Permit { Building Permit Application
Commercial FOR OFFICE USE ONLY
' Cityof Tigard Received o j
/ ED Detc/B .r !/'l7� b r Permit No.:/;/_ /3�L�
.111
x 13125 SW Hall Blvd.,Tigard,OR 97223 RECEIVED Plan Reiew�. �/rns !d=
Phone: 503-718-2439 Fax: 503-598-19� ,,.�,/�'� Date/By: -.1,5-. 2Z Related Permit 1. " ?�_a)62'
11GAKD Inspection Line: 503-639-4175 I Q q Date ReadyiBy: luris: ® See Page 2 for
Internet: www.tigard-or.gov .ISEP %4 Y ZOLZ Notif r cthod:�(J
Supplemental Information
BD
TYPE OF WO A^D�MS+
t� REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 emo ition 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: $
0 1-and 2-family dwelling ElCommercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15989 SW 72ND AVE, New dwelling area: square feet
City/State/ZIP: PORTLAND,OREGON 97224 Garage/carport area: square feet
Suite/bldg./apt.#: Project name:MOMO SUSHI Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
SW UPPER BOONES FERRY RD.AND CARMAN DR. Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot 8: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 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.
PROJECT CONSISTS OF AN INTERIOR_ REMODEL FOR A NEW RESTAURANT, NO Valuation:148,600.00 $
EXTERIOR WORK. 3-v'L , o r W edLS 1 pave },vvI S—1. wa1le1 n loplerExisting building area:3,200 square feet
.COP e o 1 wwvk , a l cl q-aST e+04- in 141,or work New building area:N/A square feet
1 ® PROPERTY OWNER 0 TENANT Number of stories: 1
Name: PACIFIC REALTY ASSOCIATES, L.P. Type of construction:ASSEMBLY GROUP A-2
Address:15350 SW SEQUOIA PKWY,#300 Occupancy groups: III-B
City/State/ZIP:PORTLAND,OR 97224 Existing:N/A
Phone:( 503)624-6300 Fax:( 503)624-7755 New:N/A
® APPLICANT E1 CONTACT PERSON BUILDING PERMIT FEES*
Business name: CIDA,INC (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: KAMELIA KARGAR
FLS plan review fee(if applicable):
Address: 15895 SW 72ND AVE,SUITE 200
City/State/ZIP: PORTLAND,OREGON 97224 Total fees due upon application:
Phone:( 503)226-1285 Fax: :( 503)226-1670 Amount received:
E-mail:KAMELIAK@CIDAINC.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:`y$' A-j-S ( J . LLG Submit two(2)sets of roof plan with connection details
Address: and fire department access,along with the 2010 Oregon
��-3 L — Sf wJ /1). Solar Installation Specialty Code checklist.
City/State/ZIP: './f 14L, 4)e�� Permit fee(includes plan review
/ $180.00
I and administrative fees):
Phone:( )
3 r�J r11 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: +- k 5-s'— Total fee due upon application: $201.60
Authorized signature: - This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:KAMELIA KARGAR Date: 09.12.2022 * Fee methodology set by Tri-County Building Industry
Service Board.
L•\Building\Pemtits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I l/02!COM/WEB)
r` e
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
114 .1 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,
excluding painting and wallpapering: [1] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
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 $
(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
restroom: $
(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): $
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019