Permit CITY OF TIGARD BUILDING PERMIT
_ COMMUNITY DEVELOPMENT Permit#: BUP2021-00309
TIGAR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 1/27/2022
Parcel: 1 S 136CD00100
Jurisdiction: Tigard
Site address: 11705 SW PACIFIC HWY D
Project: Great Clips Subdivision: None Lot: None
Project Description: TI to existing space into a Great Clips hair salon
Contractor: CREEKSIDE CONSTRUCTION Owner: PACIFIC CROSSROADS PROPERTIES INC
13525 SW 21ST BY WYSE INVESTMENT SERVICES CO
BEAVERTON, OR 97008 810 SE BELMONT ST#100
PORTLAND, OR 97214
PHONE: 503-789-7781 PHONE:
FAX: 503-591-7522
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 01/26/2022 $880.05
Occupancy Grp: B Occupancy Load: 25 Demolition
12%State Surcharge-Building 01/26/2022 $105.61
Dwelling Units: 0 Plan Review 12/11/2021 $572.03
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 01/26/2022 $110.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 01/26/2022 $352.02
Value: $70,000 Info Process/Archiving-Lg$2.00(over 01/26/2022 $8.00
11x17)
Info Process/Archiving-Sm$0.50(up to 01/26/2022 $1.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,028.71
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: Ec ga-ro(.o-MaJ Lon.ac o- Permittee Signature: see apptic,c06.0-v.,
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 - I2-k Co f 21
Commercial RECEIVED ,,,// FOR OFFICE I SE ONLI
City of Tigard DaRete/By: /yam toll %%/ Permit No.rap 4/ �Qdc
" 13125 SW Hall Blvd.,Tigard,OR 9722311111 DEC 0 6 2021 p,�Review ....71.1
_` Phone: 503-718-2439 Fax: 503-598-1960 Date/By: ) as 22 Related Permit:
Inspection Line: 503-639-4175 CITY OF TIGARD Date Ready/By: .2 / A 7yric:r ® See Page 2 for
T I G A R D BUILDING DIVISION Notified/Method: (( /41 Iris I r Supplemental Information
Internet: Line.www.tigard-or.gov
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
(g(Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling (X Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family
Number of bedrooms:
ElMaster builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 117 c),j $(,J Pr.G.4(.. vT tvy New dwelling area: square feet
City/State/ZIP: / t`S,,,d 02 77 2-Z,3 Garage/carport area: square feet
Suite/bldg./apt.#: D Project name: G(-CO- C I/pS Covered porch area: square feet
Cross street/directions to job site: l-c.4L E••f-w 7 „,,A 5 to 7.0l A t,{ 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Co
r{elkn,f f '''���✓t rh.c 4-o +v.rvt e.", 5}r`•, 5 f�,--c{
Valuation: $ 70,000_
:n Iv a_ Grfti C 1; 1-)...,,,,- ps1-)...,, 54.k.-, I Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER A TENANT Number of stories:
Name: 13 rtn+- -- J C ''"x Y -c 10 SO n Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:(5 6 3) 846- -1 o 5-3 Fax:( ) New:
N APPLICANTP 00 CONTACT PERSON BUILDING PERMIT FEES*
(Please re•/ertofeeschedule)
Business name: �tLrlS',L, Co"S ZI -
Structural plan review fee(or deposit): 572'e 3
Contact name: l]C,r i3 r
Address: 13 rj'Z j 5 ups Z f14 FLS plan review fee(if applicable):
City/State/ZIP: 13.ea, .ei4-�. o 9 7009 Total fees due upon application:
Amount received:
Phone:(9 3 ) 7 9- "7 70 Fax::( )
E-mail: / r. 44 y 0G MA: L G .. PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
V Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Cr{4 k 5'A. La_ ct v r Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: i 3 S'Z 5" 5 vo IA Sc)- Solar Installation Specialty Code checklist.
City/State/ZIP: 13.ek tee,j,, D 2 9 70QG Permit fee(includes plan review $180.00
i and administrative fees):
Phone:(SO 3) 7 99,'7 7 Fax:(
/ ) State surcharge(12%of permit fee): $21.60
CCB Lic.: i H i ii 7 S W /41�2._ _ Total fee due upon application: $201.60
Authorized signature: 0 CIA,. � ‘," . This permit application expires if a permit is not obtained
/ within 180 days after it has been accepted as complete.
Print name: 0 a t,, r3,..A.it" Date: 1 1,/ SI Z/ * 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) 4)1` e.41-
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,
excluding painting and wallpapering: [1] $ 70, oov
MULTIPLIER(25%barrier removal requirement): x .25
J)
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ r 7 S6 4-1
r
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: $ ) 7 S-0 0,
(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): $ ' 7 SZ�• �e
f
I:\Building\Permits\BUP_COM PemvtApp.doc Rev.03/05/2019
City of Tigard
1111 COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: E U F2OZ I-003.0
3.0
Site Address: /005- ,S C.iJ 7A C(F C thAY Suite/Bldg#: I
Project Name: C4r-Cc-,PC'
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: (
Existing Business Activity: -'F(G�
Proposed Business Activity: aE2SO11A1, SeQVice S
fy site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ Yes No
IQ Go g: e - (j 111?tted Use: Ia 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: Date: /0 6
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: (2A c/202/
Site Plans: # .3
Building Plans: # 3
Building Permit#: Irc l nter building permit# above.
Workflow Routing: [Planning Permit Coordinator ( Building
Workflow Sign-off: [ 'Sign-off for Planning(include notes from planning review)
Route Application Documents: Building: original permit application,site plans,building plans,engineer and
beam calculations an rust details,if applicable,etc.
Notes:
By Permit Technician: Date: /2/O4/Z02/
I:\Building\Forms\BldgPennitRvw_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 Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes JZ1 N/A
Tigard Trans SDC: ❑ Yes J21 N/A
Parks SDC: ❑ Yes 7 N/A
OK to Issue Permit
Approved by Permit Coordinator: ADate: 12-1(5 12024
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_111819.docx