Permit n CITY OF TIGARD BUILDING PERMIT
III _ • COMMUNITY DEVELOPMENT Permit#: BUP2021-00241
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/24/2021
Parcel: 2S 102CB03101
Jurisdiction: Tigard
Site address: 12950 SW PACIFIC HVVY 245
Project: Spec Space Subdivision: FREWING'S ORCHARD TRACTS
Lot: 21
Project Description: TI:Interior remodel,remove a staircase,and interior demo.
Contractor: PENCE NORTHWEST CONSTRUCTION Owner: SPRING GOLD LLC
PO BOX 2868 850 NW 122ND AVE
SALEM, OR 97308 PORTLAND, OR 97230
PHONE: 503-581-1905 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 11/23/2021 $332.27
Occupancy Grp: B Occupancy Load: 21 Demolition
12%State Surcharge-Building 11/23/2021 $39.87
Dwelling Units: 0 Plan Review 11/23/2021
$215.98
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 11/23/2021 $110.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/23/2021 $132.91
Value: $17,000 Info Process/Archiving-Lg$2.00(over 11/23/2021 $8.00
11x17)
Info Process/Archiving-Sm$0.50(up to 11/23/2021 $6.00
Floor Areas:
11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $845.03
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:
Nrrl l y V/AM,Dv,Weye 0 vti A Y-t1r-1'..ccutt-O-tA,
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.
RECEIVED
e BuildiiigYermit Application
OCT 6 2021
Commercial 1'012 OE FIt I USE()NIA'
t CM!OF TIGARD Received �o`��'-Z,� Tr Petmifl�a.:(�UYZ�U—Uvz l
City of Tigal-d �twa�:
.1111 e " 13175 SW Hall Blvd.,Tigard,OR 978U1LDI4G DIVISION Plan Review 1 h _a? a ��� Related Permit:
I • Phone: 503-718-2439 Fax: 503-598-1960 Date/f.. V
DateReady/ny: //� 7(� See Page 2 for
1 I t A R U Inspection Line: 503-639 1175 Notified/NettimP ` J �I Supplemental Information
f' Internet: www.tigard-or.Eov
_.TYPE OF WORK REQUIRE)DATA I-AND 2-FAMILY DWELLING
Permit fees*are based on the value of the work perforated,
El Demolition
New construction _ Indicate the value(rounded to the nearest dollar)of all
r „cdAiTmJaltertttionheplacentenl 0 Other:
equipment,materials,labor,overhead,and the profit for the
�..._.
— work indicated on this application.
CATEGORY OF CONSTRUCTION ___. Valuation: $
l�Comtnercial/induslrial T
❑1-end 2-family dwelling + Number of bedrooms: I
"`�" -___ ❑Multi-family �._mbe _� i
€ ❑Acce sory buildingNumber of bathrooms:
—__.
❑Ot11et'.
❑Master builder —._ _.__.._..
_ _
l.qs—� JOB SITE INFORMATION AND LOCATION Total number of floors:_
�t New dwelling area. square
Job site address: t .� 1Cr'1 F' 1 I✓ .-_.._ _.__,� : . , ,
/Y /+� ` i Garage/carport area: square feet
City/State/ZIP: V t✓ _.... .? CGS p4 ` ea""
�Suitelbtdg./apt.I;� 'roject name: Covered porch area: square feet
fir- ._._.�..._. .. _. ._.�....
-� / y Deck area: square legit i
Cross street/directions to job site: C LYi._.-t/1 1.-N.V r __
---- s uare reel
— Other structure area: •q
REQUIRED DATA:COMMERCIAI USE.CIIE CICI,IST
�.
• -- � Lot II: Permit fees*arc based on the value of'the work performed.
Subdivision: _- Indicate the value(rounded to the nearest dollar)of all
Tax m ,
aplparcel 11: - t equipment,materials,labor,overhead,and the profit for the
_� .„.. DESCRIPTION OF WORK work int''rued on tins aid licallon...
