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Permit
.54 CITY OF TIGARD SITE WORK PERMIT i ' COMMUNITY DEVELOPMENT Permit#: SIT2019 00013 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/23/2019 T I ''� C7 g Parcel: 2S102AA00903 Jurisdiction: Tigard Site address: 12090 SW MAIN ST Project: McDonald's Subdivision: PAYLESS SHOPPING CENTER Lot: 4 Project Description: Site work for ADA sidewalk improvements and ADA sidewalk connection to right-of-way. Contractor: RICH DUNCAN CONSTRUCTION INC Owner: MCDONALD'S CORP 036/0041 2295 RURAL AVE SE BY DOUBLE K VENTURES INC SALEM,OR 97302 8255 SW HUNZIKER ST#101 TIGARD, OR 97223 PHONE: 503-390-4999 PHONE: 425-577-0415 FAX: FEES Description Date Amount Specifics: Permit Fee-Site Work 10/23/2019 $500.12 Plan Review 05/09/2019 $325.08 Type of Use: COM 12%State Surcharge-Building 10/23/2019 $60.01 Class of Work: ALT Erosion Control w/Development 10/23/2019 $107.60 Info Process/Archiving-Lg$2.00(over 10/23/2019 $12.00 1 Project Valuation: $45,000.00 11x17) Info Process/Archiving-Sm$0.50(up to 10/23/2019 $50.50 11x17) Site Specifics: In Lieu Storm Water Quality Facility 10/23/2019 $2,292.00 Excavation Volume: 50 cu.yd. DC Provision Review,COM TI-Ping 10/23/2019 $98.00 Fill Volume: cu.yd. Impervious Surface: sq.ft. Engineered Fill: No Soil Report Required: No Paving: Yes Grading: Yes Landscaping: Yes Site Prep: No Storn Drains: Retaining Wall: No Fire Underground: No Accessible Parking: Yes Fence: No Total $3,445.31 Required Items and Reports(Conditions) 1 Special Inspection(see plans) 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 m.y obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. t Issued By: �, /2;J'`j Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. L 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. A Building Permit Application Site Work RECEIVED FOR OFFICE USE ONLY Received Permit No.. I - City of Tigard Y 6 2019 Date/By: �I I.i�'% S ,—- �\y,?-1:11A01-`IVC\ N " 13125 SW.Hall Blvd.,Tigard,OR 97223 MA Plan Review J Phone: 503.718.2439 Fax: 503.598.1960 OF TIGARD Date/By: aJ '' ).S .- j 9 i Other Permit: TIGARD Inspection Line: 503.639.4175 CITY 1NG DIVISION Date Ready/By: ]oris: gi See Page 2 for Internet: www.tigard-or.gov �, �LD ..tified/Method: a / �7t 4/ Supplemental Information / a TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING tri.New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all KAddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRI CTION work indicated on this application. ❑ 1-and 2-family dwelling i Commercial/industrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: [7.1 Master builder ['Other: Number of bathrooms: JOB SITE INFORMATION AND LOCA ION Total number of floors: Job site address: 12090 SW MAIN ST New dwelling area: square feet City/State/ZIP:TIGARD,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: IA,t, ✓•_V�pm-2%c Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST- Subdivision: I Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.:R460183 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. ADA SIDEWALK IMPROVEMENTS Valuation: $45000 ADA SIDEWALK CONNECTION TO ROW Existing building area: 3164 square feet New building area: 0 square feet ® I'ROPERTY OWNER ❑ TENANT Number of stories: 1 Name:MCDONALDS CORPORATION Type of construction: VB Address:2999 OAK ROAD STE 900 Occupancy groups: City/State/ZIP:WALNUT CREEK,CA 94597 Existing: A2 Phone:(425)5770415 Fax:( ) New: A2 l APPLICANT 0 CONTACT PERSON NOTICE Business name: 1rR I` I1- 1 CHIT,rE.CTURE _ril `Tr _-65444 4 1—) All contractors and subcontractors are required to be ■r . .: Contact name:. L AM'' i‘i ULP licensed with the Oregon Construction Contractors Board junder ORS 701 and may be required to be licensed in the Address:9y IOSr" AVE NF 5_T,T�',210 �p SW �j-°41 jurisdiction in which work is being performed.If the t' „EJ1 EVtiE 44 " O4 e0 0 applicant is exempt from licensing,the following reasons City/State/Z11 ,. o� �t ,C. 004 j ,,��? � PP y: Phone: 5p�.r�fS S/1�gx: :( �,�f/)�,, / E-mail:M1 .COM V1441.4 [14ecg eliti t-. ILL....-,— CONTRACTOR Business name:TBD 1 G L L bG o-.` C p e,,,c - . BUILDING PERMIT FEES* Address: 'z 2 •r 1Z—v-1/4- " ak- s (Please refer to fee chedulee) Structural plan review fee(or deposit): City/State/ZIP: q„ l/ v4,,, 0r.. q ?