Permit (22) •
c 'P
CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2018-00124
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/25/2018
Parcel: 2S102AA00600
Jurisdiction: Tigard
Site address: 11940 SW PACIFIC HWY G
Project: Sushi Ki-Ichi Subdivision: TIGARD HIGHWAY TRACTS Lot: 12
Project Description: TI for new tenant:Wall demolition and new interior finishes.
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 DC Provision Review,COM TI-Ping 04/25/2018 $361.00
Occupancy Grp: A-3 Occupancy Load: 116 Permit Fee-Additions,Alterations, 04/25/2018 $1,444.19
Demolition
Dwelling Units: 0 12%State Surcharge-Building 04/25/2018 $173.30
Stories: 1 Height: 0 ft Plan Review 04/25/2018 $938.72
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/25/2018 $577.68
Value: $156,000 Info Process/Archiving-Lg$2.00(over 04/25/2018 $6.00
11x17)
Metro Const.Excise Tax 04/25/2018 $187.20
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,688.09
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No 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: "IIIIP•ermittee Signature: ty J
Ay 40'
Call.0 3.6 `.4175 by 7:00 a.m.for the next available ins ection 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 RECEIVEFOR 0141( 1. 1SI.0\1.ti
City of Tigard Received1 ' Permit No.: _`r
Date/B I TMJ
13125 SW Hall Blvd.,Tigard,OR 97223 ``;; �y g p Plan Review
N P 2 2018 k 'i, Other Permit: �[/11 r�r i, ...-00 i'
Phone: 503.718.2439 Fax: 503.598.1960 Date/B
InspectionLine: 503.639.4175 Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov
1 I L 1 K D CITY T OF TIGA ig otified/Method: IMI Supplemental Information
INGWIsgz�' ; I S ''; .rl r � �: I„ - ,eIiip 1, •
0 Demolition Permit fees*are based on the value of the work performed.
❑New constructionIndicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ®Other:TI equipment,materials,labor,overhead,and the profit for the
. '
work indicated on this application.
~. ONS` �'
-„„ ' �) fit Valuation: $
O 1-and 2-family dwelling ®Commercial/industrial
Number of bedrooms:
O Accessory building
0 Multi-family
O Master builder 0
Other: Number of bathrooms:
. a `, N Total number of floors:
Job site address:11940 SW Pacific HWY New dwelling area: square feet
City/State/ZIP:Tigard OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:G Project name:Sushi Ki-Ichi Covered porch area: square feet
Cross street/directions to job site:Hall Deck area: square feet
Other structure area: square feet
,w ,k 1' 'fit •h'. ,” , .1.).1.4
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:2S102AA00600 equipment,materials,labor,overhead,and the profit for the
_ 1:7work indicated on this application.
Interior improvements to existing resturant space mostly finishes Valuation: $ /57sada'
Existing building area: square feet
New building area: square feet
' ga '` Number of stories:
Name:J and N Food Service Type of construction:
Address:3319 NW Spencer Street Occupancy groups:
City/State/ZIP:Portland OR 97229 Existing:
Phone:(971)282-7745 Fax:( ) New:
`< 4F ICu ' ` , a C 3 1�C7 . • 1"7t #' . a „ 1 r PEkr. i '> * '
Business name:Sushi Ki-Ichi Structural plan review fee(or deposit):
Contact name:Joani Yamanoi
FLS plan review fee(if applicable):
Address:3319 NW Spencer Street
Total fees due upon application:
City/State/ZIP:Portland OR 97229
Amount received:
Phone:(971)282-7745 Fax::( )
e LSI F Egi'
E-mail joaniyamanoi@gmail.com
r ., r. r Commercial and residential prescriptive installation of
, i � R , roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Charter Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:3747 SE 8"'Ave Solar Installation Specialty Code checklist.
Permit fee(includes plan review $180.00
City/State/ZIP:Portland OR and administrative fees):
Phone:(503)546-26000/ Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:166313 _l Ji j Total fee due upon application: $201.60
Authorized signature. This permit application expires if a permit is not obtained
gn within 180 days after it has been accepted as complete.
Print name:Rick , arcia Date:4-23-2018 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
' COMMUNITY DEVELOPMENT DEPARTMENT
0
Building Permit Review — Commercial - No Land Use
TIGARD
Building Permit #: ef l,/92. j I F----(X)i3 1
Site Address: `VMD W Po& & iilAbi Suite/Bldg#:
Project Name: di'1,1 * I -- 1GIAI
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T,, ,
Existing Business Activity: RCi01A Vet rif-
Proposed Business Activity: WM Vityptyrt-
. Verify site address/suite# exists and active in permit system.
.;River Terrace Neighborhood: ❑ Yes VI No
Zoning: Vi ut('PP
"Permitted Use: ).Yes ❑ No ❑ Spec Space
Sonfirm no land use required.
IS-Business License:
Exists: ❑ Yes iNo,applicant notified to obtain business license
Notes:
t
Approved by Planning: k://At iA L.A. Date: i.12,5 I I g
Revisions (after Building Submitta only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: /
Site Plans: #
Building Plans: #
Building Permit#: Errnter building permit#above. � �
Workflow Routing: 'fanning ❑ Permit Coordinator LtJiBu lding
Workflow Sign-off: ff for Planning(include notes from planning review)
Route Application Documents: [ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: r)77---
By
)TZBy Permit Technician: —2,- ' Date: st J rr
I:\Building\Forms\BldgPermitRvw_COM NolandUse_060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
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:
El SDC Fees Entered: Wash Co Trans Dev Tax: El Yes CI N/A
Tigard Trans SDC: El Yes 111 N/A
1:1 N/A
Parks SDC: El Yes
❑ OK to Issue Permit
Approved by Permit Coordinator:
I:�Building\Forms\BldgPemutRvw_COM_NoLandUse 070915.docx
Dianna Howse
From: Dianna Howse
Sent: Monday, April 16, 2018 12:16 PM
To: 'rick.garcia@chartercon.com'
Cc: #Building Permit Technicians
Subject: Nobu Sushi - 11940 SW Pacific Hwy, Ste G
Attachments: BU P_COM_PermitApp.pdf
Hello Rick,
Per your request, here below is a list of the permit fees that will be due at your OTC appointment scheduled for
Wednesday,April 25`h, at 10:00 am.
When you arrive, please check in for the OTC appointment and the planner on duty will first review your plans at the
counter. You will then be directed to the building counter to start the plan review process. I have attached a copy of
the building permit application to be completed and bring to your appointment.
va e(CeitreC1+N 155,00000 Fee Total $3,686 09
Fee item QUallititir Unit Fees
- !w w ..�. ... Each 381,00
Permit Fee-AOitioris,Metabolic Demohlton 1 Each $1,444 19
ta J10, ;_0 1 Each $173.30
Mede Coast. Excise Tax 1 Each $167.20
Flan Rewew Fee Lite Salute+, 1 Each $577
68
int :.. r+ . .....Arcvina-t, 90 fo' 'boil 2 Each 54.00
Plan Review 1 Each $938,72
Thank you and please let me know if you have any questions.
Dianna L. Howse
Building Division Services Supervisor
City of Tigard Community Development
13125 SW Hall Blvd I Tigard, OR 97223
503-718-2430 Direct 1503-718-2439 Permits
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested; e mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E--mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule.°
1
City of Tigard • BUILDING DIVISION
1111 II Over-The-Counter (OTC) Building & Fire Protection System Permit
F I c.n 1:n Appointment Checklist
Permit Record#: 8k,c26)r—cx.)j Lj
Contact Name: 2i '( �f J/,. Phone #:_,._s'3 ,,9!
Business Name: G'/,49-- n, ea/am/677°A( Appt. Date/Time:
Site Address: /19V® s ) Aq-Ct /C /7/7dS/ Bldg/Suite #: 6-
Project Name: 470/j �S / / New Tenant? ,Yes 0 No
Project Description: A /O�_ ya.__ /v/4r� Aii_C*-s
Existing Use: /1�� �7 New Use: 3
7-09.ze 44-Al
MMD Required: 0 Yes Yom"No Related Record#:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work: � Occupancy Group: Pr 4t3 Type of Construction: V. 3
Type of Use: �-3 Occupancy Load: ! J 6 Oregon Specialty Code:
SPECIFICS 1 t}-
Number of Stories: Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport: Mezzanine:
SETBACKS
Sideyard Setback-Left Sideyard Setback-Front
Sideyard Setback-Right Sideyard Setback-Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: P Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ /5 p !
r G27) � �_ : . : FEES E
$ 7' j DC Prov Rvw,COM TI-Ping
$ / I+L4.L} /(' Permit Fee-Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2017) $ j 73 30 12%State Surcharge
Project Valuation $ Q 3 g. 72_ Plan Review,Structural
Up to$4,999 $0.00
$5,000-$74,999 $ -71.411 Plan Review,Fire Life Safety
$91.00 $ W ,j Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $226.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $361.00 $
�QMetro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff $ Other:
Date/Time:
$.34$cariTOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070117.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11940 SW PACIFIC HWY G, TIGARD, OR, 97223 June 19, 2018 at 10:55:00 AM
Record Type: Record ID:
Commercial - Building BUP2018-00124
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor
FOR OFFICE USE ONLY-SITE ADDRESS: 1?'/0 562 14
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
Transmittal Letter
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: rd DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: / le `� I/ /4- CITY uf,MAY 1 fi Z018
RD
COMPANY: G' ,OL- Criv c r Tlo/J 3UILDING V SIO
SIV
PHONE: 4? ' / I By:,e7,
RE: (/94/e .51141 ,0 (Fic C"/ny Su /8, o
(Site Address)
( ermit Number)
"5,4/ I. f' c/C1 7
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
I Copies: I Description: I Copies: I Description: I
'g 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):
REMARKS: C i/ - 0 a v 7 Atr,4 • a
1° Ce/ ; 1/ 7/1 Cv cw? r. 644_i)f
H ,) 7f C f - -�, -� r
/
FOR OFFICE USE ONLY 1).
Routed to Permit T Ician: Date: -Z )k' Initials:
Fees Due ] Y s ❑No Fee Description: Amount Due: -
c0 . ( A) 1 re-Nr% $
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑Yes \I No _ ❑ Done
Applicant Notified: C Date: c"—://)._)-- (K Initials:
I:\Building\Forms\TransmittalLetter-Revisions 061316.doc