation Specialty Code checklist. City/State/ZIP: Po,--1/ 9 Permit fee(includes plan review t � 7�'j and administrative fees): $180.00 Phone:((/7, ) 3 -?/9{p Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lic.: tRo 375- ii 1 4s Total fee due upon application: $201.60 Authorized signatu(e: ✓ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: , e,44,,-,4,?tG 42-�.__ Date: ///4/'7Gj * Fee methodology set by Tri-County Building Industry / Service Board. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) r a City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Accessibility: Barrier Removal Improvement Plan Commercial & Multi-Family - Additions or Alterations TIGARD. 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov 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 percent(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:A Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019 I City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 1111 Plan Submittal Requirements Commercial & Multi-Family - New, Additions or Alterations TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov 1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with: A. ❑ map&tax lot# ❑ project name ❑ site address ❑ suite number ❑ zoning ❑ applicant name ❑ phone number B. North arrow. C. Scale (architectural or engineering only). D. Street names. E. Setbacks. F. Parking,including disabled access. G. Finished floor elevations. 2. EROSION CONTROL PLANS AND DETAILS. 3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of plans required based on submittal type (no redlines or tape-ons accepted). All details listed below shall be incorporated into the plans: A. Scale (architectural or engineering only). B. Foundation plan. C. Floor plan(s). D. Cross sections. E. Reflective ceiling plan. F. Seismic bracing detail for suspended ceiling. G. Roof plan. H. Exterior elevations. I. Structural calculations,plans, details and specifications. J. Accessibility barrier removal worksheet. K. Deposit- based on valuation of project. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019 t City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Plan Submittal Requirements Matrix Commercial & Multi-Family - New, Additions or Alterations TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov Type of Submittal # of Plans (Includes new, additions and alterations.) R:quired at Submittal Demolition Permit 2 (site plan is required showing location and square footage of all buildings to be demolished,erosion control plan and tree protection,if applicable) Site Work 3 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 3 Fire Protection System 3 Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Solar Photovoltaic 2 (Requires check list for prescriptive installation. If not prescriptive installation,engineering is required.) Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington County, and Tualatin Valley Fire &Rescue),if applicable. I:ABuilding\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019 City of Tigard 1,1 u COMMUNITY DEVELOPMENT DEPARTMENT I TIGARD Building Permit Review — Commercial - No Land Use Building Permit #: 6tt/o p/9 — 00 .a0' Site Address: i O2-ISW \„juk,Njm giArL Suite/Bldg#: — Project Name: C Ze II IS FLA61,6 C,IZkt,n Ki41Zt✓riJ (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Reviewp y ' LI I Proposal: ,TA4(Air- TI. �yji nj �'L^1t/ COIirb4 IV`h, rt,4 Ch(( aNt nit, Existing Business Activity: 'q 'F' Dry"h1 il) " F1- RR-) Proposedic _, Business Activity: %A Li' rify site address/suite# exists and active in permit sysst,n. er Terrace Neighborhood: ❑ Yes [L No oning: I1U L P2/Yes Use: 'Yes ❑ No ❑ Spec Space Confirm no land use required. tJlil3usiness License: ,_ Exists: ❑ Yes LTJ'No,applicant notified to obtain business license Notes: Approved by Planning: )2ti Elk Date: g-! -11 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: pAS//7 Site Plans: # -3 Building Plans: # - Building Permit#: Os'1✓nter building permit#above. Workflow Routing: i ianning ❑ Permit Coordinator Er Building Workflow Sign-off: Et' Sign-off for Planning(include notes from planning review) Route Application Documents: Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: .......P:94Date: /S / L\Building\Forms\B ldg P erm itRvw_COM_NoLandU COM_NoLandUse 060116.docx Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: 41) Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to A licant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applic. - : ❑ SDC Fees Entered: Wash Co Tra' Icy Tax: ❑ Yes ❑ N/A Tigard T : s SDC: El Yes ❑ N/A Par : DC: ❑ Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit 'oordinator: Date: I:\Building\Forms\BldgPernutRvw_COM_NoLandUse 070915.docx