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Permit CITY OF TIGARD f BUILDING PERMIT 8 COMMUNITY DEVELOPMENT 40 - r Permit #: BUP2012 -00142 TIGARD D 13125 SW Hall Blvd., Tigard OR 97223 503 718.2439 Date Issued: 08/21 /2012 Parcel: 1 S136DB02502 Jurisdiction: Tigard Site address: 11634 SW PACIFIC HWY Project: Subway Subdivision: AZOIC TERRACE Lot: 1 Project Description: Addition to existing Subway restaurant. 10/9/12, revised for additional patio area and revision to bathroom layout Contractor: CANDEN DEVELOPMENT LLC Owner: KESSLER, JULES 2546 NE 45TH AVE BY KAREN LILLEBO PORTLAND, OR 97213 6312 SW CAPITOL HWY #443 PORTLAND, OR 97239 PHONE' 503 - 307 -9321 PHONE: FAX: 503 - 281 -1676 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ADD Type of Const: VB Permit Fee - Additions, Alterations, 08/21/2012 $910.17 Demolition Occupancy Grp: A -2 Occupancy Load: 71 12% State Surcharge - Building 08/21/2012 $109 22 Dwelling Units: 0 Plan Review 07/19/2012 $591.61 Stories: 1 Height: 0 ft Plan Review - Fire Life Safety 07/19/2012 $364 07 Bedrooms: 0 Bathrooms: 0 DC Provision Review, COM New - Bldg 08/21/2012 $134 00 Value: $73,500 DC Provision Review, COM New- Ping 08/21/2012 $134 00 DC Provision Review, COM New- LRP 08/21/2012 $39.00 Info Process /Archiving - Lg $2.00 (over 08/21/2012 $26.00 Floor Areas: 11x17) Info Process /Archiving - Sm $0.50 (up to 08/21/2012 $12.00 Total Area: 507 11x17) Accessory Struct: 0 Tig -Tual School CET - Non Residential 08/21/2012 $273 78 Basement 0 Erosion Control w /Permit - Ping 08/21/2012 $150.00 Carport: 0 Additional Plan Review 10/09/2012 $90.00 Covered Porch: 0 Deck' 0 Garage: 0 Mezzanine: 0 Total $2,833.85 Required: Required Items and Reports (Conditions) Fire Sprinkler No Parapet. 1 Ersn Cntrl 503 - 639 -4175 Fire Alarm. No Protected Corridors. No Smoke Detectors No Manual Pull Stations: Accessible Parking' 4 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- 0 throug - ' R 952-01 -0090 You may obtain a copy of the rules or direct questions to OUNC by callin• ;I 2.1987 • 1 810 332.2 Iss d By: ' / ji // / Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available In • Ion 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. 1 M ° Building Division Development Code Provision Review T [ G A R D Commercial Projects - No Associated Land Use Case Building Permit No: BU P 2 12 - 001 L-I Z ❑ Expedited Review Plan Submittal Date: fD 0111 Z To the Applicant: D. 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. D. 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. Planning Review (contact Td kin. F41._ at 503 - 718 - 0. 4 or @ tigard- or.gov) ❑ Zoning C - 6— Permitted Use Yes igi No ❑ ❑ Land Use Required: Yes ❑ No ' (explain below) Notes: NA QS Cv' le- &In /rn /vas I /v1 4wdcsP- S,/' t2 tiv ,OCe v. /tin,. t��e S c." Cti-e„ Cuas fJ/ew r Guty.1 approved. Vre kJ, 0(Approved ❑ Not Approved Date: /6 - `72 Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov) Notes: • Routed back to Building Division Date: • I. \CURPLN CITY OF TIGARD BUILDING PERMIT • COMMUNITY DEVELOPMENT Permit #: BUP2012 -00142 T I GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/21/2012 Parcel: 1 S136DB02502 Jurisdiction: Tigard Site address: 11634 SW PACIFIC HWY Project: Subway Subdivision: AZOIC TERRACE Lot: 1 Project Description: Addition to existing Subway restaurant Contractor: CANDEN DEVELOPMENT LLC Owner: KESSLER, JULES 2546 NE 45TH AVE BY KAREN LILLEBO PORTLAND, OR 97213 6312 SW CAPITOL HWY #443 PORTLAND, OR 97239 PHONE: 503 - 307 -9321 PHONE: FAX: 503 - 281 -1676 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ADD Type of Const: VB Permit Fee - Additions, Alterations, 08/21/2012 $910.17 • Demolition Occupancy Grp: A -2 Occupancy Load: 71 12% State Surcharge - Building 08/21/2012 $109.22 Dwelling