Permit (23) CITY OF TIGARD BUILDING PERMIT
1111
#. ' COMMUNITY DEVELOPMENT Permit#: BUP2016-00089
T I .A ID 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/31/2016
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9647 SW WASHINGTON SQUARE RD FC09
Project: Charley's Philly Steaks Subdivision: None Lot: None
Project Description: T.I.for new restaurant in food court.
Contractor: VIACON INC Owner: PPR WASHINGTON SQUARE LLC
PO BOX 2818 PO BOX 847
STOCKBRIDGE, GA 30281 CARLSBAD, CA 92018
PHONE: 770-507-9913 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 05/31/2016 $1,030.65
Demolition
Occupancy Grp: A-2 Occupancy Load: 6 12%State Surcharge-Building 05/31/2016 $123.68
Dwelling Units: 0 Plan Review 03/24/2016 $669.92
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 05/31/2016 $220.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 05/31/2016 $412.26
Value: $90,000 Info Process/Archiving-Lg$2.00(over 05/31/2016 $30.00
11x17)
Floor Areas:
Total Area: 539
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,486.51
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
952-001- 0 throug R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1 87 or 1.800.332.2344.
Iss ed By: kQ� Permittee Signature: Q
Call 503.639.4175 by 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 p ject.
Approved plans are required on the job site at the time of each inspection.
Built int Permit Application //
Commercial FOR 01 1 1( 1 I 'I t)vl l
Received
City of Tigard ° �t .Q Date/By: ��G -_ Permit No.: 6u/0,20.s l G„_L00:k,j
IIIII0 13125 SW Hall Blvd.,Tigard,OR 972 Plan ii�iiff�� ,( O`er �'L(J
= Phone: 503.718.2439. Fax: 503.598.1960 20 6 DateJBy. wry,
`��j
Other _
t ,t " ,, Inspection Line: 503.639.4175 M�AR $'� Date Ready : : _ orris: &I See Page 2 for
Internet: www.tigard-or.gov �E Aino Notified/Method: /7 /‘ �' I Supplemental Information
OF •_ 1, :7":' e.6.tity
TYPE OF lien— LO .A 11 REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0 1-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building ElMulti-familyNumber of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
�JpOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address 6�k� Ashington Square Road New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:FC09 Project name:Charley's Philly Steaks 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.
Tenant finish for restaurant in Washington Square Mall food court. Valuation: $$90,000.00
Existing building area: 539 square feet
New building area: 539 square feet
0 PROPERTY OWNER ® TENANT Number of stories:
Name:RJ Singh Type of construction: II-B
Address:7500 NE 16Th Ave,Suite 1B Occupancy groups:
City/State/ZIP:Vancouver,WA 98665 Existing: B
Phone:(510)676-2187 Fax:( ) New: B
0 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Tedrow Design Group (Please refer tofee seAedrleJ
Structural plan review fee(or deposit):
Contact name:Thomas Tedrow
FLS plan review fee(if applicable):
Address:2866 Adams Brook Way
City/State/Z1P:Snellville,GA 30078 Total fees due upon application:
Phone:(678)777-9548 Fax::(770)972-0660 Amount received:
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:"� V I A C p t.. 11J Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: PD 1b x gg i g Solar Installation Specialty Code checklist.
tY 5rO C(sem L, 2 t7 Coc �ok �pa-$ Permit fee(includes plan review
City/State/ZIP: n $180.00
and administrative fees):
Phone:(77 ) 5p7 9f 3 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: f[E? q to q/aa/ 7 Total fee due upon application: $201.60
Authorized signature: ( This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Thomas Tedrow Date:3-16-16 * Fee methodology set by Tri-County Building Industry
Service Board.
l:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
TICARo Building Permit Review — Commercial - No Land Use
<,
Building Permit #: 6W,R01(9--(3(10S1
Site Address: 7 7 • ,) Jad,,PV5j7)N ,...y Rd, Suite/Bldg#:
Project Name: Ctrl Phi ,4- j�Lj
(Name of commercial business occup ring the space. If vacant,enter Spec Space.)
Planning Review
Proposal: new ea+ina I drinki'19 es'raDl 1 Srtn4A in Washi r1[a -&r 31tka e_
Existing Business Activity: pay, 6A de inkin
Proposed Business Activity: eorti ana All A41
VVerify site address/suite# exists and active in permit system.
River Terrace Neighborhood: CI Yes ' No
7oning: MC Vermitted Use: Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
N(/
Exists: ❑ Yes No, applicant notified to obtain business license
Notes:
VApproved by Planning: m �...�hrbaen Date: cal 116
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: 3AArta
Site Plans: #
Building Plans: # 3
Building Permit#:
f r building permit# above.
Workflow Routing: L�� Pi ring Coordinator wilding
Workflow Sign-off: (�_�f�Slgn-�o f for Planning(include notes from planning review)
Route Application Documents: L�I�uilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
-1By Permit Technician: At-r\-.4.------ Date: 3 f(o
/�zyr
I:ABuilding\Forms\BldgPermitRvw COM NoLandUse 070915.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved, NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
ASDCRevision Notice 3: Date Sent to Applicant:
Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ` Pl\i/A
Tigard Trans SDC: ❑ YesN/A
Parks SDC: ❑ Yes N/A
rOK to Issue Permit
Approved by Permit Coordinator: ` Date: 124-7/C,e
1:\BuildingTonns B ld gPenni t R vw_CO M_N o Land U se_070915.doc x