Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2021-00003
TI GA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/8/2021
Parcel: 2S101 BB01500
Jurisdiction: Tigard
Site address: 12234 SW GARDEN PL
Project: Spec Space Subdivision: CROW PARK 217 Lot: 3
Project Description: Landlord work prior to TI:Demolition,a new demising wall for(2)new suites,and new partition walls.
Contractor: ALEGIS CONSTRUCTION INC Owner: BKM PARK BC 252 LLC
6900 SW ATLANTA ST SUITE 110 1701 QUAIL ST STE 100
PORTLAND, OR 97223 NEWPORT BEACH, CA 92660
PHONE: 503-427-6065 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB 12%State Surcharge-Building 02/08/2021 $168.95
Occupancy Grp: B Occupancy Load: 100 Plan Review 01/15/2021 $915.17
Dwelling Units: 0 Permit Fee-Additions,Alterations, 02/08/2021 $1,407.95
Stories: 0 Demolition
Height: 0 ft Address Fee 01/15/2021 $100.00
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 02/08/2021 $410.00
Value: $150,000 Plan Review-Fire Life Safety 02/08/2021
$563.18
Info Process/Archiving-Lg$2.00(over 02/08/2021 $14.00
11x17)
Floor Areas: Metro CET 02/08/2021
$180.00
Total Area: 0 Tigard CET-Non-Residential-Admin 02/08/2021 $60.00
Accessory Struct: 0 Tigard CET-Non-Residential-AH 02/08/2021 $1,440.00
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $5,259.25
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: 1{o7 ' w yavl/De,Wege Permittee Signature: QApp .ton
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.
duildin! Permit Application BIZ�I�-� J 1 S
Commercial FOR OFFICE USE ONLY
"Er
City W Tigard R E C E 7 e Permit No.: /�
Ph one S50 Hall Blvd.,9 Tigard,012 97223 emy` / iiki, rod?— Af' /riaj
Phone: 503-718-2439 Fax: 503-598-1960Plan Review
A U 3 2 3 2020 Datemr Related Permit:
T1cAitU Inspection Line: 503-639-4175 Date Ready/By: / / lurk0 See Page 2 for
Internet: wwwttigard-or.gov Ci T -, Notifie ethod:04 / -
�r f a/�, �i= / ,/� t `�j`. Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction til Demolition Permit fees*are based on the value of the work performed.
Addition/alteration/replacement 0 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.
❑ I-and 2-family dwelling X Commercial/industrial Valuation: S
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder,', .j )7' ,3 ip,❑Other: — Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: .�W Cr, New dwellingarea q
p t+G JC. square feet
City/State/ZIP; s 5 ate..� , IZ -t'fl Garage/carport area: square feet
Su'e/bldg.Ja�t.#: / Project name:
r � Covered porch area: square feet
Cross street/directions to job site: 3P-C..- - CZ:
S,l � ( � ��Z,, '„�,., Deck area: square feet
W 1 ?Ott t f t 8 (J itit 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
�// DESCRIPTION OF WORK 1 r work indicated on this application.
Zr)TG:G! ono r f't-C1vr1 Cif 1 DP �► e kis4. toAm. Valuation: S /PI f(
1 013 . /i25-6,'Tie At 9-r- //6ig11r/ice trig-E-/,) 77) Existing building area:yS 97$3 square feet
re `'r/'L i`TF-7r7V4 A/r j-' -r-ie71/; - /n.) r=-9CEf cAle_ fi New building area: square feet
PROPERTY OWNER ❑ 'TENANT y;''` er of stories:
Name: Ilk M If 6` ( �00 A ! 22 Y, C et 0r Type of construction: f��$
Address: 17-o f Q J0.'.t $ L Sk }1,00
Occupancy groups:
City/State/ZIP: Al et.,,j .or f- By. G t C14- a 2�t�i O Existing: 'J T3 l 5 t
,1
n)
4 F• /
Phone:c9 301— 12y/ I Fax:( ) t
PPLiCAN'T New: )3 S 1
❑ CONTACT PERSON BUILD NG PERMIT FEES*
Business name: i[,`►p 0 G p'�f eel I /4t...G I_ ,.P r (Please refer to fee sclle lnft)
Contact name: (. !rl j- Structural plan review fee(or deposit):
Mork. pyyl;,(iex1F-er
Address: `32 �.�e�-x^^ c Lv 1 i R.k.i S�.. 3( Q FLS plan review fee(if applicable):
City/State/ZIP: 1r i+„tC t 612 1 Total fees due upon application:
Phone:(dp 2 bet- 2466 Cr' Fax::( ) Amount received:
E-mail: t I PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
e a on r.}C -t-L'f- ii. , ;ei C . Co t
CON CTOR Commercial and residential prescriptive installation of
\"V"u (e w` roof-top mounted PhotoVoltaic Solar Panel System.
Business name: D �`e5 t S C bhs` ", Submit two(2)sets of roof plan with connection details
Address: J and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
Phone:(SS)1{71—6,00 5 Fax:( ) and administrative fees):
r1 I State surcharge(12%of permil fee): $21.60
CCB Lia: ,Y`k(pit
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
r within 180 days after it has been accepted as complete.
Print name: Mar], f Mtn rye Date: g/2 c/2 Za * Fee methodology set by Tn County Building Industry
tl Service Board.
L•lBuilding\Pennits\BUP COM_PemutApp.doc Rev.04/21/2014 440.4613T(11/02/COM/WEB)
1111 City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
a
ammommimmi
Building Permit #: 614P' / -ecoo3
Site Address: 12234 & 12236 SW Garden PI Suite/Bldg#:
Project Name: BKM Management Company
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Landlord work; splitting 1 tenant space into 2 spaces and other interior work
Existing Business Activity: Office
Proposed Business Activity: Spec space
❑. Verify site address/suite#exists and active in permit system.
❑o River Terrace Neighborhood: ❑ Yes LI No
❑ Zoning: C-G
ElPermitted Use: U Yes U No U Spec Space
❑ Confirm no land use required.
❑o Business License:N/A
Exists: 0 Yes ❑ No, applicant was provided a business license application
Notes:
Approved by Planning: Date: 9/23/20
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date:
Site Plans: #
Building Plans: #
Building Permit#: L!Y>✓nt uilding ermit#above. � � '�
Workflow Routing: fa,nning ermit Coordinator III-ti�dtng
Workflow Sign-off: L4YSlgn-o f for Planning(include notes from planning review)
Route Application Documents: wilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: , ",,, t-til4t' „v2, if •. ! - I .—Zil k errelen/G/ or? ///;0/ a% -.-er
149 i' v
By Permit Technician: Date: I//r/a1 ir--641,
T
1:113 uilding\Forms1Bl dgPemt itRvw_COM_NoLandUse_111819.docx
Permit Coordinator Review
;i Conditions "Met"prior to issuance of building permit
II Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
R
iO
47
ision Notice 3: Date Sent to Applicant:
4
C Fees Entered: Wash Co Trans Dev Tax: ❑ Yes A
Tigard Trans SDC: III Yes /A
Parks SDC: Yes N/A
K to Issue Permit
Approved by Permit Coordinator: — (-------._! " Date: //'. A/
I:\Building\Forms\BldgPe nnitRvw_COM_Nol.andU se_1 11819.docx