Permit CITY OF TIGARD BUILDING PERMIT
_ COMMUNITY DEVELOPMENT Permit#: BUP2014-00060
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/03/2014
Parcel: 1 S 126CA01000
Jurisdiction: Tigard
Site address: 9009 SW HALL BLVD 145
Project: Bambuza Vietnam Kitchen Subdivision: FAIRVIEW PLACE CONDO Lot: 20
Project Description: TI
Contractor: VARA LLC Owner: CAFARO NORTHWEST PARTNERSHIP
5405 SE SHERMAN PO BOX 422
PORTLAND, OR 97215 FLORHAM PARK, NJ 07932
PHONE: 503-709-4224 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 04/03/2014 $674.35
Demolition
Occupancy Grp: A-2 Occupancy Load: 61 12%State Surcharge-Building 04/03/2014 $80.92
Dwelling Units: 0 Plan Review 03/17/2014 $438.33
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 03/17/2014 $269.74
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 04/03/2014 $8.00
Value: $45,000 11x17)
Into Process/Archiving-Sm$0.50(up to 04/03/2014 $2.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,473.84
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: 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
952-0 010 through OAR 952- - 0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Iss ed By: t t/ Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available ins.:• on date
This permit card shall be kept Ina conspicuous place on the job site until completion of the proj
Approved plans are required on the job site at the time of each inspection.
Buildni Permit Application `1
Commercial `i�yC FOR OFFICE USE ONLY
Cl of Tigard •� Received permit No /`J g 1 Date/B I K II 1 �. L
" 13125 llBlvd. T �Q ►!
3 a Tigard,OR 9 Plan Revie a1.7
1 p 1 Other Permit:
171111
Phone: 503.718.2439 Fax: 503.59 .196(JMP� �� Date/B : �J11.��� �
TIGARD
Inspection Line: 503.639.4175 11 ,1 1 Date Ready :y: _ Juns: ® See Page 2 for
Internet: www.tigard-or.gov �\.�j�C�1�,`�\VI Notified/Methodi/ '7 /y if Supplemental Information
`'`e`Q a -. 7
TYPE OF Wd`RAti•"`� REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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.
Valuation: $ a
❑ 1-and 2-family dwellin g ®Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms: na
❑Master builder ❑Other: Number of bathrooms: na
JOB SITE INFORMATION AND LOCATION Total number of floors: na
Job site address:9009 SW Hall Blvd. New dwelling area: na square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: na square feet
Suite/bldg./apt.no.:145 Project name:BAMBUZA VIETNAM KITCHEN Covered porch area: na square feet
Cross street/directions to job site:Washington Circle Plaza-Next TARGET Deck area: na square feet
Former Quizno's sandwich shop Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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
DESCRIPTION OF WORK work indicated on this application.
Tenant Improvement for new restaurant Valuation: $$45,000.00
Existing building area: 1,957 square feet
New building area: square feet
❑ PROPERTY OWNER I ® TENANT Number of stories:
Name:Daniel Nguyen Type of construction:
Address:3682 SW Bond Ave. Occupancy groups:
City/State/ZIP:Portland,OR 97239 Existing:
Phone:(206)669-6347 Fax:( ) New: A2-Restaurant
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
er
Business name:Bambuza Vietnam Kitchen (Please refto fee schedu
Structural plan review fee(or deposit):
Contact name:Daniel Nguyen
FLS plan review fee(if applicable):
Address:3682 SW Bond Ave.
Total fees due upon application:
City/State/ZIP:Portland,OR 97239
Phone:(206)669-6347 Fax::( ) Amount received:
E-mail PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES'
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:VARA Design Build Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:5405 SE Sherman Solar Installation Specialty Code checklist.
City/State/ZIP:Portland,OR 97215 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)709-4224 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:195442 // c--f
Total fee due upon application: $201.60
Authorized signature: i This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Daniel Nguyen Date:3/17/2014 * Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building\Permits\BUP-COM Perm itApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Er! Building Division
Accessibility: Barrier Removal Improvement Plan
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: Total of all renovation, alteration or modification being done, excluding painting
and wallpapering 111 $ 45,000
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: 121 $ 11,250
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 (21 of Valuation Computation): $
I.\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
•
Building Permit Number: g441.0,7-)/ 7-o x Yo cj
7111 ' Building Permit Review
Commercial Project -No Associated Land Use Case
TIGAP.D
Site Address: 76'07 s C.d (- f a i (/ ` c uffc; 7t / `
❑Verify site address is valid. /
Project Name : � ftliri2 U2/4 ihLT/G/n1 ( !c( rcilien/
Planning Review
Proposal: ,6 fc -i__ QU(afios ro &"t0-7 6 U 2 fi--
,--Er Zoning: 1^1 U C!
Permitted Use „-ErYes El No ❑ Spec Space
El Land Use Required ❑ Yes tEcNo
Notes: 11/P 6 c4 ,
Approved b _ (>"e P Date: 3- I r /1/
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Building Permit Submittal
Original Plan Submittal: Date: 3/1711 y By: .
Site Plans: # _ ' 4/4
Building Plans: L�
Create Case Record#: nter case# above for Building Permit Number.
Workflow Routing: 'Planning ❑ Engineering ❑ Permit Coordinatorg
Workflow Sign-off: -off for Planning staff,including notes from planning review(page 1)
Route Application Documents: ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: Date:
Notes:
1:1BuildingForms\B ldgPermitRvw_COM_NoLandUse_I23013.docx
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9009 SW HALL BLVD 145, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
October 8, 2014 at 11:51:20
AM
BUP2014-00060
Chip Barnett
Violation Summary:
Inspector Contractor