Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00348
COMMUNITY DEVELOPMENT DATE ISSUED: 10/16/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 126CA -01000
SITE ADDRESS: 09009 SW HALL BLVD 142 ZONING: C -G
SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT: JURISDICTION: TIG
PROJECT: SUSHI HANA
Project Description: TI.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: A2 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 100 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 23,000.00
Owner: Contractor:
WASHINGTON SQUARE PLAZA WANG PARK CONSTRUCTION
BY THE CAFARO COMPANY 8540 N MOHAWK
P 0 BOX 422 PORTLAND, OR 97203
FLORHAM PARK, NJ 07932
Phone:
Contact #: PRI 503 - 289 -0193
Reg #: LIC 128290
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[TAX] 12% State Surch 10/16/200E $25.52
[BUPPLN] Pln Rv 10/16/200E $138.22
[FLS] FLS Pin Rv 10/16/200E $85.06
[BUILD] Permit Fee 10/16/200E $212.65
Total $461.45
`.a
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 than 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 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued B .•� Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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 r a S , e ` OFFICE USE'ONLY: '
• City of Tigard ,� Rec eiv e d do ' ✓ V Permi No ' , -
13125 SW Hall Blvd., Tigard, OR ''l' :, eIOOD y " " �� x
Phone: 503.639.4171 Fax: 503.5' :. 960 {. Plan Revin f 6
N . DateBy: !6 Other Permit:
TI GA R D Inspection Line: 503.639.4175 OC� w` Date Ready /: Juris: ® See Page 2 for
Internet: www.tigard - or.gov 0 0 \ \$1 Notified/Method: 7176, Supplemental Information
a t , " TYPE OF:,W, 41 ;', REQUIRED, DATA ,.1 AND '2= FAMILY DWELLING ° .
❑ New construction ❑)emolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
'.- ,:'''!V:''' `r CATEGORY OF. CONSTRUCTION `- work indicated on this application.
❑ 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
'T. t" JOB SITE INFORMATION'' AND. LOCATION _" `,„/ Total number of floors:
Job site address: ccdq 8W 14601 g 1 V J 4 I 4-1- New dwelling area: square feet
City /State /ZIP: Ti R.04-J 0 R 91 -2 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
-� REQITIRED4DATA: °,COMMERCIAL USE CI3ECI{LI$ir
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
, , -! work Indi ed on this application.
i � u'�' � � �, �� =` , ; DESCRIPTION �OF: WORK e � v PP
�J "�q� l — Valuation: 2
V � �� Existing building area: square feet
New building area: square feet
' , • PROPERTY` OWNER t v'' TENANT Number of stories:
Name: TJ r4 h 12-011 Type of construction:
Address: 14) 9 - 5-1,11 /3 Sf C L Occupancy groups:
City /State /ZIP: ! -TT V-Gl4•d ( ft 1-12 Existing:
Phone: (9 ) f — :J 3,1-1 Fax: ( / )
New:
❑',APPLICANT 'Er CONTACT PER t% `' -,- ;,, , ,,,t ,„ *. , N OT I C E
Business name: n I H a All contractors and subcontractors are required to be
Contact name: �� + L� lye licensed with the Oregon Construction Contractors Board
` under ORS 701 and may be required to be licensed in the
Address: / LL 9'.- SO) 13 i Jf - )1- jurisdiction in which work is being performed. If the
City/State/ZIP: T —�� applicant is exempt from licensing, the following reasons
Cit
y t \ i o fi ' 4 apply:
Phone: (s.„ ) er 1 3q s...../ Fax:: ( )
E -mail:
° CONTRACTOR f,"
Business name: �� BUILDING PERMIT" FEES *...
l� ate► g a► r k Co". c s -�I�"�
Address: - ,,,p 5'�. 0 1 ��,k.1,� 5-4.- . ' °��` ` . (Please refer to je''e'sctiedu'[e)' ; r
City /State /ZIP: .k, �—}-1 l9 !�� Structural plan review fee (or deposit):
a 4� FLS plan review fee (if applicable):
Phone: ( > ) Fax: ( ) {�
— Total fees due upon application: ' l W' '1.5 CCB lic.: .-p--6t .-p--6t
Amount received:
Authorized.signature: 1.,,,,,i,_ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: k))D./ i O tJ T c Date: j D` Ck'
* Fee methodology set by Tri- County Building Industry
Service Board.
l: \Building\Petmits \BUP -COM PennitApp.doc 2/23/07 440- 4613T(11 /02 /COM/WEB)
ogi _ `•
a Building Division
• r' 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): $
l:\ Building \Permitss \BUP -COM PemutApp.doc 06 /25/08
CITY OF TIGARD
BUILDING DIVISION i• . . PERMIT #: I31)P2008-00348
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2008
Phone: (503) 639-4171 AW
Inspection Requests (24 Hrs.): (503) 639-4175 A- , ' L L.
INSPECTION WORKSHEET FOR DATE: 11/26/2008 TIME: 7:00AM PAGE: 34
SITE ADDRESS: 09009 SW HALL BLVD 142 CLASS OF WORK:
SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT #: TYPE OF USE:
PROJECT NAME: SUSHI HANA
DESCRIPTION: T
OWNER: WASHINGTON SQUARE PLAZA, PHONE #:
CONTRACTOR: WANG PARK CONSTRUCTION PHONE #: 503.289-0193
Inspection Request Scheduled For: Date: 11/26/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 078534 503
Corrections /Comments/ Instructions:
...
•
r PARTIAL APPROVAL
PASS 0 CANCEL E NO ACCESS
n FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector:
--C1 ) Date:! I 2-6/0 Phone #: (503) 718- _________