Permit CITY OF TIGARD BUILDING PERMIT
= a COMMUNITY DEVELOPMENT BUILDING
BUP2022-00188
Date Issued: 8/22/2022
T t C;A R 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102AA03000
Jurisdiction: Tigard
Site address: 8740 SW SCOFFINS ST
Project: Custom Dental Prosthetics Subdivision: TIGARD HIGHWAY TRACTS Lot: 24
Project Description: Converting engineering office to dental lab.
Contractor: BNK CONSTRUCTION INC Owner: LNL PROPERTIES LLC
45 82ND DR, SUITE 53B 12641 ADRIAN CT
GLADSTONE, OR 97027 LAKE OSWEGO, OR 97034
PHONE: 503-557-0866 PHONE:
FAX: 503-557-1085
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 08/22/2022 $1,407.95
Occupancy Grp: B OccupancyLoad: 70 Demolition
P y 12%State Surcharge-Building 08/22/2022 $168.95
Dwelling Units: 0 Plan Review 07/26/2022 $915.17
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 08/22/2022 $434.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 08/22/2022 $563.18
Value: $150,000 Info Process/Archiving-Lg$2.00(over 08/22/2022 $10.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,499.25
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 )ay
obtain a co py of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ��' � i Permittee Signature: sr /47�
[ 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 ermit Application
CommercialRE(�' FOR OFFICE USE ONLY
City of Tigard `°' IV E Received �f / ]�� ) /�� i
III - „ Date/By: i /��//1 L ��Y/�— V� �C� e
13125 S W Hall Blvd.,Tigard,OR 97223 2 Plan Review — _
Phone: 503-718-2439 Fax: 503-598-1960 JUL Zo2� Date/By: Related Permit:
Inspection Line: 503-639-4175 Date as B aris:
TIGARD r{ O Y% Y' S SeePage2for
re, Internet: www.ti axd-or. ov cl I t yr T IGIAB N led/Method• 4.....
�) o'
g g !/ //r, Supplemental Information
TYPE OF WORK REQUIRED DXfA: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
Addition/alteration/replacement D Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ I-and 2-family dwelling _ Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: .ti :7,17.2 r`l C� F.E j New dwelling area: square feet
City/State/ZIP: il I - q:7L 3 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: ('Cf�vi Covered porch area: square feet
Cross street/directions to job site: ` '�' GS Deck area: square feet
� 7. Other structure area: square feet
REQUIRED DATA:COMMERCIAL,USE CHECKLIST
Subdivision: Lot#: 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
n `,.DESCRIPTION OF WORK work indicated on this application.
l t n<f- 1f3ij�{1.} g, Ce To ,r=i ) LJ Valuation: $ ISQ,Q,r,
�IV�T Existingbuildingarea: square feet
- !s 17124 -+uf 714Az CABtI��TS ccTStt 7f q"re' • -�5,�'f -j-�,0 -r117�•�,IvanYM New building area: # square feet
PROPERTY OWNER : T.'�❑l TENANT Number of stories: 2.
Name: L{.}L .441.V.-C2FS-ISe..4�j Type of construction: •,..,/, 1
Address: L2 '41 4pzuj..4 l+" t�•t• Occupancy groups:
City/State/ZIP: I V��
c:i.n1czEec)1 64z. Existing: g
Phone:('6e,, (pCJ(a'2. fl , Fax:( )
New:
`KAPPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Plle
Business name: �y�. Irr� /�or.t 1 t,�.r_ 1..•.M7rs
-�-�, I' r eTll��� s F tt s 1 r� 1 U t•Ti Structural plan review fee(or deposit):
Contact name: + e.L. Yaj.I l r„
r � FLS plan review fee(if applicable):
Address: a,ryd�.,� qtC7W�
!'`"fh� Total fees due upon application:
City/State/ZIP:
Phone: ry +LZe� Amount received:
( e '_17A17 Fax: :( )
E-mail: E244 /1�.t21s r]�,�_1 Cows__ SOLAR PANEL SYSTEM FEES*
�•✓ CONTRACTOR - Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: -iys X r l/). Submit two(2)sets of roof plan with connection details
Gt / and fire department access,along with the 2010 Oregon
Address: Li 5-- G�64 �G� _-3 Solar Installation Specialty Code checklist.
City/State/ZIP: ��o,/ �.��// Permit fee(includes plan review
V �� JJt/)'I 7U� ) $180.00
Phone:( ) 7 07(4, Fax: and administrative fees
y ( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: p
Total fee due upon application: $201.60
Authorized signature: YYY 6+1r This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: li � h0t11'' Date: % a,..z.i * Fee methodology set by Tri-County Building Industry
� Service Board.
I:1Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 4404613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
i : .
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
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] $ (G1IGi0r)
MULTIPLIER (25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 37 ,
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) +4 arking $
(b) ✓n accessible entrance: $
(c) VA.n accessible route to the altered area:
(d) At least one accessible restroom for each sex or a single unisex
restroom: dab V.RT• 6512A13 BIZ Ft344 PS-t-A-IL •2 $ AO0^
(e) "Accessible telephones: $
(f) Accessible drinking fountains:and, W.A.. $
(g) 1'hen possible,additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $ �
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
1
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
I
T1GAltD Building Permit Review — Commercial - No Land Use
Building Permit #: N9U9_,2_„oar
Site Address: g7 0 Svc S( '0� vic SA' Suite/Bldg#:
Project Name: Cush01 --u 1 ?ms-I- 11 C s
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review/� _ rr� � � 1 _
Proposal: COAVeA, 1 AUXI , d ( e.. .+ S-60-6k \ IC,► , Jo
i s ?v CV C r,', y IN M,� ab; rye i-S
Existing Business Activity: e , r(ly'LD\ 4f C e
Proposedop Business Activity: LI)� l( erS)/b{l(T\�
LDS Verify site address/suite#exists and active in permit system.
❑ er Terrace Neighborhood: ❑ Yes g7 No
[1F L ring: f\A U — CPO
L tted Use: 'Yes ❑ No 0 Spec Space
,r C nfirm no land use required.
LMS Business License:
Exists: ❑ Yes C7 No,applicant was provided a business license application
Notes:
Approved by Planning: �. 1 'l(6 i n,r1 � S Date: 7 I Z(0/z7
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: 7426 2-,
Site Plans: #
Building Plans: # i
Building Permit#: $Enter building permit#above.
Workflow Routing: 0—Planning 0 t,_ r .0-fruilding
Workflow Sign-off: 0—Sign-off for Planning(include notes from planning review)
Route Application Documents: ffrBuilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: /J/t e 1.„75.
4 Date: ? //Z y
I:\Building\Forms\BldgPennitRvw COM NoLandUse 111819.docx
Permit Coordinator Review
❑ Conditions"Met"prior to issuance of building permit
O Approved,NOT Released: D
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 App ' t:
❑ SDC Fees Entered: Wash Co T s Dev Tax: ❑ Yes ❑ N/A
Tigar. "tans SDC: ❑ Yes ❑ N/A
P., ;s SDC: ❑ Yes ❑ N/A
O OK to Issue Permit
Approved by Pe Coordinator: Date:
1:\Building\Fonns\BldgPermitRvw_COM_NoLandUse_l 11819.docx