Units: 0 Plan Review 07/19/2012 $591.61 Stories: 1 Height: 0 ft Plan Review - Fire Life Safety 07/19/2012 $364.07 Bedrooms: 0 Bathrooms: 0 DC Provision Review, COM New - Bldg 08/21/2012 $134.00 Value: $73,500 DC Provision Review, COM New - Ping 08/21/2012 $134.00 DC Provision Review, COM New - LRP 08/21/2012 $39.00 Info Process /Archiving - Lg $2.00 (over 08/21/2012 $26.00 Floor Areas: 11x17) Total Area: 507 Info Process /Archiving - Sm $0.50 (up to 08/21/2012 $12.00 11x17) Accessory Struct: 0 Tig -Tual School CET - Non Residential 08/21/2012 $273.78 Basement: 0 Erosion Control w /Permit - Ping 08/21/2012 $150.00 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $2,743.85 Required: Required Items and Reports (Conditions) 1 Ersn Cntrl 503 - 639 -4175 Fire Sprinkler: No Parapet: Fire Alarm: No Protected Corridors: No • Smoke Detectors: No Manual Pull Stations: Accessible Parking: 4 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 it work is suspended for more the 180 days. ATTEN . ' egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set orth in OAR 952- 001 -0r a through OA' 52- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by callinr : 232.198 • 800.332. 44. Issue By: /, I,, Perm ittee Signature: dI Call 503.639.4175 by 7:00 a.m. for the next available insjon - 'e. This permit card shall be kept In a conspicuous place on the job site ,, I completion of the project Approved plans are required on the job site at the time of each inspection. Building Permit Application Commercial NOISI1'109Nfy't`nil FOR OFFICE USE ONLY City of Tigard odd9 j O kIlO Received: -- 94011, % Permit No.: r !/ f / /. , s` (y II 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review h : • Phone: 503.718.2439 Fax: 503.598. 7 1960 r lnr Date/B : � .CI� /tin Other Permit: H p 0 91)6g .. a,' • - T I G A k D Inspection Line: 503.639.4175 4� ` Date Ready : M See Page 2 for Internet: www.tigard- or.gov ,. Notified/Method: Supplemental Information TYPE OF �): , 4 to REQUIRED DATA: I- AND 2- FAMILY DWELLING ❑ New construction ❑ 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: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling ® m Comercial/mdustrial 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: 11634 SW Pacific Highway New dwelling area: square feet City/State/ZIP: Tigard, Oregon 97223 Garage/carport area: square feet Suite/bldg./apt. no.: - Project name: Subway Covered porch area: square feet Cross street/directions to job site: Pacific Highway at 74 Avenue 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.: 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. Addition to dining area, enlarge restroom, new exterior work Valuation: $73,500.00 Existing building area: 1600 square feet New building area: 507 square feet ❑ PROPERTY OWNER ® TENANT Number of stories: 1 Name: Subway - William Balderson Type of construction: V -B Address: 11634 SW Pacific HWY Occupancy groups: City/State/ZIP: Tigard OR Existing: A -2 Phone: (503 - )866-6907 Fax: ( ) • , New: A -2 ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Design Department Architecture Structural plan review fee (or deposit): Contact name: Ben Hufford FLS plan review fee (if applicable): Address: 126 SW Stark Street City/ State/ZIP: Portland, Oregon 97204 Total fees due upon application: X955 , !o Phone: (503) 819 -8153 I Fax: : (na) Amount received: E -mail: ben.hufford @gmail.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof -top mounted PhotoVoltaic Solar Panel System. Business name: Canden Development LLC Submit two (2) sets of roof plan with connection details and fire department access, along with the 2010 Oregon Address: 2546 NE 45 Ave Solar Installation Specialty Code checklist. City/State/ZIP: Portland OR 97213 Permit fee (includes plan review $180.00 and administrative fees): Phone: (503) 307 -9321 I Fax: (503 -) 281 -1676 State surcharge (12% of permit fee): $21.60 CCB lic.: 164670 Total fee due upon application: $201.60 Authorized signature: )(7.......7.e.___ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Ben Hufford Date: 02/24/2012 • Fee methodology set by Tri-County Building Industry Service Board. 1: \Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440-4613T(l 1 /02/COM/WEB) NOISIA10 N ally �€ CIENDI A110 Building Division ZIOZ 61 lnr Accessibility: Barrier Removal Improv :;t:; { I TIGARD i, � � 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] $ 68750 MULTIPLIER (25% barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 17187.50 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: $ 18,000 (e) Accessible telephones: $ 0 (f) Accessible drinking fountains: and, $ 0 (g) When possible, additional accessible elements such as storage and alarms: $ 0 TOTAL (shall equal line [2] of Valuation Computation): $ 18,000 I:\ Building \ Permits \BUP -COM PermitApp.doc 03/03/2011 7/3y lw � - e /fi `C. /4y 14 q Building Division Development Code Provision Review T I G A R D Commercial Projects ,with Approved Land Use Building Permit No.: c� " `� `t'e `� �- Land Use Casefile No.: M HD a0 l A 000D Routed Plans: Submittal Date: ? / 9 /''L- Submittal Date: L Submittal Date: To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. STAFF: please only mark those item s on the left side that are approved. :. / Planning Review (contact v 04k k r 4 at 503 - 718 -°Z Va l-°1 or , `0tl ✓I Pi( l @tigard- or.gov) ❑ Land Use Approval V ❑ Building Plans Match Approved Plan: Yes No ❑ ❑ Maximum Building Height ❑ Conditions Met Notes: a/ , y �a Th //V/ yc . w ? Gv on _ 4. :• �rw /flew s Ik, b Q Icw. recItaa a.•, �--dS --�� Original Plan: Approved ❑ Not Approved Date: V /FAZ Revision 1: Approved Not Approved ❑ Date: - !6- /Z Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) 22" Slope: 4 ❑ PFI Permit # ❑ Conditions Met Notes: Original Plan: Approve Not Approved ❑ Date: 72— Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) ❑ Street Trees ❑ Protected Trees Notes: • ; -- _ , , e ' �► d: fie, 10 4A lc618 Original Plan: Approved ❑ Not Approved ,' Date: 7l e 1� Revision 1: Approved' Not Approved ❑ Date: / 1 �F Revision 2: Approved ❑ Not Approved ❑ " bate?. Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard- or.gov) ❑ Planning Okay to Issue Permit ❑ Arborist Okay to Issue Permit ❑ Engineering Okay to Issue Permit Notes: Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes 1IJ, o ❑ Date Routed to Building: / _ • • Page 2 of 2 • D " l� r L' t " -Clea Wa ter Ser_vl �' Flle Num • • - Clea'nWa Serv .' . M ;. ■ • _ - nsitive Area Pre- Screening Site A s s ess m ent JUC 1 •g 2 01 2 Property Inf,rmatlon (example 4$2:3. 4A80)400) 3 Owner Inf BU ` �/I�QD��Ii� ( - TaxiotID(s). D o•-L3;v -. - • Name: : '' 1L .. Q . - '. . Company ' t , : ,z. . • Add r ess; '1lY 31 - Sco P1 -( ii C '4.t tki ( _ 8 Address: :11 . s e t1 • ',t i�4 i CiH, std "Ti - l h k. •1, . ..e. -. " `. Cty, State, Zip : 5� ,-6 1 ? ?� - Pho he/Fex `y0 - ', ts'� : , .: . - ; 1, Nearest cross street.: `7� -ki irL E -Mans 4. Development A ctly t ( tha apply ' 5. Applicant lnformatlon _ . is Addition.to Single. Femtdy Residence ( rooms,, d g ;N :+� ..: _FEV - , Q : Lot Line Adju stment [j Minor Land Partitio C o m pa n y - : � t - p 9,1* -T? !T U - Resrden - .