Permit (12) CITY OF TIGARD BUILDING PERMIT
114
■ COMMUNITY DEVELOPMENT Permit#: BUP2016-00241
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/03/2016
;k R D9 Parcel: 1S136CD01400
Jurisdiction: Tigard
Site address: 11650 SW PACIFIC HWY A
Project: Habebi Hookah Bar Subdivision: None Lot: None
Project Description: TI for change of use from office to eating&drinking establishment.
Contractor: ENB INCORPORATED Owner: MASSIH,ABBAS
PO BOX 66634 0836 SW CURRY ST, UNIT 400
PORTLAND, OR 97290 PORTLAND, OR 97239
PHONE: 503-997-4222 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 10/03/2016 $453.95
Demolition
Occupancy Grp: A-2 Occupancy Load: 90 12%State Surcharge-Building 10/03/2016 $54.47
Dwelling Units: 0 Plan Review 08/03/2016 $295.07
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 10/03/2016 $90.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/03/2016 $181.58
Value: $25,000 Info Process/Archiving-Lg$2.00(over 10/03/2016 $6.00
11x17)
Parks SDC Improvement 10/03/2016 $677.00
Floor Areas: Parks SDC Reimbursement 10/03/2016 $122.00
Total Area: 3400 Wash Co Trans Dev Tax 10/03/2016 $2,782.00
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,662.07
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 952-001-0090. 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: ( Permittee Signature:
Ute_
!!! .639.4175 by 7:00 a.m. o xt available inspection date.
This permit card shall be kept in a conspicuous place on the i ' until completion of the project.
Approved plans are required on the job site at the time of each inspection.
IIIR
uilding Permit Application ti3
Commercial RECEIVED FOR 0141( I: CSF.011.1'
City of Tigard AUG 2016 DDatte/By: ?//�� ,��j/�—permit Nq fg ; eiOo2G//
II 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revi
}�j 1
Iii . Phone: 503-718-2439 Fax: 503-598-1��OF TIGARD Date/By: {� 142 i''' Related PernV f/y/„:21)/6,'&70,2./
T I G A R D Inspection Line: 503-639-4175 BUILDING DIVISION Date Ready/By: GJure See Page 2 for
Internet: www.tigard-or.gov Notified/Method:o . Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 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 work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ommerctal/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
, JOB SITE INFORMATION AND LOCATION
I
ITotal number of floors:
Job site address: t J J <7Eh-Z-'� C.- �t-..ly New dwelling area: square feet
City/State/ZIP: ") _ l q-'�-"3 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: mn-->t Ket,-dtZ ACt-i 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#: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ V5.
,.K-, _ P `-t _,-�- Existing building area: square feet
�c t'i tomNew building area: ;74 ..3 square feet
0 PROPERTY OWNER KTENANT Number of stories: 2
Name: .f -S) {'l e.,0l.0 0 Type of construction: iV/t-
Address: 1 t Z.,') •'''. e.,3 ' i'_.,C,. 1-(...,.....3y/ Occupancy groups: ...., .-9J"
City/State/ZIP: te_ati' y �? 11-Zz_3 Existing: �i A,--Z,
Phone:( ) Fax:( ) New: tkZ
APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: 1 ,54. t-r--z- Structural plan review fee(or deposit): 95', Q 7
Contact name: -17)k c/;_ -'"'?t T-Z --�_
FLS plan review fee(if applicable):
Address: Z.2)7---5 l -c- L .hl'1 i\- L
City/State/ZIP: �p��t_,ttt-- _ "'��A Total fees due upon application:
Phone:(-)c."0") 'jar) `fit.. Fax::( ) Amount received: C J 0 7
44 i'��G�1 f z PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: l�.�tl�C.*,) -G � L-e.91
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: E i-t-.?„ 1 4.e..._, eA `- j S Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: "`c .-(6'.yx (.l z-, j Solar Installation Specialty Code checklist.
City/State/ZIP: --p.,___,--.:1---4_,a,_.41,6"). �Z cr-z: Permit fee(includes plan review $180.00
and administrative fees):
Phone:(5 2 ) 91--q9.9-'y Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: t C.53 (.1.4-.2._ --7/1 7 I/eg
Total fee due upon application: $201.60
Authorized signature:` i -`w-A.--.1 ��J This permit application expires if a permit is not obtained
( ) , l __ within 180 days after it has been accepted as complete.
Print name1.7 i^ C t Date: (6, * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Pennits\BUP COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
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] $ 75 c c 0
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [21 $ ed?; Z5jo
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:ABuilding\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
City of Tigard
114 N COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - With Land Use
Building Permit #: P * -OO ?I./7
Site Address: /I QpSQ SW P0 i Ci - ;-1►y4A" i Suite/Bldg#:
Project Name: 1+6110-e&-i �°
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: '�/ ( T Go 144 b2 d-,' htvo cn h (6 C4"
yr Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ Yes 0 No
Cp' Land Use Case#: M M 02,01 (e - 000/1
Plans Match Approved Land Use:
/-Site Plan CILandscape Plan ❑ Other:
❑ Urban Forestry Plan ❑ Elevation Plan
--ding Height: Maximum Height Actual Height
-2-Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
ilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified /— No Applied For: ❑ Yes ❑ No,stop intake
Notes:
Approved by Planning: /1/7614- 2- Date: /3
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: S /
Site Plans: #
Building Plans:
Building Permit#: P-Enter building permit#above. ,� ��
Workflow Routing: E Planning 0--"EngineeringL�1'ermit Coordinator wilding
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: � _ _,_ . mad_,� / Date: /1A
1
I:\Building\Forms\B1dgPermitRvw_COM_WithLandUse_070915.docx
Engineering Review
Slope at building pad:
PFI Permit#:
Conditions "Met"prior to issuance of building permit
Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP)
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ o
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: / (IGP' Date: ..-
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: 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:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
"a OK to Issue Permit
Approved by Permit Coordinate a Date: f9//6
Hs5, at ti,,,,, t- a-k,_,- o_
I:\Building\Forms\BldgPermitRvw COM WithlandUse 070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11650 SW PACIFIC HWY A, TIGARD, OR, 97223 April 4, 2017 at 1 :06:41 PM
Record Type: Record ID:
Commercial - Building BUP2016-00241
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor