Permit CITY OF TIGARD BUILDING PERMIT
IN C : • COMMUNITY DEVELOPMENT Permit #: BUP2012 -00056
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/25/2012
Parcel: 1S136DB00600
Jurisdiction: Tigard
Site address: 11635 SW PACIFIC HWY
Project: Taco Bell Subdivision: AZOIC TERRACE Lot: 1
Project Description: TI
Contractor: CRABB CONSTRUCTION Owner: ZAPP FAMILY REVOCABLE LIVING TRU
5135 VALLEY CENTER AVE TYSON FAMILY TRUST
COVINA, CA 91724 BY TBC #016600
PO BOX 35370
LOUISVILLE, KY 40232
PHONE: 909 - 305 -2088 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg Permit Fee - Additions, Alterations, 09/25/2012 $917.70
Demolition
Occupancy Grp: A -2 Occupancy Load: 58 12% State Surcharge - Building . 09/25/2012 $110.12
Dwelling Units: 0 Plan Review 09/25/2012 $596.51
Stories: 0 Height: 0 ft Plan Review - Fire Life Safety 03/22/2012 $367.08
Bedrooms: 0 Bathrooms: 0 DC Provision Review, COM TI - Ping 09/25/2012 $160.00
Value: $75,000 DC Provision Review, COM TI - LRP 09/25/2012 $24.00
Info Process /Archiving - Lg $2.00 (over 09/25/2012 $52.00
11x17)
Floor Areas: Info Process /Archiving - Sm $0.50 (up to 09/25/2012 $5.00
11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0 .
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,232.41
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: No Protected Corridors:
Smoke Detectors: No 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 503.232.1987 or 1. 00.332.2344.
Issued By:
X:4 C� 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.
1
Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: -70k P Ao ( ` 000 SCv ❑ Expedited Review
Plan Submittal Date: g/ 0 9'
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.
Planning Review (contact f. '1//7/2 at 503 -718- or @tigard- or.gov)
g
❑ Zoning GGi- PP '/ Permitted Use Yes LW No ❑
❑ Land Use Required: Yes ❑ No (explain below)
Notes:
IEUKpproved ❑ Not Approved Date: 9
Permit Coordinator Review (contact Albert Shields at 503 718 - 2426 or albert@tigard - or.gov)
Notes:
Routed back to Building Division Date:
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VMS architecture
Letter of Transmittal
Date: March 20, 2012 Attention: Debbie Adamski
Permit Tech.
To: Building Division, From: Mohit Garg, Project Mgr.
City of Tigard
13125 SW Hall Blvd., Re: Taco Bell Remodel
Tigard, OR 97223 Store # 16600
11635 SW Pacific Hwy
Phone: (503) 718 -2450 Tigard, OR 97223
We are transmitting the following 4 item(s):
No. Date Copies Description
1 3/2/12 3 sets 24" x 36" full size architectural plans for Taco Bell remodel
(Minor Tenant Improvement) for building permit: 2 sets wet
stamped
2 3/2/12 1 Building permit application
3 3/2/12 1 Building application fee of $963.58
4 3/2/12 2 ComCheck Energy compliance documentation: wet stamped
Comments:
Please find the attached drawings and documents towards building plan check for
remodel of an existing Taco Bell restaurant. Feel free to call me for any further
information that may be required.
I would appreciate if the fee receipt for $963.58 can be emailed to me at
mgarg @vmarch.com or faxed at (415) 451 -2595 (Attn: Mohit)
Sincerely,
Vida 9,449, Pw fect Nagar ip
email: m9 y emanC . Co
cc: none
637 Fifth Avenue San Rafael, CA 94901 (415) 451 -2500 fax (415) 451 -2595
t3tiilding Permit Application
Commercial ? FOR OFFICE USE ONLY
City of Tigard ,1 Receiv l rte. Permit No.: ._
1vvv��� . -21 . a l al
13125 SW Hall Blvd., Tigard, OR 972..v , \. ' Plan Revr Other Permit:
. q III
Phone: 503.718.2439 Fax: 503.598.19 �r ` �0��' Date /B : U _ �f� I
TIGARD
Inspection Line: 503.639 Ae pp� 4 1 % D AAbp, Date Ready /By: Juris ® See Page 2 for
Internet: www.tigard- or.gov \Y`r G�P Notified /Method: �1� ?7(p Supplemental Information
� � V� , � ,S`O C;#1- U8� �,
TYPE OF WORIC REQUIRED DATA: 1 -AND 2- FAMILY DWELLING
1:1 New construction El Der Sltt
`��ion , 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.
Valuation: $
El 1- and 2- family dwelling ® Commercial /industrial
1:1 Accessory building El Multi-family Number of bedrooms:
❑ Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11635 SW PACIFIC HWY New dwelling area: square feet
City /State /ZIP: TIGARD, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: TACO BELL REMODEL Covered porch area: square feet
Cross street /directions to job site: SW Pacific Hwy & SW 72 Ave. 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.: 1S136DB -0060 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.
Repaint exterior, replace seating, upgrade restrooms to meet ADA requirements, Valuation: $$75,000.00
add handsink in kitchen area. Existing building area: 1965 square feet
New building area: 1965 square feet
❑ PROPERTY OWNER ® TENANT Number of stories: 1
Name: Taco Bell Corp. Contact: Zorah Hamedany Type of construction: V -B
Address: 1 Glen Bell Way, MD 535 Occupancy groups:
City /State /ZIP: Irvine, CA 92618 Existing: A -2
Phone: (949)863 -3865 Fax: ( )
New: A -2
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: VMI Architecture, Inc. (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name: Mohit Garg
FLS plan review fee (if applicable):
Address: 637 Fifth Avenue
City /State /ZIP: San Rafael, CA 94901 Total fees due upon application:
Phone: (415) 451 -2500 Fax: : (415) 451 -2595 Amount received:
E -mail: mgarg @vmarch.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR mounted Pho[oVoltaic Solar Panel System.
Business name: TBD da, ,( 3 /� ,, i//"fj / Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: jl ��- yI�' !�G E ,� Solar Installation Specialty Code checklist.
Permit fee (includes plan review
City /State /ZIP:
+/� / �� V Z � and administrative fees): $180.00
Phone: (qeV) < ...S_20 6 8 Fax: ( ) State surcharge (12% of permit fee): $21.60
5 �N /cCB tic.: /yf2dD 6
G Ddd'''' Total fee due upon application: $201.60
Authorized signature: ,, - 4241111110r This permit application expires if a permit is not obtained
- within 180 days after it has been accepted as complete.
Print name: MOHIT GARG Date: 03/21/12 * Fee methodology set by Tri- County Building Industry
Service Board.
1: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11/02 /COM/WEB)
U PI
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] $ 75000
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 18750
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 $ 7500
(b) An accessible entrance: $ 1000
(c) An accessible route to the altered area $ 7500
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ 10000
(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): $ 26,000
1: \Building \Permits \BUP -COM PennitApp.doc 03/03/2011