Loading...
Permit (154) CITY OF TIGARD SITE WORK PERMIT . 2 '. COMMUNITY DEVELOPMENTIIIIPermit#: SIT2018-00021 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/18/2018 Tf �'` Parcel: 2S102CB01804 Jurisdiction: Tigard Site address: 13305 SW PACIFIC HWY Project: Taco Bell Subdivision: None Lot: None Project Description: Site work for a new 2,105 sq.ft.restaurant with drive-through. Contractor: D A BENTLEY CONSTRUCTION LLC Owner: WEBER COASTAL BELLS LIMITED 10709 NE COXLEY DRIVE WEBER, EDUARD VANCOUVER,WA 98662 840 CONGER ST EUGENE, OR 97402 PHONE: 360-695-9234 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-Site Work 12/18/2018 $3,952.42 Plan Review 07/11/2018 $2,569.07 Type of Use: COM 12%State Surcharge-Building 12/18/2018 $474.29 Class of Work: NEW Info Process/Archiving-Lg$2.00(over 12/18/2018 $20.00 11x17) Project Valuation: $800,000.00 Info Process/Archiving-Sm$0.50(up to 12/18/2018 $12.50 11x17) Erosion Control w/Development 12/18/2018 $686.40 Site Specifics: Excavation Volume: 13 cu.yd. Fill Volume: cu.yd. Impervious Surface: 3000 sq.ft. Engineered Fill: Yes Soil Report Required: Yes Paving: Yes Grading: No Landscaping: Yes Site Prep: No Storn Drains: Retaining Wall: No Fire Underground: No Accessible Parking: Yes Fence: No Total $7,714.68 Required Items and Reports(Conditions) 1 Ersn Cntrl 503-639-4175 2 Final Observation&Acceptance 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 1.80 344. • Issued By: Permittee Signature: c... "--e �� 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. -11-E ED Building Permit Application i " Site Work {j Li t OReceived t City of Tigard -7 1/ / Permit y(= ■ .-y Date/By: w 111 111 13125 SW Hall Blvd.,Tigard,OR 972 � Of''IG Ralf.'' Plan Review "" t Phone:S 503.718.2439 Fax: 503.598.1 i a Other Permit: g g(^pp��Date/By: S' � 'J T i i;:\R n Inspection Line: 503.639.417521111:0114•610 MINIM'VDate Ready By: 7ms: See Page 2 for Internet: wwwmgard-or.gov * Notified/Method:/ „Ick �/ I Supplemental Information t!' (v /tvr & r TYPEo WO v A•1` "' WELL ��" RI{ �.r �"`s' 4�, �6 e� @ 't,..!...•1 ,it,:'1 A l B D ❑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 0 Other: equipment,materials,labor,overhead,and the profit for the t • work indicated on this application. '1: £" `.E3y r,Y.+m,i.' ..., ,;wK� . , :4+,..-, 1 Y". K'':.*: :,' ..' ` 0 1 and 2-family dwelling 'Ili Commercial/industnal Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: Number of bathrooms: El Master builder ❑Other: , JOITT' i tea''•, ®" Total number of floors: Job site address: `3 lJ �� ' f\( �G N New dwelling area: square feet City/State/ZIP: - \LS D i 0 ^) Z3Garage/carport area: square feet Suite/bldg./apt.no.: Project name: .� • _ ��_ Covered porch area: square feet Cross street/directions to job site: /'-d �' Deck area: square feet V v oasA, s`kj-� ' 1 1i- T' tAkvJA' 9 i � Other structure area: square feet QURE i 'r .a,a t' ` C` "C'atx ' , • Subdivision: I Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: L (� �vvw�b&( 5�LZ � equipment,materials,labor,overhead,and the profit for the - a s i,t, a t a( It • A, ,�, work indicated on this application. eV Valuation: $ S(3 00 6 Existing building area: • ;; square feet New building area: 2..t ) square feet -w� �'►' P oSti'i O 1 R I0,1`.:,..,;,--,,,A, 3 , ;:_ Number of stories: Name: �e_ L-C/3� � ,A\� Type of construction: V 6 Address: �� j� 2�� Occupancy groups: AS City/State/ZIP: � ,\r�<7 1 OR (��. /�7 Existing: /'�L Phone:( �() L Fax:(51)1 � 4 34'� 372 Business name: V�„?j6' S t All contractors and subcontractors are required to be Contact name: 1,,,\VA._ .6VW S licensed with the Oregon Construction Contractors Board � under ORS 701 and may be required to be licensed in the Address: > C ,/N� . ' 4O5 jurisdiction in which work is being performed.If the r� applicant is exempt from licensing,the following reasons City/State/ZIP: '� P V� �f 02" q� 7 apply: Phone:(�J 4 ) U 7-� �t�c I Fax::( �) ��" {(�Z E-mail: �OIn ♦ ' ,�o tam(�be(i5, • Business name: D,A- 11j\CV �� '(\}ii-w �( 1 r 1 t01U 1 �. .. �,_';. Address: � �� �'GX�i� �tU-L Structural plan review fee(or deposit): City/State/ZIP: of)cd /�-7 2/ ( /y/ FLS plan review fee(if applicable): Phone:( )As_ "I nLi Fax:('J 20) l(iOf 5� `-Gey- Total fees due upon application: CCB lie.: tgby2 4,,,5, .v7 62(C) Amount received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:L\ct.So1 ,6\i‘V4Date: 21120 j * Fee methodology set by Tri-County Building Industry Service Board. 