Permit CITY OF TIGARD BUILDING PERMIT
* COMMUNITY DEVELOPMENTill Permit#: BUP2021 00200
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/20/2021
Parcel: 2S110DCO2300
Jurisdiction: Tigard
Site address: 11545 SW DURHAM RD B-1
Project: Spec Space Subdivision: 1998-128 PARTITION PLAT Lot: 1
Project Description: Restroom-replace toilet,relocate sink and modify layout to meet ADA. Provide new suspended ceiling and LED
lighting. New office entry door and relocate window.
Contractor: PACIFIC CREST STRUCTURES INC Owner: HIP WILLOWBROOK LLC
17750 SW UPPER BOONES FERRY RD SUITE BY HARSCH INVESTMENT CORP
190 PO BOX 2708
DURHAM,OR 97224 PORTLAND, OR 97208
PHONE: 503-968-8949 PHONE:
FAX: 503-598-6658
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 10/19/2021 $696.39
Occupancy Grp: B Occupancy Load: 5 Demolition
12/o State Surcharge-Building 10/19/2021 $83.57
Dwelling Units: 0 Plan Review 09/07/2021 $452.65
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 10/19/2021 $110.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/19/2021 $278.56
Value: $46,400 Info Process/Archiving-Sm$0.50(up to 10/19/2021 $2.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,623.67
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: Ho-U,j Va.,De, Wege- Permittee Signature: wt,Ato-r,,tic-Mio-Pt
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 E 8(1012,
Commercial ' s jJ FOR OFFICE USE ONLY
AUG 1DReceived �Q
Cityof Tigard Permit No. '
II w 131 SW Hall Blvd.,Tigard,OR 97223 2021 Plan Re:e �R .ZO.2/ P��{��
g Plan Reviewq Phone: 503-718-2439 Fax: 503-598-1960 y. � is'a Related Permit:
CITY Y OF TIGARD DateB
T 1 GAR D Inspection Line: 503-639-4175 Date Ready/By: El See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION otified/Method: l_ Supplemental Information
TYPE OF WORK REQUIR DATA:1- D 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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building El Multi-familyNumber of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11545 SW DURHAM ROAD New dwelling area: square feet
City/State/ZIP: TIGARD OR 97224 Garage/carport area: square feet
Suite/bldg./apt.#: B1 Project name: VVILLOWBROOK B1 TI Covered porch area: square feet
Cross street/directions to job site: HWY 99 AND SW DURHAM Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 1998-128 PARTITION PLAT LOT:1 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.
(E) RESTROOM TO REMAIN; REPLACE (E)TOILET, RELOCATE (E) Valuation: $ 46,400
SINK AND MODIFY LAYOUT TO MEET ADA. PROVIDE NEW Existing building area: 13,583 square feet
SUSPENDED CEILING AND LED LIGHTING. NEW OFFICE WITH NEW
ENTRY DOOR AND RELITE WINDOW. New building area: 0 square feet
® PROPERTY OWNER 0 TENANT Number of stories: 1
Name: HARSCH INV. PROPERTIES Type of construction: IIIB
Address: 1121 SW SALMON ST. #400 Occupancy groups:
City/State/ZIP: PORTLAND OR 97205 Existing: M
Phone:( 503)242-2900 Fax:( ) Nee: B
ISI APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: INK BUILT ARCHITECTURE (Please War m fee schedule)
Structural plan review fee(or deposit): 1 .66
Contact name: MELYNDA RETALLACK
Address: 2808 NE MLK JR BLVD. STE G FLS plan review fee(if applicable):
City/State/ZIP: PORTLAND OR 97212 Total fees due upon application:
Amount received:
Phone:( 503)701-5277 Fax::( )
E-mail: MEL@INKBUILTDESIGN.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: PACIFIC CREST STRUCTURES Submit two(2)sets of roof plan with connection details
17750 SW BOONES FERRY#190 and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: PORTLAND OR 97224 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( 503)968-8949 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: 66915
,,�/ Total fee due upon application: $201.60
Authorized signature: /`.�l�y� s' This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: MELYNDA RETALLACK Date:8/5/2021 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I I/02/COM/WEB)
City of Tigard
1,1 COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 311P242(- 00
Site Address: 11545 SW Durham Rd Suite/Bldg#: B1
Project Name: Willowbrook TI
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Plarinu4 Revie►v
Proposal: TI
Existing Business Activity: Retail
Proposed Business Activity: Personal Services
1E Verify site address/suite# exists and active in permit system.
n River Terrace Neighborhood: ❑ Yes n No
® Zoning: C-G
® Permitted Use: ® Yes ❑ No ❑ Spec Space
® Confirm no land use required.
® Business License:
Exists: ❑ Yes ® No,applicant was provided a business license application
Notes:
Approved by Planning: ATM detiKeirb Date: 8/19/2021
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Buildiuk Permit Submittal
Original Submittal Date: Q //a/2c2f
Site Plans: #
Building Plans: # 3
Building Permit#: UQ Enter building permit# above.
Workflow Routing: L l tanning [ Permit Coordinator L Building
Workflow Sign-off: L9'Sign-off for Planning(include notes from planning review)
Route Application Documents: L"Building: original permit application,site plans,building plans, engineer and
beam calculations a . trust details,if applicable, etc.
Notes:
By Permit Technician: i "� Date: 017202-1
1:\Building\Forms\BldgPermitRvw_COM_No LandUse_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 Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 7'N/A
/ Tigard Trans SDC: ❑ Yes yf N/A
Parks SDC: ❑ Yes X' N/A
/ OK to Issue Permit
Approved by Permit Coordinator: Date: 8I I 1I2ail
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
" Accessibility: Barrier Removal Improvement Plan
IS
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 provide the greatest access. 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
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
_ " 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 El suite number
El zoning ❑ applicant name El 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:\Building\Pemuts\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
. " Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TtGAUD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-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 plan 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:\Build\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019