Permit CITY OF TIGARD BUILDING PERMIT
IN A
COMMUNITY DEVELOPMENT Permit#: BUP2018-00140
Date Issued: 07/16/2018
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9724 SW WASHINGTON SQUARE RD F06
Project: Din Tai Fung Subdivision: None Lot: None
Project Description: TI for new tenant: Change of use from retail to restaurant,and construction of kitchen,dining room,bar,storage,
and bathrooms.
Contractor: EMERICK CONSTRUCTION CO Owner: PPR WASHINGTON SQUARE LLC
8850 SE OTTY ROAD PO BOX 847
HAPPY VALLEY, OR 97086 CARLSBAD, CA 92018
PHONE: 503-777-5531 PHONE:
FAX: 503-771-2933
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 07/13/2018 $7,372.10
Demolition
Occupancy Grp: A-2 Occupancy Load: 335 12%State Surcharge-Building 07/13/2018 $884.65
Dwelling Units: 0 Plan Review 05/30/2018 $4,791.87
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 07/13/2018 $361.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 07/13/2018 $2,948.84
Value: $1,385,000 Info Process/Archiving-Lg$2.00(over 07/13/2018 $110.00
11x17)
Metro Const.Excise Tax 07/13/2018 $1,662.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $18,130.46
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 folio - ,dopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You ma o ain a copy of the rules o .irect questions to OUNC by calling 503.232.1987 or`1.800.332.2344.
Issued By: ' Permittee Signature: /
�" _�—
/`/i L. _. I►'
.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 project.
Approved plans are required on the job site at the time of each inspection.
v
Building Permit Application
Commercial 'RECEIVE':
Demy�: /i PermitNo.: ( p .13" „b/yj�
1,1114 City of Tigard I ��"JJ'7}'f°��''''' r�fr l �(,� V
• 13125 SW Hall Blvd.,Tigard,OR 97223 1 2018 Plan Review _ E'd
d Phone: 503.718.2439 Fax: 503.598.1960 M QY Date/By: f—) Other Permit:
T
i .A ft i 7 Inspection Line: 503.639.4175 (� �yy Date Ready. . v Juris H See Page 2 for
Internet: www.tigard-or.govcinOF TI�Al1ml Notified/Method:7 /%u]- 4 171 f I Supplemental Information
s
r;.:TYPE OF W ORIt: . RFQU •,b DATA:1:-AND 2- FAMILY DWELLING
0 New construction 0 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.
❑ I-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
.OB SITE•LYFORMA LOCATION Total number of floors:
Job site address.WASHINGTON SQUARE,9. ASHINGTON SQ an New dwelling area: square feet
City/State/ZIP:TIGARD,OR,97223 G%7,,A/ Garage/carport area: square feet
Suite/bldg./apt.no.:F06 Project name:DIN TAI FING Covered porch area: square feet
y
Cross street/directions to job site:NEAR SE CORNER OF MALL,NEAR MAIN MALL Deck area: square feet
ENTRY TO SEARS
Other structure area: square feet
1 ; ',,r . - `, •" :4.,•: : ; ;.,r r :`REQUIRED DATA:COMMERCIAE-USE CHECKLIST'
Subdivision: ,#.,A,:t Vvelo lt. ' . f c..4 ec , Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:1S126CC00100 s Indicate the value(rounded to the nearest dollar)of all
... .. _ / .k J equipment,materials,labor,overhead,and the profit for the
:„':DESCRIPTION OF WORK ' work indicated on this application.
INTERIOR TENANT IMPROVEMENT;CURRENTLY VACATED,LAST USE WAS Valuation: $$1,385,000.00
RETAIL,NEW USE IS RESTAURANT;CONSTRUCTION OF KITCHEN,DINING Existing building area: 9232 square feet
ROOM,BAR,AND SUPPORTING FACILITIES(STORAGE,BATHROOMS,ETC.) New building area: 9232 square feet
';❑PROPERTY OWNER 1., +.'TENANT Number of stories: 1
Name:DAVID WASIELEWSKY Type of construction: II
" Address:700 BELLEVUE WAY NE,SUITE 280 Occupancy groups:
�� City/State/ZIP:BELLEVUE WA,98004
Phone:(206)953-0770 Fax (
)
rExisting:
New M
..Ji ®FPLICANT `Q ctfi��rr�Rsov � ulLnnvxPER
PERMIT Ms
VBuinessname:CHIN-LEY/RECHE ASSOCIATES .
(Pkarerefertolee.scbeduk)
Structural plan review fee(or deposit):
Contact name:SERGIO CHIN-LEY
FLS plan review fee(if applicable):
Address:1516 MELROSE AVE SUITE 200
Total fees due upon application:
City/State/ZIP:SEATTLE,WA 98122
t.
Amount received:
,1)1 Phone:(206)769-8601 I Fax::( )
` E-mail:SERGIO@CHINLEYRECHE.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
-,. Business name:TBD e. 1 ,' 'et,044i
Submit two(2)sets of roof plan with connection details
rl '` X °'” �i"`r and fire department access,along with the 2010 Oregon
Address: n D SI ��/ Solar Installation Specialty Code checklist.
City/State/ZIP: ��" Permit fee(includes plan review
�.t/yc lf �W and administrative fees): $180.00
Phone: `3) -7 3 _SSI Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 10 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:SERGIO CHIN-LEY Date:04.30.18 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\BuildinglPermits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
1
IL„
1KIVIACERICH
April 26, 2018
Chin-Ley/Reche Associates
1516 Melrose Avenue Suite 200
Seattle, Washington 98122
T 206.938.1501
Re: Din Tai Fung @ Washington Square_F06
Dear Mr. Sergio Chin-Ley,
CD drawings submitted for the above project are "Approved" and ready for permitting. Any
changes needed as requested below can be made and resubmitted to the Landlord in a subsequent
submittal.
If you should have any questions, comments, or concerns regarding this review, please feel free
to contact my office.
Sincerely,
Charlene Sirokman, RA
Sr. Manager, Tenant Coordination
11411 N Tatum e.oule card
Phoenix,AZ 85028
P 602 953 6200 I F; 602.953.6449
4 ‘UR-C DELIVERY NO. 1519763
2730 OccidentaAve S
Seattle, WA 98134 DATE 04/30/18
206'622'6000
WO# p1519763
d DELIVERY TICKET d City of Tigard Permit Center
� 1-
ii 13125 SW Hall Blvd
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o iShipdocs � Tigard, OR 97223
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JOB DUE: 04/30/1 8 at 1 5:00
CONTACT PHONE PURCHASE ORDER# SALES REP
Sergio Chin-Ley/CHIN-LEY/RECHE AS 206'938'1501 Lamar Middleton
JOB# JOB NAME BILLER LOC
DTF WA SQ Erin Cox 052
SUB TOTAL DISCOUNT SALES TAX TOTALDEPOSIT
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TERMS: UP ' / ip`�~« �-�|� -
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City of Tigard
IIr COMMUNITY DEVELOPMENT DEPARTMENT
I I
TIGARD Building Permit Review — Commercial - With Land Use
Building Permit #: ,euae -6,-3>62l
Site Address: 9. --227/ 'L) /th. hr, S f Suite/Bldg#: Far
Project Name: bh7 7 R�
(Name of commercial business oc y�ttng�he space. If vacant,enter Spec Space.)
Planning Review
Proposal: 77 /11.4 re C 0 d--
F Verify site address/suite# exists and active in permit syste
10l ..ver Terrace Neighborhood: ❑ Yes LTJ No
Eand Use Case#: �ja/f p _o J Qj — j
Pla atch Approved Land Use:
Site Plan Q.&andscape Plan �i!'°•ther:
II ' rban Forestry Plan levation Plan
C ding Height: Maximum Height Actual Height
onditions Met:
CI Prior to Submittal CI Prior to Permit Issuance
Business Licen :
Exists: Yes El No,applicant notified to obtain business klit(ublic Facilities Improvement(PH) Permit: 7
Required: 1=1Yes,applicant was notified LTJ No Applied For: ❑ Yes ❑ No,stop intake
Notes:
Approved by Planning: --- ---11.________— : -s---
-- — —`, - . Date: ig
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: S///1(1
Site Plans: # 3
Building Plans: # 2
Building Permit#: 1E-Inter building permit#above.
