Permit il v CI . ®� TIGARD (� /' 7 BUILDING PERMIT
• PERMIT #: BUP2007 -00303
COMMUNITY DEVELOPMENT DATE ISSUED: 6/8/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S126CA-01000
SITE ADDRESS: 09009 SW HALL BLVD 142 ZONING: C - G
SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT: JURISDICTION: TIG
PROJECT: ASIAN MONGOLIAN GRILL
Project Description: TI
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2N sf N: S: E: W:
OCCUPANCY GRP: A2 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 93 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 12,000.00
Owner: Contractor:
WASHINGTON SQUARE PLAZA MARKET CONTRACTORS, LTD
BY THE CAFARO COMPANY 10250 NE MARX ST
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P 0 BOX 422 PORTLAND, OR 97220
FLORHAM PARK, NJ 07932
Contact #: PRI 503 - 255 - 0977
Phone: it
Reg #: LIC 62833
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/8/2007 $158.50
TAX] 8% State Surcha 6/8/2007 $12.68
[BUPPLNI Pin Rv 6/8/2007 $103.03
[FLS] FLS Pin Rv 6/8/2007 $63.40
Total $337.61
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 than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Oregon - - • ' e . ication Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of the e rules or dire. qu -: - .ns to OUNC by calling 503.246.6699 or 1.800.332.2344.
Is ed By: � I � / 4 ,/ V Permittee Signature: K 1
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 completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial y f . , CE FOR OFFICE USE ONLY
City of Tigard Rec eived p Permit No / i/ .. M `
I
`J g � Date/By: �p O 6 7 � !/+TJ7 e/ �3
n 13125 SW Hall Blvd., Tigar•, O' 97223 Plan Revie �' I f
C �,,p _ — l� 1 � � Other Permit.
. Phone: 503.639.4171 Fax: 503.598 l0(� O Q O 2001 Date/B � �IJ�} „
T 1 G A R D Inspection Line: 503.639.4175 )U{V Date Ready/By: �Jug A ® See Page 2 for
Internet: www.tigard- or.gov Notified/Method: - / t 9. Supplemental Information
CITIOEilb
R ' ! � � ( '� T� 5T�J;� REQUIRED DATA: 1- AND 2- FAMILY DWELLING 1
❑ New construction • 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.
El 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $
❑ 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: goo I S co /, 4 LL - A L V D f F (i 2- New dwelling area: square feet
City /State /ZIP: "'l G A (19, O •L ° I 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: 9'L Project name: p►S 1 A t✓ liven fa O LA A - w Gnu 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: I 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.
Valuation: $ 1 2_iapp.0'0
` Existing building area: square feet
k' (mac, n•= f � New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
C.--Q: T atQ cAt F l�2-o N I„) p p, lz i N .s+3 1 e Type of construction: t Y � v6 e a 43
? D v' c.
h
Address: 3 5 S . r-t E R 111 A-14 / '7 S S Occupancy groups: vs-6
' b O
City /State /ZIP: e 0y A LL V P, W lk x'6"373 Existing: f"9\
Phone: QSs) V 4 O- 43 4, Fax: ( )
New:
- ❑ APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax: : ( ) •
E -mail:
CONTRACTOR
Business name: HA-411. E--• e t i "� � B UILDING PERMIT FEES*
Address: / A5-6 1J E HA 2 , d 1 ( Please refer to fee schedule)
City /State /ZIP: p„---,: o p_ 5 . 7r, - ,, s'Z Structural plan review fee (or deposit) —
FLS plan review fec (if applicable):
Phone: (5b5) fj Q 9 � 7 : ( )
Total fees due upon application:
CCB lie.: (0.8 33 iA/ af"
/ .z:... Amount received:
(k
ha ______, signature: I ���
This permit application expires if a permit is not obtained
H �� \/ Date: within 180 days after it has been accepted as complete.
Print name:
/ 6 0 7 * Fee methodology set by Tri- County Building Industry
Service Board.
l: \Building \Permits \BUY -COM PermitApp.doe 2/23/07 440- 4613T(11/02/COM /WEB)
°
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
G ` •
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] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements' to provideunder 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): $
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I: \Building \Permits \BUP -COM PermitApp.doc 02 /23/07