Permit FOR OFFICE USE ONLY—SITE ADDRESS:
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 r L tt
e e
T i c,n R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • ww.tigar,-or.gov
TO: • •
DEPT: BUILDING DIVISION , �
SEP182013
FROM: A Cam, J CITY OF TIGARD
I BUILDING DIVISION
COMPANY: n .A L 1,5-1t,�c�i�1j
PHONE: fig') ^ S - ( , J By: i6 •1 -
•
RE: r If it
— �jPm 0 I ` 00 1 b7
ite ••'ress (Permit er
(Pric nam r subdivision name an lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
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: O ,�y.
w� Ir-C✓VLOVai 4-r Loa
bco/tA .S _tit
FOR OFFIcE USE ONLY
•
is
Routed to Permit Te 4 . . Dat,: /0/ ( Initials: •
Fees Due: ❑ Ye: r .ro Fee escription: Amount ue:
Special
Instructions:
Reprint Permit(per PE): ❑ Yes / 10 Done
Applicant Notified: Date: /OJ/ / P9p _ Initials: , t,`�
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
MI I
n
TIGARD
City of Tigard
October 17, 2013
Emmett Phair Construction
16650 Fir Lane
Lake Oswego, OR 97034
Re:Permit No. BUP2013-00167
Dear Applicant:
The City of Tigard has processed a refund for overpayment of permit fees on the above
referenced permit for the following:
Site Address: 11565 SW Hall Blvd., #180
Project Name: Bella Institute
Job No.:
Refund: M Check #211746 in the amount of$2,496.00.
❑ Credit card "return" receipt in the amount of$ .
❑ Trust account"deposit" receipt in the amount of$ .
Notes: Metro construction excise tax was charged twice on this permit. Refund 100% of
fees charged for metro construction excise tax charged for "residential" project (see attached
receipt).
If you have any questions please contact me at 503.718.2430.
Sincerely,
v.;
Dianna Howse
Building Division Services Coordinator .
Enc.
I:\Buading\Refun13.12',5" M 1lii1iad)v!rpTigandjDregon 97223 • 503.639.4171
TTY Relay: 503.684.2772 • www.tigard-or.gov
v— Aw
Y -„ �2
Iliii
%+ ' City of Tigard
'741 Accela Refund Request
Trc ;
This form is used for refund requests of land use, development engineering and building permit
application fees. Receipts, documentation and the Request for Pe17i1itActionr form (if applicable) must
be attached to this request form. Refund requests are due to Accela System Administrator by
each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts
Payable will route refund checks to Accela System Administrator for distribution to applicant.
PAYABLE TO: Emmett Phair Construction DATE: 10/14/2013
16650 Fir Lane
Lake Oswego, OR 97034 REQUESTED BY: Dianna Howse
MAV
TRANSACTION INFORMATION:
Receipt #: 193015 Case#: BUp2013-00167
Date: 9/9/2013 Address/Parcel: 11365 SW Hall Blvd. #180
Pay Method: Check Project Name: Bella Institute
EXPLANATION: Metro tax collected in error instead of information process/archive fee.
REFUND INFORMATION:
Fee Description From Receipt Revenue Account No. Refund
Example: Building Permit Fee Example: 2300000-43104 $Amount -
Metro Construction Excise Tax -Residential 230-0000-24010 , - , 0.00
II
?'99� •r+)
`'c7 6, ,C-')
TOTAL REFUND: _, 00
APPROVALS: SIGNATURES/DATE:
If under 35,000 Professional Staff
If under 312,500 Division Manager ILA
If under$25,500 Department Manager
If under$50,000 City Manager
If over$50,000 Local Contract Review Board
FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY
Case Refund Processed: Date: /a//?//.3 By:
I:\Building\Refunds\RcfunJltcyucsu.dnc x 69/0I/21)111
CITY OF TIGARD BUILDING PERMIT
II
"1 ' COMMUNITY DEVELOPMENT
t Permit#: BUP2013-00167
Date Issued: 09/09/2013
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S135DD01800
Jurisdiction: Tigard
Site address: 11565 SW HALL BLVD 180
Project`: Bella Institute Subdivision: METZGER ACRE TRACTS Lot: 32
Project Description: TI to create new beauty school
Contractor: EMMETT PHAIR CONSTRUCTION Owner: PANG, KEIKO TR
