Permit (177) IN
CITY OF TIGARD BUILDING PERMIT
' COMMUNITY DEVELOPMENT Permit#: BUP2016-00329
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/21/2016
Parcel: 2S 110DCO2200
Jurisdiction: Tigard
Site address: 15660 SW PACIFIC HWY A-4
Project: Tea Massage Subdivision: 1997-016 PARTITION PLAT Lot: 2
Project Description: Add(3)new walls for massage rooms&(1)shower stall.
Contractor: PORTLAND COMMERCIAL CONSTRUCTION LLC Owner: ROIC OREGON LLC
9215 NE 81ST WAY ATTN: SCHOEBEL, RICHARD
VANCOUVER,WA 98662 8905 TOWN CENTRE DR, STE 108
SAN DIEGO, CA 92122
PHONE: 503-209-1857 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 11/21/2016 $90.00
Occupancy Grp: B Occupancy Load: 33 Permit Fee-Additions,Alterations, 11/21/2016 $453.95
Dwelling Units: Demolition
12%State Surcharge-Building 11/21/2016 $54.47
Stories: 1 Height: ft Plan Review
11/21/2016 $295.07
Bedrooms:
Bathrooms: Plan Review-Fire Life Safety 11/21/2016 $181.58
Value: $25,000 Info Process/Archiving-Sm$0.50(up to 11/21/2016
$1.00
11x17)
Floor Areas:
Total Area: 1993
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $1,076.07
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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
952-001-11 a ..., OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 )0.332.2344.
v
Iss •d By: _/ /_ .` _I Permittee Signature: " �
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
a
Commercial
FOR OFl 10E i O\1.1 \
City of Tigard NOV7 Received 7
)O t j { A Permit No.:/ 96/(0- 3").9
Ihl g 13125 SW Hall Blvd.,Tigard,OR 97223 ; ' Date/B
_ Phone: 503-718-2439 Fax: 503-598-1960 , ,, PplaatnReview
Date/B : j _ Related Permit: p ' /u QQ U7
T I G A k D Inspection Line: 503-639-4175 " Date Reai',77 1 Juris: ® See Page 2 for
Internet: www.tigard-or.gov ,, , Notified/Method:
1 z A :,„,,.,,,j,,,
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.
Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling X Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
ElMaster builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:/6-44:41 w n Ad, Q ?
ow J y New dwelling area: square feet
City/State/ZIP: `CA e9 R. II", 1 e.4 Garage/carport area: square feet
Suite/bldg./apt.#: `4. LiProject name:TEA 7�/a /7)Agelere 4 Foot' Covered porch area: square feet
Cross street/directions to job site: 69,4 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.
Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
Q,/� L,� �,/�
DESCRIPTION�O�F�pWORK 'n work indicated on this application.
S'IYW aI z i As(vele ! D RyGC Valuation: $ 1<
S[K.KL DV a MA IIM q ao0,46 Existing building area: I q(� square`arfeet
I .
e garea+ square feet
0 PROPERTY OWNER 0 TENANT Number of stories: 1
Name:
Type of construction:
Address:
Occupancy groups:
City/State/ZIP:
Existing:
(`.. Phone:( ) Fax:( )
New:
0 APPLICANT
0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
I Contact name: Structural plan review fee(or deposit):
Address: FLS plan review fee(if applicable):
City/State/ZIP: Total fees due upon application:
t
Phone:( ) Fax::( ) Amount received:
pE-mail: e P0oe�j 41 -CC_CO`� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR - Commercial and residential prescriptive installation of
/ roof-top mounted Photo Voltaic Solar Panel System.
Business name: ()oar'A 1e 4 MXt Pi eci Az. colic t. 4� Submit two(2)sets of roof plan with connection details
S Address: Q �eC.� I and fire department access,along with the 2010 Oregon
V `air- �a ,/ SC (pia 4' Solar Installation Specialty Code checklist.
v City/State/ZIP: vp . LA.)/1. Cte/_6a- Permit fee(includes plan review
tJ and administrative fees): $180.00
Phone:(CO3)OBJ 1 '`s `7 Fax:( )
CCB Lic.: go R g 5-9 ¢/6-1 g State surcharge(12%of permit fee): $21.60
( Total fee due upon application: $201.60
Authorized signature: !. This permit application expires if a permit is not obtained
_ within 180 days after it has been accepted as complete.
