Permit (8) CITY OF TIGARD BUILDING PERMIT
: COMMUNITY DEVELOPMENT Permit#: BUP2023-00061
T t ;A R F.) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 6/1/2023
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Parcel: 2S 101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 450
Project: ECI Subdivision: None Lot: None
Project Description: TI for existing tenant:Demolition,new walls,entry door,and finishes.
Contractor: WALEN CONSTRUCTION Owner: G&I X TRIANGLE CORPORATE PARK LLC
20915 SW 105TH AVE BY DRA ADVISORS LLC
TUALATIN, OR 97062 ATTN TAX DEPT
575 FIFTH AVENUE 38TH FL
NEW YORK, NY 10017
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, 05/24/2023 $1,130.11
Occupancy Grp: B Occupancy Load: 52 Demolition
12%State Surcharge-Building 05/24/2023 $135.61
Dwelling Units: 0 Plan Review 05/03/2023 $734.57
Stories: 0 Height: 0 ft Tenant Improvements in Existing 05/24/2023 $430.00
Bedrooms: 0 Bathrooms: 0 Development
Value: $104,000 Plan Review-Fire Life Safety 05/24/2023 $452.04
Info Process/Archiving-Lg$2.00(over 05/24/2023 $14.00
11x17)
Floor Areas: Metro CET 05/24/2023 $124.80
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,021.13
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 obtain a copy of the rules or direct questions to OUNC by calling 503.232. or 1.800.332.2344. /
Issued By: • 444 Permittee Signature:
Call 503.639.417 by 7:00 a.m.for the next available inspection date.
This permit card shall be ke in a conspicuous place on the job site until completion of the project.
Approved ans are required on the job site at the time of each inspection.
Building Permit Application
Commercial FOR OFFICE USE ONLY
Cl of Tigard Received / ^�� ,+�
`J g RECEIVEDate/By: / /� Permit No.: gii-0(9L.O'' �V0�(ot
II e 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
111 Phone: 503-718-2439 Fax: 503-598-1960 Date/By: (S - o-Zs, j Related Permit:
Inspection Line: 503-639-4175 A y(��/ Date Ready/By: / ' 4,.i s: ® See Page 2 for
TIGARD Internet: www.tigard-or.gov MAY 2023 oti5edIethd Supplemental Information
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El construction El El`Demolition1lJ,�{
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.. ingilig Permit fees*«are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
XAddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
igiliiii»::.:,#;ess;#;;=Issssss#:nsHrs#ss#ss,,.,..=,,.ss.*.*ss##c#.«,,., ..•,.,. work indicated on this application.
zlf.1#* zlli pp
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E 1-and 2-familydwelling.-VYv4e"kM.*..,.. "xXCommercial/industrial .4Y Valuation: $
-
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
itrinliligiiriTiiiiiiiiiii»si:sus s-#¢#ss# w*s�azs:s#s#t#:s:.;s.;
&:� "r' Ii.. Total number of floors:
�! � ,.ram fit
Job site address: 13221 SW 68th Parkway New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: 450 Project name: ('/'e Covered porch area: square feet
Cross street/directions to job site: Turn onto 68th Parkway''++�' from Hampton Street. Deck area: square feet
Other structure area: square feet
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
ssss: equipment,materials,labor,overhead,and the profit for the
work indica
ted on this application.