16650 FIR LANE 46-442 HOLOLIO ST
LAKE OSWEGO, OR 97034 KANEOHE, HI 96744
PHONE: 503-572-8606 PHONE:
FAX:
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 09/09/2013 $2,072.35
Demolition
Occupancy Grp: B Occupancy Load: 57 12%State Surcharge-Building 09/09/2013 $248.68
Dwelling Units: 0 Plan Review 07/09/2013 $1,347.03
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 07/09/2013 $828.94
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 09/09/2013 $278.00
Value: $260,000 DC Provision Review,COM TI-LRP 09/09/2013 $41.00
Info Process/Archiving-Sm$0.50(up to 09/09/2013 $2.00
11x17)
Floor Areas: Metro Const.Excise Tax-Residential 09/09/2013 $2,496.00
Use
Total Area: 0 Metro Const.Excise Tax-Commercial 09/09/2013 $312.00
Accessory Struct: 0 Use
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $7,626.00
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: it III 1 y. _ i' . 1l li
Call 603.639.4176 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 REcEEO 4V FOR OFFICE USE ONLY
City � logo/
ty of Tigard q Permit No. u Q_oo/
�J 2013 DateBy q / 7 • 5 7
° 13125 SW Hall Blvd.,Ti_eard.OR 97223 UL Plan Review p o, a oao�
III IM
' Phone: 503.718.2439 Fax: 503.598.19 Date/By: A`' 1 ( l C 13 Other Permit: ��?r
T l GARD Inspection Line: 503.639.4175 1�(�T1D Date Ready . Juns, a See Page 2 for
Internet: www.tigard-or.gov cj v� Notified/Method: q /3 Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ,J
❑New construction ❑ Demolition Permit fees*are based on the value of the work performed. s
Indicate the value(rounded to the nearest dollar)of all
lif Addition/alteration/replacement ❑Other: - equipment.materials.labor.overhead.and the profit for the W
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 0 Other: Number of bathrooms: f, ..
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ' 15 (O 5 SvJ k.k L i- 13,L\/p . New dwelling area: square feet
City/State/ZIP: 'V'l( ?,�,D , O f' .' � Z 3 Garage/carport area: square feet (Z
Suite/bldg./apt.no.: 'YI' / D(J Project name: � a� 1 Ns."'0-1,4 1'1` Covered porch area: square feet (O
Cross street/directions to job site: Deck area: square feet �OO`
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.
N Valuation: $ 2(Ob 606
h�� ■ 0 y a V--}i�r11D LAM-11 S Y1 Gc-.�1 I l A
1 1�►'Ylb;vL Ab�C I.t s-i Yob-e-Nj' 1 I .-eAA) Ltt�ln1- Existing building area: 511023 square feet
)(4-1.00e - — : cod 0��1:.�ISV New building area: S 162_3 square feet
1 4� �
❑ PROPERTY OWNER - TENANT Number of stories: 2
Name: t Type of construction: 'J6'1'J 0 s`I,.;L �
Address: ' 15 to s S l� -�-(_,(� j(�\ D Occupancy groups: i
City/State/Z1P:71& c' p , p et-127_3 Existing: - c,..„6,..„
Phone:(553) 4"7 i Fax:( ) New: 3 - AJ
s). ❑ APPLICANT /� ❑ CONTACT PERSON BUILDING PERMIT FEES*
-' Business name: I (N C� A-SS oC..I (Please refer to fee schedule)...r
(`�` ^ , �L Structural plan review fee(or deposit): 1,sk
met name: ��,�
1 ` FLS plan review fee(if applicable):
N Address: 3 50 S f t-'1.(/k_ i3e.V 9. s SO
K Total fees due upon application:
(`O City/State/ZIP: p0 Np f 0t c�Z) 4- / 9
"1 Phone: Amount received: 7
1 (SO5) 23s ,- D��.3 Fax. .(503 S 4.4, ^ S(o 9 E-mail: 8
.}G @ -}-0 rlt ' ` PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
r) ONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:c-_____,.."-„A+ T�a,j, fr. CO yls4--y -1'(j Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specially Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
and administrative fees): _
Phone:(505) S--72_r �/(� Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: 572,4_4 Total fee due upon application: $201.60
Authorized signature:
40....„{A
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: To{-g._4 cAii,j Date: W-11- 13 * Fee methodology set by Tri-County Building industry
Service Board.
