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CITY OF TIGARD BUILDING PERMIT
. & COMMUNITY DEVELOPMENT Permit#: BUP2022-00052
Date Issued: 3/21/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101DC00200
Jurisdiction: Tigard
Site address: 13535 SW 72ND AVE 170
Project: Bestmind Behavior Health Subdivision: None Lot: None
Project Description: New tenant at existing suite.Covert(2)private offices to(3)private offices. Balance of suite to remain as built.
Contractor: ENDRES NORTHWEST Owner: 72ND CORPORATE CENTER LLC
509 NW 3RD AVENUE 4949 SW MEADOWS RD STE 330
CANBY, OR 97013 LAKE OSWEGO, OR 97035
PHONE: 503-557-1700 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations, 03/19/2022 $362.69
Occupancy Grp: B Occupancy Load: 16 Demolition
12/o State Surcharge-Building 03/19/2022 $43.52
Dwelling Units: 0 Plan Review 03/19/2022 $235.75
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 03/19/2022 $110.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 03/19/2022 $145.08
Value: $18,500 Info Process/Archiving-Lg$2.00(over 03/19/2022 $2.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $899.04
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-Lt.y Vavi,De, Weg& Permittee Signature: Ow A
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 (a- 2 2212' ,
Commercial RECEIVE i FOR OFFICE USE ONLY
Cityof Tigard Received/7 q J�,�/
. g Date/By:f/ PermitNo.: � �,Z
13125 SW Hall Blvd.,Tigard,OR 97223 FEB 2 2 2022 Plan Review
Phone: 503-718-2439 Fax: 503-598-1960 Date/By: 3" h'1�, Related Permit:
TIGARD Inspection Line: 503-639-4175 CITY U(=TIUARD Date Ready,'By: lie, VI See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION No Method: - /� i.[,�• Supplemental lnformation
y /�
TYPE OF, WORK ' REQUIRED DATA:1 AND 2-FAMIL 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
ISCAddition/alteration/replacement ❑ Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY'OF CONSTRUCTION work indicated on this application.
dwelling Commercial/indu
Valuation: $
❑ 1-and 2-family � stria)
CIAccessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE IINFORMATION.,AND LOCATION Total number of floors:
Job site address: tsz5 -5114'72.1 'Avg+. New dwelling area: square feet
City/State/ZIP: . I 1'7Z .3 Garage/carport area: square feet
Suite/bldg./apt.#: t'Tc, Project name: eerAIA I1,1b #? , I OZ. Covered porch area: square feet
Cross street/directions to job site: i.. „(,-1-14 Deck area: square feet
Other structure area: square feet
—_ MERCI 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.
0.06
I f `tr 4Vi- !�'� a)kl ""11146, . 1`m. Ct HIV 1 L-2) Valuation: 7Gtii t $ / l
_N//4141'E ..r- .¢r�1��� 1 ,�A b,t y-� r Cfte • Existing,budldi„g-area: (SILL ll_ square feet
PST . . ,c'ff rt . -lb v1/ t4. 'Pl3"i''1 .. New-l�fSa ea: 1"I4 ( l square feet `-
PROPERTY OW1 ❑ TENANT Number of stories:2
Name: '"7 ,�� C4- &- Lie..., Type of construction: �,,.-B
11 t -'�
Address: e%, Wig .pL p jertirlie I AE. LKC ' G 7. Occupancy groups:
City/State/ZIP: 1 PJi el 7� z. Existing: `P,
Phone:(t"„-p,j) Fax:( ! )
.. �� New: 15
APPLICANT L ❑ c91;4ACT'PERSON;;`' BUILDING PERMIT FEES*
Business name: t ��- G
(Please refer to fee schedule)
T.w-�TL Structural plan review fee(or deposit): 75-
Contact name: 1G� `'(� NC-9 - ------
t FLS plan review fee(if applicable):
Address: f:45). 30 1 - - --
Total fees due upon application:
City/State/ZIP: O12. el--/Z
? Amount received:
Phone:(��, 1 ✓ .s,,,„Gr1oi•7 Fax: :( )
E-mail: 44 e Or t,`.Z Qr�,.�n. PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
9e4CONTRACTOR
�IRAC"�hCCO11It A.
Commercial and residential prescriptive installation of -�
->� . roof-top mounted Photo Voltaic Solar Panel System.
Business name: G:► s gy. -r Submit two(2)sets of roof plan with connection details
�p and fire department access,along with the 2010 Oregon
Address: 7 e _ Solar Installation Specialty Code checklist. _
City/State/ZI c - '71)IS Permit fee(includes plan review $180.00
and administrative fees)_
Phone:(eCa S �1 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: j'Z'77 j,, Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
_- within 180 days after it has been accepted as complete.
Print name: 4 I Date: e z`,21.2.z 1 * 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)
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, ao
excluding painting and wallpapering: [1] $ 1 ® ...
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 4,‘ '
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) VAn accessible entrance: $
(c) accessible route to the altered area: $
(d) '-At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: 44. $
(f) °'Accessible drinking fountains:and, $
(g) ' When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
der t.A( 1444 U L.--
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard
114 4 COMMUNITY DEVELOPMENT DEPARTMENT
T1cAR'D Building Permit Review — Commercial - No Land Use
vim fr
Building Permit #:
Site Address: t3 5 3y S(A) -3-2Y APe, Suite/Bldg#: 110
Project Name: I 3X'5 4 /'4,i V I'br' Ffett141
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review -- ��
Proposal: 1�ii- I-- (2.) pr v '' -- P42 Gas !:;$ (3)
f ap Pet-tom ,
Existing Business Activity: SeE hr'`iylam. ( kl.Q v 14424 144
Proposed Business Activity: =
[ Verify site address/suite# exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes n No
41) Zoning: (,-p
im Permitted Use: jiii Yes ❑ No ❑ Spec Space
l Confirm no land use required.
49 Business License:
Exists: l� __ 110 FAA-reAkS
Yes ❑ No,,- 'Iapplicant was provi-dedabusiness license application
pp1-Notes: t 1 a 144S CL��� ( V to
Approved by Planning: ke 4 Date: 21*20 Z.Z.
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: elf 2��_
Site Plans: #
Building Plans: # 2_
Building Permit#: ['Enter building permit#above.
Workflow Routing: Planning ❑ Permit Coordinator [ - uilding
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: [ 'uilding: original permit application, site plans,building plans, engineer and
beam calculations an trust details,if applicable,etc.
Notes:
By Permit Technician: Date: D241% 22_
I:\Building\Forms\BldgPermitRvw_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 ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\B1dgPermitRvw_COM NoLandUse_111819.docx