- ' nd o f nrni u m ❑ Commercal Co Condominium • A ddr e s s �Z6 $u , :.7'�'�• S ` ❑ Residential Subdivi A Commercial Subdivision .0 State 'ip - OPtez r tip : < `. t e� Single Lot Commercial U Multi Lot Comme rtciat • Othe • , Phon e!Fac :$¢53 : i . :�'{ . s 53 • E -Ma f G . r riC ' o L ` :`.'S R ',. .:ice, , • S. W1 1_I th p ro l e c ttnvolve any ofRslte work? L Uj Yes No : C] Unkn Location and' description of off -site Woiic . . • • 7 Additi c o r'nformation•th a tm a y be n to tunderstapd your i7pd 1W ; T his a pplicati o n does, NOT Grading and Erosi C Permits, C onnect i o n, P ermit s, Bu ilding , Permits , Site QevelopmerjtPemilts, • DEQ 1200 -C Pe rmit or o a s iss by - — r - ' - p ,•''' - nt o f Envlrbnmea Quality; D epartment of Stat aji d l gr Depa n e nt dithe Angry 1 . ` ; • C A r p d rtd a ppiovaIs must • be obi ned • • and completed undo applicable locxrl� state, and fe lathe , i, , By signing this:foim Own or 'Ownee,,s authorized agent or represer acknow�edges and agrees thtem d Clean Wa ter Ba h a v e c o dy to enter th prcaectsit&at all reasonabl tim for tli epurpose' of i pro ject s i t e c a r rd�ti n and gat fnformtion relayed tothe ptoject s ite I eibfy= that Ian fatrultarwtth `the mfe.r!nn ion contained in.4 dodumefl a to,t «my knowle and tie- , dds uitorrnatiari�b trit osmple:te. ac accurate. , Pri m .. ' . - . pa :f�1 4 0. ' F . r Printfrype Title M C I r1 T�f . r Signatu 5 `;e ' Dade, : v,,`1 I Z r, F ORDST ;.. . ..,. RIOT .USE ONLII ... .. , . ' ..:.... . • U -Sens1bveereas potentially ewsi an sit _or w ithal 20d of t h e site, T H E AP A PERFORM A SITE ASSESSMENTPRJOR TO E ISSUANC OF A r >SERVicE PROVID R Eiit. `If S ' r .. -. , _ _ „ y 2 E . � , resrbve Areas exist onthe's$e o w 200 f ee t oo a p ro p erlta 5 , 8 Na Assessrgertt Report may a lso be r egc n red. ` e :U Based-Qn r eview gi rth$ e u titp�t te d n at and best a vail ab l e . mratr Se nSdnre ; an; a s `do no tappea r t o exlston site or wi thin 2t lire siriG This ;:: ..`Sensitiv A rea Pre -sitoi hg Stte Assessment do :1VOt eliminate the 2eed;to- atuate:and protest waters ialdlr sepsi ive an s' if they are 'subsegUeflB y ' discovered TMs document wi1I s rve ur S ernoe Qtio le a re q u ir e d by Resolution and O rder 07 20, Section 3 021 All requhed pemut a cid : - : provel must be and co under app l elonal, - Staff a nd era] law g { ` Based o re of the" m eten als a a avaiaWle inf the a refermroe'pojed w" not sgn handy fmp ct , - po ser,scave area(sj fermi near1) a site. ., sensl Pr®;Saeeh,rg S does NOT•elimInate the need t ev a . protet# a 'ad dthg lial w a d er ' quality - ': , ' • ' a Iitiiey • are s ubsequ e i liy 4i Ttiii• imeritwtU sgive as yo Sei lc Provi letter regwred by Resoluton arid Order 07 , Sect i on •3 :021 Ail requu permits ai must 8bfai and oofnplefe snid ap pl local, state and federal law r U T :Seryiee Provider Letters not "valid sonless =CWS apps ed site plan s) are'atteepet}` • , The;p a ctrnty d oes qot mee the d of d e v e l o T p men tor,the lot Was platted. a lt e r �/9 'NQ Sw TE • AS 1 ▪ FOR SERVICE PROVIDE' LE IS REQI�I e • = • Revie b ,...7-• r1. � I ' av� 4...s r ., .Dee _ F° • .:. z••, ):` 2550 SV!r Hillsboro Highway • Hillsboro. Oregon 97123 • Phone: (503) 681-5100 • Far: (503) 681-4439 • vn: ^: :.c!ean!:aters::rvices.org ' _ = x =' '. • .1 s, 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 lig a . Transmittal Letter r I c,, n R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov 7Th TO: cc,-4._., DAT Eordes 91130 �, DEPT: BUILDING DIVISION FROM: [- tiu*r A a3A13030 COMPANY: "Std a) PE FA PcrItt=e5oecr PHONE: So 3 II e t drl s 3 y: % RE: I J 4 S W l' �G Hw`(. o f 2-0(7_— 00 l9-2 it A dress) (Permit Number) (Project name or subdivision name and lot number) • ATTACHED ARE THE FOLLOWING ITEMS: Copies: I Description: Copies: Description: Additional set(s) of plans. , Revisions: S tcr r LAN-. 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: 1 FOR OpFFICV USE ONLY Routed to Permit Technici Date: 2d ( 'Z— Initials: Fees Due: ❑ Yes [I'10 / Fee Description: Amount Due: $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: l:\ Building\ Forms \TransmittalLetter- Revisions.doc 05/25/2012 `