Permit CITY OF TIGARD BUILDING PERMIT
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111
COMMUNITY DEVELOPMENT Permit#: BUP2022-00053
T f G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 3/31/2022
Parcel: 2S115AB01900
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY K
Project: Spec Space Subdivision: 1994-028 PARTITION PLAT
Lot: 2
Project Description: Interior shell remodel for new Suite K.Demo of existing demising wall
Contractor: PACIFIC CREST STRUCTURES INC Owner: SN PROPERTIES PARTNERSHIP
17750 SW UPPER BOONES FERRY RD SUITE 1121 SW SALMON ST
190 PORTLAND, OR 97205
DURHAM, OR 97224
PHONE: 503-968-8949 PHONE:
FAX: 503-598-6658
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VA Permit Fee-Additions,Alterations, 03/28/2022 $917.70
Occupancy Grp: B Occupancy Load: 20 Demolition
12%State Surcharge-Building 03/28/2022 $110.12
Dwelling Units: 0 Plan Review 03/01/2022 $596.51
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 03/28/2022 $274.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 03/28/2022 8367.08
Value: S75,000 Info Process/Archiving-Lg$2.00(over 03/28/2022 $8.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,273.41
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work
will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952.001.0090. Y may obtain a py of th les or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
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Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
IP
Buildin;:Permit Application 0- 2123 22
Commercial FOR OFFICE I SE tl.l ,
City of Tigard RECEIVED D�y 9 / 2 ,1.III Permit Na.$U 2 1V 3
i. 14 0 e Ph13125 SW Hatt Blvd.,Tigard,OR 97223 FEB 2 3 2022 Plan Revieone: 503-718-2439 Fax: 503-598-1960 Date, w _ 2 Related Petmlt.
Inspection Line: 503-639-4175 Dale Ready/By: Al// r • RI See Page 2 for
TIGARD Internet: www.tigard-or.gov CITY OF TIGARD N l -. ethod: �/ Supplemental Information
BUILDING DIVISION Al ,,A hr �..
TYPE OF WORK / 14 1' 1 DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
14 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
CI I-and 2-family dwellingValuation: $
IXCommercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 16200 SW Pacific Hwy New dwelling area: square feet
City/State/ZIP: Tigard, Oregon Garage/carport area: square feet
Suite/bldg./apt.#: K Project name: Suite K Tenant Improvement Covered porch area: square feet
Cross street/directions to job site:SEC of SW Pacific Hwy&SW Durham Road Deck area square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivisiot# Tigard Towne Square I Lot#: 1900 Permit fees*are based on the value of the work performed.
Tax map/parcel#: 2S1 1 5BA 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.
Interior shell remodel for New Suite K. Demo of existing Demising wall Valuation: $ 75,000.00
Existing building area:2,600 square feet(gla
New buiidingarea:No change square l et tenant)
IN PROPERTY OWNER 0 TENANT Number of stories: 1
Name: SN Investment Properties, LLC Type of construction: III-B
Address: 1121 SW Salmon St., Ste 500 Occupancy groups:
City/State/ZIP: Portland, OR 97205 Existing: B
Phone:(503 )973-0205 Fax:( ) New: No change.
F.3 APPLICANT Iil CONTACT PERSON BUILDING PERMIT FEES*
(Please refer ro fee scbedale)
Business name: Benner Stange Associates Architects, Inc.
Structural plan review fee(or deposit): 694:_/
Contact name:Jeffrey Banner
Address: 80 SE Madison St., Suite 214 FLS plan review fee(if applicable):
City/State/ZIP: Portland, OR 97214 Total fees due upon application:
Phone:(503 ) 462-1423 Fax :(503 )670-0235 Amount received:
E-mail: jbinner@bsaarch.com / -I.1,6s arciirZlrrtt
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photovoltaic Solar Panel System.
Business name: 'Out to bld /L _t d,,'r e,ve.c,r S u G d,- S Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 12) c ' u) urfirrq�iw.l.-s eg//rke� / '() Solar Installation Specialty Code checklist.
City/State/ZIP: FAG,( WI— //�11 Permit fee(includes plan review $180.�
l�Ltand administrative fees):
Phone:(<,)Gi4i Q^`t If, .t'LFax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: (l G 5 /(Js---- r)/5Z,� Total fee due upon application: S201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Jeffrey A. Ben er Date: 2.16.2022 * Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building\Permits\BUP_COM PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard
C ' COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
e
Building Permit #: T3U12022- O'0053
Site Address: •
I(0200 SW ffC(flt. '°li/ Suite/Bldg#: K
Project Name: Surrr 1_ Trvmnr 01,1.461,~1-
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Ti T
Existing Business Activity: NA
Proposed Business Activity:
fy site address/suite#exists and active in permit system.
0 er Terrace Neighborhood: 0 Yes g7 No
�lning: C- &—/
,L'J yermitted Use: ai Yes 0 No ❑ Spec Space
Tr Confirm no land use required.
0 t Business License:
Exists: 0 Yes 0 No,applicant was provided a business license application
Notes:
I
Approved by Planning: atIs e:— ehyht
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: E Approved ❑ Not Approved
m.
Building Permit Submittal/
Original Submittal Date: OZ 23/2Q22
Site Plans: # c3
Building Plans: # 3
Building Permit#: C&Enter building permit#above.
Workflow Routing: Q.-Manning ❑ Permit Coordinator [Building
Workflow Sign-off: ( Sign-off for Planning(include notes from planning review)
Route Application Documents: Budding; original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: -e?"------
Date: 43/0.Q
I:1Building\Forms 1BldgPermitRvw_COM_NoLandUse_I 11819.docx
't Coordinator Review
❑ Conditi. - "Met"prior to issuance of building permit
❑ Approved,NOT ' - sed: 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
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Fonns\BldgPermitRvw_COM NoLandUse_111819.docx