Workflow Routing: E7.-Planning ❑ Engineering ELM-mit Coordinator L-er Building
Workflow Sign-off: -,Sign-off for Planning(include notes from planning review)
Route Application Documents: U.-Trading: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: n
By Permit Technician: 0<- ` L a Date: -5100f,
I:\Building\Fonns\BldgPermitRvw COM_WithLandUse 060116.docx
� 1-
Engineering Review
❑ Slope at building pad: L
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of buil • elk
❑ Easements (encroachments)per enginee ' difions of approval and . : (not typical on SDR/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ■ o
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engine ing: Date:
Revisions (afte wilding Submittal only) Reviewer Date
Revisio . ❑ Approved ❑ Not Approved
Re • ion 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
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:
3.'SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes ❑ N/A
Tigard Trans SDC: 0 Yes 0 N/A
Parks SDC: ❑ Yes ❑ N/A
OK to Issue Permit r1
Approved by Permit Coordinator: Date: cj -. I (I 6
I:\Building\Forms\B1dgPermitRvw_COM_WithLandUse_070915.docx
ific_e___. g.%lc -.%'(4I
erPt 14- Yv-1 en
— / /
FOR OFFICE USE ONLY—SITE ADDRESS: - cG .5: SA/ ki6O //L��%1/! --1 ,-5,2-/-1--aC,2�GLa/C
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
li
111 I Transmittal Letter
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: 77) DATE RECEIVED:
DEPT: BUILDING DIVISION 1,.,,1 r--,'- i ti 1 f( - i
9�tND1,�Y PYNVM aI c 21 2a�
FROM: /�
es
COMPANY: �t � �5�� I �oN �. .._
' ,. ai
PHONE: 0 72 111 6 1 G31 ByikiC
RE: ;7 _ 5 vv WASHIN6-tOk9 �Quiti13vt P201 g- ooiItO
Site Address) (Permit Number)
pIM TM ANG
roject name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
j Additional set(s)of plans. X Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. P.. Engineer's calculations.
Other(explain): 5 t 4-# 0-
REMARKS: (3)irtg it.GlAvtK4W- pi-etIN c AND C2-) ( u - l-0N.S
FOR RFi1v t S I O N S l 1\( L(,t/t,D t d\c 6 A C IA-13 R pi_41-c i ---1\1---r
FOR OFFICE USE ONLY
Routed to Prmit'Eefician: Date:8 -,�Sf - 1 t Initials:
Fees Due: gli Yes ❑No Fee Description: Amount Due:j
I H v �1 c-, rc v%et — $ 4 e "
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑Yes I El No 1- ❑ Done
Applicant Notified: 7' _ Date: c i / Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9724 SW WASHINGTON SQUARE RD F06,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2018-00140
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor
FOR OFFICE USE ONLY-SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
�,, City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
1! = Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: TL l rDATE ,: , " 1
DEPT: BUILDING DIVISION
JUN 28 2018
FROM: LI, ISP L (J Uni CITY OF TIGARD
COMPANY: r-01CAC C CS 5t- .c.7tt d ki BUILDING DIVISION
PHONE: € 111 cc (
RE: q71,1(
G�
(Site Address) �/ �/ (Permit Number)
2\ N q -
..
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain): A10`011-0N/ Vvl lig-IVIG en-6" Ac • 0
REMARKS:
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: C, - Initials:
Fees Dui: 2 Yes ❑ No Fee Description: Amount Due:
�r ��i dAe ;-%. c1,ds� $ 90-- -
$
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes A No ❑ Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc