Permit (37) CITY OF TIGARD71
BUILDING PERMIT
r.,, COMMUNITY DEVELOPMENT BUILDING
BUP2016 00179
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/21/2016
Parcel: 25101 BA00101
Jurisdiction: Tigard
Site address: 7500 SW DARTMOUTH ST 110
Project: Joy Teriyaki Subdivision: None Lot: None
Project Description: TI for existing tenant.
Contractor: THE GREEN DESIGN &CONSTRUCTION Owner: WAL-MART REAL ESTATE BUSINESS TR
18643 SW TUALATIN VALLEY HWY BY PROPERTY TAX DEPT STORE 5935-00
ALOHA, OR 97003 PO BOX 8050
ATTN MS 0555
BENTONVILLE,AR 72716
PHONE: 503-442-0193 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 07/21/2016 $993.00
Demolition
Occupancy Grp: A-2 Occupancy Load: 37 12%State Surcharge-Building 07/21/2016 $119.16
Dwelling Units: 0 Plan Review 05/26/2016 $645.45
Stories: 0 Height: 0 ft Wash Co Trans Dev Tax 07/21/2016 $6,163.00
Bedrooms: 0 Bathrooms: 0 Parks SDC Improvement 07/21/2016 $1,927.00
Value: $85,000 Parks SDC Reimbursement 07/21/2016 $347.00
DC Provision Review,COM TI-Ping 07/21/2016 $220.00
Plan Review-Fire Life Safety 07/21/2016 $397.20
Floor Areas: Info Process/Archiving-Lg$2.00(over 07/21/2016 $8.00
Total Area: 1624 11x17)
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $10,819.81
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 wit expire if work is not started within 180 days of issuance, or if work is s 41-ended for more the 180
days. ATTE •N: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. hose les' are set forth in OAR
952-00 1010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232. =:7 or-----.800.3., .2344.
199u:d By: / Permittee Signature: —
Call 503.639.4175 by 7:00 a.m.for the next available inspection.. e.
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.
4
Building Permit Application
Commercial
---Ori1 �' FOR OFFICE USE ONLY
City of Tigard ` A Received
Date/B : Permit No.: .e 6 f/jr I7?
a 13125 SW Hall Blvd.,Tigard,OR 97^ Plan Re;- I IA
z� i `.~✓ —
Phone: 503.718.2439 Fax: 503.598. 9ID
\' Date/By: P2, l Other Permit:
TIGARD Inspection Line: 503.639.4175 ��r` Date Ready: orris: H See Page 2 for
Internet: www.tigard-or.gov ;YS i'e Notified/Method: 'UP: ( Supplemental Information
❑New construction 6s , I n Permit fees*are based on the value of the work performed.
�,/ Indicate the value(rounded to the nearest dollar)of all
L�Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
F � r work indicated on this application.
El1-and 2-family dwelling commercial/industrial Valuation: $
ElAccessory building 0 Multi-family Number of bedrooms:
ElMaster builder ❑Other: Number of bathrooms:
.', , 1 11 i T 1J L*#If� Total number of floors:
Job site address: 7 coo S W 0a{t New dwelling area: square feet
City/State/ZIP: 'j j(,,\&D / 0 rZ / q 12 23 Garage/carport area: square feet
Suite/bldg./apt.no.: J l0 Project name: Jp1 T ix,j.e.-► KZytauvo ± Covered porch area: square feet
Cross street/directions to job site: 12rictA
,' 4,/m Deck area: square feet
lciJ �!n lik,a►�-'�ll 1 s 1 u•e.._ Other structure area: square feet
i t U k I . c 1 `1\
Subdivision: 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
c1*'C1Cal4 work indicated on this application.
D Valuation: $
u t‘ a. DV rec-1-aillowt- LAse CA
a ` Ut.f..,,f�
Existing building area: square feet
��h
1 "/' s•t V" New building area: square feet
�
Oid O4 Number of stories:
,. .. , . , " THAI 1
Name: Tod GtOtA..e Type of construction:
Address: Occupancy groups: '1.