-OZ — �-�q p p / q y FLS plan review fee(if applicable): Phone:(SDI 370-'Y 1q 1 Fax:is—o3 ) s J0>3,4( — y Total fees due upon application: CCB lic.: I (5---i< J,7C_ Amount received: Authorized signature: 4/2 This permit application expires if a permit is not obtained ..LL �/ within 180 days after it has been accepted as complete. T_ Print name: '"'TCflIN l 1. Mfrs f7//V 7% rpt/4( Date:4/30/2019 * Fee methodology set by Tri-County Building Industry Service Board. I:ABuildingAPermits\SIT-PermitApp_doc 08/02/2016 440-4613T(II/02/COM/WEB) City of Tigard: Site Work Permit Checklist Page 2 -Supplemental Information Commercial,Multi-Family and One-and Two-Family Dwellings: No permit is required if fill is less than 50 yards(5 dump truck loads), or less than 3 feet deep and will not be supporting a structure. If a building will be constructed on the fill, it must be engineered fill. If fill is in a flood plain, drainage way, or wetland,the applicant must apply for a sensitive lands review (SLR). Please complete all items below, unless otherwise noted. Excavation Volume: PLEASE SEE C1.0 cu.yds. Grading Volume: (Soils report required for>5,000 cu.yds.) cu.yds. Fill Volume: (Fill exceeding 12" in depth shall be compacted to 90% of maximum density) cu. yds. Retaining structure? (Check one) ❑ Rock ❑ CMU ® Concrete ❑ Other: *Total new impervious area including all buildings, sidewalks, and paving: -202 sq. ft. Site Utilities Plumbing Work: Complete the Plumbing Permit Application for site utilities plumbing work. Plans Required: See"Site Work Permit Application-Plan Submittal Requirements"attached. The following must accompany this application: ® Site Plan with Vicinity Map showing ADA ❑ *Parking(including ADA)and Lighting compliance Plan ® Grading Plan and details ❑ *Landscaping Plan ® Erosion Control Plan and details ❑ Soils Report(if required) ® Retaining Structures *Does not apply to One-and Two-family dwellings. Plan Submittal: Permit Fee: TYPE OF SUBMITTAL #of Plans Valuation: Permit Fee: (New,Additions or Required at $.00 to$500.00 $51.09 minimum permit fee Alterations) Submittal $500.01 to$2,000.00 $51109 for the first$500.00 and $2.69 for each additional$100 or fraction Commercial 3 thereof,to and including$2,000.00. $2,000.01 to$25,000.00 $91.44 for the first$2,000.00 and Multi-Family R-1 Occupancy 3 $10.76 for each additional$1,000 or fraction thereof,to and including $25,000.00. One-&Two-Family Dwelling 3 $25,000.01 to$50,000.00 $338.92 for the first$25,000.00 and $8.06 for each additional$1,000.00 or fraction thereof,to and including $50,000.00. $50,001.00 to$100,000.00 $540.42 for the first$50,000.00 and $5.38 for each additional$1,000.00 or fraction thereof,to and including $100,000.00. $100,000.01 and over $809.42 for the first$100,000.00 and $4.49 for each additional$1,000.00 or fraction thereof. I:ABuilding\Permits\S1T-PermitApp.doc 08/02/2016 2 314 Site Work Permit Application Plan Submittal Requirements TIGARD Commercial, Multi-Family and One- &Two-Family Dwellings A site work permit is required for all commercial projects including new buildings, additions, accessory buildings larger than 120 square feet,modular structures and multi-family R-1 occupancies. A site work permit is required for excavation, fill,grading,paving, retaining walls, fire hydrants and fire department access on private property for work on individual lots not covered under the subdivision development. Note: A separate "plumbing" permit for site utility plumbing work is required for sanitary sewer, storm sewer and potable water systems on private property. Please see the Site Utilities - Plumbing Permit Application for plan submittal requirements. 1. SITE PLAN and vicinity map (fully dimensional, drawn to scale) showing the geographic location labeled with: A. ❑ map & tax lot # n project name _ site address ❑ suite number ❑ zoning ❑ applicant name applicant phone number B. North arrow. C. Scale (architectural or engineering only). D. Street names. E. Building pads (drawn to scale) with project location. 2. BUILDING PLAN submittal requirement: Three (3) complete sets, Civil only. All details listed below shall be incorporated into the plans: A. Site plan showing: 1) Required parking spaces and driveways. 2) A route, accessible to persons with disability, leading from the public way to an accessible building entrance. 3) Accessible parking spaces and adjacent access aisle connecting with the accessible route. 4) Curb ramps along the accessible route, curb, sidewalk and gutter. 5) Finish grade elevations along the accessible route. B. Topographic survey plan showing grade elevations crossing the entire site. C. Overall grading plan. D. Utilities plan showing: 1) Fire hydrant location and pipe size if on private property. 2) If the building is to be protected with an automatic fire sprinkler system, show location of the water service vault and the fire department connection (FDC) within 70 feet of a fire hydrant. 3) Size of underground water service for the sprinkler system. E. Erosion control plan complying with the requirements of the Clean Water Services (CWS) agency showing: 1) Silt fence locations. 