Permit CITY OF TIGARD BUILDING PERMIT
fIII
• S , ' COMMUNITY DEVELOPMENT Permit#: BUP2020-00213
T I c;All 17 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/28/2020
Parcel: 1S136DC03300
Jurisdiction: Tigard
Site address: 11754 SW 72ND AVE
Project: The 72nd Subdivision: 72ND AVE APARTMENTS Lot:
Project Description: Commercial TI for new tenant,
Contractor: KEYWAY CORP Owner: 72ND AVENUE PROPERTY LLC
7275 SW HERMOSO WAY BY RICHARD CASSINELLI
TIGARD, OR 97223 4804 NW BETHANY BLVD#I-2
PORTLAND, OR 97229
PHONE: 503-684-5100 PHONE:
FAX: 503-684-5500
FEES
Specifics:
Description Date Amount
Type of Use: COM Permit Fee-Additions,Alterations, 10/27/2020 $149.75
Class of Work: ALT Type of Const: VB Demolition
Occupancy Grp: B Occupancy Load: 12 12%State Surcharge-Building 10/27/2020 $17.97
Dwelling Units: 0 Plan Review 10/02/2020 $97.34
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 10/27/2020 $102.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/27/2020 $59.90
Value: $5,000 Info Process/Archiving-Lg$2.00(over 10/27/2020 $2.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $428.96
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: ��
all 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.
BuiWine Pik Apolicatitm • g 23(2r) -
Commercial FOR OFFICE I •F. tivi 1
City of Tigard RECEIVE /D DZ 2!>2a Permi,No.ig(,6p2172.9 aJZ13
l 3125 SW Hatt Bled Tigard,., OR 47223 Plan Review 1 E
Related I�rmit:
Phone; t3-718-2A34 Fax 503-3' 14b(1 S E P 2 3 2020 °at F '4 0-19- 3-9 I ' f
Insgrcrixmlane: SOL3 ti34-4175 lar
nenI raba6acai 0 f 27143 V ; l 1G' ZSis°'r. k
nrnPr ' CITY OF T!GAHD
BUILDING DIVISION EM4i _ /4-y9")
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
111 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 0 Me.: equipment,materials,labor,overhead,and the profit for the
work toritimiedont e CATEGOR'Y OW CONSTRUCT/ON a
01-and 2-family dwelling , rummer ilindustrial k.
314
❑Accessory building ElMulti-family Number of bedrooms:
❑Master builder ❑(der: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Raid amber allows:
Job site address: 11754 SW 72nd Avenue New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt#: Project name: The 72nd ✓/ Covered porch area: square feet
Cross street/directions to job site: Baylor Street Deck area: square feet
Other structure area: square feet
1
Subdivision: Elnola Heights Lot#: 8&9 Permit fees*are based on the value of the work performed.
Tax map/parcel#: 1S136DC-03200 &3300 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_
New Commercial Tenant Improvement Valuation: S 5,000
Eairrant bniti g : 56-7 snare fret {
New building area: square feet
PROPERTY OWNER 0 TENANT Number of stories: 1
Name: 72nd Avenue Property LLC Type of construction: Masonry
Address: 4804 NW Bethany Boulevard, # I-2 Occ„pay :
CityiStradZIP. Pordavid,OR 97729 l' Existing:
Phone:( 503) 545-5217 Fax:( )
New:
0 APPLICANT k CONTACT PERSON BUILDING PERMIT FEES*
Business name: KeyWay Cole (Please referrofeeachederk�
Structural plan review fee(or deposit): 919e/
Contact name: Ryan Kawamoto
j ELS staanzeniew fee reapplicalsle): I
Address: /L/5 SW Hermoso Way
City/State/ZIP: Tigard, OR 97223 Total fees due upon application:
(i Amount received:
Phone:(503) 684-5100 .': `:(3oo) 991 -3W —1
E-mail: RYar�k j lei we-1 cor Fi. Cc -c-- PAOTOVOLTAICSOLARPANELSYSTEMFEFS•
Commercial and residential prescriptive installation of
CONTRACTOR
roo-ivorouncoBusiness name: Keyway Corp Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 7275 SW Hermoso Way Solar Le#alicdion Specialty Code clecklist.
City/State/ZIP: Tigard, OR 97223 Permit fee(includes plan review $180
.00
and administrative fees):
Phone:( 503) 684-5100 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 127522 1 Taal fee d6oe moan applicator 1 ,170J.f r
Authorized signature: This permit application expires if a permit is not obtain
within ISO days after it has been accepted as camp)'
* Fee rnethociologsy set by Tri-County Building Indust-
Service Bard.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I 1/02/COM/WEB)
City of Tigard
111111
RI COMMUNITY DEVELOPMENT DEPARTMENT
TiGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 50P202D vo 2/3
Site Address: 11754 SW 72nd Ave Suite/Bldg#:
Project Name: The 72nd
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Tenant improvement - all interior work
Existing Business Activity: Spec space
Proposed Business Activity: Personal services (beauty salon)
❑° Verify site address/suite#exists and active in permit s stem.
CIRiver Terrace Neighborhood: Q Yes No
❑r Zoning: TMU
❑r Permitted Use: H Yes U No U Spec Space
QConfirm no land use required.
0 Business License:
Exists: ❑ Yes ElNo, applicant was provided a business license application
Notes:
Approved by Planning: c Datr: 9/24/20
Revisions (after Building Submittal only) Reviewer Datc
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: og Z33 242O
Site Plans: # 3
Building Plans: #n 3
Building Permit#: Ly Enter buildinggermit# above.
Workflow Routing: Planning L I Permit Coordinator Building
Workflow Sign-off: Q J 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:
By Permit Technician: Date: /0-1:9Z-2OZO
I:\Building\FormsU3ldgPermitRvw_COM_NoLandUse_l 11 819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved, NOT Released: P ,te:
Notcs:
Revisions (after Building Submittal only) j
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applica •
❑ SDC Fees Entered: Wash Co Tr. • ev Tax: ❑ Yes ❑ N/A
Tigard ans SDC: ❑ Yes ❑ N/A
. s SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permi
Approved by Permit Coordinator: Date:
I:\B ui I ding\Forms161dgPennitRvw_COM_N oLandU se_11 1819.docx