Permit (80) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2018-00239
T I GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/25/2018
Parcel: 1 S 136DA00700
Jurisdiction: Tigard
Site address: 11530 SW PACIFIC HWY
Project: Lu's Sports Bar and Lounge Subdivision: None Lot: None
Project Description: Installing(1)window for TI.
Contractor: HERITAGE GLASS INC Owner: LU,XU JIAN
2005 NE COLUMBIA BLVD HUANG, WEN HUI
PORTLAND, OR 97211 4798 AUBURN LN
LAKE OSWEGO, OR 97035
PHONE: 503-289-3288 PHONE: 503-460-7434
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 10/25/2018 $241.01
Occupancy Grp: S-1 Occupancy Load: 0 Demolition
/o
12 State Surcharge-Building 10/25/2018 $28.92
Dwelling Units: 0
Plan Review 08/29/2018 $156.66
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 10/25/2018
Bedrooms: 0 Bathrooms: 0 $96.40
Plan Review-Fire Life Safety 10/25/2018 $96.40
Value: $10,200 Info Process/Archiving-Lg$2.00(over 10/25/2018
1 $14.00
1x17)
Info Process/Archiving-Sm$0.50(up to 10/25/2018 $7.50
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $642.49
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By l tee Signature: l II 9.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial RECEIVED FOR OFFICI: usl:1/NI.I
City Of Tigard Received ��/ Permit ,,/,(IE-617Z,5
7111 13125 SW Hall Blvd.,Tigard,OR 97223 AUG 2 9 201$ Date/By: Q lt�I. d
CPlan Review
Phone: 503-718-2439 Fax: 503-598-1960 DateBy: To J 3 . I Related Permit:
T I G A R D Inspection Line: 503-639-4175 CITY OF +G' RD Date Ready/By v Jur s: I ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION N.ified/MethoO: 6) !� Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑ w construction 0 Demolition
0 Other: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
tal Addition/alteration/replacement
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /f ? L7,t .1, TA�-�i ,. 'key New dwelling area: square feet
City/State/ZIP: ( r/2/1- !7! (..-.`Y.Y C.'- iiiC.'- iiiG d J Garage/carport area: square feet
Suite/bldg./apt.#: Project name: �/V/ /p/fP4p Covered porch area: square feet
Cross street/directions to job site: ''' '
.(i.• G ?y+ Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-[TSE CHECKLIST
Subdivision: I 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 tv 1 {,'l L�' r(.)f N){ /L It. Valuation: $ %0,Z,OP CO
Existing building area: /0 z c9 square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: '' L- + I
U4 ,T I/T! V/ Type of construction: i/_N
Address: ,.L 7 c 8
`7 �( j/!,r�,� [s L r" ',r, L, Occupancy groups:
City/State/ZIP: �.4 i.: 414w6,-,oco ! q 7 d/�J Existing: —
Phone:( ./' ) 60 -/"74 y, Fax:( ) –
j ✓ New:
APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: �,(4 d] ,4 '�' 7� p (per refer to fee schedule)
j� �✓ Imo` Structural plan review fee(or deposit):
Contact name: 1,/-- 1, ;tea l –
Address: t " f�, pP, FLS plan review fee(if applicable):
City/State/ZIP: C;g. G n zkS
Total fees due upon application:
Phone:(&e.3)914,61,. f->1:)e) Fax::( ) Amount received:
E-mail: .��t�� kC�s /fi/Uc L� " ,�'�'���G cam' PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
�
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: lsi` jj- Submit two(2)sets of roof plan with connection details
I �� and fred department access,alongwith the 2010 Oregon
nAddress: 7)r. .- 1 : �ei�,I/"1 • Cj�
Solar Installation Specialty Code checklist. _
City/State/ZIP: Permit fee(includes plan review
����«) ' t �`'��l and administrative fees $180.00
Phone:(5t:3) –3,2_81,
!!` Fax:( )
CCB Lic.: i��+ State surcharge(12%ofpermit fee): $21.60
3
Total fee due upon application: $201.60
Authorized signature: �//,:-' J/fir This permit application expires if a permit is not obtained
1' ^1 `e tr,-. within 180 days after it has been accepted as complete.
