Permit ,, CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2022-00151
Date Issued: 7/5/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S112DC01400
Jurisdiction: Tigard
Site address: 15865 SW 74TH AVE 110
Project: SC Labs Subdivision: FANNO CREEK ACRE TRACTS Lot: 4
Project Description: TI to include conversion of open space into several rooms.
Contractor: PACIFIC CREST STRUCTURES INC Owner: JDS LLC
17750 SW UPPER BOONES FERRY RD SUITE CRITERION CREEKVIEW LLC
190 BY SPECTRUM REAL ESTATE ADVISORS
DURHAM, OR 97224 1125 SE DIVISION ST#209
PORTLAND, OR 97202
PHONE: 503-968-8949 PHONE:
FAX: 503-598-6658
FEES
Specifics:
Description Date Amount
Type of Use: COM 07/02/2022 $597.21
Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations,
Demolition
Occupancy Grp: B Occupancy Load: 70 12%State Surcharge-Building 07/02/2022 $71.67
Dwelling Units: 0 Plan Review 06/07/2022 $388.19
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 07/02/2022 $110.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 07/02/2022 $238.88
Value: $38,000 Info Process/Archiving-Lg$2.00(over 07/02/2022 $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 $1,409.95
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 ca in 3.2 . 87 or . 00.332.2344.
Issued By: Permittee Signature:
, Call 503.639.4175 by 7:00 a.m.for the next available inspectio e.
This permit card shall be kept in a conspicuous place on the job site until completion of the pro' ct.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial _ * FOR OFFICE USE ONLY
City of Tigard * '' � � Date/BReceived /LZ /I P at
p 13125 SW Hall Blvd.,Tigard,OR 97223 y
g go9R Plan Review � %�
Phone: 503-718-2439 Fax: 503-598-1960 JU 7 L LL Date/By: 6' •• 2%1 Related Permit:
T 1 GARD Inspection Line: 503-639-4175 { pP, Date Ready/By: Juris: 0 See Page 2 for
Internet: www.tigard-or.gov �.AICY OF I i Ar' Notified/M 7 /2_L Supplemental Information
�i_ ?NG (�I` �SIQPI i4"
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction XAddition/alteration/replacement ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
El Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling Commercial/industrial Valuation: $
ElAccessory building El Multi-family Number of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 'CJ„ G) ,/,‘_74i.3/4 Atjadita
New dwelling area: square feet
City/State/ZIP: 11 17`--4 ► 1.)6435
Garage/carport area: square feet
Mit A�5
bldg./apt.#: 11,p Project name: �` 1. 6 Covered porch area: square feet
Cross street/directions to job site:
Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: l I,ot#: 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.
e.44y�
,��,.�.`! q-� R{ o �Valuation: +�ialvi $34 1c 2
,j- y4g +s�+(ls•- ,•ram_ Ic't I co �Itzn !' O�. q ,S�eG Existinglaui1 ingarea: 70 `square feet
( eoA,�`�1 �fo f+ '�(1 asLJ 1'�V C+`i'�-L New 4-
area: Q square feet
❑ PROPERTY OWNER TENANT Number of stories: I
Name: -.„ f' Type of construction:'.
Address: I t CJ 5/ 74+h t�e ha(lQ Occupancy groups:
City/State/ZIP
P: '''rl0 2471 'i'l es1 Existing: 13
vr-
Phone:( p3) Z7 .— �?� Fax:( ) New: 6
APPLICANT XCONTACT PERSON BUILDING PERMIT FEES*
(�,�
Business name:
(Please refer to fee schedule)
�3` ` f Structural plan review fee(or deposit):
Contact name: i.+��l�ttL a\i —
l I FLS plan review fee(if applicable):
Address: F a Bog
o '1� Total fees due upon application:
City/State/ZIP: P � p Fir -01'72�
I Amount received:
Phone:(C h 1.��.4511 ? Fax: :( )
E-mail: cl�11 e (,,_e)� ` ti. C � PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
at
v CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: to F.1 G c .r. e1- -tlize�= [tic,. Submit two(2)sets of roof plan with connection details
—"�1 ,r tand fire department access,along with the 2010 Oregon
Address: 1 775Q so U 5 p_,4.( Solar Installation Specialty Code checklist.
T '^ ,.�,Zz �"�� �I Permit fee(includes plan review
City/State/ZIP: .}y 1J�1,G(�A + d� and administrative fees): $180.00
Phone:(tip ) 1b41:',��SI{'• 4 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: V t /�-
r r' I'"'A���"` 7 Total fee due upon application: $201.60
! Authorized signature<�C^� L 11,1 I�'I'/ This permit application expires if a permit is not obtained
�/'r� VVVV �I 1_M-V/ within 180 days after it has been accepted as complete.
Print name: '.1�� �.,,1(�/ Date: �'�� .' * Fee methodology set by Tri-County Building Industry
V nF Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04121/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1
s
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] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ dal
1 t500•.
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 [2] of Valuation Computation): $ �
1"o The. EtroGI" E,F Wh( k C. 3rt MU.
'JIUPt iJ6 et0,44I* -41� c qz 11<(
attuwrollr W
DOM
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
1111111
T1cAxD' Building Permit Review — Commercial - No Land Use
Building Permit #: 4ffl ("2-)-'O 5
Site Address: Isg(p5 Sty) 14kin 1 Suite/Bldg#: 110
Project Name: SC, 1.05 TeN1 afok VititmICtfmk
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: v 4eX l T€WAN lifrl X/fi ein far e/K( Vue '.
Existing Business Activity: v l„66
Pro osed Business Activity: p (e
71erify site address/suite#exists and active in permit system.
111.-11VZiver Terrace Neighborhood: ❑ Yes El No
T Zoning: l_ T
!l/Permitted Use: YZYes ❑ No ❑ Spec Space
gi onfirm no land use required.
Business License:
Exists: Yes ❑ No, applicant was provided a business license application
Notes:
Approved by Planning: - Date: (p(i 1 Z'.?..—
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: &(7//
�-2
Site Plans: # 3
Building Plans: # 3
Building Permit#: 8- Enter building permit#above.
Workflow Routing: Planning ❑ .12errrntCuuidiva1ot ,.1—Building
Workflow Sign-off: in—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: /�/
I/"' --
I:\Building\Forms\BldgPennitRvw_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 Appli .nt:
Revision Notice 2: Date Sent to Ap• cant:
Revision Notice 3: Date Sent to : .plicant:
❑ SDC Fees Entered: Wash C. rans Dev Tax: ❑ Yes ❑ N/A
Tigar. rans SDC: ❑ Yes ❑ N/A
P. s SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit ►oordinator: Date:
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx