Permit CITY OF TIGARD BUILDING PERMIT
i : COMMUNITY DEVELOPMENT BUILDING
BUP2022-00003
Date Issued: 1/31/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S 102 BD01900
Jurisdiction: Tigard
Site address: 12930 SW PACIFIC HWY 111
Project: Hudson Plaza Subdivision: FREWING ORCHARD TRACTS Lot: D
Project Description: TI-work to include:light demo,divide existing suite into two suites,create interior entry doorway to each suite.
Upstairs to have new casework and sink.
Contractor: OWNER Owner: SPRING GOLD, LLC
1355 SW 97TH AVE
PORTLAND, OR 97225
PHONE PHONE: 503-715-5847
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 01/27/2022 $301.85
Occupancy Grp: B Occupancy Load: 5 Demolition
12%State Surcharge-Building 01/27/2022 $36.22
Dwelling Units: 0 Plan Review 01/10/2022 $196.20
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 01/27/2022 $110.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 01/27/2022 $120.74
Value: $15,000 Info Process/Archiving-Lg$2.00(over 01/27/2022 $14.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $779.01
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: Edgard-0-Maldonado Permittee Signature: g.€L- ar-p-U-C-0-44.4-0_'
•
•
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 --r - 121I 12I
Commercial RE ;�E� FOR OFFICE USE ONLY
Received,�] .iI7AN Permit No.:yyy{���y'''/I////�yyyJ,,�,^/+/�/^ �qy
City of Tigard Date/By:a* 2022 .r� 2O,22 ✓
's 13125 SW Hall Blvd.,Tigard,OR 97223 - e)nq plan Review Till
• i — • C ) [1121 1"1 g.�Z T j Related Permit:
Phone: 503-718-2439 Fax: 503-598-1960 - Dat/By: /
Inspection Line: 503-639-4175 Date Ready/By: ® See Page 2 for
TIGARD Internet: www.tigard-or.gov CIS of flGARD N ified Method Supplemental Information
BUILDING OIVIS!ON
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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ri Commercial/industrial
ElAccessory building El Multi-familyNumber of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12930 SW PACIFIC HWY. (Sr//1-///1t 5) New dwelling area: square feet
City/State/ZIP:TIGARD, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#:SUITE3III Project name: HUDSON PLAZA#113 Covered porch area: square feet
Cross street/directions to job site:SW PACIFIC HWY. AND SW WALNUT PL. Deck area: square feet
Other structure area: square feet
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REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I 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.
T.I. WORK TO AN EXISTING SUITE.TO INCLUDE: LIGHT DEMOLITION, A Valuation: $ 15,000
SEPARATION OF THE EXISTING SUITE INTO TWO,THE CREATION OF AN Existing building area: 3,689 square feet
INTERIOR ENTRY DOORWAY TO EACH SUITE. UPSTAIRS TO HAVE NEW
CASEWORK AND SINK. New building area: 0 square feet
EI PROPERTY OWNER ❑ TENANT Number of stories: 2
Name:SPRING GOLD, LLC. Type of construction: VB
Address:1355 SW 97TH AVE. Occupancy groups:B
City/State/ziP:PORTLAND, OR 97225 Existing: g
Phone:( 503)348-5065 Fax:( ) New: B
0 APPLICANT I ) CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: SUM DESIGN STUDIO + ARCHITECTURE
Structural plan review fee(or deposit): /99.Z0
Contact name: ERIC HOFFMAN AND/OR HEATHER BOWERS FLS plan review fee(if applicable):
Address: 231 SE 12TH AVE.
Total fees due upon application:
City/State/ZIP: PORTLAND, OR 97214
Amount received:
Phone:( 503)715-5847 x107 Fax::( )
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
heather@sumdesignstudio.com or eric@sumdesignstudio.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:SPRING G . L.C. 064J yt er' Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 1355 SWS7 . AVE. Solar Installation Specialty Code checklist.
City/State/ZIP: F. ,LAND, OR 97225 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(5 ;348-5065 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: 1 ////}}} Total fee due upon application: $201.60
Authorized signature:�"�j ,Q,\., This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: HEATHER BOWERS Date: 11/30/2021 * Fee methodology set byTri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(1 I/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
a
■ 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 arc 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: [II $ 15,000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [21 $ 3,750
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 $ MET
(b) An accessible entrance: $ MET
(c) An accessible route to the altered area: $ MET
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ EXISTING
(e) Accessible telephones: $ MET
(f) Accessible drinking fountains:and, $ MET
(g) When possible,additional accessible elements such as storage and
alarms: $ MET
TOTAL(shall equal line [2] of Valuation Computation): $
NEW ACCESSIBLE SINK & $2,750
NEW ACCESSIBLE BREAKROOM
NEW ACCESSIBLE 1ST (113A) AND 2ND (113B) FLOOR $1,000
ENTRY WITH LEVER HARDWARE
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.tiaard-or.sov
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.
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.
1:\Building\Permits\BUP_COM_PcrmitApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tizard-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.
1:\Building\Permits\BUP_COM_Permitlpp.doc Rev.03/05/2019
City of Tigard
III COMMUNITY DEVELOPMENT DEPARTMENT
TlcnuD Building Permit Review — Commercial - No Land Use
Building Permit #: BUP2022- 03003
Site Address: 12930 SW Pacific Hwy Suite/Bldg#: 113
Project Name: Hudson Plaza
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: TI- split one suite into two
Existing Business Activity: /�_
Proposed Business Activity: IV�I
W Verify site address/suite# exists and active in permit system.
51 River Terrace Neighborhood: ❑ Yes g7 No
X Zoning. C-G
'Permitted Use: ❑ Yes ❑ No '21- Spec Space
X Confirm no land use required.
Isla—Business License:
Exists: ❑ Yes E No,applicant was provided a business license application
Notes:
Approved by Planning: IA Date: / /( Z Z
r
Revisions (after Building Submittal only Reviewer Datc
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: 12//D1/20ZI
Site Plans: # .3
Building Plans: # 3
Building Permit#: [nter building permit# above. ��
Workflow Routing: ['Planning 0 Permit Coordinator L7 3uilding
Workflow Sign-off: E"---Sign-off for Planning(include notes from planning review)
Route Application Documents: E"-Building original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes: ,
By Permit Technician: / Date: D00/262-2_.
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx
Permit Coordinator Review
Nl rConditions "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:
4 SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes j7f N/A
Tigard Trans SDC: ❑ Yes 0 N/A
Parks SDC: ❑ Yes N/A
OK to Issue Permit
Approved by Permit Coordinator: F(�� Date: lit i 12,0
1:\Building1Forms\BldgPermitRvw_COM_NoLandU se_11 1819.docx