Permit CITY OF TIGARD BUILDING BUP2014 000 PER 04 MIT
1111 I COMMUNITY DEVELOPMENT Permit#:
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/25/2014
Parcel: 1 S 136C D01400
Jurisdiction: TIGARD
Site address: 11650 SW PACIFIC HWY A
Project: Habebi Hookah Bar Subdivision: 2006-016 PARTITION PLAT Lot: 3
Project Description: Occupancy permit for basement storage conversion to additional tenant space.
Contractor: OWNER Owner: MASSIH,ABBAS
0836 SW CURRY ST, UNIT 400
PORTLAND, OR 97239
PHONE
PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM -
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 02/25/2014 $53.27
Demolition
Occupancy Grp: A-2 Occupancy Load: 12%State Surcharge-Building 02/25/2014 $6.39
Dwelling Units: 0 Plan Review 01/09/2014 $34.63
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 01/09/2014 $21.31
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 02/25/2014 $1.00
Value: $500 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $116.60
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 issuan -, or if work is s pended for ore he 180 /
days. ATIEliTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification nte,. Th—e r es are se forth in • -
952'601-0010 thro..•OAR 9 -r 01-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. 19; or 1.81•.3 /2344
sued By: ' /�t� Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available Inspectio d
This permit card shall be kept in a conspicuous place on the job site until c•l pletlon of the project.
Approved plans are required on the job site at the time of each inspection.
" I uildin2 Permit Application
Commercial FH)Il ul I It I I til: ONI.1
City of Tigard wed , l o� Permit No.:13125 SW Hall Blvd.,Tigard,OR 9 CEWEt) Plan Review y
Phone: 503-718-2439 Fax: 503-59 -1
Date/B : �fm Other Permit:
T R.l) Inspection Line: 503-639-4175 JAN 0 9 Z°14 Date Ready/By: a Juri s: PPSee Page 2 for
Internet: www.tigard-or.gov Notified/Method: et. i//i /3.7) i Supplemental Information
pFT(GARD t ?6u... '.,,_ A ,its
TYPE OF � �DNIS O REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 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 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:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: '•l I&5e-f 1165t)75 L R-1Ci t L i- New dwelling area: square feet
City/State/ZIP: Ty ci rd ( d. c`-1 22 3 Garage/carport area: square feet
Suite/bldg./apt.no.: /9- Project name: ketbe b 1 k`dt1t4 k 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: I Lot no.: Permit fees*are based on the value of the work performed. '
Tax map/parcel no.: Indicate the value(rorded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION or-wow work indicated on this application.
Valuation: $O c I c Y /*Jf w -+T1 , Yr�� Existing building area
square feet
C V� , I.T icW t(
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: �l I)A /"'__�T t�L
i 'JI,t- Type of construction:
Address: \c,52 WLc(F(` ow y Occupancy groups:
City/State/ZIP: T 9A(d op p 1 223 Existing:
Phone:(563) 5 8$k $ Fax:( ) New:
PLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* .
Masse s refe r*IN srh a ask)
Business name: r .r 1J
is P>r` 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: J�(1.ti()
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: otv � Submit two(2)sets of roof plan with connection details
ste
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
Permit fee(includes plan review
City/State/ZIP: and administrative fees): $180.00
Phone:( ) Fax:( ) o
State surcharge(12%of permit fee): $21.60
CCB lic.:
Total fee due upon appication: $201.60
Authorized signature:/4 C7R-1.---- This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: ,4)drijl c /?h k Date: , l g i • Fee methodology set by Tri-County Building Industry
V e + Service Board.
I:1Building\Permits\BUP_COM_PermitApp.doc Rev.12/11/2012 44046131(11/02/COM/WEB)
.+
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
1111
_ " Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T I G A R a 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): $
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/02/2013
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
11P11m • Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
I WARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with:
A. ❑ map&tax lot# ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ applicant name ❑ phone number
B. No arrow.
C. Scale architectural or engineering only).
D. Street .mes.
E. Setback
F. Parking, . ,eluding disabled access.
G. Finished fl.or elevations.
2. EROSION CON ' OL PLANS AND DETAILS.
3. BUILDING PLANS: ` •e the "Plan Submittal Requirement Matrix" for the number of
plans required based on su.mittal type (no redlines or tape-ons accepted).
All d-tails li ted below sha le inco •orated into the •lans:
A. Scale (architectural or engin•ering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended .•fling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations, plans, details and sp• ifications.
J. Accessibility barrier removal worksheet.
K. Deposit-based on valuation of project.
4. ADDITIONAL INFORMATION AS FOLLOWS:
A. Fire Department Building Survey with (1) additional full •t of architecture
drawings.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/02/2013
i
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
1111 " Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
T G R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal #of Plans
(Includes new,additions and alterations.) uired at
'. 'ttal
Demolition Permit 3
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington
County, and Tualatin Valley Fire &Rescue),if applicable.
I:\Building\Pemnts\BUP_COM_PemutApp.doc Rev.12/02/2013
CITY OF TIGABD RECEIVED
Approved......1..L.................-[ate
Conditionally Approved..............[ ] JAN 09 2014
See Letter to:Follow..................[ ]
Attach . - -Y-OFITGARD
Permit N ,_ .• Mee ''�ry--�'�' 1 w — _ — —
Ad,s� '5rli e��a�. t,' BUILDING DIVISION nCL
By _WMr Date: ' m '-
— — Approved plans
- shall-be-o-}ab-sit.--
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Building Permit Number: o '2ij/y-c)ood y
Building Permit Review
Commercial Projects with Approved Land Use
I IGAIZ1)
Site Address: /j(osp.4 g,j Ot c,ic'c
❑Verify site address is valid.
Project Name : �7�5 e4,' * ii
Planning Review
❑ Land Use Case Number: �P—� cj �J
Plans Match Approved Land Use :
❑ Site Plan ❑ Landscape Plan
❑ Urban Forestry Plan ❑ Elevation Plan
❑ Building Height: Maximum Height Actual Height
Conditions Met: ❑ Prior to Permit Submittal ❑ Prior to Permit Issuance
Approved by: Date:
Notes:
Revisions (after Building Sub ttal only) Reviewer Date
Revision 1 Approved Not Approved ❑ � /—a)-7t--(
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved El
Building Permit Submittal
Original Plan Submittal: Date: /7///y By: _ e-T
Site Plans: # n//4
Building Plans: # r=wor tuN$
Create Case Record#: "ler case# above for Building PerrmitJumber.
Workflow Routing: �Pl ning ❑ Engineering L7 Permit Coordinator
D D ding
Workflow Sign-off: Sign-off for Planning staff,including notes from planning review(page 1)
Route Application Documents: ❑ Engineering (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
❑ Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: iej? e,[p/t/ Date: ///3/y
Notes: /�
I:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_123013.docx
Engineering Review— reviewed by:
❑ Actual Slope:
❑ PFI Permit#
❑ Conditions Met
Notes:
Approved by: Date:
Revisions (after Building Subm' al only) Reviewer Date
Revision 1 Approved El Not Approved ❑
Revision 2 Approved 4 Not Approved ❑
Revision 3 Approv-: ❑ Not Approved ❑
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
Notes:
Revision Notice 1: Date Sent to Applic. • :
Revision Notice 2: Date Sent to Ap :cant
Revision Notice 3: Date Sent to • •plicant
Okay to Issue Permit- Date:
I:\Building\Forms\BldgPermitRvw COM_WithLandUse_123013.docx
Building Permit Number: gy,ad Pr ii
II
Building Permit Review
Commercial Project —No Associated Land Use Case
TIGARD
Site Address: //65-0 Si-J. Qac,?S'c 7,44././. , _- t//7F
❑Verify site address is valid.
Project Name : /A 6c6, 7j to A eZrr
Planning Review •Proposal: . Pa • e. S 1r .! • - h loin 111 Li. r�] /4 IY4 .
.: -...-4� '� 'fi r_' r n A A ' alb & It A . :b It 1�1 A a'
CI Zoning: CC—Gi
` -. rte" -c .
❑ Permitted Use S Yes ❑ No ❑ Spec Space
Cl Land Use Required K Yes ❑ No
Notes: rx tcvv►1 r' AI do e eld l'S'.3 s la-b. di l
Approved by: --f' Date: /—(30—/V
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved El Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Building Permit Submittal
Original Plan Submittal: Date: By:
Site Plans: #
Building Plans: #
Create Case Record#: ❑ Enter case #above for Building Permit Number.
Workflow Routing: ❑ Planning ❑ Engineering ❑ Permit Coordinator ❑ Building
Workflow Sign-off: ❑ Sign-off for Planning staff,including notes from planning review(page 1)
Route Application Documents: ❑ Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
El Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: Date:
Notes:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_123013.docx
TIGARD
City of Tigard
Monday,January 13, 2014
Abdulla Gheith
11652 SW Pacific Hwy
Tigard, OR 97223
RE BUP2014-00004, Occupancy permit for basement storage conversion to additional
seating area.
Dear Mr. Gheith:
I apologize for not reaching you by phone today to give you this message but your voicemail
system is apparently not set up to receive messages and you have not been in to answer the
phone when I have called.
The purpose of this note is to let you know that, because of the proposed change of use of
storage space to seating space for the Habebi Hookah, an additional permit called a Minor
Modification is required. I've enclosed the application form for a Minor Mod but I strongly
suggest that you stop by the Permit Center at your convenience to discuss this process with
the Planner On Duty so that your application can be as complete as possible and processed
as rapidly as possible.
Your application for a building permit, BUP2013-00004,will be held at the Front Counter of
the Permit Center pending receipt of your Minor Mod Application.
Thank you for your cooperation. Please let me know if you have any questions.
Sincerely
i dip
Albert Shields
Permit Coordinator
Cc: BUP2014-00004
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171
TTY Relay: 503.684.2772 • www.tigard-or.gov