Permit CITY OF TIGARD BUILDING PERMIT
I ■. COMMUNITY DEVELOPMENT Permit#: BUP2022-00079
T t G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/11/2022
Parcel: 2S102AA02800
Jurisdiction: Tigard
Site address: 8770 SW SCOFFINS ST
Project: Lifeworks NW Subdivision: TIGARD HIGHWAY TRACTS Lot: 26
Project Description: Project scope includes demo of exterior EIFS cladding at the NE,SE,and SW facades and replacement cladding
of new rainscreen system,
Contractor: BROCKAMP&JAEGER INC Owner: LIFEWORKS NW
15796 S BOARDWALK ST 14600 NW CORNELL RD
OREGON CITY, OR 97045 PORTLAND, OR 97229
PHONE: 503-655-9151 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 04/27/2022 $4,794.45
Occupancy Grp: B Occupancy Load: 0 Demolition
12%State Surcharge-Building 04/27/2022 $575.33
Dwelling Units: 0 Plan Review 04/21/2022 $3,116.39
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 04/27/2022 $434.00
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 04/27/2022 $26.00
Value: $750,000 11x17)
Info Process/Archiving-Sm$0.50(up to 04/27/2022 $17.50
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $8,963.67
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 a••'ca.e law. All work
will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuan e, • if w/ • spended for more
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Ce os• a set forth in OAR
952-001-0010 through OAR 52-001-0090. You may obtain a o of the rules or direct questions to OUNC by calling 503.232.19V :00.
/,Issued By: �� , Permittee Signature: �j��
lx 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.
City of Tigard
111 COMMUNITY DEVELOPMENT DEPARTMENT
r1cAxD Building Permit Review — Commercial - _No Land Use
Building Permit #: BU P2022-000 F(
Site Address: SA115 * (,pC.1 A5 4 , Suite/Bldg#:
Project Name: (;tqe \`(A lJ
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review (n�,A, _
Proposal: P 'i matc cG O 0 V W k ei(Acf'1ib(i' F5 botsf otf- fE/
6 , . j vrei(, hy(-5, \or
Existing Business Activity: t.--Z W W'0 S
Proposed Business Activity:
Verify site address/suite# exists and active in permit system.
,I River Terrace Neighborhood: ❑ Yes n No
Q' Zoning: MO O Cc3 0
A Permitted Use: iti Yes ❑ No ❑ Spec Space
16 Confirm no land use required.
ABusiness License:
Exists: )0 Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: Date: 3/2.2-7707/2
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: 03/22/0Z2,
Site Plans: # 3
Building Plans: # 3
Building Permit#: [ "Enter building permit# above.
Workflow Routing: Planning EPermit Coordinator [ uilding
Workflow Sign-off: Er-Sign-off for Planning(include notes from planning review)
Route Application Documents: B2YBuilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ---ei Date: 094 6/2
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:
Reyision Notice 2: Date Sent to Applicant: : , •
Revision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ,X N/A
Tigard Trans SDC: ❑ Yes 0 N/A
Parks SDC: ❑ Yes A N/A
OK to Issue Permit
Approved by Permit Coordinator: ArCiV44
Date: 3 3, 212-"
I:\Building\Forms\BldgPermitRvw COM NoLandUse_I11819.docx
Building Permit Application a/r ZZ
Commercial RECEIVED I'OR OFFICI: 1 SF:0\I.I
DaceiBed �n „^m.�9
. Cityof Tigard �1/ P�.JPZD22_
g Re eBy / 2022. 4 Permit No.:
314 --- " 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 2 2 2022 Plan RevielAt J
Phone: 503-718-2439 Fax: 503-598-1960 Date/By: J �� Related Permit:
TIGARD Inspection Line: 503-639-4175 CITY OF TIGARD Date Ready/By: ` J` ' See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION ,ted/Method: .2—Z—/� J SnpplemeatalInformation
TYPE OF WORK !� REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling N3 Commercial/industrial
Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder I 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 8770 S.W. Scoffins Rd New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
1 Suite/bldg./apt.#: Project name: Lifeworks NW- Tigard Covered porch area: square feet
Cross street/directions to job site: SW Ash Ave 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#: 2S102AA02800 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Project scope includes demolition of exterior EIFS cladding at the NE, Valuation: $ 750,000
SE, and SW facades and replacement cladding of new rainscreen Existing building area: 22 295 square feet
system. New building area: 0 square feet
5] PROPERTY OWNER 0 TENANT Number of stories: 2
Name: Lifeworks NW, Attn Connie Dunkle-Weyrauch Type of construction: 5B
Address: 5415 SW Westgate Dr Occupancy groups:
City/State/ZIP: Portland OR 97221
Existing: E
Phone:( 503)645-9010 Fax:( ) New:
51 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: Hoist Architecture (Please reJwta fee schedute)
Structural plan review fee(or deposit): 3//( .39
Contact name: Mark Schmidt
FLS plan review fee(if applicable):
Address: 123 NE 3rd Ave, Suite 310
Total fees due upon application:
City/State/ZIP: Portland OR 97232
Phone:( 503)233-9856 Amount received:
Fax::( )
E-mail: mschmidt@holstarc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
IBusiness name: TOO' (1'-c)C k�-a i7141 4 ` )-c,(2. In Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: , S 79(, _ 0 ( Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review
C re, -,(1 l,i.. 6Z tea- =1.-1 2-i S $180.00
Phone:( '�(p °5 C\— q t Fax:( ) and administrative fees):
State surcharge(12%of permit fee): $21.60
CCB Lie.: 4f
6/// rip
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: Mark Schmidt Date: 03/18/2022 * 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)