Permit "WOIlk
.
CITY OF TIGARD BUILDING PERMIT
: * COMMUNITY DEVELOPMENT Permit#: BUP2021 00034
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/23/2021
TIGARD g Parcel: 2S102CC00500
Jurisdiction: Tigard
Site address: 13500 SW PACIFIC HWY 86
Project: Columbia Bank Subdivision: None Lot: None
Project Description: Interior TI-new partitions,ceiling and finishes throughout
Contractor: MONTGOMERY CONSTRUCTION Owner: ROIC OREGON LLC
3755 AMBER STREET NE BY PROPERTY TAX RESOURCES LLC
SALEM, OR 97301 PO BOX 130339
CARLSBAD, CA 92013
PHONE: 971-915-2527 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 02/11/2021 $842.40
Demolition
Occupancy Grp: B Occupancy Load: 38 12%State Surcharge-Building 02/11/2021 $101.09
Dwelling Units: 0 Plan Review 01/28/2021 $547.56
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 02/11/2021 $103.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 02/11/2021 $336.96
Value: $65,000 Info Process/Archiving-Lg$2.00(over 02/11/2021 $20.00
11x17)
Tigard CET-Non-Residential-Admin 02/11/2021 $26.00
Floor Areas: Tigard CET-Non-Residential-AH 02/11/2021 $624.00
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,601.01
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: I A.)D Permittee Signature: cy\ a pp 'LEI
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 Ii di
Commercial �� FOR OFFICE USE ONLY
City of Tigard . �ateBy Ol 27 202/ ' Permit No. ( Qz1 .
11111 v 13125 SW Hall Blvd.,Tigard,OR 97223 i1 2Oq! Plan Review
Phone: 503-718-2439 Fax: 503-598-1960 JAN f� Q L Gt Date/By: .., Related Permit:
1 1 C A RD Inspection Line: 503-639-4175 Date Ready/By: Jaris: 0 See Page 2 for
Internet: www.tigard-or.gov QTY 1<1�AR� Not' ed/Method Supplemental Information
ROWING DIVISION
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 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
NI 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-familydwellingValuation: $
❑ �Commercial/industrial
Accessorybuilding Number of bedrooms:
❑ ❑Multi-family
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13500 SW Pacific Hwy Ste 86 New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: Columbia Bank 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: Lot//: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#: equipment,materials,labor,overhead,and the profit for the
I-_1 DESCRIPTION OF WORK work indicated on this application.
Interior tenant improvement for Columbia Bank. New partitions, ceiling, Valuation: $ 65,000
4!
...-� finishes throughout. Existing building area: 6,385 square feet
0 New building area: N/A square feet
CL 0 PROPERTY OWNER III TENANT Number of stories: 1
I
Name: Columbia Bank c/o Sean Lewis Type of construction: V-B
411 Address:521 0 74th St West Occupancy groups: 3 g o G G
City/State/ZIP: Lakewood, WA 98499 Existing: B
...... Phone:(253)471-5000 Fax:( )
New: B
0 APPLICANT 1111 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Studio 3 Architecture, Inc. Structural plan review fee(or deposit): 547$(,
Contact name: Matt Johnson
FLS plan review fee(if applicable):
Address: 275 Court St NE
Total fees due upon application:
City/State/ZIP: Salem, OR 97301
Phone:( 503) 390-6500 Fax: :( ) Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: matt@studio3architecture.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Montgomery Construction Group Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 3755 Amber St NE Solar Installation Specialty Code checklist.
City/State/ZIP: Salem, OR 97301 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( 503)390-6500 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 215124 /fc j,Z) Total fee due upon application: $201.60
Authorized signature: ;i,4`f�s / This permit application expires if a permit is not obtained
(40/ t
within 180 days after it has been accepted as complete.
Print name: 1 8/2021 * Fee methodology set by Tri-County Building Industry
Matt Johnson Date: 1/ Service Board.
I:1Building\Permits\BUP_COM_PermitApp.doc ev.04/21/2014 440-4613T(11/02/COM/WEB)
II26(21
City of Tigard
1111 q COMMUNITY DEVELOPMENT DEPARTMENT
r1cARD Building Permit Review — Commercial - No Land Use
n
Building Permit #: !3(-1 f�ZOZ f—®®034-
Site Address: /g,c700 ' ) i22ac Bl Suite/Bldg#: ga,
Project Name: Dkiia &.4(1
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 77 /Lem1-exaii*--
Existing Business Activity: L'S— oneArle44 re '/
Pro I,ased Business Activity: ,S
ri -rify site address/suite# exists and active in permit sys
0 ' ver Terrace Nei hborhood: ❑ Yes No
pVZoning: (7'
ermitted Use: V Yes ❑ No ❑ Spec Space
nfirm no land use required.
VJ Business License:
Exists: ❑ Yes No,applicant was provided a business license application
Notes:
Approved by Planning: Date: .2 .2i
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal ,� /
Original Submittal Date: Q�/20/202/
Site Plans: # c
Building Plans: # 3
Building Permit#: I2—Enter building permit#above.
Workflow Routing: I Planning LLTPermit Coordinator ki3uilding
Workflow Sign-off: ISign-off for Planning(include notes from planning review)
Route Application Documents: BBuilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: kW' // Date: pf
I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse 111819.docx
Permit Coordinator Review
WA-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 l N/A conctdercgt
Tigard Trans SDC: ❑ Yes < N/A `Sh009l„ ��"
Parks SDC: ❑ Yes ' N/A 11P ��`
XOK to Issue Permit
Approved by Permit Coordinator: Date: t 101 wz
1:\Building\Forms\B1dgPennitRvw_COM_NoLandUse_111819.docx