Permit B uilding Permit Applic 'on FOR OFFICE USE ONLY
Received Building
� `` Date/By: /'f ppr val 03 / Permit No. ( (47
Clt of Ti and V Planning Ao Other
y g a � � Date /By: Permit No.: 1 -
13125 SW Hall Blvd. ` r 003 Plan Review � �.,
Tigard, Oregon 97223 N 1 Date / By: je No �3 ,_.....,
A
Phone: 503- 639 -4171 Fax: 503 -598- 50j,PR 0.14 ('l Post Review Gard se > ‘"I'"' . i r
� . 1 .. -�'`
I I, Date /By: Case No.
Internet: www.ci.tigard.or.us - �y \v 1_
\ Contact Juris.: ® See Page 2 for
24 - hour Inspection Request: 50 Name /Method: Supplemental Information
TYPE OF WORK 1
REQUIRED DATA: �
❑ New construction III Demolition 1 & 2 FAMILY DWELLING 0V
J Z Addition/alteration/replacement ❑ Other:
CATEGORY OF CONSTRUCTION Note: Permit fees* are based on the total of the work perfopiied. Indicate
❑ 1 & 2- Family dwelling f Commercial/Industrial the value (rounded to the nearest do11aO of all equipment, maFrjals, labor,
overhead and profit for the work indicated on this applica ap
❑ Accessory Building ❑ Multi- Family t . 0 p/
4 , l .
111 Master Builder ❑ Other: Valuation
./ —,. w Sr)/
JOB SITE INFORMATION and LOCATION No. of bedrooms:" No. of baths: eJ
Job site address: Total number of floors
1 t' S3 v � ��� — � L l �� y �.
S
Suite #: Bld /A t. #: New dwelling ac�`a (sq. ft.)
g p Garage /carpoarea (sq. ft.)........
Project Name: 1- 1- 1 — 1 1 /40PC 121iS % 1. 00..^ Covered (iirch area (sq. ft.)
Cross street/Directions to job site: Deck a (sq. ft.)
Othystructure area (sq. ft.
I (— A-, ' iL,7-LS- jA. )/1." „) i ,.,
Alf REQUIRED DATA:
COMMERCIAL - USE CHECKLIST
Subdivision: Lot #:
Tax map /parcel #: " Note: Permit fees* are based on the total value of the work performed. Indicate
DESCRIPTION OF WORK At' the value (rounded to the nearest dollar) of all equipment, materials, labor,
, I- overhead and profit for the work indicated on this application.
�.�n / r�-�� 5— 'r�'(s iZ- s`4 'I 5
�c� ;-/ 12rZC,�vi 2rt^. r3 t' Valuation $
Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories
'..PROPERTY OWNER ❑ TENAISt Type of construction
Name: M a t--(.1 1 (....o c.) I i Occupancy group(s): Existing:
Address: « New:
I l S � 5 w P' °� � � i ` �
City /State /Zip: 1 C��t. 0 (71 e';') Z -
�- NOTICE: All contractors and subcontractors are required to be
Phone: r . ;? )X: licensed with the Oregon Construction Contractors Board under
❑ APPLICANT 4 CONTACT PERSON provisions of ORS 701 and may be required to be licensed in the
Business Name: jurisdiction where work is being performed. If the applicant is exempt
Contact Name: / from licensing, the following reason applies:
Address: / `
City /State /Zip:
Phone: / Fax:
E -mail: f BUILDING PERMIT FEES*
i CONTRACTOR Please refer to fee schedule.
Business N e: 1-H -o-k; t Licr -.• ,so 5 7T' (e:ions Fees due upon application $
Address: 4 M FL ,,) .30
City /Staf Zip: Amount received $
Phone: Fax: Date received:
CCB lc. #:
Authorized Notice: This permit application expires if a permit is not obtained within
Signature: MAN' . V...- 1 Date: / /7 7/03 180 days after it has been accepted as complete.
M /t'" L A. *Fee methodology set by Tri -County Building Industry Service Board.
(Please print name)
i:\Dsts\Permit Forms\BldgPermitApp.doc 01/03
, .
