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Permit IIIIII CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2014-00174 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/02/2014 Parcel: 2S102CC00500 Jurisdiction: Tigard Site address: 13500 SW PACIFIC HWY 30 Project: !chi Teriyaki Subdivision: FREWING'S ORCHARD TRACTS Lot: 15 Project Description: Tenant Improvement-change of use,from meat market to restaurant. Contractor: SKAS GROUP INC Owner: ROIC OREGON LLC 34402 38TH AVE S 8905 TOWNE CENTRE DR, STE 108 AUBURN,WA 98001 SAN DIEGO, CA 92122 PHONE: 253-632-3101 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 09/02/2014 $619.25 Demolition Occupancy Grp: A-2 Occupancy Load: 32 12%State Surcharge-Building 09/02/2014 $74.31 Dwelling Units: 0 Plan Review 07/29/2014 $402.51 Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 07/29/2014 $247.70 Bedrooms: 0 Bathrooms: 0 Park-Commercial and Industrial 09/02/2014 $1,338.42 Value: $40,000 TDT-Transportation Development Tax 09/02/2014 $3.650.00 DC Provision Review,COM TI-Ping 09/02/2014 $75.00 DC Provision Review,COM TI-LRP 09/02/2014 $11.00 Floor Areas: Info Process/Archiving-Lg$2.00(over 09/02/2014 $12.00 Total Area: 1160 11x17) Info Process/Archiving-Sm$0.50(up to 09/02/2014 $1.00 Accessory Struct: 0 11x17) Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $6,431.19 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, o work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification C=• er. • e rules are set fo.• 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 503.23 . •,7 or .800. • .2344. Issued Permittee Signature: ` V-emi Call 503.639.4175 by 7:00 a.m.for the next available In on 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 RECEIVED Commercial FOR OFFICE USE ONLY City of Tigard JUL 2 9 2014 Rem Permit No.: • 13125 SW Hall Blvd.,Tigard,OR 97223 plD�eR .?/ �/y �� x Phone: 503.718.2439 Fax: 503.598.19 Date/By: it ; ,. SI® • Other Permit: �/YtJ�p/Ll,pext/ck T i G A R D Inspection Line: 503.639.4175 `u1TY OF TIGARD Date Ready :y: �� aria. B See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION "ti � /0/�tf 4, • Supplemental Information 1 TYPE OF WORK 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 KAddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I-and 2-family dwelling Commercial/industrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: ❑ Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: t p New dwelling area: square feet City/State/ZIP: �1 r �A 9 7�_' Garage/carport area: square feet Suite/bldg./apt.no.: 1 0 Project name: _ch i -rQr,_Li g ,A 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: 1 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. eta:. Valuation: $ a-11. i-nprvre7.1.0471 de,ne t t i o" ccl s/1- / c� �-- rte_ L Existing building area: square feet rBerrvi �'f New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: X APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: KA L_`f 3 5[ -U c t(O� 1.,PSl 6 15. ((�(L (Please e( r deposit): _` `�) Structural plan review fee(or deposit): Contact name: yo A-1--/4..,s2.- /� FLS plan review fee(if applicable): Address: 2-73% S-- A . �Uk--M. 7. -2 City/State/ZIP: ? P lJ 9 OF....... C7,-z-G(2) Total fees due upon application: Phone:(5,73) 34 —07 I -Z Fax::( ) Amount received: jQ E-mail: L��tickap, ,y er , lJ0't.� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: K S �� Submit two(2)sets of roof plan with connection details �`"��1 and fire department access,along with the 2010 Oregon Address: Y",r,.� `/`Z 3 Solar Installation Specialty Code checklist. P City/State/ZIP: I,,T,1 CrD l, Permit fee(includes plan review and administrative fees): $180.00 Phone:(3 f9 �).....,_- pt1 e 7 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: / 48 2 3 101 ZR 1 t�^ Total fee due upon application: $201.60 Authorized signature: 1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ,/�� L/ S-P19 Date: _�3�/� * Fee methodology set by Tri-County Building Industry J Service Board. 1:\Building\Pennits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB) w • lig City of Tigard ■ • COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A K D Building Permit Review — Commercial - With Land Use Building Permit #: -731.,P cp-O l S/- /7 Z../ Site Address: /.3 C Loa 2 A / J�/,� c Suite/Bldg#: Project Name: itit' 7-e,--y4 kli- (Name of commercial busiiess occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: 0- e- Coo vA41a' — laid 4, A J1 L./ - Ze /e.,- _ z oK/* t Verify site address/suite#exists and active in permit system. ❑ Land Use Case#: ///MI'J 010/4(--000`‘ Plans Match Approved Land Use: J2--Site—Plan ❑ scape Plan they: ❑ a. orestry Plan ❑ anon Plan ❑ Bud.' : - eight: Maximum Height Actual Height ❑ Con..tions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance Notes: .i/ 44t.( 7 Ov /yam Approved by Planning: Date: /--02-2-74 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved Cl Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: 7/24//q/ Site Plans: # t a1/•y- Building Plans: # 5 Building Permit#: 2'Enter building permit# above. Workflow Routing: ,Planning 0/Engineering e"Permit Coordinator auilding Workflow Sign-off: dd Sn-off for Planning(include notes from planning review) Route Application Documents: Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 0 Date: 74207 l:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_042914.docx Engineering Review ❑ Actual Slope: ❑ PFI Permit#: ❑ Conditions Met Notes: At o G a,, (5 s v<,� Approved by Engineering: i Date: 7, 3 d , It Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review 3 00 "M ❑ Conditions Met-Prior to Issuance of Building Permit Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: . Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: OK to Issue Permit Approved by Permit Coordinator: /911-15/44-'47- Date: 012/1/ I:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_042914.docx COMcheck Software Version 3.9.3 2 (PA Interior Lighting Compliance CITYRECEIVED��OFTIG014 ARD Certificate 'UILDINC 2 D9 IVISION 2010 Oregon Energy Efficiency Specialty Code Section 1: Project Information Project Type:Alteration Envelope Compliance Method: Prescriptive Project Title: Ichi Teriyaki#25 Construction Site: Owner/Agent: Designer/Contractor: 13500 SW Pacific Hwy Ste.#30 97233 Section 2: Interior Lighting and Power Calculation A B C D Area Category Floor Area Allowed Allowed Watts (ft2) Watts I ft2 (B x C) Common Space Types:Dining Area-Family Restaurant:Exempt(Ceiling Height 10 ft.) Total Allowed Watts= N/A Area Category Exemption Qualifications Total Wattage Total Pre-Alt. #Fixtures Activity Area Pre-Alt. Post-Alt. Fixtures Repl./Added Common Space Types:Dining Area-Family Restaurant(1160 sq.ft.): 1800 1305 N/A 7 Exemption: Less than 10 fixtures replaced. Section 3: Interior Lighting Fixture Schedule A B C D E Fixture ID: Description/Lamp/Wattage Per Lamp/Ballast Lamps/ #of Fixture (C X D) Fixture Fixtures Watt. Common Space Types:Dining Area-Family Restaurant(1160 sq.ft.):Exempt Total Proposed Watts= N/A Section 4: Requirements Checklist In the following requirements,blank checkboxes identify requirements that the applicant has not acknowledged as being met. Checkmarks identify requirements that the applicant acknowledges are met or excepted from compliance. 'Plans reference page/section'identifies where in the plans/specs the requirement can be verified as being satisfied. Interior Lighting PASSES Section 5: Compliance Statement Compliance Statement: The proposed lighting design represented in this document is consistent with the building plans,specifications and other calculations submitted with this permit application.The proposed lighting system has been designed to meet the 2010 Oregon Energy Efficiency Specialty Code requirements in COMcheck Version 3.9.3 and to comply with the mandatory requirements in the Requirements Checklist. C 6 .4 1 6 39 Name-Title Signat re Dat t Project Title: Ichi Teriyaki #25 Report date: 06/30/14 Data filename: C:\Users\Agnes\Documents\COMcheck\Ichi Teriyaki 25.cck Page 4 of 4 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 13500 SW PACIFIC HWY 30, TIGARD, OR, 97223 Commercial - Building 287 Suspended ceiling PASS BUP2014-00174 Jeff Grove Violation Summary: Inspector Contractor 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 13500 SW PACIFIC HWY 30, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - C of O BUP2014-00174 Jeff Grove Violation Summary: Inspector Contractor