Permit IIICITY OF TIGARD BUILDING PERMIT
Permit BUP2022-00128
S Perm
COMMUNITY DEVELOPMENT
Date Issued: 5/18/2022
T I CA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101 DC00200
Jurisdiction: Tigard
Site address: 13535 SW 72ND AVE 110
Project: Oregon Dairy&Nutrition Council Subdivision: None Lot: None
Project Description: Interior TI:Convert a portion of office to conference room.
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, 05/18/2022 $674.35
Occupancy Grp: B Occupancy Load: 22 Demolition
12%State Surcharge-Building 05/18/2022 $80.92
Dwelling Units: 0 Plan Review 05/12/2022 $438.33
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 05/18/2022 $110.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 05/18/2022 $269.74
Value: $45;000 Info Process/Archiving-Lg$2.00(over 05/18/2022 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,577.34
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 m Obtain a co y of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / Permittee Signature: y !/mob n
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 an 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 r�
Commercial R. C I °r ELJ FOR OFFICE USE ONLY
City of Tigard MAY 12 2011 DateiBY: ' 0 / , _ /4.
t 13125 SW Ifall Blvd.,Tigard,OR 97223 Plan Review.
I Related Permit:
.' Phone: 503-718-2439 Fax: 503-598-19Et��'�"'� (�h (�U�t3i� Date/By: �'i6� `��
Inspection Line: 503-639-4175 Date Ready/By: Juris: See Page 2 for
TIGARD Internet: www.tigard-or.gov �.}iLD NG D1V SIQN oti ied/Method: Supgieritental Information
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
yiAddition/alteration/replacemcnt ❑Other: equipment,materials,labor,overhead,and the profit for the
r CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ l-and 2-family dwelling Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
Number of bathrooms:
❑ Master builder ❑Other:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ;S 5 94 /vv.. 4s4gode New dwelling area: square feet
City/State/ZIP: „( V all.ZZj Garage/carport area: square feet
Suite/bld /a t.#: Project name: p�e Covered porch area: square feet
g' P AO, 1 d �^1
Cross street/directions to job site: K �( .17.1� a L 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.
Valuation: $ ae
ft,l���N Xy r f � ,n Existing luilding area: ZIZ,�Q square feet
gMw I . "C 'f DTiO� 45 VD J 3 '6 45 New=g area: square feet
FE�CJXPROPERTY OWNER 0 TENANT Number of stories: 2.
Name:-72.14c. o{ e• (e. Type of construction: .ta,
Address: C%b ' T, ' )-d—I an—— jOC 46 L'�{ Occupancy groups:
City/State/ZIP: pf C11Z?Z Existing:
Phone: (..o.B 2}•‘,,'7i i Fax:( ) New:
gAPPLICANT - D CONTACT PERSON BUILDING PERMIT FEES*
(Plea
Business name: �
P� view refer to fee schedule).
44 Structural plan review fee(or deposit):
Contact name: ts.1._ 46.3
FLS plan review fee(if applicable):
Address: 42.0. t.Lt,?{j 1
Tot
al otal fees due upon application:
City/State/Z1P: TE /.rD Of—,
Amount received:
E-mail ( 6:r. mA Pax: :( )
E-mail:
�. (f��.G'OWL PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: t3 -t 1-1. -0 -- Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: _ / ZLaC'ANie-• Solar Installation Specialty Code checklist.
Cit /State/ZIP: Permit fee(includes plan review S180.00
Y L> �{i �' �?�713 and administrative fees):
Phone:(f 7- 1-7tO Fax:( ) State surcharge(12%of permit fee): S21.60
CCB Lie.: i 0.2.776e Total fee due upon application: $201.60
Authorized signature: li�" """ 1 Thiswi permit apdays
expires if a permit is not oobtained
• r (�- -I wither it days after it has been accepted as complete.
Print name:.'' Date: 5.(2•Z,Z. * Fee methodology set by Tri-County Building Industry
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
lig 'I Accessibility: Barrier Removal Improvement Plan
I OM
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.
(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] $ l Qex9
MULTIPLIER (25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 1 Zy^f>
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 [21 of Valuation Computation): $
To Tf F� M`( ieNcwI
ALL- 101b1 11C�
\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
C
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 6too,20)-)_--/�12d
Site Address: i-)3 SW -4-2`A AkP-e . Suite/Bldg#: ()( (
Project Name: 00Invt Oat rl )- l�c� i (OUVIf� 1
(Name of'commercial business ccupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: ��, d-fvl(I �t� (�, .065 Vim cu , C.,fm. r4 ,4_,NoV1 eyfF'd�IA
. rip_ \p lo911 CVY'.VICe 0 W1
Existing Business Activity: Offsee-..
Proposed Business Activity: ._
iFF'Verify site address/suite#exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes $] No
Zoning: Cl, {F`
r Permitted Use: "MI Yes D No ❑ Spec Space
F)Confirm no land use required.
iBusiness License:
Exists: es (� No, applicant was provided a business license application
Notes: `
Approved by Planning: jkfrI1 C/ ' itt y Date: 5l1Z/7-te 2-2--
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: 2.-.2._
Site Plans: #
Building Plans: #
Building Permit#: $Enter building permit#above.
Workflow Routing: ][Planning r it Coordinator ding
Workflow Sign-off: "7-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: o Date: S/7L15.-Z-
I:\Building 1Forms\BldgPerm itRvw_COM_NoLandUse_111819.docx
Permit Coordinator Review
Jconditions "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 A N/A o-Fe;r
Tigard Trans SDC: ❑ Yes ,X5 N/A
Parks SDC: ❑ Yes ,u N/A
OK to Issue Permit
Approved by Permit Coordinator: Date: SI ILO 1201,7
I:\BuildingtForms\BldgPermitRvw_COM_NoLandUse_111819.docx