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ky
�x t , ,� Commercial Plan Submittal
L ��L L Requirement Matrix
City of Tigard
TYPE OF SUBMITTAL # of Plans
(Includes New, Additions or Alterations) Required at
Submittal
Site Work 4
(must include location of all accessible parking)
Plumbing - Site Utilities 2
Building 1*
Fire Protection System 3 **
Mechanical 2
Plumbing - Building Fixtures 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans. After
plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for Contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue).
*For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
is \dsts \forms \COM- matrix.doc 9/24/01
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Building Permit Application
Plan Submittal Requirements
New Commercial Construction, Additions & Alterations
City of Tigard
1. SITE PLAN (fully dimensional, drawn to scale) labeled with:
❑ map & tax lot # ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ applicant name ❑ phone number.
A. North Arrow.
B. Scale (architectural or engineering only).
C. Street Names.
D. Setbacks.
E. Parking, including disabled access.
F. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Commercial Plan Submittal Requirement Matrix" for the number
of plans required based on submittal type (no redlines or tape -ons accepted).
Size requirements: 24" X 36" (rolled).
ALL DETAILS LISTED BELOW SHALL BE INCORPORATED INTO THE PLANS:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations, plans, details and specifications.
J. ADA barrier removal worksheet.
K. Deposit - based on valuation of project.
4. ONE EXTRA SET OF THE FOLLOWING:
A. Two Site Plans to include vicinity map.
B. Erosion Control Plan with details.
C. Fire Department Building Survey, and full set of architecture drawings.
is \dsts \forms \COM- PlanSubReq.doc 6/17/02
a( 2,3,00032_
Accessibility:
10 Barrier Removal Improvement Plan
City of Tigard
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: of all renovation, alteration or modification being done
excluding painting, wallpapering. [1] $
multiply: 25% Barrier removal requirement. .25
BUDGET FOR BARRIER REMOVAL [2] $
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 Value Computation $
is \dsts\forms\Accessibility.doc 06/07/02
. A X Commercial Application. Checklist
v3 3 Z
s-4 74.1! wa City of Tigard
City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223
Phone: (503) 639 -4171, Fax: (503) 598 -1960
Internet address: www.ci.tigard.or.us ,
h ye � tr ,f' t AY "� � T4 41d v � � � T. �� �+J3 � "w �' .r 'q 'Y' N pa^ , '�NY6 ,r `��t � � ` �,'a* t� �i
' Mr. -"'t+,�� rViV: `_` #� � e " 5 *akitPECT INF jitkl ON,MW ;� POWV _+ ,: aW�t ,:�.t;
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Project name: �ff
-�— > -760,T -760,T L
(4 / L,c,W,•., 5 Date: ., , 17,/ 3
Address: //4-- 5 c ,, ,.. h t r .,, i City:--, ‘ .,, State: ,, °' ZIP: ,703
Scope of work: rz „ „, j x, -/ i^ ,'u-ii<1 „ 5 J�� i
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Reference no.: Map and tax -lot no i "
Contact person name: j, .V /.%) L t ,z Company: y - c po.►,��i „.✓
Phone: 52 3 -- Z'6. - 4�v, S Fax: ..
Cellular phone:
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; xa: na- � l i A k ; . NOTES AN.0 NSTRUCTIONS ; r � .,.�,.,4, r K. = ,, ': ,gN 4 �,r
r The purpose of this checklist is to help define a complete sub tal package for the scope of work. Plan
review will not take place until a complete package is subm'. 'ed.
® This checklist can be used for all commercial constructio , rojects, including new construction, additions,
alterations and tenant improvements.
® For complex projects, applicants should use the "loca,;vn” space to note the item's location and page
number from the plans or the specification book.
® It is not necessary to duplicate submittal informat'.c , even if it is asked for in multiple sections.
O In the checklist, "Required” means that the appl. ant must provide this information for plan review.
O In the checklist, "P" means —
• if checked by the applicant — the inform , is provided for the plan review.
• if checked by the plans reviewer — this:l' formation is required for the plan review.
O In the checklist, "NA" means that the in ;rmation does not apply.
