Permit CITY OF TIGARD BUILDING PERMIT
' 1 ' COMMUNITY DEVELOPMENT Permit#: BUP2022-00044
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 3/3/2022
Parcel: 2S101AA09700
Jurisdiction: Tigard
Site address: 12585 SW 68TH AVE
Project: Pahlisch Homes Inc Subdivision: 1996-024 PARTITION PLAT Lot: 1
Project Description: Interior TI of existing office space and(4)new ext windows.includes addresses 12585& 12587 SW 68Th Ave.
Contractor: PAHLISCH HOMES INC Owner: SIXTY-EIGHTH AVENUE PROF CENTER LLC
210 SW WILSON AVE STE 100 210 SW WILSON AVE#100
BEND, OR 97702 BEND, OR 97702
PHONE: 541-385-6762 PHONE:
FAX: 503-213-6012
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 03/02/2022 $2,313.95
Occupancy Grp: B Occupancy Load: 49 Demolition
12%State Surcharge-Building 03/02/2022 $277.67
Dwelling Units: 0 Plan Review 02/11/2022 $1,504.07
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 03/02/2022 $434.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 03/02/2022 $925.58
Value: $300,000 Info Process/Archiving-Lg$2.00(over 03/02/2022 $16.00
11x17)
Info Process/Archiving-Sm$0.50(up to 03/02/2022 $12.00
Floor Areas: 11x17)
Total Area: 0 Metro CET 03/02/2022 $360.00
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $5,843.27
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: Edgar-c o-MaLalo'v‘.aolo- Permittee Signature: yew
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 01
Commercial FOR OFFICE I Si.c�.1 t
City of Tigard RECEIVES Keened �,,. ¢/��j//
14 .:„. DateBy:���/���/f Permit No.:W I 2-QC 44-•
sa 13125 SW Hall Blvd..Tigard,OR 97223 FEB 0 8 2022 Plan Review
Phone: 503-718-2439 Fax: 503-598-1960 a - .22 Related Permit
DatelBr; "` L
T t t A u D Inspection Line: 503-639-4175 Date Ready/By: Ira: 0 See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD ified/Method: �� Supplemental Information
BUILDING DIVISION . •/- —
TYPE OF WORK REQUIRE t'11 ATA:I-AND 2-FAMILY DWELLING
0 New construction I 0 Demolition Permit fees*are based on the value of the work performed.
151 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-and 2-family dwelling — -- pl,Commercial/industrial Valuation: $
CIAccessory building 0 Multi-family — Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: '25tb$--(2S8-7 5 IAr/d(5-S3 Sr New dwelling area: square feet
City/State/ZIP:T( C()I v,2 y'7 22-3 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: PA-4-4(--(5C&4 (11r1P1 ¶. . Covered porch area: square feet
Cross street/directions to job site:'$ &a T~ k S 5 BV O O
--- to 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.
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.
/NT12i()/Q- /N - iM! /gVv -a(3.1-1l-1G eyeetGE' Valuation: $ 30 o to v_
S( /PiJO ) N€w g E(CTo W S Existing building area:41 c?7 v square feet
New building area:4, lID square feet
PROPERTY OWNER /
— ❑ TENANT Number of stories:
Name: ?Prft...1 SCN I /yi ES Type
of construction: V
Address:2J v 5(,v Laic-5o1J f5''U' f S(41& /D 0 Occupancy
--- groups:
City/State/ZIP: �e-F,JO /0 X 770
Existing:
Phone:(9f O 3 SO-70 s{-r Fax:( )
New:
APPLICANT _ CONTACT PERSON BUILDING PERMIT FEES*
Business name: )\/0 V�L- c�1'-�jt i (� (Please refer ro/ee rebedrJe�---.
Contact name:-'se{fi t./ j, N tl U L Structural plan review fee(or deposit): j i) ,07
Address: g 3 g t:J 5 N t,r0E f2 57 Stf 1 FLS plan review fee(if applicable):
City/State/ZIP:'� (A- 10 02 9-7 0& S/ Total fees due upon application:
Phone:(2)3)-3 S 2...- i 47 Fax::( ) Amount received:
E-mail:--let 0 Vct (-h O V q kOt�c(,II-�—e 0.�-,,r,r.r-ceAei„ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
J��,j. roof-top mounted PhotoVoltaic Solar Panel System.
Business name: '`1?°`"i" 'M 5 U 2 l�/�J Ha/ (i t` Submit two(2)sets of roof plan with connection details
Address: z 10 w N k 1`/�v and fire department access,along with the 2010 Oregon
[ (00 Solar Installation Specialty Code checklist.
City/State/ZiP: MO 0 - OZ Permit fee(includes plan review $180.00
Phone:(9+1 ) 38S-074,2_ Fax:( ) and administrative fees):
State surcharge(12%of permit fee): $21.60
CCB Lie.:
--� �] Total fee due upon application: $201.60
Authorized signature: JY,,, This permit application expires if a permit is not obtained
within ISO days after it has been accepted as complete.
Print name:" e,,Y ii J N r),./a T Date:/- tz,2 7 J * Fce methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I l/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
s " Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family -Additions or Alterations
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 •503.718.2439- www.tigard-or.gov
REQUIREMENT: OREGON REVISED STATUTE(ORS)447.241.
(I) 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] $ 300, 0 00
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 7Si 00 D
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): $
ALL EXISTING SITE AND BUILDING ELEMENTS EITHER MEET
CURRENT ADA ACCESSIBILITY CODE OR ARE NOT
PHYSICALLY ABLE TO BE MODIFIED
I:\Building\Permits\BUP_CObt_PetmitApp.doc Rev.03/05/2019
1111 City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
IGA RD Building Permit Review — Commercial - No Land Use
T0
Building Permit #: - QLO22-00O
Site Address: IZ5�J SkA' 6'S.. 1" 5I' Suite/Bldg#:
Project Name: a,l/) ( i 5cV U P1--c-e. T. _1 .
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review r /�
Proposal: ..1-Vt+. -kt , - I vevAtvL� `P.K t.- , of P-0 S/tt '
2, L4 ✓lew -QXo-2ri,►r- toz(2c ccur _/
Existing Business Activity: 194 0 l 15Ck dlT' tce.._
Proposed Business Activity:
CFO Verify site address/suite# exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes ] No
N Zoning. —Flit(..)
Permitted Use: X1J Yes ❑ No ❑ Spec Space
iick.Confirm no land use required.
'it Business License:
Exists: � p Yes ❑/ _No,applicant was provided a business license application /�
Notes: Er/lp.VCJ.35- de neil v lava J� ( 4-o &ti+ A-141e
Approved by Planning: ` Date: rjj/Q7j 2_,--<_
Revisions (after Building Submittal only) Reviewer Date
Revision 1: El Approved El Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved El Not Approved
Building Permit Submittal
Original Submittal Date: 6/// 8/�2
Site Plans: # 3
Building Plans: # g
Building Permit#: [ ..Enter building permit# above.
Workflow Routing: 2'Planning ❑ Permit Coordinator [1tuilding
Workflow Sign-off: [g'Sign-off for Planning(include notes from planning review)
Route Application Documents: R.-Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date: %/2o 2.2
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Appro ed,NOT Released: Date:
Notes:
Revisions (after Building bmittal only)
Revision Notice 1: `► .to Sent to Applicant:
Revision Notice 2: Date :i t to Applicant:
Revision Notice 3: Date Sent to 4 .plicant:
❑ SDC Fees Entered: Wash Co Trans Dev ' : ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: V. Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw COM_NoLandUse_111819.docx