Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2022-00277
Date Issued: 12/22/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S136DD03400
Jurisdiction: Tigard
Site address: 11740 SW 68TH PKWY 225
Project: Loyal Source Subdivision: WEST PORTLAND HEIGHTS Lot: 9
Project Description: TI:remodeling portion of the 2nd floor for medical consultant office.
Contractor: WALEN CONSTRUCTION Owner: 11740 SW 68TH PARKWAY LLC
20915 SW 105TH AVE 111 SW COLUMBIA ST STE 1380
TUALATIN, OR 97062 PORTLAND, OR 97201
PHONE: 503-718-6680 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 12/22/2022 $1,196.55
Occupancy Grp: B Occupancy Load: 66 Demolition
12%State Surcharge-Building 12/22/2022 $143.59
Dwelling Units: 0 Plan Review 11/03/2022 $777.76
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 12/22/2022 $274.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 12/22/2022 $478.62
Value: $115,000 Info Process/Archiving-Lg$2.00(over 12/22/2022 $6.00
11x17)
Metro CET 12/22/2022 $138.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,014.52
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 Utili otification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a c the rules or direct questions to OUNC by ca lin 03. .198 0 1.80 .33 .2344.
Issued By: //I�g//r ' ee Signature:
Call 03.639.4175 by 7:00 a.m,for the next available inspection e.
This permit card shall be kept in a conspicuous place on the job site until com letion of the pr
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial FOR OFFICE USE ONLY f
City of Tigard RECEIVE 1p eceived 1 Permit No.: In�^-^-�
Date/B - 'M'r L _cedar
'' 13125 SW Ball Blvd.,Tigard,OR 97223 Plan Review I
i ' Phone: 503-718-2439 Fax: 503-598-1960ated Permit.
Nov• to Q Date/By: 1 I� .7
TIGARD Inspection Line: 503-639-4175 pr Date Ready,/8 orris' 9J See Page 2 for
a Internet: www.tigard-or.gov CITY OF TIGARC Notified/Method:/?/?9/?" Supplemental Information
ell
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TYPE OF WORIBUILRING DIVISION `�"� v�fJE�Q IRE DATA: AND 2-FAMILY DWELLING
El New construction El 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.
Valuation: $
❑ 1-and 2-family dwelling lit Commercial/industrial _
ElAccessory building El Multi-familyNumber of bedrooms:
❑Master builder ❑Other: Number of bathrooms: 6 6 o Lc.
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: j 74Q CP� q �,! New dwelling area: square feet
� ��
City/State/ZIP: � SL l 2.V. 7 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: j"e-7fAL , l .E. 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: Lot#: Permit fees*are based on the value of the work performed.
fax 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. i
Valuation: $
�,��/,w �j���i�p��� �4� � �x05�� Existing � area: 2t�I�a feet
6,1r ►21 Vise -1 ��,,,�,���tr.? • � o, .
WWI 1 -r (��IcM c /`��iJL-I fi®(mot) New building area: 11.1.A, square feet
PROPERTY OWNER ❑ TENANT Number of stories: n,g.,OF 'zc-rr. .'j %
Name: . *Q. ,r��/ � Ay Type of construction: v.e
—
Address: % M �l/1i f * 1 Aa 1i - %(( L�,t/ �A9 51. Occupancy groups:
City/State/ZIP: 39oh.o-r 1�I^�`F I�� V .,:1-7W 1 "7 Existing: �j
Phone:(J',J^O3 7Z+ I�""�►''i^'1'.471 Fax:l (( ) New:
gAPPL1CANT ❑ CON'TACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: js„)� s r 7
r�ti
r Structural plan review fee(or deposit): -77 7
Contact name: ' ` —
Address: , 6DX *BC)1 FLS plan review fee(if applicable):
"Total fees due upon application:
City/State/Z1. P ,t(S,A�Qt � ('
( __Phone:(693) . .97� WNWWNW - (sr '2 Amount received:
E-mail: 4g .r ri' t Fax: :(rz-AecL. PIIOTOVOLTA[C SOLAR PANEL SYSTEM FEES*
�` Commercial and residential prescriptive installation of
CONTRACTOR�-�/ roof-top mounted PhotoVoltaic Solar Panel System.
