Permit y q
CITY OF TIGARD BUILDING PERMIT
1 ••'' - COMMUNITY DEVELOPMENT Permit #: BUP2011 -00245
13125 SW H Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/16/2011
TAR Parcel: 1 S136CD00100
Jurisdiction: Tigard
Site address: 11705 SW PACIFIC HWY M
Project: Sushi Hanna Subdivision: 2006 -016 PARTITION PLAT Lot: 3
Project Description: TI
Contractor: WANG K PARK CONSTRUCTION Owner: PACIFIC CROSSROADS PROPERTIES IN
3200 SE CLINTON ST BY WYSE INVESTMENT SERVICES CO
PORTLAND, OR 97202 1501 SW TAYLOR ST STE 100
PORTLAND, OR 97205
PHONE: 503 - 761 -9032 PHONE:
FAX: 503 - 761 -9032
FEES
Specifics:
Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 11/22/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 11/22/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 11/22/2011 $707.41
Stories: 1 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 11/22/2011 $84.89
Value: $48,000 Plan Review 11/22/2011 $459.82
Plan Review - Fire Life Safety 11/22/2011 $282.96
Info Process /Archiving - Lg $2.00 (over 11/22/2011 $10.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,618.08
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: No 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 copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By - i^ � ' ermittee Signature: „--.� _ %
Ca s .. - .y 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
n
Commercial RECEVL u FOR OFFICE USE ONLY
.
Received "
City of Tigard
Date/I3 : —1 1- A / I ( MI IA . i/ A
_A 'S
!O Permit No.: Ih. 14 pc: .0-f r-uu
• 13125 SW Hall Blvd., Tigard, OR 9463V 2 2 2011
. an ' eview , i
: 2 Phone: 503.718.2439 Fax: 503.598.1960 Date/3 : Other Permit:
• , -.
Inspection Line: 503.639.4175 BUil DING DIVISION CITY OF TIGARD Date Ready/BY:
Notified/Method: dt A //` WIrmailli stpoem Information
www.tigard-or.gov
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,mmi. PM__, Iii ii,
TIGARD
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
X Additionlirtplacement 0 Other: equipment, materials, labor, overhead, and the profit for the
CAT 7,-;-i.,e.
,,. -• t
? ;iv4„- ' ; -„,-.-,!-' A"-:::-, ,, -" work indicated on this application.
i ,-. ' - '- 1, - , :...- , g..•: =„?:o.
Valuation: $
0 1- and 2-family dwelling XCommercial/industrial
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
...-JOB SITE AND ' LOCATION .-2-- - ';-4 , -;. '.. „"*„ :Ak8 <1-. Total number of floors:
Job site address: 119_65 s 1'isc4(9c... 4-11/or New dwelling area: square feet
City/State/ZIP: ITC.72 s Ole-- 19-2-2- Garage/carport area: square feet
Suite/bldg./apt. no.: 1 M 1 Project name: C/ 6 531 . r...4.4 119 1 C 4 64..3 C• 12 " 0 0 P -- j 2°4495 _ r Covered porch area: square feet
Cross street/directions to job site: ,.> A. A.)E. , t s Deck area: square feet
'VAC- I Plc- 1-1),....A Other structure area: square feet
' ;DATA:
Subdivision: I 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
bige iiiiv
lioN-4 r WORK ' L's'"e . `,•'''.- = ''': , work indicated on this application.
,„..... - , , ; ; ,, .., :,-..., 2 ., '
Valuation: $ I i CO
A l cag.-RFA0/s4,Yr ItAvytypAgiol few-A, ..ed...,.- .. .:.
1.1Se (Pi ebtqt 121.V641t2:6174VOWT— Existing building area: square feet
Iiliv ..,. nrecoie Q w _ ireoc . stoe , a..... , ilys 4 i ,, , s ,.: , ,, New building area: square feet
PROPERTY W
! ONER ',-:' .:.- • '. '' ,-",- '' ' ,.', ' -TENANTC" .• '",-'-' '' , "' - Number of stories: 1%,3A
,, ,...'e" _ - ,;• 7-, , -.,,---1' ,.: . "--j
Narne. INiler 11WesTN. 71 , e. v i v ic r i...5., , Type of construction: Itlia.
Address: 15b 1 sy,11 7.4t,Ole_. s s-Tr lb() Occupancy groups: A-2., iz - ( 5-
..,),,,,` 1 1
City/State/ZIP: r:tritik.fij Og_, 9±1.-(..)" Existing: I dig Gil- A Z
Phone: (V)3) 2)14• eAtb I Fax: 6O3) WI. 2S New: /A- 1 i I
54- A — 7,
O iLlais - 11' 7 ; .' "; - ,: .; T‘:' , .:; 7 ''' : .), fr. !.::,' ;7!'::!,; . :corretiefpkasON :.: .,,,. i.,. .,..,-- . ......; ,-,, -, FEES.?f,',g`f
Business name: t„sj &poop Atec
Structural plan review fee (or deposit):
Contact name: R N i t c 6r ,4 071 ,6,
FLS plan review fee (if applicable):
Address: (both s( vlyie_ m . 50
Total fees due upon application:
City/State/ZIP: 1 6V__ 4: 1 1 1-2Z 4_
Amount received:
Phone:505) Z. 4) . oit I Fax: : ag) ''2 :45N)
;,,1 PA
E-mail:
'4 . 7 ' ' '-'' , '. ,'” - ".. ,;,,,:,. ', i' '''' ',' , ,..::, ti b. ,.. 1,1. `;.,..4 ?,' Commercial and residential prescriptive installation of
'<i?-':'t:'''''. C ON TRA CTOR . '" , :....; - "-- ; Ya':'' , - - "';' roof-top mounted PhotoVoltaic Solar Panel System.
Business name:
Submit two (2) sets of roof plan with connection details
14 0)0 v fa i/. 0 , 2 174
2,-,1cr70) and fire department access, along with the 2010 Oregon
Address: y/ c)_)__ ....P4,- 30 7/ 4 Aye Solar Installation Specialty Code checklist.
City/State/ZIP: Nito 0 I) ve),.., U Yd71Z . Permit ad
fee (includes plan review
and administrative fees): $180.00
Phone:dv ) ,- Fax: (3 (0) 4-7 ..-- ....r/2? State surcharge (12% of permit fee): $21.60
CCB lic.: L4 0
Total fee due upon application: $201.60
Authorized signature: )( 1111 MINIZMIlr
1 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: mi lalMairreffEj Date: IMAM" * Fee methodology set by Tri-County Building Industry
Service Board.
I: \BuildingTerrnits \BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COWWEB)
I
Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: gtOa014,.--c5N 1;1 Expedited Review
Plan Submittal Date: I I - a, - 1 I O1,tr- -/1.. - Cov ,i4&-
To the Applicant:
If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approved.
Planning Review (contact C.#te I Can n S at 503 -718- .2y31 or eliery I C, @tigard- or.gov)
IS Zoning C - G Permitted Use Yes 10 No ❑
e Land Use Required: Yes ❑ Noll (explain below)
Notes: RR-S-1 - 41.4e an - 1 - 'di -41.1•% `k..c. St a de ., etop,,A.A -i- reI acce{;.., ; r an -{&ei
co 1..s4; ..,0 rej44u a.•.+ 1p4 Ct.
1:P Approved ❑ Not Approved Date: ii -01..
Permit Coordinate view (contact Albert Shields at 503 -718 -2426 or .. •rt @tigard- or.gov)
Notes:
Routed back to Building Div on Date:
I: \CURPLN