2) Bio-filter bags/other approved barrier material surrounding catch basins. 1:\Building\Permits\SIT-PermitApp.doc 08/02/2016 3 3) Illustrations detailing the correct installation of the silt fencing and catch basin protection. 4) Any other measures to ensure compliance with CWS standards. F. Landscaping plan. 3. ADDITIONAL REQUIREMENTS: A. Soils (geotechnical) report. A soils report is required for new buildings and additions to contain the following: 1) The report shall address the potential of soil liquefaction and instability (OSSC Sec. 1804.2). 2) Fills to be used to support foundation of buildings (OSSC Sec. 3301.1). 3) Foundation and lateral pressures exceeding 1,500 lb./sq. ft. (OSSC Sec. 1805). B. Fire flow and hydrant worksheet. C. Plan review deposit based upon project valuation. 1:\Building\Permits\S1T-PermitApp.doc 08/02/2016 4 ' *•: McDonald's USA,LLC —'` Walnut Creek Field Office 2999 Oak Road McDonald's USA Suite 900 Walnut Creek, CA 94597 Date: October 10, 2018 RE: Authorization to Submit To whom it may concern: We have retained the services of Freiheit Architecture and Faster Permits to assist us in submitting the necessary applications for design and planning review and building permits for our planned remodel projects in 2018, 2019 and 2020. Should you have any questions or concerns, please contact me via email at doug.bates( us,mcd.com or phone @ (425) 577-0415. Respectfully, McDonald's USA, LLC c//7 Doug Bates Area Construction Manager • Matt Grinnell, Freiheit Architecture • Bob Mooney, ECM City of Tigard II " COMMUNITY DEVELOPMENT DEPARTMENT I TIGARD Building Permit Review — Commercial - With Land Use Building Permit #: CT c \e,t- c i Site Address: 420 9 -CA ) 44-2-/)1. Q7-- Suite/Bldg#: Project Name: Ale. bonJ,,,1-c (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Reviee� 4_, _ _ ___E,,.___,Z1,247/ Proposal: ,/; /0e= X2 - rel46 4� �I�1 /i `S l�rz11 1'1 V-rify site address/suite# exists and active in permit syst v,►,� er Terrace Neighborhood: ❑ Yes No nd Use Case#: (� 166D6'2-04(- 9?' � �' dans atch Approved Land Use: WA Ste Plan it \ andscape Plan er: �\,I Trban Forestry Plan \la ) levation Plan \WI itutlding Height: Maximum Height Actual Height 'P '.nditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance I! Business Licen �,(( Exists: Yes ❑ No,applicant notified to obtain business license q�LlYl1'hblic Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No, stop intake Notes: Approved by Planning: : Date: ---// 4C--- 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: SI u.1‘<A Site Plans: # Building Plans: # Building Permit#: a~Enter building permit#above. Workflow Routing: 2 Planning a Engineering ❑'Permit Coordinator a Building Workflow Sign-off: ❑' 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: ‘•---34-1\.....)\—..._ Date: \cl ,,,,,c.._,,, I:\Building\Fonns\BldgPermitRvw_COM_W ithLandUse_060116.docx Engineering Review C2"Slope at building pad: cle ❑/PFI Permit#: IGS (:onditions "Met"prior to issuance of building permit Al 040-t sements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP) Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes IE—No LIDA Facility on lot: ❑ Yes 2'No 2. NOT Ap.roved by Engineering: t c.\-5r sca-- Date j L3-l g Notes: . Approved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: 2/Approved 0 Not Approved 1414-1 f s r4 s , S—f Revision 2: 0 Approved 0 Not Approved Revision 3: ❑ Approved 0 Not Approved Permit Coordinator Review AConditions "Met"prior to issuance of building permit 0 Approved, NOT Released: Date: Notes: Neel G { in otya 1-'P U4- -eiLUCQ4 049pUCGi4^- - ct s 4 I q 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: (fSDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes G< N/A Tigard Trans SDC: 0 YesN/A Parks SDC: 0 Yes AN/A ❑ OK to Issue Permit % !Date:Approved by Permit Coordinator: S' 23 // -td-T i.t etN' A.477 Vece 6)0wgTIC,2 .Z4 O d tic 1-1 l t t y IC a. 1 tiu it-recx 'Q 1. 1 , roc , a Zeee,e 976 L\Building\Forms\BldgPennitRvw_COMWithLandUse 070915.docx Agnes Lindor From: Agnes Lindor Sent: Tuesday, May 14, 2019 10:30 AM To: nathan@fasterpermits.com Cc: Albert Shields; Kenny Fisher; Lina Smith; #Building Permit Technicians; Tom Hochstatter Subject: BUP2019-00118/SIT2019-00013 McDonalds Good morning Nathan- Your permits require additional information before engineering can approve them. Please provide a storm drainage report. If you have any questions about this requirement, please contact Kenny Fisher(503-718-2602).Thanks! Agnes Lindor I Associate Planner City of Tigard I Community Development 13125 SW Hall Boulevard Tigard, Oregon 97223 Phone: 503.718.2429 Email:AgnesL@tigard-or.gov 1