440 4613T(11/02/COM/WEB) I:\Building\Permits\SIT-PermitApp.doc 08/02/2016 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: hj cu.yds. Grading Volume: (Soils report required for>5,000 cu.yds.) Q 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 \d)' ❑ Other: *Total new impervious area including all buildings, sidewalks,and .avin_: s•.ft. 1, . .:: 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 E. Erosion Control Plan and details ❑ Soils Report(if required) ❑ Retaining Structures *Does not apply to One-and Two-family dwellings. Plan Submittal: Permit Fee: SU LlerP ns 7 ff � 1 ���t a"� i i r :'i r M ''' $.00 to$500.00 $51.09 minimum permit fee $50001 to$2,000.00 $51X19 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:\Building\Permits\SIT-PermitApp.doc 08/02/2016 2 City of Tigard 111 a COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D Building Pm t Review — Commercial - With Land Use e Building Permit #: $ y /1—mc.) Site Address: /360C– S3 pac44cSuite/Bldg#: Project Name: /COO // 0 (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review -- > Proposal: �J%Tc_ kopl-,� on/ 7e- ThelL) / te�r� / // i P..t / l C7L Zerify site address/suite#exists and active in permit system. Pi°''ver Terrace Neighborhood: ❑ Yes e No rZi nd Use Case#: S',i) '.2aA-- ©000 , /i &2Ne–e(2)6Q. , Gti QO,c) - Plane4atch Approved Land Use: ZiSite Plan E Landscape Plan ther: IT Urban Forestry Plan 4ievation Plan V Building Height: Maximum Height Lk— Actual Height 21/ ❑ Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance Business Licen . E fists: IBJ Yes ❑ No,applicant notified to obtain business license Lid Public Facilities mprovement(PH) Permit: Q – / Required: Yes,applicant was notified ❑ No Applied For: I Yes ❑ No,stop intake Notes: ti) 1 ,L ISSN IA/77171 71771)114ekG.L__74re `R rte . Approved by Planning: _ -..."--------___:*L___ Date: 9- /I/0 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: 7,/I//r Site Plans: # Building Plans: # Building Permit#: [ - ieer building permit#above. Workflow Routing: l� i lai�ning [��,ngineeringrmit Coordinators ding Workflow Sign-off: [ S/�i ' ff for Planning(include notes from planning review) Route Application Documents: L1'Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: ' -- : ,te: 7//,' 7/41 ' I:\Building\Forms\BldgPermitRvwCOM WithLandUse 060116.docx Enjineering Review LTJ Slope at building pad: yon W PFI Permit#: •PF) 26/p bo/&,/ Conditions "Met"prior to issuance of building permit ikr Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP) [Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Er No Assess Water Quantity Fee in-lieu: ❑ Yes EE�No LIDA Facility on lot: Yes .0f N o 0 NOT Approved by Engineering: Date Notes: Approved by Engineering: &Au/ '. Date: v 20/a Revisions (after Building Submittal only) Reviewer / f/Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review 0 Conditions "Met"prior to issuance of building permit ���� r NOT Released:74 / t,/ t,Cict'1(/ 44'Date: ! `''! t a7pproved, otes: 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: • 70SDC Fees Entered: Wash Co Trans Dev Tax: CI Yes �' /A Tigard Trans SDC: ❑ Yes a N/A Parks SDC: ❑ Yes '!' N/A OK to Issue Permit APPby roved Permit Coordinator: Date: /,42— yr------ I:\Building\Forms\BldgPermitRvw_COM_WithLandUse_070915.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13305 SW PACIFIC HWY, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Site Work SIT2018-00021 Inspection Type: Inspector: 499 Final inspection Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor