Permit Ph CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2021-00190
T I GAR 13 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/30/2021
Parcel: 2S 101 AA08700
Jurisdiction: Tigard
Site address: 12511 SW 68TH AVE 150
Project: Dr Snip Subdivision: WEST PORTLAND HEIGHTS Lot: 34
Project Description: TI-partitions,paint,carpet,ceiling and electrical
Contractor: NORWEST CONTRACTORS INC Owner: TIGARD TRIANGLE PROPERTIES LLC
PO BOX 25305 3232 SW FAIRMOUNT BLVD
PORTLAND,OR 97298-0305 PORTLAND,OR 97239
PHONE: 503-291-6986 PHONE:
FAX: 503-291-7036
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 08/19/2021 $872.52
Occupancy Grp: B Occupancy Load: 39 Demolition
12%State Surcharge-Building 08/19/2021 $104.70
Dwelling Units: 0 Plan Review 08/04/2021 $567.14
Stories: 0 Height: 0 ft Address Fee-per lot/suite(up to first 20) 08/04/2021 $50.00
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 08/19/2021 $110.00
Value: $69,000 Plan Review-Fire Life Safety 08/19/2021 $349.01
Info Process/Archiving-Lg$2.00(over 08/19/2021 $10.00
11x17)
Floor Areas: Tigard CET-Non-Residential-Admin 08/19/2021 $27.60
Total Area: 0 Tigard CET-Non-Residential-AH 08/19/2021 $662.40
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,753.37
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: HollyVc t'De'Wege Permittee Signature: Ovi4ppUcctto.vt
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 13_'7 7
Commercial 'RECEIVE: FOR OFFICE USE ONLY
City of Tigard Received D 0 A i i . 3UP2a2l oo�9v
- g J U L 2 7 2021 Date/By:nR 0 Permit No.
'� ]3125 S W Hall Blvd.,Tigard,OR 97223 Plan Revie
Phone: 503-718-2439 Fax: 503-598-1960 -• DateBy: �' i g' Z) Related Permit:
GI I Y OF 6 IG ii D
TIGAKD Inspection Line: 503-639-4175 t�'t� t^� Date Ready/By: luris: 10 See Page 2 for
Internet: www.tigard-or.gov BUILDING��+IVIJc Io ified/Method: / �/ 'TOSupplemental 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.
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�/ Valuation: $
❑ 1-and 2-family dwelling Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12 'S I k 5 Ay• Co.S:P-rik b,UE.., New dwelling area: square feet
City/State/ZIP: Tip t2.1r1....4,,t)b! mt(. CI
7 2 2 , Garage/carport area: square feet
Suite/bldg./apt.#: , O Project name: pc. i,,4 I P Covered porch area: square feet
Cross street/directions to job site: J V ,1- m rf .1., G, 1tJ Deck area: square feet
1.19 Aft PLC 7 2 WV 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 work indicated on this application.
Valuation: $ (ocl 000
-ri— 7�d°L/�i e-AgrrL �, �.421"c i ie* ,I
C.:/ ,u ze�� c Existing building area:7 7 3 , square feet
�C i L d� �` New building area: 1,4.A. square feet
i
OPERTY OWNER El TENANT Number of stories: 2,
Name: Ei/7 F.,,Q04-t)a,Lj. .,' fa c22 ex., Type of construction: V,,,tj
Address: 2 w' 1 . . uo , (o t-('t} 461‘51 fE., Occupancy groups:
City/State/ZIP: ?bjZ (...( 09 p et 7 . Existing: 9
Phone:(rj ep3 (bZ- 2 ct i Z Fax:( ) New:
[5AAPPLICANF 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name:Cot t2p,l,I it �,EE.. l.le 7 p`2,�1e
', !{ �` Structural plan review fee(or deposit): �w'l i•
IY
Contact name: vt -•ti Ls 0 p��1&,
'r FLS plan review fee(if applicable):
Address:3o 1.4 z 2 7 4.� �V
Total fees due upon application:
City/State/ZIP: p�-t'4,pf0( pra„1 7 `2
Phone:(450') ?y •v tii,t Fax: :( ) Amount received:
F;-mail: 00 s e-C-- � , r4�(vL PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
r Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: v kjve ..40-c- r ,---€0?„C7 Submit two(2)sets of roof plan with connection details
� and fire department access,along with the 2010 Oregon
Address: 1 Q '7•W , �X c i.5 L *�--,tzq Solar Installation Specialty Code checklist.
City/State/ZIP:• \)� L bo W,, t9� 7 Z Z 6 Permit fee(includes plaree $180.00
` and administrative fees):
Phone:40 3) 2,el 2 -6,.2(,,(0 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: g,ct L},Z, 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: 14 6..1 1 t5y Date.7/ 2/2c,z v' * Fee methodology set by Tri-County Building Industry
Service� Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) s 4. f rta 4 i 4-/
of'Tigard
III7 COMMUNITYCity DEVELOPMENT DEPARTMENT
TIGARt Building Permit Review — Commercial - No Land Use
Building Permit #: 13U202_1- 00 (90
Site Address: 2 $T 11 W Cg4' A X Suite/Bldg#: I
Project Name: `pp,. s'NP
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 1151VAN5r I WI((2-6Veit' -Oars
Existing Business Activity: Ofn( , (,rvteoicAL)
Pro�po d Business Activity: br'11c - CnnQ,oi�.�,,
ILJ ri site address suite#exists and active inpermit system.
a fY Y
ver Terrace Neighborhood: ❑ Yes ❑ No
yg: T V v
tted Use: ❑ Yes ❑ No ❑ Spec Space
zartrin
no land use required.
siness License:
Exists: ❑ Yes No, applicant was provided a business license application
Notes:
Approved by Planning: '— Date: D g/2(
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: 0/2 4021
Site Plans: # .3
Building Plans: # ,3
Building Permit#: enter building permit#above.
Workflow Routing: 2"-Planning ❑ Permit Coordinator EVuilding
Workflow Sign-off: [VSign-off for Planning(include notes from planning review)
Route Application Documents: Er-Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date:D /O /)o21
I:\Building\Fonns\BldgPe mitRvw_COM_NoLandUse_111819.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 Applican •
Revision Notice 2: Date Sent to App • ant:
Revision Notice 3: Date Sent to : .plicant:
❑ SDC Fees Entered: Wash raps Dev Tax: ❑ Yes ❑ N/A
Tig. • Trans SDC: ❑ Yes ❑ N/A
', ks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPennitRvw COM NoLandUse_111819.docx
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, ,,tt Q
excluding painting and wallpapering: [1] $ (p l�COO
MULTIPLIER(25(Yo 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: $ +-I Is.
(c) An accessible route to the altered area: $ ( /�•,
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ n►.
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $ thl b.
(g) When possible,additional accessible elements such as storage and
alarms: $ 4.4 Q. -
TOTAL(shall equal line [2] of Valuation Computation): $
4.4-5 SorTic. foU)-( Cf>tg.ri.4 e.tt5r
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
;14 " 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 P$N (3) copies - full ensional,drawn t scale and labeled wi
A. [g ap&tax lot# p oject name Ie address suite number
zoning plicant name one 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:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
Nikki Tuason
From: Nikki Tuason
Sent: Tuesday, August 3, 2021 2:58 PM
To: mjacobs@grayscaleworks.com
Subject: 12511 SW 68th Ave - Dr. Snip
Hi Mathiew,
I'm reaching out regarding the submitted TI for the proposed business Dr.Snip.Who was the previous tenant or
business that was occupying the space? Planning typically checks if the proposed business is the same use as the
previously existing business for new tenants
Thank you,
Nikki
Nikki Tuason
Assistant Planner
City of Tigard I Community Development
13125 SW Hall Blvd.
Tigard, OR 97223
nikkit@tgard-or.gov
1