Business name: r �1 eabi .11G-� Submit two(2)sets of roof plan with connection details
4 'l ` �+ and fire department access,along with the 2010 Oregon
Address: IGl 4 pot� yi Solar Installation Specialty Code checklist.
Permit fee(includes plan review
City/State/ZIP: """taAdAn 72 and administrative fees): $180.00
Phone:( 3 "'14•4.. j Fax:( )
��lY State surcharge(12%of permit fee): S21.60
CCB Lic.: 223805 total fee due upon application: $201,60
Authorized signature: 'TAW This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 1;1140_, I�N�il
Date: I0-51•Z,Z * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COMPcrmitApp.doc Rev.04/21/2014 440-3613T(1 I/02/COM/WEB)
A
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City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
71 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] $ t t'PiQpp•"
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ /L$1.750.Z
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: $
1 (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): $
t\ln c11-20,14rD ..5 1332.43 1 144. 1-M.L JAL_-.
1:\Building\Permits\BUP_COvl_PermitApp.doc Rev.03/05/2019
City of Tigard
714COMMUNITY DEVELOPMENT DEPARTMENT
IN
Ili
T1cAxD Building Permit Review — Commercial - No Land Use
Building Permit #: sup Zo - 0,277
Site Address: It1tib StA (05ih Q Suite/Bldg#: 226
Project Name: Loyovl 56v(ce.
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review, (�,,
Proposal: \�Il D(10 I �\ �o (/lfl . `� 0, 1 c/\, Cs,,Jti oiev\ ,
rT k U0d-fki— 'R-ooi .
Existing Business Activity: V f\ I`2'
Proposed Business Activity: Amoln eat "T'ce.
xr Verify site address/suite# exists and active in permit system.
zErRiver Terrace Neighborhood: ❑ Yes ,No
yJ Zoning: ` Mki
Permitted Use: . Yes ❑ No ❑ Spec Space
LET Confirm no land use required.
Business License:
Exists: ❑,p Yes applicant was provided a business license application
Notes: usc. Cd M `(lGG �nol k _
. 00 AAAA� -e ct decple dawdle
p� tse ( v\o �otdltAl wdm v, rreAD . e Pe W. l
Approved by Planning: Date: /i I ?4 -_
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: /1/3 /
Site Plans: # 2
Building Plans: # 4--
Building Permit#: reinter building permit#above.
Workflow Routing: anning .Permit Coordinator Building
Workflow Sign-off: Aill gn-off for Planning (include notes from planning review)
Route Application Documents: Building: original permit application, site plans,building plans, engineer and
beam
f calculations and trust details,if applicable,
retc. 1. v -l`
Notes: /7''Ji�f Se.� , C i n� J e/t4krf4 1 .� ldq Aid d p k id ace ` pA
By Permit Technician: J/ t Date: / ttii�`
dd
I:\Building\Forms\BIdgPermitRvw_COM_NoLandUse_09072022.docx
Permit Coordinator Review
1I Conditions "Met"prior to issuance of permit
❑ Approved, NOT Released: Date:
❑ ENG Revisions Required: Date:
Notes:
SDC Exemption ❑ Applied for ❑ Received Does not apply
Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A ❑ Deferred
FYI' VW"\-3_,d�� Tigard Trans SDC: 0 Yes N/A ❑ Deferred
�p \ 1� Parks SDC: El Yes N/A CI Deferred
y- LIDA Fee: 0 Yes N/A
OK to Issue/Approved by Permit Coordinator: 1 Date: \'2- f 1-��L
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Fonns\BldgPermitRvw_COM_NoLandUse_08162022.docx