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Permit
CITY OF TIGARD BUILDING PERMIT . COMMUNITY DEVELOPMENT Permit#: BUP2020-00031 Date Issued: 03/30/2020 -F l Ca A t2 T, 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S103DD00850 Jurisdiction: Tigard Site address: 13815 SW PACIFIC HWY 10 Project: Domino's Pizza Subdivision: None Lot: None Project Description: TI for new tenant:Renovation for a new pizza bakery. Scope of work includes a new walk-in cooler and(2)ADA compliant restrooms. No change of occupancy. Contractor: MOE HAUS CONSTRUCTION Owner: D W SIVERS CO 7735 NE HWY 99 4730 SW MACADAM AVE#101 VANCOUVER,WA 98665 PORTLAND, OR 97239 PHONE: 360-718-5332 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 03/30/2020 $842.40 Demolition Occupancy Grp: B Occupancy Load: 49 12%State Surcharge-Building 03/30/2020 $101.09 Dwelling Units: Plan Review 02/06/2020 $547.56 Stories: Height: ft DC Provision Review,COM TI-Ping 03/30/2020 $102.00 Bedrooms: Bathrooms: Plan Review-Fire Life Safety 03/30/2020 $336.96 Value: $65,000 Info Process/Archiving-Lg$2.00(over 03/30/2020 $14.00 11x17) Tigard CET-Non-Residential-Admin 03/30/2020 $26.00 Floor Areas: Tigard CET-Non-Residential-AH 03/30/2020 $624.00 Total Area: Accessory Struct: Basement: Carport: Covered Porch: Deck: Garage: Mezzanine: Total $2,594.01 Required: Required Items and Reports (Conditions) Fire Sprinkler: Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 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 1.800.332.2344. Issued By: Permittee Signature: ,11741.' --.---- ---•: C 503.639.4175 by 7:00 a.m.for the next available inspection date. Thls 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. Building Permit Application Commercial Foil OFFICI: t SE ONI.I Received City of Tigard Date/By: 1 apt Z Permit Isle.' 6J-/1 c 0_�i•'1 t3 f " 13125 SW Hall Blvd.,Tigard,OR RECEIVED Plan Review /JW�y7fLl/}/ .list✓ J_ Phone:503-718-2439 Fax:503-598-1960 gQgo DateBy: 72 - Related Permit: �- s Inspection Line:503-639-4175FEB6 C LL Date Ready/By: t�s: O See Page 2 for VV TIGARD Internet:www.tigard-or.gov FCv otified�^ -�^� Supplemeotallnformatlon G\P(0FT G'�rr �t IGARD TYPE Old REQUIRED DATA:1-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 X Other:Tenant Improvement equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. n 1-and 2-family dwelling X X Commercial/industrial Valuation: $ Accessory building _r:Multi-family Number of bedrooms: n Master builder n Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 13815 SW Hwy-99 f Gt!rt � New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg.apt.#: to I Project name:Domino's Bakery Store Covered porch area: square feet Cross street/directions to job site: '/a block east of SW Gaarde Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot 4: Permit fees*are based on the value of the work performed. Tax map parcel t25103DD00850 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. Renovate existing tenant space to convert to Domino's Pizza store.Add walk-in cooler,provide two Valuation: S 65,000 ADA compliant restrooms Existing building area: 2000 square feet New building area:2000 square feet PROPERTY OWNER X TENANT Number of stories:One Name:Doege ino's Bakery Store as Tenant Type of construction:V-B Address:7735 NE Hwy 99 Occupancy B P City/State/ZIP: Vancouver,WA 98665 Existing:B - Phone:( 360)489-2549 Fax:( ) New:B APPLICANT CONTACT PERSON BUILDING PERMIT FEES* Business name©iamilton Holdings,LLC ❑ (Please refer to fee schedule) Contact name:Justin Ford;Greg Austin Structural plan review fee(or deposit): Address: 7735 NE Hwy 99 FLS plan review fee(if applicable): City/State/ZIP:Vancouver,WA 98665 Total fees due upon application: Phone:(360)489-2549;503-516-9900 Fax::( ) 1 Amount received: E-mail: iford(ii:hamiltonholdines.ncl;gaa motif. ° 4 ZM;IC3ni4a41i " PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES" CONTRACTOR ` f' Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name:MoeHaus Construction Submit two(2)sets of roof plan with connection details Address:7735 NE Hwy 99 and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver,WA 98665 Permit fee(includes plan review $180.00 Phone:(503)805-7698 Fax:( ) and administrative fees): State surcharge(12%of permit fee): $21.60 CCB Lic.:224750 Total fee due upon application: $201.60 Authorized signature: 1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. r Date: 1 Ca,l (22:0-0 * Fee methodology set by Tri-County Building Industry Print name: (21(74 4 0 S )1/1Service Board. I:1Building\Permits)BUP_COOM_PermitApp.doc Rev.04/21/2014 440-46I3T(11/02/COM/WEB) • City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT _ " Accessibility: Barrier Removal Improvement Plan Commercial & Multi-Family - Additions or Alterations TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439• www.tigard-or.gov 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 percent(25%). VALUATION: Total of all renovation,alteration or modification being done, pp� excluding painting and wallpapering: [1] $ l%' 0401) MULTIPLIER(25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ I( ')-co ELEMENTS: In choosing which accessible elements to provide under this section,priority shall begiven 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 I �l restroom: $ t 1 2 J V (e) Accessible telephones: $ (I) Accessible drinking fountains:and, $ (g) When possible,additional accessible elements such as storage and alarms: $ 1 1 TOTAL(shall equal line [2] ofValuation Computation): $ 1 COs 2 5-0 I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019 IFilCity of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Commercial - With Land Use Building Permit #: i, u(r 7/2 "'O 3/ Site Address: 13,e,/c- .c.712) ��oi35'c 71730tA Suite/Bldg#: it) Project Name: 5N71i100 'S P (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: / h tJ --, *-- V: fy site address/suite#exists and active in permit syste •t.•er Terrace Neighborhood: E Yes g No ,Land Use Case#: APyJ), s2 DQ 0 coove 01 Plans ch Approved Land Use: S. e Plan ` dscape Plan \N °4 ther: ` MI° rban Forestry Plan levation Plan �1 ,� 1 // P2 :uilding Height: 111 Maximum Height 7 c Actual Height /A*) ('A21' .Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance IQ Business License: Exists: D Yes 12 No,applicant was provided a business license application Public Facilities Improvement(PH) Permit: Required: 0 Yes,applicant was notified 0 No Applied For: ❑ Yes 0 No,stop intake Notes: Approved by Planning: _ Date: o� Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved Building Permit Submittal .2e ‘„r Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: 0 Enter building permit#above. Workflow Routing: 0 Planning 0 Engineering 0 Permit Coordinator 0 Building Workflow Sign-off: 0 Sign-off for Planning(include notes from planning review) Route Application Documents: 0 Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: d7 By Permit Technician: Date: ,. ld I:\Building\Fonns\BldgPemutRvw_COM_W ithlandUse_l 1 I819.docx Engineering Review ❑ Slope at building pad: ❑ PFI Permit#: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat (not typical on SDR/CUP) ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes 0 No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: 0 Yes 0 No ❑ NOT Approved by Engineering: Date Notes: Approved by Engineering: Date: 2/15/Z&26 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved El Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved, NOT Released: Date: Notes: 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: LC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A Tigard Trans SDC: 0 Yes A Parks SDC: ❑ Yes N/A K to Issue Permit Approved by Permit Coordinator: Datep2/l4l I:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_l 118 19.docx