Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2022-00120
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/18/2022
Parcel: 2S102CB03101
Jurisdiction: Tigard
Site address: 12950 SW PACIFIC HWY 135
Project: Spring Gold Subdivision: FREWING'S ORCHARD TRACTS Lot: 21
Project Description: Landlord work. Framing in(1)ADA restroom in suite 135 prior to tenant improvement. Plumbing permit not
applied for yet.
Contractor: OWNER Owner: SPRING GOLD LLC
850 NW 122ND AVE
PORTLAND, OR 97230
PHONE: PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM 12%State Surcharge-Building 05/18/2022 $36.22
Class of Work: ALT Type of Const:
Occupancy Grp: Occupancy Load: Plan Review 05/04/2022 $150.36
DC Provision Review, COM TI-Ping 05/18/2022 $110.00
Dwelling Units: 0 Plan Review-Fire Life Safety 05/18/2022 $120.74
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 05/18/2022 $1.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $15,000 Permit Fee-Additions,Alterations, 05/18/2022 $301.85
Demolition
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $720.17
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- O. Y may obt 'n a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: � / %E T Permittee Signature: S 3
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 ApplicationHE l�,E
IVi It
Commercial FOR OFFICE USE ONLY
MAY
City of Tigard 4 2Jr Received S
' -
Date/By: PerrttitNo.. -o�1a�
a 13125 SW Hall Blvd.,Tigard,OR 97223 ,;I Y OF TIGARi ne Review ��+ Related Pe m�.
' I Phone: 503-718-2439 Fax: 503-598-1960 teJBy: v to
TIGARD
Inspection Line: 503-639-4175 RP-j1L.DhIG DIVISI Itti Ready/By: funs. See Page 2 for
Internet: www.tigard-or.gov Not. (Method: / /.7 Supplemental Information
�r�y,
TYPE OF WORK REQUIRED IATA:l-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
El Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
<.. .. Valuation: $
0 I-and 2-family dwelling ❑x Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
E Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12950 SW Pacific Hwy New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: Suite 135 Bathroom Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Corner of Pacific Hwy and Walnut Other structure area: square feet
Located in lower floor,access via back of building REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I 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.
Adding ADA bathroom to existing suite Valuation: $ $15,000
Existing building area: 17,000 square feet
New building area: 0 square feet
1 PROPERTY OWNER ❑ TENANT Number of stories: 2
Name: Spring Gold LTC.-George R.Miller Type of construction: Wood
Address: 135 SW 97th Ave. Occupancy groups:
City/State/ZIP: Portand,OR 97225 Existing: Office/retail
Phone:(503 )348-5065 Fax:( ) New: Office/retail
0 .APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
• (Please refer to fee schedule)
Business name: Same as above
Structural plan review fee(or deposit): ) 36, 36-
Contact name:
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
Amount received:
Phone:( ) Fax: :( )
E-mail. george,5signs.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Owner,same as above Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $I80.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: Total fee due upon application: $201.60
Authorized signature: 7144.166/c This permit application expires if a permit is not obtained
yr- within 180 days after it has been accepted as complete.
Print name: George R.Miller Date: 4-30-2022 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard
lig " COMMUNITY DEVELOPMENT DEPARTMENT
I
TIGMW Building Permit Review — Commercial - No Land Use
kui _ — - "'. `+YdGlieace&s3>.r.. 3-titiHeN:f xENII '+4..$>Wt'.',TB1a-$+ui4”4=T4.4.Wa.-_ _:_ >:.. -.
Building Permit #: Lutp o ,Gc ) an
Site Address: t 2 q50 Stnl Pruc j cisz lit 7 Suite/Bldg#: 13j
Project Name: Sea Seocc-g
(Name of commercial business occupying the space. If vacant,enter Spec Space)
Planning Review �i '
Proposal: A-(�CiI\�.) Ape 12,I r �'0 ,I"1 5U1L- •
Existing Business Activity: SpeG cp a.c/e
Proposed Business Activity:
Pk Verify site address/suite#exists and active in permit system.
in River Terrace Neighborhood: 0 Yes 1<1 No
la Zoning: G—
pPermitted Use: ❑ Yes ❑ No �E1:: Spec Space
Fib Confirm no land use required.
Business License:
••
ovided a business license application
Notes:
Approved by Planning: .� A Date: 5711/70 Z-2
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Pezmit Submittal
Original Submittal Date: 44
Site Plans: # P/A
Building Plans: # 3
Building Permit#: Enter building permit#above.
Workflow Routing: — Planning 0 Permit Coordinator Building
Workflow Sign-off: .®-Sign-off for Planning(include notes from planning review)
Route Application Documents: l - Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
(�Q.
Notes: rmi ,- 1`'\ 0- 1c0,11 OA\ l q ors b. \c,_ 0ll �t ig_rrl 14- U. -�
By Permit Technician: / c✓2''"1lUdi Date: ,�'/.���al
I:tBuilding\Fomts\BldgPermitRvw_COM NoLandUse_111819.docx
Existing concrete wall 8" L
"' �� I
t New ADA bathroom for 12950 SW Pacific HWY
2'onset t • � +-1 New 2"x4"wall_ � —1Ali
2 on cent.r 6
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1----- — �'
J 46"
Single layer / -
I"sheetrock 54n
/ \ Double layer X j
�'1 y sheetrock 01
1 .71
— I Ott / i � N. 4 n r u n
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1 ceiing rafter / 60" 12 42 20„
on center,8'off to m
Floor secured -
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ceiling rafters -VC
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56" -+ 1." 1 ??
1 6 » Y 33„ 39"
New double 2"x4" all /
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2'on center
Suite 135
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