Print name: (i- Oki
`�I �;f^';t'i- Date: 2,6/Z Z * Fee methodology set by Tri-County Building Industry
G Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City
ccessof Tigardibilit•y:COMBMarrUNITYerReDEVELOPMENTovalIDEPARTMENTroveentPlan
Aimmpm
Commercial & Multi-Family Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
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 percent(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\BUP_COM_PermitApp.doc Rev.12/18/2014
City of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
11111
T1cARD Building Permit Review — Commercial With Land Use
Building Permit #: iu,a.zoir--l a5-7
Site Address: l I S 30 SU r4-,1 [7 Suite/Bldg#: --'
Project Name: Lti.; S ,Lcr-t] ('?o-r- -r �. JA,
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 7-A31111 L. uL✓1-f. t�,csri .�1-, • rtiNi c l0;r,
EU/—//Verify site address/suite#exists and active in permit system.te
C River Terrace Neighborhood: ❑ Yes [ No
and Use Case#: M OZO q- OOO
E Plans atch Approved Land Use:
V Site Plan andscape Plan ❑ Other:
0-Urban Forestry Plan4Li}' Elevation Plan
Building Height: Maximum Height "IS Actual Height l.�1o,1�r f;, ��y� 1'r
Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
L' Business Licen e:
Exists: [Yes ❑ No,applicant notified to obtain business license
Ei Public Facilities Improvement(PFI) Permit: ��
Required: El Yes,applicant was notified L/ No Applied For: ❑ Yes ❑ No,stop intake
Notes:
Approved by Planning: .i-antim,L Cor Date: ?_ZA-(f
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 7
Original Submittal Date: 0 /
Site Plans: #
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: Planning Engineering "Permit Coordinator .Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: 7Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
73-I:By Permit Technician: 4 }P �„%;( ✓d Date: '))7 57/3\-
I:\Building\Forms\BldgPermitRvw
\Building\Forms\BldgPermitRvw COM WithLandUse 060116.docx
Engineering Review `/
L/fpe at building pad: /V -'
irr PFI Permit#: /t/ f(-
12/Conditions
t/ f(-
12Conditions "Met"prior to issuance of building permit 0
Easements (encroachments) per engineerin conditions of approval and plat (not typical on SDR/CUP)
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: .Z/P Date: 9/ zo/ef
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 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:
L .14C Fees Entered: Wash Co Trans Dev Tax: ❑ Yes :11(1/A
Tigard Trans SDC: ❑ Yes ia,N/A
Parks SDC: ❑ Yes N/A
141C to Issue Permit
Approved by Permit Coordinator: //n/1Date: 9/`a L cb/
I:\Building\Forms\BldgPermitRvw_COM_WithLandUse_070915.docx
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
111 Transmittal Letter
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: TO /1,1 DATE RECEIVED:
DEPT: BUILDING DIVISION RECENED
A /l OCT 4 2018
FROM: 01 CITY c - " 5 RD
BUILDING G DIVISION
/
COMPANY: L,(/t �j'KDg-7 43
PHONE: (67(W 74' i S cd O By:
RE: C I "/ �✓o 12//1)Ve fl w/ /51(e r'-Cr3c2
(Site Address) (Perms umber)
�IJe77A- WtAJ2eO
(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.
V Beam calculations. Engineer's calculations.
Other(explain):
REMARKS:
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: JO— )) – / Initials:
Fees Due: ❑ Yes Pff6 Fee Description: Amount Due:
Special
Instructions:
Reprint Permit(per PE): Yes ❑No ❑ Done
Applicant Notified: Date: f / //7 / Initials
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11530 SW PACIFIC HWY, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2018-00239
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor