Permit :1111- V-- •t
CITY OF TIGARD BUILDING PERMIT
j . COMMUNITY DEVELOPMENT Permit#: BUP2014 00171
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/29/2014
Parcel: 1 S135BA00102
Jurisdiction: Tigard
Site address: 10100 SW WASHINGTON SQUARE RD A-1
Project: Red Robin Subdivision: OAKBURG Lot: 9
Project Description: Interior dining room improvement. No work in kitchen or prep areas.
Contractor: SECURITY VAULT WORKS INC Owner: PPR SQUARE TOO LLC
122 LAFAYETTE AVE PO BOX 847
LAUREL,MD 20707 CARLSBAD, CA 92018
PHONE: 301-776-2577 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 09/29/2014 $1,196.55
Demolition
Occupancy Grp: A-2 Occupancy Load: 378 12%State Surcharge-Building 09/29/2014 $143.59
Dwelling Units: 0 Plan Review 07/29/2014 $777.76
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 09/29/2014 $478.62
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 09/29/2014 $187.00
Value: $115,000 DC Provision Review,COM TI-LRP 09/29/2014 $28.00
Info Process/Archiving-Lg$2.00(over 09/29/2014 $28.00
11x17)
Floor Areas: Info Process/Archiving-Sm$0.50(up to 09/29/2014 $5.00
11x17)
Total Area 0 Metro Const.Excise Tax-Commercial 09/29/2014 $138.00
Accessory Struct: 0 Use
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,982.52
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 10 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 0 .800.332.2344.
ssued By: • — ` � "� , Permittee Signature: /
�`Call 503.639.4175 by 7:00 a.m.for the next available ins ction da :.
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.
Buildinj Permit Application
Commercial FOR OFFICE USE ONLY
RECEIVED City of Tigard Reu;sed _ Permit No.. ' P�( ^x(71 J.
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revi �., .r • �
' I Phone: 503.718.2439 Fax: 503.598.1:.J L 2014 Date/B : Add' Other Permit:
TI G A R D Inspection Line: 503.639.4175 Date Ready i• ',Arita-is: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF��/���j\ Notifted/Met v /y 1'� ' Supplemental Information
QQ{{�/1 [[ /f,�nnllaji,/ & I.
TYPE OF'Vf fli REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 111 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:Int.remodel equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
u
❑ 1-and 2-family dwelling ®Commercial/industrial
Valuation: $ (--
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
1/\
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10100 SW Washington Square Road
A -I New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
riN
Suite/bldg./apt.no.: Project name:Red Robin Gourmet Burgers Covered porch area: square feet
Cross street/directions to Greenbur ob site:SW
j g Road Deck area: square feet
North of Beaverton Tigard Hwy Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST (r1
Subdivision: Lot no.: Permit fees*are based on the value of the work performed. U
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the IC
DESCRIPTION OF WORK work indicated on this application.
An interior dining area improvement to an existing restaurant. The existing Valuation: $$115,000.00
building envelope will remain. New lighting package will be installed. New Existing building area: 7,723 square feet
furniture,floor finishes,and paint. No work done in kitchen and prep areas. New building area: 7,723 square feet
❑ PROPERTY OWNER ® TENANT Number of stories: I
Name:Red Robin Gourmet Burgers,Inc. Type of construction: V-N
Address:6312 S.Fiddlers Green Circle,Suite 200 North Occupancy groups:
City/State/ZIP:Greenwood Village,CO 80111 Existing: Ae A_2_,
Phone:(303)846-5489 Fax:( ) New: "3- -
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Chipman Design Architecture,Inc. (Please rejerwjeeschedule)
Structural plan review fee(or deposit):
Contact name:Brad Belter
FLS plan review fee(if applicable):
Address:2700 S.River Rd.Suite 400
Total fees due upon application:
City/State/ZIP:Des Plaines,IL 60018
Phone:(847)298-6900 Fax::(847)298-6966
Amount received:
E-mail:bbelter�ri chipmandesignarch.corn PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:=ND. 6, 'v"& 4 cJ Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: /q3 irg Total fee due upon application: $201.60
Authorized signature: S This permit application expires if a permit is not obtained l
within 180 days after it has been accepted as complete.
Print name:Brad Belter Date:07/24/14 * Fee methodology set by Tri-County Building Industry
Service Board.
l:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-46I3T(I 1/02/COM/WEB)
City of Tigard
NI COMMUNITY DEVELOPMENT DEPARTMENT
■
TI R Building Permit Review — Commercial - No Land Use
Building Permit #: 1.4_0 0/(t-d(S 71
Site Address: 10 I oo S tA1 Washin 14v.l • Rd. k Suite/Bldg#: p. -
Project Name: Rea R. ko;■,)
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: - -k -i o' re't44-11 d c e- f s4 n' red4-a••••••r-Levi- • I�^1GI^t •
�ft sebum k- 1 e o r emu, .-i 4 r C4 i&vvg e.S.
Existing Business Activity: 5i 4- cl o w,1 r 4-amt rev +
Proposed Business Activity: Su 1-•t e,
Verify site address/suite #exists and active in permit system.
Zoning: M�G
lPermitted Use: 1I Yes ❑ No ❑ Spec Space
yi Confirm no land use required.
Notes:
Approved by Planning: O � CG2 ��� Date: -7 -p)$ - (4
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 Submittal Date: 7 8(/A / /
Site Plans: # N/,
Building Plans: # 3
Building Permit#: P Enter building permit# above.
Workflow Routing: Manning Permit Coordinatoruilding
Workflow Sign-off: Coign-off for Planning(include notes from planning review)
Route Application Documents: J2'Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: \:Ccn '/4'1_4-4l Date: 7Vag 9/e-
I:\BuildingForms\BldgPermitRvw COM_NoLandUse_071514.docx
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
Notes: Na C.l►v uiL .R7NE TDr C)r tA' c VI.SG Co"a; 4.: v't 3 (X.4-I :4.4cd
ui +1,61S preP0 Sat.
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Datc Sent to Applicant:
XOK to Issue Permit
Approved by Permit Coordinator: e,it e / C4:.AA. Date: 7
f scl.I
•
L\Bui l ding\Forms\B1dgPerm itRvw_COM_NoL andUse_071 5 14.docx
641 i/pD Transmittal Letter
Chipman Design Architecture, Inc. 4U4 July 25, 2014
2700 South River Road, Suite 400
Des Plaines, IL 60018 90#" L1'r GO
P. 847-298-6900 F. 847-298-6966 � /� Chipman
www.chipmandesignarch.com �!l'���'O / Design
Architecture Inc
To: Attention: ** Plan Reviewer**
City of Tigard
13125 SW Hall Blvd. Red Robin Gourment Burgers
Tigard, OR 97223 10100 SW Washington Square Rd.
T: 503-718-2439 Re: Portland, OR
Job Number: 14-4515 BB
We are sending you
❑ Attached ❑ Under Separate Cover via: [Type text here] the following:
❑ Shop Drawings X Prints ❑ Plans X Shipped via Fedex
Standard
❑ Copy of Letter ❑ Change Order ❑ Samples
❑ Specification
Submittal Quantity Date DWG. Description
#
Permit set 3 107/22/2014 Architectural drawing permit submittal set_ Complete
set (Signed & Sealed)
Energy Calcs 3 07/22/2014 Com-check Energy Calcs (Signed)
Building 1 07/24/2014 Building permit application
permit
application
'Plan Review 1 07/24/2014 ,Plan review fee check (w/ $777.76)
fee check ;(includes page 9 from fee schedule valuation math)
From: Brad Belter
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
10100 SW WASHINGTON SQUARE RD A-1,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2014-00171
Chip Barnett
Violation Summary:
Inspector Contractor