Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2012-00079
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/24/2012
Parcel: 1 S136DB00600
Jurisdiction: Tigard
Site address: 11635 SW PACIFIC HWY
Project: Taco Bell Subdivision: AZOIC TERRACE Lot: 1
Project Description: Canopy and clearance bar installation for drive -thru.
Contractor: MEYER SIGN CO OF OREGON Owner: ZAPP FAMILY REVOCABLE LIVING TRU
15205 SW 74TH AVE TYSON FAMILY TRUST
TIGARD, OR 97224 BY TBC #016600
PO BOX 35370
•
LOUISVILLE, KY 40232
PHONE: 503 - 620 -8200 PHONE:
FAX: 503 - 620 -7074
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 05/24/2012 $119.33
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 05/24/2012 $14.32
Stories: 0 Height: 0 ft Plan Review 04 /20/2012 $77.56
Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 04 /20/2012 $47.73
Value: $2,300 Info Process /Archiving - Sm $0.50 (up to 05/24/2012 $8.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $267.44
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. ATTEN : •: • '_, • law • • uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -00 ' through OAR 9 % -�'.eu may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued : Permittee Signature: 6/114,04#
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.
•
lik wilding Permit Application
Commercial FoR OFFICE USE ONLY
Received
City of Tigard �� Date/B / Permit No.: / _
° I3125 SW Hall Blvd., Tigard, e _:. ` A3 Plan Review a t7
'� C Phone: 503.718.2439 Fax: 5 i1 1. 01'' -' 3 e l. %\l- Date/By: .1 . ( (-2--- Other Permit:
T I G n It a Inspection Line: 503.639.4175 t Q Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard or.gov Pei f' - n �o Notified/Method:�� /�� �, � j Supplemental Information
cy. r Vim! Go
TYPE OF V O�V1a� REQUIRED DATA: 1- AND 2- FAMILY DWELLING
`` ��' �' , Permit fees' are based on the value of the work erfotmed.
conswction p
j2 w Indicate the value (rotnded 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.
❑ 1- and 2- family dwelling ommercial/industrial Valuation: $
❑ Accessory building Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ( (■ 3S 5(.t } P 0 � ° C ` New dwelling area: square feet
L 1 City /State /ZIP: /(742^ 9 L'Z 7' Garage /carport area: square feet .
Sui te/bldg. /apt. no.: ;; ;; . :v 9 ¼d9..o
Project name: l W�" A ELL Covered porch area square feet
Cross street/directions to job site: �� � Deck area: square feet
V + 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.: Indicate the value (rotnded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
-1.7t-E-514 11 (� e� �/la N
l� et, , _/ Valuation: $ a
3 � Existing building area square feet
New building area: square AP-PROPERTY OWNER I 0 TENANT Number of stories:
Name: , , Z i - , --- Type of construction:
Address: Occupancy groups:
City/State /ZIP: (1/(4,40( t77 Existing:
Phone: ( ) Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES'
(Please refer to fee schedule)
Business name:
1 `A (' Structural plan review fee (or deposit):
Contact name: � 5- 6 G : A f
Address: �J � p 7 /W� � J F plan review fee (if applicable):
State /ZIP: l C� C;r�� �-t >
one: Total fees due upon application: / a $ . r vA
r 1�}/ - �� --' / � � , ZOO I Fax:: ( r y , �' ,� `�Q`�C� Amount received:
E- mail:
(! 2_0 r �� "V (�-� � h C6.- 1 l PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES'
C Commercial and residential prescriptive installation of
uR roof -top mounted PhotoVoltaic Solar Panel System. f roof plan with connection details
and
Busi name: Submit two (2) sets o fire department access, along with the 2010 Oregon
dress: ness Solar Installation Specialty Code checklist.
P fee (includes plan review
City/State/ZIP: and administrative fees): $180.00
Phone: ( ) I Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: 6(.1 (I Total fee due upon appfication: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: �sy<Q i'-Y/t2__ / , I Da te: �,/ ' Fee methodology set by Tr- County Building Industry F r t Service Board.
I:\BuildinglPermits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(1l /02 /COM/WEB)
H
° 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, ��77
excluding painting and wallpapering: [1] $ gt. C?cf)
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide undei 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: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011
!PI :
Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: LiPo2C)ii. - -0jd71 ❑ Expedited Review
Plan Submittal Date: f / /)- !, j ?.
To the Applicant:
> If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 - 2439.
> If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approved. - /
Plat ng Review (contact at 503_718 or A 4,4@ tigard or.gov)
I! Zoning Permitted Use Yes ErNo ❑
❑ Land Use Required: Yes ❑ No l (exylain below) /4 -LA.:LA.4f' /4' 7i/.1
. -s: _. i / /.' i / / e.,.„„/ •4 '
/ _
,%nT' r,rs71j1 :41:1/M, leffM//%/%111A IAS K -- ! •
. �� <
' Approved of Approved Date: Z
Permit Coordinator Review (contact Albert Shields at 503 - 718 - 2426 or albert@tigard- or.gov)
Notes: J
IAFIM
Routed back to Building Division Date: #2.16
U
--7— I .. '- 4 /, 7
4.%L. r ' ,iii
I: \CURPLN