Permit (5) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2019-00325
Date Issued: 12/05/2019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S102BD02600
Jurisdiction: Tigard
Site address: 12965 SW PACIFIC HWY
Project: Lavender Spa Subdivision: NORTH TIGARDVILLE ADDITION Lot: 37
Project Description: Interior TI. No exterior changes.
Contractor: TIMES REMODELING LLC Owner: KIM, PENNEY
8326 SE TAYLOR STREET 395 NW SILVERADO DR
PORTLAND, OR 97216 BEAVERTON, OR 97006
PHONE: 503-856-5036 PHONE:
FAX:
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 12/05/2019 $241.01
Demolition
Occupancy Grp: B Occupancy Load: 9 12%State Surcharge-Building 12/05/2019 $28.92
Dwelling Units: 0 Plan Review 12/03/2019 $156.66
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 12/05/2019 $102.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 12/05/2019 $96.40
Value: $11,000 Info Process/Archiving-Sm$0.50(up to 12/05/2019 $1.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $625.99
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.
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Issued By: '• • -•• i.nature: 11 k ` i764.
Y 7 . ° )
il
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.
Bliilding Permit Application ``
Commercial wiz(Awl=icE Isl.0\1.1
I
City of Tigard Receivede ..._
13125 SW Hall Blvd.,Tigard,OR 97223 emir'i,h, � v', —'
NI ° g Plan Review
Phone: 503-718-2439 Fax: 503-598-1960 Date/By: Related Permit:
Inspection Line: 503-639-4175 Date Ready/By: 7uris: ® See Page 2 for
T 1 G A R D Internet: www.tigard-or.gov Aotified/Meth .l 417/4 '4 Supplemental Information
414
TYPE OF WORK 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling 0 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: /Z, 5 jLi) p ikt='�..1"(( f-" )/ New dwelling area: square feet
City/State/ZIP: y'7w[ 1 / ct 7 2 Z Garage/carport area: square feet
Suite/bldg./apt.#: Project name: f,Gevl61.4ct. Vi:, *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: I 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
„...\4\,i equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Pt 1 t 'ac561 . 11 0 6'S z>/ 6 Valuation: $ % . 670j- i?G�
����.� Existing building area: T square feet
'rc� kir l� hal`
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
V Name: 12F f'J N y N\ Type of construction:
%,v Address: I2..4 0 4j.ti (] ?(_It f l C_ Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
>\ j) //++ (Please refer to fee schedule)
Business name: 501A y 1.�^C/
Structural plan review fee(or deposit):
Contact name: Th. pan YIN
��� i---ii/ti
�� FLS plan review fee(if applicable):
Address: /Z / 6..r S w (-i
Total fees due upon application:
City/State/ZIP: —�-'o ef t 0 ZZ3
f 1 �j Amount received:
Phone:(b J�Lz �n D' I Fax: :( )
E-mail: C� 25 Z� ,#S'77�4 nM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
W 7 l� Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
_\ Business name: M� /� .,,,,,_ Submit two(2)sets of roof plan with connection details
NK
'l" i.- Ids""'C /jive and fire department access,along with the 2010 Oregon
4) Address: y _ 4GF _ Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
ty + �� �� 1- and administrative fees):
J Phone: SJ � – ���i� Fax:( State surcharge(12%of permit fee): $21.60
CCB Lic.: r 3 Total fee due upon application: $201.60
Authorized signature: mil .�/�y 461
This permit application expires if a permit is not obtained
. ' }✓1'1' within 180 days after it has been accepted as complete.
Print name: iA Date: * Fee methodology set by Tri-County Building Industry
�� Art
a. �� �� Service Board.
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I:\Building\Permits\BUP_COM PermitApp.doc Rev.04/21/2001r4 440-4613T(11/02/COM/WEB)
2. .�S97 (1 Eft, C0r*
I
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] $
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 p o.Tide the greatest u:.cess. 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.03/05/2019
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City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
11 Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 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. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking, including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations, plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit- based on valuation of project.
I:ABuilding\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
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City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
" Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigahu-or.,gov
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control pi.wn and
tree protection,if applicable)
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
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
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\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard
III COMMUNITY DEVELOPMENT DEPARTMENT
ill C
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: _ , j _ aZ
Site Address: 12- 63 �\,✓ . uc c-it wt' Suite/Bldg#:
Project Name: .(�.Gt vCl i&(r , C7
(Name of commercia business occupying the space. If vacant,enter Spec Space.)
Planning Review -,,
Proposal: n r�r r nu.," spV,cetij
o,'!. Lo . „AA
vExisting Business Activity: P_.trssiv1 .c vvitti
Proposed4.rify
Business Activity: " r+
site address/suite# exists and active in permit sysstee .
Lid"River Terrace Nei hb rhood: ❑ Yes L� No
c\.....,
C� L�o ing:
LEX-Confirm
y'I'�e mitted Use: es ❑ No ❑ Spec Space
[ 4 onfirm no land use required.
LLJ'liusiness License:
N Exists: ❑ Yes Ly'No,applicant was provided a business license application
Notes: 1"r t 4- L4iikt W\ G)c-prtSS wk,^Gt tkA1
1
A. Approved by Planning: ' � 7 Date: 12-3-11
', Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
X.. Building Permit Submittal
W Original Submittal Date: 1? (345
Site Plans: # 3
i Building Plans: # 3
Building Permit#: ►'.' nter buildin permit# above.
Workflow Routing: t Planning Permit Coordinator ❑ $tr` lding
Workflow Sign off: 2 Sign-off for Planning(include notes from planning review)
v Route Application Documents: n Building: original permit application, site plans,building plans,engineer and
t� beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: t . Date: 12 73 77,
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse l 11819.docx
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:
L�f SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes IE5 N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: Yes
IE N/A
❑ OK to Issue Permit
A roved byPermit Coordinator: Date:
PP
t9-/ f
I:\Building\Forms\BldgPermitRvw_COM_NolandUse_111819.docx
IO \\A',?7,O i G
Suite Tenant Square Footage Use Category
12955 Cricket Wireless 620 Sales-Oriented Retail Q 0 01 U
12957 Angeles Restaurant 620 Fast-Food Eating& Drinking Establishment v t
12959 Facial 620 Personal Services
12961 Torched Illusions 620 Sales-Oriented Retail
12963 Barber Shop 620 Personal Services
12965 Ace Cash Express 900 Personal Services
12971 Anderson Collection Agency 1,100 Office
12975 Hair Salon 1,400 Personal Services
12977 Hiller's Emblem Shop 2,250 Repair-Oriented Retail
12979 Anderson Collection Agency 1,450 Office
12925 Bomb Coffee 200 Fast-Food Eating and Drinking Establishment
TOTAL 10,400
3540 Personal Services
2550 Office
2250 Repair-Oriented Retail
1240 Sales-Oriented Retail
820 Fast-Food Eating& Drinking Establishment
10400 Total