Permit " ° "' CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2009-00185
Date Issued: 10/22/2009
TiGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 1S136AD06503
Jurisdiction: TIGARD
Site address: 10900 SW 68TH PKWY
Subdivision: WAY LEE Lot: 2
Project: Chang's Mongolian Grill
Project Description: TI
Owner: FEES
WAY W LEE GENERAL CONTRACTOR Description Date Amount
5210 SE 26TH AVE Permit Fee - Additions, Alterations, 10/22/2009 $1,860.95
PORTLAND, OR 97202 Demolition
PHONE: 12% State Surcharge - Building 10/22/2009 $223.31
Plan Review 10/22/2009 $1,209.62
Plan Review - Fire Life Safety 10/22/2009 $744.38
Contractor: Metro Const. Excise Tax - Commercial 10/22/2009 $270.00
GRENING CONSTRUCTION Use
811 NE COUNTRYSIDE DR.
VANCOUVER, WA 98684
PHONE: 503 - 635 -5786
FAX: 360- 885 -0357
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $225,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine' 0
Total $4,308.26
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: No Protected Corridors: No
Smoke Detectors: No 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 at 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 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: 7 / Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until • : ion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application` .
• Commercial 01----e.... FOR OFFICE USE ONLY
City of Tigard ` � g ,i , ., R ece i ve d
Dateiv : Off'? , 9 lM Permit No.: ► p
i. J P `, ` 401
t a '� ..
, ° 13125 SW Hall Blvd., Tigard,OR 9i2
C
!i _ ` ‘• '1 i; ' . Plan Review ► ��,� �
' • Phone: 503.639.4171 Fax: 503.59 .1 60� DateB : / � a IU L�J� i�� OtherPenmt:
T I G A R D Inspection Line: 503.639 i ' Date Ready/By: ®See Page 2 for •
Internet: www.tigard or.gov Notified/Metho. , • ..4 / . 4 Supplemental Information
TYPE Of , . REQUIRED DATA: 1- AND 2- FAMILY DWELLING
i i '4ftt'�
�' i; +;,t v t on .L `)"' Permit fees* are based on the value of the work performed.
111 New construction ❑Demolition p
Indicate the value (rounded to the nearest dollar) of all
X Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1 - and 2- family dwelling xr Commercial /industrial
Valuation. T' s
❑ 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: 10. 100 5G4 6 as me.. New dwelling area: square feet
City /State /ZIP: T%ertARA ■ OP-.. - 417225 Garage /carport area: square feet
Suite/bldg. /apt. no.: - Project name:610 NON €13(A ft, PqIZAL(,, 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.
Tax map /parcel no.: 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.
'T'SNANT IMPRoV l NT ViOg.. RSSTAUfZA Valuation.75pxDS S5 O--
Existing building area 56 34 square feet
New building area: 9 63 4. square feet
❑ PROPERTY OWNER ,TENANT Number of stories: 1
Name: T'AZ:ON GIfIANCI : G tANC s \ ONalOUgN qg Type of construction: V -
Address: vac126 se, t't(OV6HL1N ER.4 . Occupancy groups:
City /State /ZIP: M ILWA( (- iQ R , 41726 7 Existing: A- 2
Phone: ( ) Fax: ( ) New: A-2..
APPLICANT .CONTACT PERSON NOTICE
Business name: Ac>50CI A -TED v Ko1J GoNsatoms. All contractors and subcontractors are required to be
Contact name: 6 /4K �� M (� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 5 1c3 S W 'T i4 (Rt AV.. jurisdiction in which work is being performed. If the
City /State /ZIP: R Tt ALJD C _ , �7 .04- applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 224 1$ 78 Fax:: (5O3) Z24-630G
E -mail: S0.k p�
. °Ls5OC gie LA . c AA
CONTRACTOR
Business name: aKA 1( y6 CONSTQtC 115 N BUILDING PERMIT FEES*
(Please refer to fee schedule)
Address: it ` N.E. C.OUNT12. ASIDE in- • Structural plan review fee (or deposit):
City /State /ZIP: V /44 NcotJ U ty,_ (.A3 a% Pi34 FLS plan review fee (if applicable):
Phone: 50 3) 635 .578. Fax: ( )
CCB lic.: ' 14 $ 27 Total fees due upon application:
SAL Amount received: l�,O8.a CO
Authorized signature: T his permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 00RVORNSAIL KAMgH 0 Date: /Q.,p/ -49 * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(1l /02 /COMJWEB)
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Building Division
'' , �� y10 I. �,irc .
1 l. Accessibility: Barrier Removal Improvement Plan
at, T1GARD'4
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 per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $ 225,000 .
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 562 —
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 $ /4000. ""
(b) An accessible entrance: $
a'. (�
(c) An accessible route to the altered area: $ & t on" ,
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ Aft, 00e. '
(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): $ /6 00e.
I: \Building \Permits \BUP -COM PermitApp.doc 10 /30/07
• This form is recognized by most Building Departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
BUILDING DIVISION
•
a
TIGARD TRANSMITTAL LETTER
TO: a. In DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
OCT 1 $ 2009
FROM: 10{ZV0 wN SA4 ..,4 M 1 U CITY OF TIGARD
COMPANY: A 1 ATE D DSS(6 N C-0N50CFANTS BUILDING DIVISION
PHONE: 503- 224. IS -- n — 505.473 2 3 32 Ce.,5 By:
RE: 10 CO „ -t h 1lf 7 dX• C >61 SS
rte•.'ress emit/ aseNumier)
OA (Project na or u division nam au lot num ber ygtt_
1
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Y- Revisions: Q_p ∎/( ed( pens (2) copfe
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
X Other (explain): ' [ (Lkci -4 Mc o y \ c o n c -zC\ J 2 2 9 Odd • ° o
REMARKS:
FOR OFFICV USE ONLY
Routed to Permit Technicia /2
: Date: (-1 ( Initials <j
Fees Due: ❑ Yes FVo Fee Description: Amount Due:
$
$
$
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
I: \Building\ Forms \TransmittalLetter - Revisions.doc 4/4/07