El Choose only those sections of the the ist that apply to your scope of work. Section 1.0, "General Project
Data," must be included with each s /4 submitted. r . y
' `, a "'' ` �" ''.1, . iNtE` SUBMITTAL 110 ESS
0.¢ r�',`,` ",,, 1! a J.7. �,x 44,4i0V.
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An applicant may request a pre -sub f, ttal meeting with representatives of the jurisdiction in which the project
will be built. The meeting may t. / place during the conceptual, schematic, or in- progress phase, or when the
applicant has completed plans.
S
,� „ f F�� 4, M n VAI ,�,y , ` " 4 ",) li �a INDEX, OF, CHECKLIST4 SEC TIO N r r ,M � `� Y, ' .,� , *N °^
1.0 General project data Page 2 7.0 Mechanical data (Types I and II
2.0 Civil data Page 2 kitchen -hood permits) Page 6
3.0 Architectural data Page 3 8.0 Plumbing data Page 7
4.0 Structural data Page 4 9.0 Electrical data Page 8
5.0 Mechanical data new construction, tenant 10.0 Fire - suppression data Page 9
improvement, :as-piping permits) Page 5 11.0 Fire - detection and fire -alarm data Page 9
6.0 Mechanical data (additional or replacement 12.0 Re -roof installation data Page 10
rooftop- equipment installation permits) Page 6 13.0 Jurisdictional requirements Page 10
This checklist is for building department jurisdictions in Clackamas, Multnomah, and Washington counties.
440 -2734 (8/01 /WEB /COM)
i:\ Dsts\Forms \COM- AppChecklist.doc 05/29/02
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;SECTIONA PROJECTAIATA ;
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Construction documents Location (sheet number or spec section)
1.1 ® Required No. of sets of plans: New: 1 TI: 2
1.2 ® Required Cover sheet title block
1.3 ® Required Cover sheet vicinity map
1.4 ® Required Cover sheet plan index
1.5 ❑ P ❑ NA Code summary
1.6 ❑ P ❑ NA Deferred submittal summary
1.7 LI P ❑ NA Professional stamp and signature
1.8 ❑ P ❑ NA Fire and life- safety plan
1.9 ❑ P ❑ NA Landscape plan
1.10 ❑ P ❑ NA Landscape specifications
Supporting documents Notes
1.20 ❑ P ❑ NA Land -use or planning actions
1.21 ❑ P ❑ NA Required fire -flow calculations
1.22 ❑ P ❑ NA Fire- hydrant flow -test report
1.23 ❑ P ❑ NA Fire department or fire district building survey report
1.24 ❑ P ❑ NA Material safety data sheets (MSDS)
.,,,, .,........, s - f`i ,. N,' -`,. " '�' 1 ti 3' � � e r rY' �� 4 ' 1 A r '.C 44 t''�, s xa !7?� y "� �Y" aC oY +� u'�' �y�'�{ ' �rs�_, . � F ✓1F �, .