Work to include demolition,new walls,entry doors,and finishes. ...+Y«.... ......*.*.,,...** Valuation: $ 104,000
Existing building area: 7,730 square feet
New building area: 7,730 square feet
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Number
* ��: u ber of stories:
Name: Prescott Partners Management, LLC Type of construction: I-B
Address: 9535 SW Gemini Drive Occupancy groups:
City/State/ZIP: Beaverton,OR 97008 Existing: B
Phone:( 415 ) 699-8080 Fax:( )
New: B
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� �>is#::::i;ss#gs ai3 #
Business name: Mackenzie yµ ' �"}R}`k*»»»%`»»""'M}'"i
Structural plan review fee(or deposit):
Contact name: Samantha Ruddy
FLS plan review fee(if applicable):
Address: 1515 SE Water Ave,Suite 100
Total fees due upon application:
City/State/ZIP: Portland,OR 97214
Phone:( 503 )224-9560 Fax: ( ) Amount received:x «*
E-mail: sruddy@mcknze.com `' #' '' ` ' `" 0. "'A
r:;.• Commercial and residentialprescriptive installation of
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•�zsis�ii}?sc,..3slii: :ssz"��lziiy�eiir:9:ss3i»=,
r'u,..».,.��•„«* ....,.,,«.,..,...,, ...,r».,,...,«...... ._ __....v.# .,«*. .--.--................ .. ............................ . roof-top mounted Photovoltaic Solar Panel System.
Business name: Walen Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 20915 SW 105th Ave Solar Installation Specialty Code checklist.
City/State/ZIP: Tualatin,OR 97062 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( 503 )692-9002 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 223805 Total fee due upon application: $201.60
•flp*ly siq*d by Samantha Ruddy
D' "s.E-'mey@ma^�e.rom. This permit application expires if a permit is not obtained
Authorized signature: Samantha RUd �"�`"°^"a`"=s""'"'"aRaOtly
Re+ro^.I am aaRt^+�^a m�:eo��mem
within 180 days after it has been accepted as complete.
Print name: Samantha Ruddy Date: 05/03/2023 * 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 • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
in
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] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
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): $
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard
III I
'I COMMUNITY DEVELOPMENT DEPARTMENT
T I c A u D Building Permit Review — Commercial - No Land U s e
Building Permit #: Z3vP Z023 - 0004,
Site Address: P Z01 S6 >34 Tut,/ Suite/Bldg#: 1-MC7
Project Name: 1 expAN s i o 0
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: ( �A �h'11��c�i� yrr3 pc/Via-Kg- Krirtib
*r-01MM0-r txp1er o Ini b Crriv AO ifitEri r Set ram .
ND r✓XrvRItXL (4 .
Existing Business Activity: CjF-7 (-e.
Proposed Business
Business Activity: !S
YJ VICJ sitepermitY address/suite# exists and active in s ste .
amm`'
Ri errace Neighborhood: ) ❑ Yes No
t1 oning: Tm 1!
tted Use: -I� Yes ❑ No ❑ Spec Space
no land use required.
Business License:
Exists: es ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: _.........._ ...._..__..._D 5
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: cC /Z3
Site Plans: #
Building Plans: #
Building Permit#: [ 'Enter building permit#above.
Workflow Routing: Planning Permit Coordinator ZrBuilding
Workflow Sign-off: 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: 6RA Date: 73/Z3
I:\Building\Forms\BldgPemutRvw_COM_NoLandUse_09072022.docx
veering Review
❑ Slope : building pad:
❑ PFI Per #:
❑ Conditions " e " erior to issuance of permit
❑ Easements (encroac -nts)per engineering conditions of approval and . at(not typical on SDR/CUP)
❑ Water Quality/Quantity Fa 'ty:
Assess Water Quality Fee in -u: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu. ❑ Yes ■ o
LIDA Facility on lot: \ Yes • No Add Fee: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Enginee g: Date:
Revisions (after : •tiding Submittal only) Reviewer Date
Revision . ❑ Approved ❑ Not Approved
Re '..on 2: ❑ Approved ❑ Not Approved
'evision 3: ❑ Approved El Not Approved
Permit Coordinator Review
( Conditions "Met"prior to issuance of permit
❑ Approved,NOT Released: Date:
❑ ENG Revisions Required: Date:
Notes:
El DC Exemption El Applied for ❑ Received Does not apply
\III Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A ❑ Deferred
Tigard Trans SDC: El Yes N/A ❑ Deferred
Parks SDC: ❑ Yes N/A ❑ Deferred
LIDA Fee: El Yes N/A
r^
OK to Issue/Approved by Permit Coordinator: Date: t
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPernutRvw_COM_NoLandUse_08162022.docx