I\Building\Permits\BUP-COM PemiitApp.doc 02/24/2011 440-4613T(I l/02/COM/WEB)
_ Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
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 per-cent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $ 260,000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 65,000
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 $ 2,400
(b) An accessible entrance: $ 0
(c) An accessible route to the altered area: $ 0
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ 54,000
(e) Accessible telephones: $ 0
(f) Accessible drinking fountains: and, $ 0
(g) When possible,additional accessible elements such as storage and
alarms: $ 3800
TOTAL(shall equal line [2] of Valuation Computation): $ 60,200
I:\Building\Permits\BUP-CO.M PcrmitApp.doc 03/03/2011
IN. Building Division... q
Development Code Provision Review
T l c A R° Commercial Projects - With Approved Land Use
Building Permit No.: t __.> u,P aO 1 3 -oo lCo 7
Land Use Case File No.: H T c96 1 -DO C) Cp
Project Name: Y2D t LL r9 / .) 5 T/7 flL
Site Address: // S Co S c J 14--.L-C., 't_tli- , Suite/Bldg #: /00
Plans Routed:
Original Plan Submittal Date: 7 /13 Routed By:
1 s` 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 (1) 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.
Planning Review(contact \ O4'j.1/j, 1.7 ` at(503) 718- 9 ' or __ `1hi 71 @tigard-
or.gov
LU/Land Use Approval ki X 0o?61/3- al.2
❑ Building Plans Match Approved Plan: Yes 1161 No ❑
❑ Maximum Building Height
❑ Conditions Met ,401..._0 Street Trees Ao..
❑ Protected Trees
Notes:
G'
Original Plan: Approved Not Approved ❑ Date:
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
,, Page 1 of 2
1,1, I:\CURPLN\Masters\Development Code Provision Reviev+4DCPR_COM_WithLandUse.doc Rev.01/16/13
i
Engineering Review(contact Mike White at(503) 718-2464 or MikeW @tigard-or.gov)
❑ Actual Slope:
❑ PFI Permit#
❑ Conditions Met
Notes:
Original Plan: Approved • Not Approved ❑ Date:
Revision 1: Appr.• -• ❑ Not Approved ❑ Date:
Revision 2: .proved ❑ Not Approved ❑ Date:
Permit Coordinator Review(contact Albert Shields at(503) 718-2426 or albert @ tigard-or.gov)
❑ Planning Okay to Issue Permit ❑ Arborist Okay to Issue Permit
❑ Engineering Okay to Issue Permit
Notes:
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to App • nt
Okay to Issue Permit: Yes No ❑
Date Routed to Building:
� 1
Page 2 of 2
I:\CURPLIY\Masters\Development Code Provision RevieWDCPR_COM_WithLandUse.doc Rev.01/16/13
FOR OFFICE USE ONLY-SITE ADDRESS: /45"6 SL`) /7//9- 6- a- t i/�
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.
'PI City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
a Transmittal Letter
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: p,J e , 1 DATE ►0 VED:HATED
DEPT: BUILDING DIVISION -
AUG 2 2 2013
FROM: i7-i4 e &jam-�11__- CITY OFTIGARD
BUILDINGDIVISION
COMPANY: -Iit..t PH eper j � 6Ni
PHONE: 5{+5Z •i(p & ) By.
RE: ��,5111 S ) S (Jj CT(�.-�/� A\I I� (PermiFNumbe24,1 - GO lb 7
ite Address
[a A L
'roject name or su.'ivision name ant of number)
ATTACHED ARE THE FOLLOWING ITEMS: •
Copies: Description: Copies: Description:
Additional set(s)of plans. Revisions: A121? 5
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: Z ft 11 .D Ge b f, Su,M e--1k rum) r-c- 1 p
1'f L . Pi Pi . .../11' . 'o1 ' At A N c-uL =
F O "
c 3- -'CO=!yP”,i Te %.£, c 4 %;- ' 2
FOR OF4I qE USE ONLY
Routed to Permit Technician: Date: •C f(q 11?j Initials:1a%0
Fees Due: ❑ Yes o Fee Description: Amount Due:
$
$
$
$
Special
Instructions: _
Reprint Permit(per PE): - -❑ Yes ❑No _ ❑ Done
Applicant Notified: Date: Initials:
!:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
' 5 -- •
. ••
•
...
. .
•
)1i43 •
•
95.:15:20
k
•
•
•
dr
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11565 SW HALL BLVD 180, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
May 5, 2014 at 10:24:37 AM
BUP2013-00167
Chip Barnett
Violation Summary:
Inspector Contractor