Permit CITY OF TIGARD BUILDING PERMIT
. COMMUNITY DEVELOPMENT Permit #: BUP2009 -00062
T 1GAR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/02/2009
Parcel: 2S115BA02600
Jurisdiction: Tigard
Site address: 16230 SW PACIFIC HWY 100
Subdivision: Lot: 0
Project: Panda Express
Project Description: TI of space.
Owner: FEES
SN PROPERTIES PARTNERSHIP Description Date Amount
1121 SW SALMON ST Permit Fee - COM 06/02/2009 $1,050.58
PORTLAND, OR 97205 Plan Review 04/10/2009 $682.88
PHONE: Plan Review - Fire Life Safety 04/10/2009 $420.23
Park - Commercial and Industrial 05/28/2009 $2,096.64
Contractor: Metro Const. Excise Tax - Commercial 06/02/2009 $283.88
PRIMARY CONSTRUCTION Use
Tax - 12% State Surcharge 06/02/2009 $126.07
5414 W OVERLAND RD.
BOISE, ID 983705
PHONE:
FAX:
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 1 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $236,565
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,660.28
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet: Yes
Fire Alarm: No Protected Corridors: No
Smoke Detectors: No Manual Pull Stations: No
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 mor
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification -r. • se les are set f rt in R
952 - 001 -0010 t rough AR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC b calling 503. , 6. 99 r 1. _0 3 .2 4
Issued By: ASl rt kiv „ t z Permittee Signature:
(J � 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 Annhcatilon l C ■ oo P , .1., a I
Commercial RECEIVE F()IR OFF I SE O:yL1
City of Tigard `'1) Received L4. Qq 41 Permit No (�j a 03062
" 13125 SW Hall Blvd., Tigard, OR 97223 pan R vi
2009
Phone: 503.639.4171 Fax: 503.598.1960 ' Q / r l o to p Date/Br ew �G,JV�
' 1 - Oi 5� er Permit:
1
Inspection Line: 503.639.4175 CITY OF TIGARD Da Re /B Tuns: ® See Page 2 for
TIGARD hfi t
Internet: www.tigard- or.gov BUILDING DIVISIO 1 C1 Supplemental pp emental Information
TYPE OF WORK REQUIRED DATA 1- AND 2- FAMILY DWELLING
❑ New construction ❑ 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the
= work indicated on this application.
CATEGORY OF CONS `' ti *E r aPp
❑ 1- and 2- family dwelling ® Commercial/industrial Valuation: $
CI Accessory building ❑ Multi- family
Number of bedrooms:
❑ Master builder 0 Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 16230 SW Pacific Highway New dwelling area: square feet
City/State/ZIP: Tigard, Oregon Garage /carport area: square feet
Suite/bldg./apt. no.: 100 I Project name: Panda Express Restaurant Covered porch area: square feet
Cross street/directions to job site: SW Pacific Highway and SW Durham Road Deck area: square feet
Tigard Town Square Shopping Center Other structure area: square feet
REQUIRED DATA COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 2S115BA02600 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.
Tenant Improvement for 2,000sf restaurant in vacant building Valuation: $5236,565.00
Existing building area: 2,100 square feet
New building area: 0 square feet
❑ PROPERTY OWNER ® TENANT Number of stories: one
Name: Panda Express Inc. Type of construction: V -B
Address: 1683 Walnut Grove Avenue Occupancy groups:
City/State /ZIP: Rosemead, California 91770 Existing: B/ M/ A -2
Phone: (626)799 -9898 Fax: (626)372 -8288 New: A -2
® APPLICANT ® CONTACT PERSON NOTICE
Business name: Reiter Design Group Architects, Inc. All contractors and subcontractors are required to be
Contact name: Scott A. Reiter licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 7965 SW Cirrus Drive jurisdiction in which work is being performed. If the
City/State /ZIP: Beaverton, Oregon 97008 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 574 -3036 I Fax: : (503) 574-2916
E -mail: ScottRDG @aol.com
CONTRACTOR
Business name: To Be Selected
C-1 LNLtt r I., A ., f n
'c BUILDING PERMIT FEES*
Address: q r, '� Q v t r - ( `lv l VA (Please refer to fee schedule)
? Fl1 + Structural plan review fee (or deposit): $891.37
City/State /ZIP: w VD d � 0 3 s
FLS plan review fee (if applicable): 548.53
Phone: ( ) Fax: ( )
CCB lic.: l I 3 ■ 7 -IC) Total fees due upon application: 1,439.
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Scott. A. Reiter Date: 3/16/09 * Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building \Permits \BUP -COM PermitApp.doc 2 /23/07 440- 4613T(11/02 /COM/WEB)
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PLANS CHECK NO.:
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TRAFFIC IMPACT FEE __ , _
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WORKSHEET IN A
MAILIN ADDRESS:
2-0 1 7A-/ , f i `7/
(FOR NON SINGLE FAMILY USES) I
CITY /ZIP /PHONE:
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RATE PER TAX MAP NO: , , 2 c )41 , F/�
LAND USE CATEGORY TRIP S
SITUS N0. AD r.' SS:
• RESIDENTIAL $339.00 --?.5 //5 C:)2Lo49C7 /o
7 BUSINESS AND COMMERCIAL $85.00
.OFFICE $312.00 �d.� /��iti'tl�l ••
i) 7,s;/ n�A7 ex,f X 55 2_ O 3 Zyestf
■ INDUSTRIAL $327.00 /
■ INSTITUTIONAL $141.00 2) /�/SCU/ rs 2_s6-;1iJ f- /
TR J1 /At7E& ' /L.
PAYMENT METHOD: 3) t��i� /z 3 "E- 3 1� f 1 .
CASH /CHECK 7 /AC 'a .. g (.6ESC .7-15177e-)
CREDIT INSTITUTIONAL ONLY:
DEFER OCCUPANCY NOTE) LAND�USE T'+ Y I USE, I O WEEKDAY /040 I RATE ENDAVG. TRIP
� , ft =.
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erc / d = S ®o / �5'
- "eD 7 > 7 4 - ND )9, i?�s v ►2 A:04 2 , 03 'x18e 2--c -774 /
Gl : 2 ztscv r fg ,F,5" K /oC = 256 T2/ P5
,7J 1 ? ,eT /L 3. 5 x 50 = / '17 P7-771 Ji / ,/o % 11- r efit �R ,,s CL)H -77orr OF aSe5
_ $ • 2 G✓�� / to 40 ,� flyP�vYE:
f" Oq5S_P )/A/ � /�t7�fvRr9A1`i/- E J 203 Z-z 3 5= 3 ers
�` Z. FISCVIW K 235 /¢E, 5G 4 -: 7-3-5= 1 EES
1J 5 • 3 /LL / 147,,,, ,k 5R, 5 7 � 8 EE. . PROJECT TRI NERATION:
lJ G r-
/ C9 mLS .28 FEE:
7'.4-,?1 ACS .4-RE / HAD iiT) 7i /9LAov0-rj A &4/'Vi - o P1,065 .
1- X,S6, A = $ /L9 / 92 • O0 ,00 FOR ACCOUNTING PURPOSES
(i/ 48 NLY
ADDITIONAL NOTES: A f Ss—f lr1191t � _� 3 G�fD , i'14‘6- .
).Nz 1 7"5 31'41 .r1 CO �7 Z- /r -73"e ROAD
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$ / t ' U ! T j , 1 f 3? °5 X 552- =-r 556 •
... -7 /1-- d f� 29p0 _417 �� TRANSIT AM .:75
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PREPARED BY' / (/�
June 30, 2008 Wo sheet 08 -09 d c � t�TS+ � ,ri \ 1 1 S Z a 727719e"-. / 4 y�� 5E
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