Print name:�to 20 v14 5"# of;$1) Date: I/— 7 -/6 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Petmits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
a Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tiard-o .gov
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: $
(fl 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.12/18/2014
City of Tigard
'I COMMUNITY DEVELOPMENT DEPARTMENT
ohN
T1cARD Building Permit Review — Commercial - With Land Use
Building Permit #: -Fat t Pao/(Q-DO 3 09
Site Address: / o 1) A , , Suite/Bldg#: ,47—
Project Name: �, /lams .0
(Name of commercial bud ss occupying the space. If vacant,enter S ec Space.)
Planning Review
Proposal: "�'l, k) 71r
/Verify site address/suite# exists and active in permit syst
NA A''ver Terrace Neighborhood: ❑ Yes No
lL and Use Case#: M�J\2O,/' r, ('2'*_)::
Ltd Pla Mtatchl Approved Land Use:p1„,
�/
LJ Site Plan landscape Plan ther:
I Pi pp,� n
rban Forestry Plan Idi3levation Plan
�Buildin Height: /
g g Maximum Height s Actual Height Ajo Cid _.e
10 onditions Met:
GI
Prior to Submittal El Prior to Permit Issuance
Business License:
Exists: ❑ Yes No,applicant notified to obtain business license
!%fr1 ublic Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notifiedo Applied For: ❑ Yes ❑ No, stop intake
Notes:
Approved by Planning: Date: 1 fr-
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: El Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: /(//7 4,6
Site Plans: # 3
Building Plans: ##
Building Permit#: B—Enter building permit#above.
Workflow Routing: ErPlanning U--ElpLueering, ❑ Permit Coordinator ❑ Building
Workflow Sign-off: El"Sign-off for Planning(include notes from planning review)
Route Application Documents: Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: 1 D bvvt I ex__ +6, /"A'`5 B-i& 2 z _ . v l e
By Permit Techt nia : ( CaD
Date:
I:\Building\Forms\BldgPermitRvw_COM_WithLandUse 060116.docx
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#:
❑ Conditions"Met" for to issuance of building permit
❑ Easements (encroach ents)per engineering conditions of approval and, at(not typical on SDR/CUP)
❑ Water Quality/Quantity acility:
Assess Water Quality e in-lieu: ❑ Yes ❑ No
Assess Water Quantity F in-lieu: ❑ Yes ❑ "'o
LIDA Facility on lot: ❑ Yes 5V No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: Date:
Revisions (after Building Sub' ittal only) Reviewer Date
Revision 1: ❑ Approve. ❑ Not Approved
Revision 2: ❑ Appro -d ❑ 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
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
(G7
• y .(415)‘1\'
1:\Building\Forms\B1dgPermitRvw_COM_WithLandUse_070915.docx
Albert Shields
From: Albert Shields
Sent: Thursday, November 17, 2016 6:24 PM
To: Debbie Adamski
Subject: Tea Massage & Foot Spa
Debbie, I figure that there is no TDT, TSDC, or Parks due. This new use will probably generate no more traffic than the
prior use. Albert.
1
City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
Appointment Checklist
Permit Record#: —6 .P ao I to--Oa 3a 9
Contact Name: p.c6 e Phone #: S03 -ao 9 in-- 7
Business Name: Porilcv✓el 6,,, 60/ Appt. Date/Time: J///71p, (".--J_ ;A
Site Address: /,S-(y(004(c,=4;r 70.4.y Bldg/Suite#: A-y
Project Name: Te.et
Project Description: 7-;:i_..-. - /1nr,,,,.J . f-; (31J c.,/,,//,- 7 v N a,3 rZb j ,e2.,44f
I i� ,.7A0..)X�.
Existing Use: New Use: B
MMD Required: R'Yes ❑ No Related Record#:
GENERAL INFORMATION
Class of Work: NOccupancy Group: Type of Construction: t
Type of Use: Occupancy Load: Oregon Specialty Code: 7
SPECIFICS l
Number of Stories: 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: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: nine: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 -df,(3
$ p 146 DC Prov Rvw,COM TI—Ping
$ '4rir Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2016) $ -WIMP' 12%State Surcharge
Project Valuation $ A.&415.0 Plan Review,Structural
Up to$4,999
$5,000-$74,999 $0.00 $ "T+j Plan Review,Fire Life Safety
$90.00 $ Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $224.00
$150,000 and over $ (f� Info Proc/Arch,Sm(up to 11x17$0.50)
$357.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other: ,
Date/Time: $ (O74 �O oTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070116.docx