City/State/ZIP: Existing:
Phone:( ) Fax ( )
New:
b 41,6- � , or'TACT PERS..,\ y t 1 I?
1BU11,,A
Business name: . . .. 1 '1��, er "1)
Structural plan review fee(or deposit):
Contact name: NSc.T . o\1GQ
Address: P.0 , gOX 16 222..0 t FLS plan review fee(if applicable):
City/State/ZIP: Poi f(AKA C R 9J9-1 4'' Total fees due upon application: �1i —
Phone:(gr ) 14 1974 4 n Fax::( ) Amount received
E-mail: r\ACJ RI�\Q,1'�,@ .• (J- Y1 P 4OEc Ajaa�Iw
CC117 fir. Commercial and residential prescriptive installation of
a C.
� ,:< i ... ,. ._ .' roof-top mounted PhotoVoltaic Solar Panel System.
Business name: �'l.l e t Ye-e.),) kieSi ( vt S`�'Vh(C'•I`.��') Submit two(2)sets of roof plan with connection details
lee � cid
/�'' and fire department access,along with the 2010 Oregon
Address: W yi y Solar Installation Specialty Code checklist.
City/State/ZIP: paha l Ok ( q/7 Permit0 fee(includes plan review $180.00
and administrative fees):
Phone:(cp3 ) +41, — 003 Fax:( ) State surcharge(12%ofpermit fee): $21.60
CCB lic.: t gq-3 .........
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: ,rUe_ t. C. Date: 5--_d,I—t 6 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Y �
.11 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: [1] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
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 [2] of Valuation Computation): $
I:\Building\Permits\BUY-COM PermitApp.doc 03/03/2011
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
1
T1cARD Building Permit Review — Commercial - No Land Use
Building Permit #: 6,4,,,,,,,, _00 , 7,
Site Address: 2-c-00 T tO ,6 /1z z Suite/Bldg#: 11(3
Project Name: '70 �-Pci ;:./"
(Name of coaimercial business 4 cupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 7-7/ 1t J
Existing Business Activity: �^ ,?�
Pro osed Business Activity: 4✓ � ),k,CL jl ,,,S7 r� 1k '
114 Verisite address/suite dress/state# exists and active in permit syst ��
' ri,er Terrace Neighborhood: ❑ Yes Z No
Prpfermitted Use: V Yes ❑ No ❑ Spec Space
Vnfirm no land use required.
Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: , --"'-----_
C` 41=L Date: ��--7/--/4°--3- 24
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: 5, 149
Site Plans: # 4-
Building Plans: #
Building Permit#: M..,, ��ntee-r building permit#above.
Workflow Routing: gifan' ning Ifricrmit Coordinator E3-111
Workflow Sign-off: Si ff 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: - Date: 731//(47
I:\Building\Forms\B1dgPemiitRvw_COM_NoLandUse 070915.docx
1 , .