,SECTION 2 0�, °— x,LI�VIL,.. -� � :����M'.:�� '� �,z,� ',,.'4,; %..,'_ .r..� °�?����tv�t���a�t�`� =.�R =:N,�" �s,Ma�r - �'t?��;r,��'u,„�,•�,,� r�P�w�,���r,� ��
Construction documents Location (sheet number or spec section)
2.1 ® Required Site plan
2.2 ® Required Site utility plan
2.3 ® Required Grading plan
2.4 ® Required Erosion - control plan
2.5 ❑ P ❑ NA Utility -vault location and details
Supporting documents Notes
2.20 ❑ P ❑ NA Geotechnical/soil engineer report
2.21 ❑ P ❑ NA Storm -water calculations
2.22 ❑ P ❑ NA Site retaining -wall structural calculations
2.23 ❑ P ❑ NA "Assurance of Compliance" with environmental rules
440 -2734 (8/01/WEB /COM) Tri-County Commercial Application Checklist 2
For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties
i s \Dsts\Fomu \COM- AppChecklist.doc
04 too 3 w c,4 32__
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SECTION ° 314 . ARCH I.TEC 'A , AL `10,;' ` $ "
Construction documents Location (sheet number or spec section)
3.1 ® Required . Floor plan(s)
3.2 ® Required Transverse and longitudinal cross sections
3.3 ® Required OSSC Chapter 11 accessibility requirements
3.4 ❑ P ❑ NA Interior elevations
3.5 ❑ P ❑ NA Exterior elevations
3.6 ❑ P ❑ NA Roof plans
3.7 ❑ P ❑ NA Exterior wall sections and details
3.8 ❑ P ❑ NA Reflected ceiling plan(s)
3.9 ❑ P ❑ NA Fire -rated construction details
3.10 ❑ P ❑ NA Energy code compliant construction details and
specifications
3.11 ❑ P ❑ NA Door schedule
3.12 ❑ P ❑ NA Glazing schedule
3.13 ❑ P ❑ NA Furniture plan
Supporting documents Notes
3.20 ❑ P ❑ NA Energy code compliance forms /calculations
3.21 ❑ P ❑ NA Material safety data sheets (MSDS)
3.22 El P ❑ NA Hazardous materials inventory statement (HMIS)
3.23 ❑ P ❑ NA Hazardous materials management plan (HMMP)
3.24 ❑ P ❑ NA Written fire and life- safety evacuation plan for area
of rescue assistance
3.25 ❑ P ❑ NA Active and passive smoke - control information
440 -2734 (8 /01/WEB /COM) Tri-County Commercial Application Checklist 3
For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties
i:\ Dsts\Forms \COM- AppChecklist.doc
• •
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Construction documents Location (sheet number or spec section)
4.1 ® Required Structural cover sheet
4.2 ❑ P ❑ NA Foundation plan
4.3 ❑ P ❑ NA Under -slab mechanical plan
4.4 ❑ P ❑ NA Under -slab electrical plan
4.5 ❑ P ❑ NA Under -slab plumbing plan
4.6 ❑ P ❑ NA Floor framing plan
4.7 ❑ P ❑ NA Roof framing plan
4.8 ❑ P ❑ NA Structural elevations
4.9 ❑ P ❑ NA Structural details and cross sections
4.10 ❑ P ❑ NA Standpipe information
4.11 ❑ P ❑ NA Special inspector /structural observation matrix
Supporting documents Notes
4.20 ❑ P ❑ NA Geotechnical/soil engineer report
4.21 ❑ P ❑ NA Site - specific seismic hazard report
4.22 ❑ P ❑ NA Design narrative
4.23 ❑ P ❑ NA Structural calculations
440 -2734 (8 /01/WEB /COM) Tri-County Commercial Application Checklist 4
For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties
i:\ Dsts\Forms \COM- AppChecklist.doc
•
Wednesday, February 22, 2006
/nrura���ly�u �G I�� �\
Norm Dowry"
Hl Hat Inc. CITY OF Ti :. i ='
11530 SW Pacific Hwy
Tigard, OR 97223
RE Open permits for work at FE Hat Restaurant.
Norm, confirming the messages we've exchanged, there are six permits for work on the Hi
High Restaurant remodel that have never received final inspection approval. I have listed
them below and have identified the responsible contractors.
Three never received any inspections:
BUP2003 -00022 - Re- roof /Interstate Roofing.
BUP2003 -00031 - Replace ceiling tiles & install tactile warnings /owner contractor.
PLM2003 -00017 - Disconnect and reconnect fixtures, 3 lays, 2 urinals, 4 WCs /Wolcott
Plumbing.
One passed a rough -in but never received final inspection:
PLM2003 -00010 - Installation of 2 floor drains and primers /Wolcott Plumbing.
One failed both a mechanical inspection and final inspection and was never recalled for final:
MEC2002 -00494 - Remove all rooftop HVAC units, replace 3 with new /Arrow Mechanical.
And one was never issued - plans were never approved, fees were not paid, and no
inspections were performed:
BUP2003 -00032 - Modify existing restrooms to meet ADA requirements /owner contractor.
If you have any documentation that our records are incorrect in any way, please let me know.
We should also discuss whether, when the kitchen fixtures were removed and replaced, they
were relocated or otherwise replumbed, which would require yet another permit.
