Permit (25) CITY OF TIGARD BUILDING PERMIT
r�'-_
2 . .- COMMUNITY DEVELOPMENT Permit#: BUP2018-00152
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 05/29/2018
T i tit.�� 9
Parcel: 2S102AA00600
Jurisdiction: Tigard
Site address: 11940 SW PACIFIC HWY G
Project: Sushi Ki-Ichi Subdivision: TIGARD HIGHWAY TRACTS Lot: 12
Project Description: Repairing(2)curbs for rooftop units.
Contractor: CHARTER CONSTRUCTION INC Owner: ALPROP LLC
3747 SE 8TH AVENUE 4905 SW GRIFFITH DR STE 205
PORTLAND, OR 92020 BEAVERTON, OR 97005
PHONE: 503-546-2600 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 05/29/2018 $87.17
Demolition
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 05/29/2018 $10.46
Dwelling Units: Plan Review 05/17/2018 $56.66
Stories: Height: ft Info Process/Archiving-Sm$0.50(up to 05/29/2018 $7.50
Bedrooms: Bathrooms: 11x17)
Value: $1,440
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $161.79
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to folio •- - .dopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtai -copy of the rules o .irect questions to OUNC by callin.503.232.1987 or 1.800.332.2344.
Issued By: i6--- ..
Permittee Signature: ���
03.639.4176 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial FOR OFFICE CSE ONLY
City of Tigard ReceivDateBea JurPermit No.: ,A I ,
13125 SW Hall Blvd.,Tigard,OR 97223
ECEIVF Plan Review
Phone: 503-718-2439 Fax: 503-598-19 Date/13 : . _ ^ * A Related Permit: ,`,,ad/id 4 ..--ii- r
TI GA R D Inspection Line: 503-639-4175 Date Ready/By: 0 See Page 2 for
Internet: www.tigard-or.gov MAY 1 7 201q$ Notified/Method: Ign Supplemental Information
TYPE OF WOII TY OF 1 I GiA'R D REQUIRED DATA-I-AND 2-FAMILY DWELLING
�1i ton DIVISION
❑New construction Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement they:
p,4,-/a--- equipment,materials,labor,overhead,and the profit for the
CATEGORY.OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling .0-Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION. Total number of floors:
Job site address: I f q ej(5 SAk/ pAC/fie tib/ New dwelling area: square feet
City/State/ZIP: / /� Garage/carport area: square feet
Suite/bldg./apt.#: 6 Project name:S r p/f /,‘_/s / C/4 / Covered porch area: square feet
Cross street/directions to job site: /44,L,L..- Deck area: square feet
Other structure area: square feet
REQUIRE1i1 DATA•(Q ,NMRCIAL-IISE VIU CKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 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.
/� ®� (1—)
c lilt-3 s''. . j2— •7.? Valuation: $/ iii•' __
��ti �� d
/' te ei A/7 7-5' Existing building area: square feet
New building area: square feet
001ROPERTY OWNER ❑ TENAIN1' Number of stories:
Name: Y
,/�dQ M ii -/ /`-jLFA/et 6 c-AAIL.-"17 Type of construction:
Address: t7/gtj S- Af 6i2-/Ti/7/..,/ D(2, . i={'2-0 a Occupancy groups:
City/State/ZIP: 110/,745'NJ GrL_- g1 7 O oC'-' Existing:
Phone:(5e? ) /33— $&Coto Fax:( ) New:
APPLICANT - , C) CONTACT PERSON ' BUILDING PERMIT FEES*
Business name: G . e0'/(/$-'ryvc77 6 !Please refer t4 jeesekedate
Contact name: A2..�C/�. �'/4- Structural plan review fee(or deposit): .5l`if('
FLS plan review fee(if applicable):
Address: ?"7 f 7 3,. to 7r4 04
City/State/ZIP: p'44,.."7-�A� o q-7 ' '1
Total fees due upon application:
Phone: 83 ) 4 r e>g 5 e Fax: :( ) Amount received:
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:, rj„. ea-,f 7712 fr .7!/ _,‘,/ Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 3'7(./7 �� ,L 441,05 Solar Installation Specialty Code checklist.
City/State/ZIP: 7 L, 47",,, ) a/ _ /71-6 Z Permit fee(includes plan review $180.00
(� and administrative fees):
Ql
Phone:go? ) 6•-® l Fax:( )
State surcharge(12%of permit fee): $21.60
CCB Lie.: 04- /,,,g,6 3 ( 3 G
` 0.--111Total fee due upon application: $201.60
,,......_6 'j �
Authorized signature: ..�_ This permit application expires if a permit is not obtained
'1,,,,! within 180 days after it has been accepted as complete.
Print name: /L-(C /A Date: '`. el 6, /49 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)