Permit CITY OF TIGARD BUILDING PERMIT
C COMMUNITY DEVELOPMENT Permit# BUP2013 00183
13125 S W Hall Blvd Tigard OR 97223 503 718 2439 Date Issued 07/18/2013
TIGARD Parcel 25111 DD00201
Jurisdiction Tigard
Site address 15943 SW HALL BLVD
Project Cozy Nails & Spa Subdivision SUMMERFIELD NO 7 Lot N
Project Description Chang of use from office to nail salon & spa
Contractor NGUYEN VO CORPORATION Owner ROSEHILL INVESTMENTS LLC
10225 SW BROOKSIDE PL 2001 SIXTH AVE STE 2300
TIGARD OR 97123 SEATTLE WA 98121
PHONE 503 539 7528 PHONE
FAX
Specifics FEES
Description Date Amount
Type of Use COM
Class of Work ALT Type of Const Permit Fee Additions Alterations 07/18/2013 $564 15
Demolition
Occupancy Grp Occupancy Load 12 / State Surcharge Building 07/18/2013 $67 70
Dwelling Units 0 Plan Review 07/18/2013 $366 70
Stories 1 Height 0 ft Plan Review Fire Life Safety 07/18/2013 $225 66
Bedrooms 0 Bathrooms 0 Info Process/Archiving Lg $2 00 (over 07/18/2013 $8 00
Value $35 000 11x17)
Floor Areas
Total Area 0
Accessory Struct 0
Basement 0
Carport 0
Covered Porch 0
Deck 0
Garage 0
Mezzanine 0
Total $1 232 21
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 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 ' • j Permittee Signature /L /GCS
Call 603 639 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
' fti
c 'Building Permit Application
Commercial ]EIVED FOR OFFICE USE ONLY
City of Tigard ` /� I Received ? Per t No 4 �p� D -.,3
1,
Date/R ° 13125 SW Hall Blvd Tigard OR 97223 J li � �` r_ 313
Plan Rewew ��
Il . Phone 503 718 2439 Fax 503 598 1960 Date/B WM / �� Other Permit M1-(U pt0 / 3- eyzo 3 o
TI G n It Inspection Line 503 639 -4175 CITY OFTIGARD Date Ready ' 1 El See Page 2 for
Internet www tigard or gov BUILDING DIVISION 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 ❑ Other equipment materials labor overhead and the profit for the
CATEGORY OF CONSTRUCTION 1 work indicated on this application
❑ 1 and 2 family dwelling ❑ Commercial /industrial Valuation $
1:1 Accessory building ID Multi family Number of bedrooms
❑ Master builder El Other Number of bathrooms
JOB SITE INFORMATION AND LOCATION Total number of floors
Job site address I c 4 2 ? 7 Ki if g LUP New dwelling area square feet
City /State /ZIP p pI f , • / q ' 7-9-9- Garage /carport area square feet
Suite/bldg /apt no f �' 1 �.."'_ IPrroject name ` Z _ y iki Q / r / 7 p S f 4 - Covered porch area square feet
Cross street/directions to job site Deck area square feet
Other structure area square feet
REQUIRED DATA COMMERCIAL USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application
ill LvN) - / �7N �, I ��� Valuation $
W �'�V d� Existing building area square feet
New building area square feet
❑ PROPERTY OWNER ❑ TENANT Number of stones
Name 1 o S E N L L L i N yi.c i N/ L N, L (C Type of construction
Address 2 00 / s 1 „ r Fr A VC Occupancy groups
City /State /ZIP S E A 77t l \/N AN. /40 / 2 / Existing
Phone ( ) Fax ( ) New
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES
Business name (Please refer to fee schedule)
Structural plan review fee (or deposit)
Contact name
FLS plan review fee (if applicable)
Address
City /State /ZIP Total fees due upon application
Phone ( ) Fax ( ) Amount received
E mail PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES
Commercial and residential prescriptive installation of
CONTRACTOR roof top mounted Photo Voltaic Solar Panel System
Business name N ,tip ✓ 2 �, e -� � d-A) Submit two (2) sets of roof plan with connection details
1 "- 7 and fire department access along with the 2010 Oregon
Address I D L 5 R rat I c4t ®L Solar Installation Specialty Code checklist
City /State /ZIP / L P ermit fee (includes plan review
r Y? 3 and administrative fees) $180 00
Phone (5 ) n 7 r l g Fax ( ) State surcharge (12 / of permit fee) $21 60
CCB lie I Q h ` � p
`� O t � .9-./ / ,S Total fee due upon application $201 60
Authorized signature This permit application expires if a permit is not obtained
i i within 180 days after it has been accepted as complete
Print name 6141 fiyrli A 1� , Date ��� ^' Fee methodology set by Tn County Building Industry
I" " Service Board.
i \ Buildng \Permits\BUP_COM_PermitApp doc Rev 12/11/2012 440 -4613T(11 /02 /COM/WEB)
Building Division
I .
