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Permit
CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2022-00050 TiGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 3/22/2022 Parcel: 1 S136DD03400 Jurisdiction: Tigard Site address: 11740 SW 68TH PKWY 200 Project: Mindful Therapy Subdivision: WEST PORTLAND HEIGHTS Lot: 9 Project Description: Reduce existing vacant suite.Remodel for new tenant. Contractor: WALEN CONSTRUCTION Owner: 11740 SW 68TH PARKWAY LLC 20915 SW 105TH AVE 111 SW COLUMBIA ST STE 1380 TUALATIN, OR 97062 PORTLAND, OR 97201 PHONE: 503-718-6680 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 03/22/2022 $2,162.95 Occupancy Grp: B Occupancy Load: 61 Demolition 12/o State Surcharge-Building 03/22/2022 $259.55 Dwelling Units: 0 Plan Review 02/23/2022 $1,405.92 Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 03/22/2022 $434.00 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 03/22/2022 $865.18 Value: $275,000 Info Process/Archiving-Lg$2.00(over 03/22/2022 $10.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $5,137.60 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: ermittee Signature: Call . 39.4175 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. - .•` •• v w• .•— " A M1e4rN:'h , t e uru..nawwro�awvx wr...... Building Permit Application 0- 2/2/2_2_ Commercial RECEIVE , FOR OFFICE USE ONLY City of Tigard Received ,ry7/3/ "7 — Permit No.: P2022,00 50 Date/By: VL//G 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 02 2022 Plan Review Phone: 503-718-2439 Fax: 503-598-1960 Date/By: `3 J GC''''', ''.� Related Permit: TIGARD Inspection Line: 503-639-4175 CITY OF FIGARD Date Ready/By: „di Related J 0 See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION . fled/Method3l A//r �� Supplemental Information i ' ' AIII 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. ❑ 1-and 2-family dwelling Commercial/industrial Valuation: $ Number of bedrooms: ElAccessory building ❑Multi-family ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1 l 7M0 is:4 � a New dwelling area: square feet City/State/ZIP: ..}--t .J��i1�2.11 y Garage/carport area: square feet Suite/bldg./apt.#: I `� Project name:H i N r> i Covered porch area: square feet Cross street/directions to job site: .%V J&AI/mist Ly.., Deck area: square feet �''11 Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 1 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. sp)Gfi.. 03C.v2i-fly(' VgraerJt'1 4. - •llie, %4 '(Z.. MODE. Valuation: -r�stil6�r $ 2'7C5-I0�?B Foie-If•W-W -ruk A4'f• *,,,IIkibyi'vL-, ,ry/� A a � ng� � Existing imoi1eh area: 4 Cf s square feet �« . -. I/-1Prc 7 11 5.13167 New building area: square feet gPROPERTY OWNER ❑ TENANT Number of stories: 0/''g.r,I42. cF 2 a ps{ 91..DG Name: 1179 a ( F''` 42 y(..gy az, Type of construction: ss6 Address: 6/_ i,..t ),,4N - ,4z.j ,. (t &NAN ea. c�-4- Occupancy groups: City/State/ZIP: 1:1 Nfl/ 712 G%72O i Existing: . , Phone:( � - 17.7 7 �� Fax:( ) New: %APPLICANT ! --_-_-_-XCONTACT PERSON BUILDING PERMIT FEES* Business name: /'W�t 'Q. t�✓L /��ja,��,ii h� vie(Please refer(ortoea schedule) UR -- P✓G Structural plan review fee(or deposit): 11Vo5.G(_ Contact name: piglet._ �X�_L, t ^�✓" � FLS plan review fee(if applicable) Address: s� Total fees due upon application: City/State/ZIP: FET i^s+u) i at�`6w__-_-- -- (MO ���_l Fax::( ) Amount received: Phone: 7rJ .� 7 E-mail: clem Op. 4%. >U.roil. cowl PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: ` ' Submit two(2)sets of roof plan with connection details r�1 and fire department access,along with the 2010 Oregon Address: /j/�4 - / ��r� Solar Installation Specialty Code checklist. City/State/ZIP: -r-� {� �i�' f �� Permit fee(includes plan review ty `� ����Z and administrative fees): $180.00 Phone:503) -7 t a. $© Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lie.: ZZ Total fee due upon application: $201.60 Authorized signature: time This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 1-el.... r{� i/„ Date: 2•2•Z7. * Fee methodology set by Tri-County Building Industry V t1J�� 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 Accessibility: Barrier Removal Improvement Plan - Commercial & Multi-FamilyAdditions 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] $ 1:M DO MULTIPLIER(25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ (o41.1vitp 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)1./An accessible route to the altered area: $ (d)✓At least one accessible restroom for each sex or a single unisex s $ ;fi 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): $ 140b edtvrAOP146. SA -1 ems. wew-A gr.IMbth4et I:\Building\Permits\BUP_COM_PermitApp.doc Rev 03/05/2019 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT iliAl e T 1GARD Building Permit Review — Commercial - 1\o Land Use Building Permit #: EU,P20 -Q0 Site Address: 1 (1t 0 5 CO. GRitiA, Suite/Bldg#: ZOO Project Name: NUYL4J1 *Mt (Name of commercial business occupying th space. If vacant,enter Spec Space.) Planning Review Proposal: ppkk it, 61,104-54-0 fit, SI 2332, fr / r11( 2,f le t Existing Business Activity: / t1 ( Therapy ?tJ Proposed Business Activity: — / Verify site address/suite# exists and active in permit system. ❑ River Terrace Neighborhood: ❑ Yes F7 No Zoning: ritkU Permitted Use: /FP Yes El No ❑ Spec Space Confirm no land use required. TBusiness License: Exists: cit Yes ❑ No,applicant was provided a business license application Notes: Approved by Planning: A /�/ r Date: v?„- 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: 00.V2,022- Site Plans: # 3 Building Plans: # 3 Building Permit#: [ Enter building permit# above. Workflow Routing: [L�Planning ❑ Permit Coordinator [-uilding Workflow Sign-off: la'Sign-off for Planning(include notes from planning review) Route Application Documents: [ Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: 02,/23/2022. I:\Building\Forms\B1dgPermitRvw_COM NoLandUse_111819.docx Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Sub p ttal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ❑ SDC Fees E. ered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A ❑ 0 o Issue Permit A p s roved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_COM NoLandUse_111819.docx