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:
Revision Notice 3: Date Sent to Applicant:
DC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: Yes ❑ N/A
OK to Issue Permit
Approved by Permit Coordinator: / f Date: AY
I:\Building\Forms\B1dgPetmitRvw_COM NotandUse_070915.docx
TDT Estimate Joy Teriyaki 6/2/2016
7500 SW Dartmouth St. AMS
TDT RATES EFFECTIVE 7/1/15
TSDC CITYWIDE&TSDT RT OVERLAY RATES EFFECTIVE 7/1/15 INSIDE RIVER TERRACE
TSDC CITYWIDE EFFECTIVE 1/1/16 0 Yes
Project is in River Terrace ? 0 No
Former Use
Rate Type Use# ITE Code # Units Rate TDT Amount Description
TDT 1 814 1.74 $16,611 $28,920 Generic Retail
TSDC-Imp 1 $0
TSDC-Reim 1 $0
TSDC-RT 1 $0
Total TDT and TSDCs Former Uses $28,920
Proposed Use
Use# ITE Code # Units Rate TDT Amount Description
TDT 1 932 1.74 $20,151 $35,083 High-turn restaurant
TSDC-Imp 1 $0
TSDC-Reim 1 $0
TSDC-RT 1 $0
TDT 2 $0
TSDC-Imp 2 $0
TSDC-Reim 2 $0
TSDC-RT 2 $0
TDT 3 $0
TSDC-Imp 3 $0
TSDC-Reim 3 $0
TSDC-RT 3 $0
Total All TDTs&TSDCs Proposed Uses $35,083
Less: Total All TDTs&TSDCs Former Uses $28,920
Total All TDTs&TSDCs Net Increase $6,163
Total Net County TDT $6,163
Total Net TSDC-Imp $0
Total Net TSDC-Reim $0
Total Net TSDC RT Overlay $0 $6,163
TDT TSDC Imp+ Reim
Target Recovery Rate 28.0% 30%
Estimated Total Impact $22,011 $0
Estimated Unmitigated Impact $15,848 $0
All TDT&TDSC TSDC RT Overlay
Target Recovery Rate 28% 30%
Estimated Total Impact $22,011 $0
Estimated Unmitigated Impact $15,848 $0
TDT=County Transportation Development Tax
TSDC Citywide=City of Tigard Transportation System Development Tax(TSDC-Imp&TSDC-Reim)
TSDC RT=River Terrace Transportation System Development Tax Overlay
Parks Estimate Joy Teriyaki 6/2/16
7500 SW Dartmouth St. AMS
ALL PARKS RATES EFFECTIVE 7/1/15
0
Yes
Project is in River Terrace ? QQ No
Note:All Neigh-Imp# Units entries=0 if project is in River Terrace;
All Neigh-RT#Units entries=0 if project is elsewhere in the city.
Former Use
Rate Type Use# ITE Code #Units Rate Parks Amount Description
Parks-Imp 1 814 2.49 $367 $914 Generic Retail
Parks-Reim 1 814 2.49 $66 $164 Generic Retail
Neigh-Imp 1 814 2.49 $0 $0 Generic Retail
Neigh-RT 1 $0
2 $0
Total Parks Former Uses $1,078
Proposed Use
Use# ITE Code #Units Rate Parks Amount Description
Parks-Imp 1 932 7.74 $367 $2,841 Restaurant
Parks-Reim 1 932 7.74 $66 $511 Restaurant
Neigh-Imp 1 932 7.74 $0 $0 Restaurant
Neigh-RT 1 $0
Parks-Imp 2 $0
Parks-Reim 2 $0
Neigh-Imp 2 $0
Neigh-RT 2 $0
Total Parks Outside RT Proposed Uses $3,351
Less: Total Parks Outside RT Former Uses $1,078
Total All Parks Outside RT Net Increase $2,273
Total Parks RT Proposed Uses $0
Less: Total Parks RT Former Uses $0
Total All Parks RT Net Increase $0
Total Parks-Imp $1,927
Total Parks-Reim $347
Total Neigh-Imp $0 $2,273
Total Neigh-RT $0
For Non-Residential Calculations:
Prior Use: Retail=700sf/EE; 1741/700=2.49EEs.
Proposed Use: Restuarant=225sf/EE; 1741/225=7.74EEs.
Parks-Imp=Parks Improvement,Citywide including River Terrace
Parks-Reim=Parks Reimbursement,Citywide including River Terrace
Neigh-Imp=Neighborhood Parks Improvement Outside River Terrace
Neigh-RT=Neighborhood Parks Improvement Inside River Terrace
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
7500 SW DARTMOUTH ST 110, TIGARD, OR,
97223
Commercial - Building
275 Framing
PASS
BUP2016-00179
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
7500 SW DARTMOUTH ST 110, TIGARD, OR,
97223
Commercial - Building
287 Suspended ceiling
PASS
BUP2016-00179
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
7500 SW DARTMOUTH ST 110, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - C of O
November 8, 2016 at 1:53:55
PM
BUP2016-00179
Jeff Grove
Violation Summary:
Inspector Contractor