-00
_•,,,— .. t Existing bud ng area: square feet
C 0 N 6 r, 1jNptAAI N . �si4f t ding area: square feel
0 PR PERNumber of stories:
'TY OWNER �.—
1 10 f
.,....,._---- l ❑ TENANT Type of construction:
Name: S170rS' Grk,r7 1 1- . �•-.Iry _
Address: ice: I .,- . , • •+1 i'S c v 4- Occupancy groups:
City/State/ZIP: fo �7 c Fax:( ) New:
0 C�'-72Z5. Existing:
f Phon (' t 7 Li eJ N
iIAPPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
.-.,.r._-.. 'Please rdiy%.„ �_cktul .....___._ _._.
13nsiness name. l k�y4�[ ._ — •yip S'�I' -1 C.-- Structural plan review Ice(or deposdl):
Contact name: ^,,,.r I.LS pine review fee(i applicable):
Addtecs: —
_ _ Total fees due upon application:
City/State/ZIP: I t I c - li_I Amount received:
Phone:( 1 _'3 -j -i _----I Fax:: — PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: I+j/V I/ ► v'V' Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
__1 �t1.S1.c i Submit two(2)sets of roof plan with connection details
Business name: and lure department access,along with the 2010 Oregon
+ C7 ' ,1 _ Solar Lrsfaliation Specialty Code checklist,,
Address: ,�__ '—` T— Permit fee(includes plats review SI80.00
City/Slate/Z P: /�'� and administrative fees);_ __.
Phone:40p,cer 1 � Fax: State surcharge(12%of permit fee): $21.60
�_�GC13 Lic.: C 2 'Total fee due upon application: 5201.60
this permit application expires if a permit is not obtained
Autluttizc siEttatu within 18(1 days after it has been accepted as complete.
D Fee methodology set by'fri-County Building Industry
I'rsttt out*: _ N te: G� Service Board.
1:1Buildineetmits BUP_COM._PernutApp,doc Rev.04/2 1(2014 440-4f 13'1'(I I/02/COM/WE13)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
1111 la 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,
excluding painting and wallpapering: [1 I $ U I o
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:
e^
(a) Parking 4111,1"-1.', IC,
(b) An accessible entrance: .-u L S r& $
(c) An accessible route to the altered area: A-''r $
(d) At least one accessible restroom for each sex or a single unisex
restroom � 1� $ 1,0e
(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
['1GAKU 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 ❑ suite number
❑ zoning ❑ applicant name ❑ 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. IKIT 1
f Aoff. O WI
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no reclines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan. OAT
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan. N�
F. Seismic bracing detail for suspended ceiling. f v061-•
G. Roof plan. pit
/�
H. Exterior elevations. t'"A /
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
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
" Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
G"A R D 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:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: P2L32 (— 002/4 1 J'i-' It
Site Address: 17,10 y 5VJ' Pae,t Pic, }-{(A) On n Suite/Bldg#: all
y
Project Name: 5 f` s ,
(Name o commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review n 1 Q�
Proposal: �r'l�` r-e Mo- ( grit `�1S- Fr il- £ ' `e_ S xy ✓�i1/�0 us/ee7 �
ct. b LAIC,k�i-e ► r - S:c l'e-C t-"I v e. t IiI i C,i r Wl o t IA 010 ic t i^, dP'►u
t/Wkno Arai
Existing Business Activity: (/�advt.n fe ,l,-,
Proposed Business Activity: 5e.e...6
E $c .e,
M Verify site address/suite# exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes A No
Vii Zoning: C, 6
[ J Permitted Use: ❑ Yes ❑ No %t Spec Space
Ct Confirm no land use required.
❑ Business License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: 4/0 ,
Date: Cd/ qZe7---f
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved E Not Approved
Building Permit Submittal
Original Submittal Date: 1 Q`, I 2 1
Site Plans: # rj.>
Building Plans: #
Building Permit#: 0 Enter building permit# above.
Workflow Routing: ® Planning >vd�Permit Coordinator " Building
Workflow Sign-off: Q Sign-off for Planning(include notes from planning review)
Route Application Documents: C. Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: ..j d ?,S0 egSitr,„, Date: /011/j21
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse l 11819.docx
Permit Coordinator Review
Conditions "Met"prior to issuance of building permit
El 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 N/A
Tigard Trans SDC: ❑ Yes 0 N/A
Parks SDC: ❑ Yes / N/A
/e OK to Issue Permit
Approved by Permit Coordinator: 4, Date: 10(14204
1::\Building\Forms\BldgPennitRvw_COM_NoLandUse 111819.docx