Accessibility Barrier Removal Improvement Plan
TIGARD
REQUIREMEN1 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 dunking fountains are readily accessible to individuals with disabihnes 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 wallpapenng [1] $
MULTIPLIER (25% barner 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 12/11/2012
Building Division
Development Code Provision Review
TI G A R ° Commercial Projects - With Approved Land Use
Building Permit No 3l 020 / 3 od td-3
Land Use Case File No � `l pro c 1 3 - G 2T)
Project Name
Site Address t 5? Y 3 NJ �°� G � �i Suite /Bldg / g #
Plans Routed
Original Plan Submittal Date 7 /N/ 3 Routed By
1st Revision Submittal Date Routed By
2nd Revision Submittal Date Routed By
To the Applicant
Each review type must be approved If the plan is not approved please revise and resubmit three (3) copies
to the Building Division Only checked (✓) items are approved Items not approved and those listed in the
notes must be revised prior to re submittal For questions please contact the appropriate staff person(s) listed
above each section
STAFF please only mark those items on the left side that are approved
ci Planning Review (contact , i/122/.1 at Z? d at (503) 718 24? L ( or 7‘71 @ttgard
or gov) / (�
J
t' Land Use Approval
12-"Building Plans Match Approved Plan Yes 2' No ❑
O °Maxtmum Building Height gun
®' Conditions Met
J Street Trees A✓r
Er Protected Trees'
Notes
Original Plan Approved JJ Not Approved ❑ Date 7 - /[P -i
Revision 1 Approved ❑ Not Approved ❑ Date
Revision 2 Approved ❑ Not Approved ❑ Date
(Review Continues on Page 2)
Page 1 of 2
I \CURPLN\Masters\Development Code Provision RevievADCPR_COM_WithLandUse doc Rev 01/16/13
Engineering Review (contact Milk- White at (503) 718 2464 or MmkeW @tigard or gov)
❑ Actual Slope ryo
❑ PFI Pe #
❑ Conditions et
Notes
Original Plan App oved ❑ Not Approved ❑ Date
Revision 1 Ap,. roved ❑ Not Approved ❑ Date
Revision 2 A.proved ❑ Not Approved ❑ Date
Permit Coordinator Review (contact Albert Shields at (503) 718 2426 or abert@ttgard or gov)
❑ Planning Okay to Issue Permit ❑ Arborist Okay to Issue Permit
❑ Engineering Okay to Issue Permit
Notes
A
Original Plan Date Se Apphcant
Revision 1 Date Sent • Apphc. nt
Revision 2 Date Se to . h.. nt
Okay to Issue Permit es ❑ No ❑
Date Routed to Buil. g
z
Page 2 of 2
I \CURPLN\Ivlasters\Development Code Provision RevieV1\DCPR_COM_WlthLandUse doc Rev 01/16/13
I II q Building Division
Over- The - Counter (OTC) Building Permit
T l c n li Check List
Project Description s n
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work* A Occu.anc Grou. SP Tile of Construction
` '
Tre of Use ** r Occu.an Load Ore.on S.ecial Code r 0
SPECIFICS
Number of Stones 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 ` Protected -- Firewall Separation
N S N S Occupancy Separation
E W E W Access Parking Spaces
REQUIRED ITEMS
Fire Sprmlders Pr) 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. g Zi I FEES DUE
$ DC Prov Rvw COM TI — Ping
$ DC Prov Rvw COM TI — LRP
DC Provision Review Fee for COM TI (effective 7/1/2013) $ Permit Fee — Add Alt Demo
Protect Valuation Planning LRP $ j , t& 12% State Surcharge
Up to $4 999 $0 00 $0 00 $ Ai V Plan Review Structural
$5 000 $74 999 $70 00 $10 00 $ 2;05 — Plan Review Fire Life Safety
$75 000 $149 999 $174 00 $26 00 $ 0 Cn Info Proc /Arch Lg (over 11x17 $2 00)
$150 000 and over $278 00 $41 00 $ Info Proc /Arch Sm (up to 11x17 $0 50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc Admin Fee
$ Other
$ Other
Building Staff $ Other
Date /Time $ t23 24DTOTAL FEES DUE
*TYPE OF USE COM = commercial CMS = commercial manufactured structure
**CLASS OF WORK ACS = accessory ADD = addition ADU = accessory dwelling unit AI T = alteration DhM = demo NEW = new
OTR = other (use for fences, decks retaining walls signs awnings or canopies)
1 \Building \Forms \OTC BUP docx 07/01/2013