If we have your cooperation and all of these permits are issued or reinstated, as appropriate
and as discussed below, and pass final inspection within the next three weeks we can avoid
going into enforcement mode with the attendant citations and penalties.
To expedite resolving the five previously issued permits the City of Tigard will allow each of
them to be reinstated for the purpose of final inspection for a fee of $62.50 per permit per
inspection visit: e.g., for PLM2003 -00017 the $62.50 fee will cover one inspection visit; if the
work passes final inspection on the first visit that permit will receive final inspection approval
and will be closed; if subsequent inspection visits are required an additional fee will be
required for each such visit. All such permits must be reinstated with fees paid by close of
business, Friday, March 3, 2006, and all must receive final inspection approval from this office
prior to close of business, Friday, March 17, 2006.
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772
I-E Hat Restaurant, 2/22/06, p.2 of 2.
Regarding BUP2003 -00031 for the ADA upgrades to two restrooms and which was never
issued, and any other permits not yet applied for but which were required, the same
tim etables will apply, e.g., permit to be issued by close of business, Friday, March 3, 2006
(which means that plans must be submitted and approved prior to that date,) and final
inspection approval to be received no later than close of business, Friday, March 17, 2006.
Since all of these facilities have been in use in your restaurant for three years it is our hope
and expectation that everything was completed properly in 2003 and receiving final
inspection approval should require very little effort on your part. On the other hand, if there
is anything that was not, in fact, completed properly in 2003 the health and safety of the
public requires that any corrections be made immediately.
If final inspection approval is achieved on all of these permits according to the timelines
above without further enforcement action on our part being called for the City of Tigard will
be willing to refrain from issuing citations or assessing or seeking penalties.
On the other hand, failure to meet the timelines above will result in our initiating a formal
enforcement process which will include citations and penalties for use of the restaurant and
of the specific permitted elements without having first received final inspection approval.
Use or occupancy without final inspection approval is a Class I Civil Infraction under the
Tigard Municipal Code and is subject to penalties of up to $250.00 per day, per violation. It
is our practice, if citations do become necessary, to cite and to seek penalties against both the
business owner and the respective contractors, since both were responsible for ensuring that
inspections were requested and final inspection approval was received.
To make sure that each third -party contractor understands their exposure if prompt
compliance is not achieved I am copying Interstate, Wolcott, and Arrow on this letter. The
City of Tigard reserves the right to refer any of these matters to the contractor licensing and
enforcement functions at the State of Oregon, Building Codes Division, if any difficulty or
delay develops in expediting resolution of these permits and the underlying work
If you have any question as to what plans or plan revisions are required for BUP2003 - 00032
or whether any other permits should be taken out now to complete the permitting of the
remodel, please call our Inspections Supervisor, Hap Watkins, at 503 - 718 - 2440.
If you have an estions about this letter, the timelines discussed above, or potential
penalties, .1= .re call me at 503 18 - 2426.
Al...rt ": ' -'ds
Build g Cod- n orcement Officer
cc: Hap Watkins, Melvin Louie, Property File, Interstate Roofing, Wolcott Plumbing, Arrow
Mechanical.
_ •`� - ;
File Edit Options Window Help
:. Exit New Open Ts :Is Lit QBE GIS
Cloxx View Add Delete Sign Off Print Document
r
t. , 1F ,. : i t E - j . r
Name:HI HAT INC Updated: 4 1,2006 DER l General :� v Address:11530 SW PACIFIC HWY Jur IG
Description: Master # BUP2006 10013 Project: HI HAT INC specifics 8. .. x h , o
_ . . _. _ -. Areas
Modify restroom to provide y p vide unisex ADA restroom.
Setbacks r r _
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De Disp D:ite3 Done By Note a ,x • »x.
Reprint permit DONE 4/3/2006 JMT s
Check for parcel tags/CW5DONE 3/8/2006 DER V � j
T ype Issue permit
DONE 3/8/2006 DER
0.1 OTC plan review DONE 3/8/2006 HAP �F
Permit created DONE 3/8/2006 DER�
i Application received RECD 3/8/2006 DER = '
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