Permit (2) 114 CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2022-00080
Date Issued: 4/7/2022
Trc ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S103DD00850
Jurisdiction: Tigard
Site address: 13815 SW PACIFIC HWY 50
Project: Avalon Massage Spa Subdivision: None Lot: None
Project Description: Remodel existing 2066 sqft 1st floor tenant space w/no structural modifications -5/16/22: REPRINT to change
contractor information.
Contractor: TASOS CONSTRUCTION LLC Owner: D W SIVERS CO
4515 NW DAVIS 4730 S MACADAM AVE#101
PORTLAND, OR 97213 PORTLAND, OR 97239
PHONE: 503-703-1497 PHONE:
FAX:
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 04/07/2022 $301.85
Occupancy Grp: B Occupancy Load: 14 Demolition
12%State Surcharge-Building 04/07/2022 $36.22
Dwelling Units: 0 Plan Review 04/02/2022 $196 20
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 04/07/2022 $120.74
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 04/07/2022 $6.00
Value: $15,000 11x17)
DC Provision Review,COM TI-Ping 04/07/2022 $110.00
Misc Administration Fee 05/16/2022 $45.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $816 01
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 OA 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: 71 aW
Permittee Signature: I ci�1 c n � -fi
I
1. - Call 503.639.4175 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.
Building Permit Application
Commercial FOR OFFICE USE ONLY
City of Tigard Received
: a 4 Permit No.: Lth, _ •., _ex )
11111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
iQ Phone: 503-718-2439 Fax: 503-598-1960 Date/B : Related Permit:
T 1 G A K D Inspection Line: 503-639-4175 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental 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 0 Other: 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 ElOther: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: r (u3 ��ACC Y-( J(, ) a.,...,-c:_.( ` New dwelling area: square feet
City/State/ZIP: -it p(0- O re-g0 n 9 7 Z�3 Garage/carport area: square feet
Suite/bldg./apt.#: 53 Project name: 4 u.ei 1 col / .S eSQ(k Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
C—Rre de gr Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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.
±(n eit I p f v�'21t,0`\-"- C_iii c I'/lc Valuation: $
rsc,(14-Ccx.r-i---6i 01 314 - ,�Vle-C-�e1�i Existing building area: square feet
40, �� New building area: square feet
0 PROPERTY OWNER TENANT Number of stories:
Name7fc, AA Stir)QPPi d Type of construction:
Address: 2_`l 2 /4 ,971, (e ( ST I V L'j Occupancy groups:
City/State/ZIP: A. t hay 61 9 7 3 2.t Existing:
Phone:(j 4O .9 cp - ?']5 Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: ow pc- y S c-e,A -De Wit`C�/'t Structural plan review fee(or deposit):
Contact name: J
FLS plan review fee(if applicable):
Address:
City/State/ZIP: Total fees due upon application:
Amount received:
Phone:( ) Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: a5 d id.C c-C)A Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: (.j5(5id(A: !)Civil
tt'5^ Solar Installation Specialty Code checklist.
Permit fee(includes plan review
City/State/ZIP (�P ' M Z, 3 and administrative fees): $180.00
Phone:(53) `7'03 -- I il 7 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.:
9 i/3 8 Q (o63/3 3 Total fee due upon application: $201.60
Authorized signature: T 4This permit application expires if a permit is not obtained
m within 180 days after it has been accepted as complete.
Print name'"oog Ceps $k e p f;JQ d Date: --/ 7 '-2. * Fee methodology set by Tri-County Building Industry
t� Service Board.
L:\Building\Permits\BUP_COM_PetmitApp.doc Rev.04/21/2014 440-4613T(I 1/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
•
n Accessibility: Barrier Removal Improvement Plan
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): $
ij
} 1:A Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
CITY OF TIGARD FEE AND PAYMENT HISTORY
t • 13125 SW Hall Blvd.,Tigard OR 97223
0
503.639.4171
TIGARD
BUP2022-00080 - 13815 SW PACIFIC HWY 50, TIGARD, OR 97223
Avalon Massage Spa
Fee Description Revenue Fee Amount Invoiced Paid Date Paid Payment Receipt# Due
Account Number Method
12% State Surcharge-Building 100-0000-24001 $36.22 $36.22 $36.22 4/7/2022 Credit Card 439786 $0.00
DC Provision Review, COM TI - Ping 100-0000-43112 $110.00 $110.00 $110.00 4/7/2022 Credit Card 439786 $0.00
Info Process/Archiving- Lg$2.00 (over 230-0000-43135 $6.00 $6.00 $6.00 4/7/2022 Credit Card 439786 $0.00
11x17)
Misc Administration Fee 230-0000-45319 $45.00 $45.00 $45.00 5/16/2022 Credit Card 440394 $0.00
Permit Fee-Additions,Alterations, 230-0000-43104 $301.85 $301.85 $301.85 4/7/2022 Credit Card 439786 $0.00
Demolition
Plan Review 230-0000-43106 $196.20 $196.20 $196.20 4/2/2022 Credit Card 439701 $0.00
Plan Review- Fire Life Safety 230-0000-43108 $120.74 $120.74 $120.74 4/7/2022 Credit Card 439786 $0.00
Totals for Fees $816.01 $816.01 $816.01 $0.00
Receipt# Payment Method Check# Payor: Receipt Date Receipt Amount
439701 Credit Card anonymous 04/02/2022 $196.20
439786 Credit Card anonymous 04/07/2022 $574.81
440394 Credit Card Thomas Sheffield 05/16/2022 $45.00
Total Payments: $816.01
Balance Due: $0.00