Permit CITY OF TIGARD BUILDING PERMIT
'- COMMUNITY DEVELOPMENT Permit#: BUP2022-00118
Date Issued: 6/6/2022
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S136DC04000
Jurisdiction: Tigard
Site address: 11858 SW 72ND AVE
Project: Everbowl Subdivision: Lot: 3
Project Description: TI for a new tenant and restaurant in apartment complex.
Contractor: BUTLER BUILT CUSTOM CONSTRUCTION Owner: DARTMOUTH PROJECT LLC
5115 NE MASON CT 222 SW COLUMBIA ST STE 700
PORTLAND, OR 97218 PORTLAND, OR 97201
PHONE: 503-703-4299 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 05/17/2022 $509.05
Occupancy Grp: B Occupancy Load: 17 Demolition
12%State Surcharge-Building 05/17/2022 $61.09
Dwelling Units: 0 Plan Review 05/04/2022 $330.88
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 05/17/2022 $110.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 05/17/2022 $203.62
Value: $30,000 Info Process/Archiving-Lg$2.00(over 05/17/2022 $8.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,222.64
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. 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 cop of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 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.
Building Permit Application
Commercial ''" , a FOR OFFICE ISE ONI.)
iri
City of Tigard initeBy: J/3 /� 0.7.7.41Permit No.: �1- � it rf
13125 SW Hall Blvd.,Tigard,OR 97223 MAY 3 q Plan Review 'L f�
>: Phone: 503-718-2439 Fax: 503-598-1960 LO2;` date/By: S_)�+ZZRelated Permit:
T 1 G A K D Inspection Line: 503-639-4175 �' Y Date Ready/By: T---/ Jari's'•��� VI See Page 2 for
OFa / ! g
Internet: www.tigard-or.gov Tr AIR: Notified/Met S (� .'')�"6, Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 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 ►ill Other: TENANT IMPROVEMENT equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling 0 Commercial/industrial
Valuation: $
Accesso buildin Number of bedrooms:
❑ ry g ❑Multi-family
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11858 SW 72ND AVE New dwelling area: square feet
City/State/ZIP: TIGARD,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: SUITE#6 Project name: EVERBOWLTIGARD Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 15136DC04000 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.
THE PROJECT CONSISTS OF A TENANT BUILD-OUT IN THE OVERLAND APARTMENT COMPLEX Valuation: $ 30,000
FOR A QUICK-SERVE RESTAURANT SERVING CRAFT ACAI BOWLS Existing building area: 810 square feet
New building area: 810 square feet
0 PROPERTY OWNER ® TENANT Number of stories: 6(TENANT SUITE IS 1-STORY)
Name: BEGIN TO LIVE INC Type of construction: II-B
Address: 14521 SW PINOT CT Occupancy groups: B
City/State/ZIP: TIGARD,OR 97224 Existing: N/A
Phone:( 971 ) 344.5075 Fax:( ) New: B
0 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: CASCADE STUDIO ARCHITECTURE LLC
(Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: RYAN FLATTERY
FLS plan review fee(if applicable):
Address: PO BOX 86190
City/State/ZIP:
PORTLAND,OR 97286 Total fees due upon application: ; Eaf
Amount received:
Phone:( 612 )819.3128 Fax: :( )
E-mail: ryanecascadearch.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: TO BE DETERMINED •5�4-1,_c- �,,,N,-k- c„),, .: Submit two(2)sets of roof plan with connection details
{ c t"� and fire department access,along with the 2010 Oregon
Address: ,a'"-'I IS- /kit f-'f GrJ C 1-LC- • Solar Installation Specialty Code checklist.
City/State/ZIP:'�o j-).4,mod C,p_ 9 7 Z 16 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( `,) 70; - O)c1 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: (cl e,5/ f
Total fee due upon application: $201.60
Authorized signature: jf This permit application expires if a permit is not obtained
(/64/7 within 180 days after it has been accepted as complete.
Print name: RYAN FLA RY Date: 02 MAY 2022 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard
114 COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Commercial - No Land Use
TIGARD
Building Permit #: 24a` 01 N.
Site Address: ti 65S SUv q-2-4 A,,`e Suite/Bldg#:
Project Name: ,,riap;ut,►i 1 a.rd
(Name of commercial business oJupying the space. If vacant,enter Spec Space.)
Planning Review ++ + ,�qq
Proposal: 1 col ea- v1.. /A ri viVi vj bl�lnt Ae� ' (vt ( cliwri
NAa
P , a GlrJ- i-e�t
Gov4 I•ex. 1 /Existing Business Activity: S S Q(,e
Proposed Business Activity:
Ethyl, y
Verify site address/suite# exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes 17 No
Zoning ---
MU
frPermitted Use: p Yes Li No CI Spec Space
Confirm no land use required.
/'1► Business License:
Exists: Yes R No,applicant was provided a business license application
Notes:
Approved byPlanning: 13�?6ZZ
pp .� Date: J
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:
Site Plans: # •
Building Plans: #
Building Permit#: nter building permit# above.
Workflow Routing: tT Planning ❑ Permit Coordinator ding
Workflow Sign-off: EL-Sign-off for Planning(include notes from planning review)
Route Application Documents: Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: � Date:
I:\Buil ding\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx