Permit i IS
CITY OF TIGARD
71 COMMUNITY DEVELOPMENT BUILDING PERMIT
FePermit#: BUP2022-00254
T I G ARL) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/10/2022
Parcel: 2S112DC00701
Jurisdiction: Tigard
Site address: 15989 SW 72ND AVE
Project: Momo Sushi Subdivision: FANNO CREEK ACRE TRACTS Lot: 39
Project Description: Modifications to existing roof framing to support new roof top equipment.
Contractor: SAGE CONTRACTORS INC Owner: PACIFIC REALTY ASSOCIATES
14785 S LOTUS LANE ATTN: N PIVEN
OREGON CITY, OR 97045 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-558-1009 PHONE:
FAX: 503-558-8009
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 11/09/2022 $164.96
Occupancy Grp: B Occupancy Load: 0 Demolition
12%State Surcharge-Building 11/09/2022 $19.80
Dwelling Units: 0 Plan Review 10/10/2022 $107.22
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 11/09/2022 $2.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $5,300 Info Process/Archiving-Sm$0.50(up to 11/09/2022 $11.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $304.98
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 throug a•R 952-001-009 . ou m fain a cgpy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: e t' Q p r ( o L� r'el
ler
Call 503.639.4175 '00 a.m.for the next available inspection date. I
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 RECEIVE
Cityof TigardOCTReceived j t� /� 9t
Ol. l �. ® ��'%� Date/BY: I��O/^� • Permit No.:J.�i�IT"n( � ��5/
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
s Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD Date/By: 10- 19 Other Permit:
Inspection Line: 503.639.4175 RI II! Il!(I( nIVIS�ON DateReadyBy: y{ lurk: ® See Page 2for
TIGAI2I) ental Information
Notified/Method: IA q ?r r� ti/ ). I Supr
Internet: www.tigard-or.gov {4 al l!
yH-e ( l1 a,-
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
O 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 ❑ 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
❑Accessory building El Multi-familyNumber of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15989 SW 72"d Avenue New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldgJapt.no.: Project name:Momo Sushi RTU Support 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 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.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Modification of existing roof framing and adding new framing members to support Valuation: $5 300.00
(2)roof top units,(1)make-up area unit,and(1)commercial kitchen hood. Existing building area: 3,405 square feet
New building area: 3,405 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: I
Name:Pacific Realty Associates,LP. Type of construction: Ill-B
Address: 15350 SW Sequoia Parkway,Suite 300 Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing: A-2
Phone:(503)624-6300 Fax:(503)624-7755 New: A-2
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedul f
Business name:Pacific Realty Associates,LP.
Structural plan review fee(or deposit): (o �7
17,AO-
Contact name:Jake Gerard
FLS plan review fee(if applicable):
Address: 15350 SW Sequoia Parkway,Suite 300
Total fees due upon application:
City/State/ZIP:Portland,OR 97224
Amount received:
Phone:(503)624-6300 Fax::(503)624-7755
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:permits@pactrust.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Sage Contractors Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 14785 S.Lotus Lane Solar Installation Specialty Code checklist.
City/State/ZIP:Oregon City,OR 97045 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)558-1009 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: 127944 Total fee due upon application: $201.60
Authorized si afore: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Jacob G rard Date:1 0/10/2022 * Fee methodology set by Tr-County Building Industry
Service Board.
I:1Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I I/02/C OM/WEB)
RECEIVED
III City of Tigard OCT 10 207?
COMMUNITY DEVELOPMENT DEPARTMENT
CITY OF TIGARD
TIGARD DIVISBuilding Permit Review — CommerciLDILIG a I - No Land Use
Building Permit #: ,1•4: d OD a - 0 0 G Li-
Site
Address: \ —G9 ' W '�7iY'a Suite/Bldg#:
Project Name: IUV 1\ 1J
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review Proposal: C'f\QJ1O\ q e0f r Cv. U ikk
Existing Business Activity: ` n'
Pro
sed Business Activity: N1�
LEI Verify site address/suite# exists and active in permit system.`�
River Terrace Neighborhood: CI Yes ' No
oning
.11WPermitted Use: D Yes ❑ No ❑ Spec Space
Confirm no land use required.
OC `Business License:
�' Exists: ❑ Yes E No,applicant was provided a business license application
Notes:
Approved by Planning: qj kaj/�l Date: \b- 0- 22_.
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date:
Site Plans: #
Building Plans: #
Building Permit#: 0 Enter building permit#above.
Workflow Routing: 0 Planning ❑ Permit Coordinator 0 Building
Workflow Sign-off: 0 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:
1:\Building\Fonns\B1dgPermitRvw_COM_NoLandUse_09072022.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of permit
❑ Approved, NOT Released: Date:
❑ ENG Revisions Required: Date:
Notes:
❑ SDC Exemption ❑ Applied for ❑ Received ❑ Does not apply
❑ Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A ❑ Deferred
Tigard Trans SDC: ❑ Yes ❑ N/A ❑ Deferred
Parks SDC: ❑ Yes ❑ N/A ❑ Deferred
LIDA Fee: ❑ Yes ❑ N/A
❑ OK to Issue/Approved by Permit Coordinator: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I auilding\Fonns\BldgPerniltRvw_COM_NoLandUse_08162022.docx
RECEIVED
City of Tigard OCT 10 2022
7111 COMMUNITY DEVELOPMENT DEPARTMENT CITY OF TIGARD
VJSN
Building Permit Review — Commercial - NO Land Use
TIGARD
Building Permit #: 714n2 Da-a-- OD LJ
Site Address: \ 5 G 9 SW 1ZY4 Suite/Bldg#:
Project Name: TA((y ',S r\ *Ue
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review ,,� ,u,.
Proposal: YUQ,tiw ut t°
si j� - Mk= UY\k
Existing Business Activity:
Pro sed Business Activity:
b! Verify site address/suite# exists and active in permit system.
10, River Terrace Neighborhood: 0 Yes 'gDNo
'Poning:
ermitted Use: 0 Yes 0 No 0 Spec Space
.0 Confirm no land use required.
O[Business License:
Exists: 0 Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: )\\lam) Date: `h- lb- 2Z
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date:
Site Plans: #
Building Plans: #
Building Permit#: 0 Enter building permit#above.
Workflow Routing: 0 Planning 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:
By Permit Technician: Date:
I:\Building\Forts\BldgPermitRvw_COM_NolandUse_09072022.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of permit
❑ Approved,NOT Released: Date:
❑ ENG Revisions Required: Date:
Notes:
❑ SDC Exemption ❑ Applied for ❑ Received ❑ Does not apply
O Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A 0 Deferred
Tigard Trans SDC: ❑ Yes ❑ N/A 0 Deferred
Parks SDC: ❑ Yes ❑ N/A ❑ Deferred
LIDA Fee: ❑ Yes ❑ N/A
❑ OK to Issue/Approved by Permit Coordinator: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
I:\Building\Fonns\BldgPermitRvw_COM_NoLandUse_08162022.docx