Permit (4) CITY OF TIGARD BUILDING PERMIT
2: • COMMUNITY DEVELOPMENT Permit#: BUP2020-00208
'TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/19/2020
Parcel: 2S101 BB01300
Jurisdiction: Tigard
Site address: 11952 SW GARDEN PL
Project: BKM Pacific South Subdivision: CROW PARK 217 Lot: 1
Project Description: Interior demo&remodel of an existing building to be subdivided into(4)new suites at 11952, 11954, 11956&
11958.
Contractor: D &B COMPANY Owner: BKM PARK BC 252 LLC
1001 SE WATER AVE#261 1701 QUAIL ST STE 100
PORTLAND, OR 97214 NEWPORT BEACH, CA 92660
PHONE: 503-232-1974 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 11/19/2020 $3,521.95
Demolition
Occupancy Grp: B Occupancy Load: 299 12%State Surcharge-Building 11/19/2020 $422.63
Dwelling Units: 0 Plan Review 10/05/2020 $2,289.27
Stories: 0 Height: 0 ft Address Fee-per lot/suite(up to first 20) 11/19/2020 $200.00
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 11/19/2020 $406.00
Value: $500,000 Plan Review-Fire Life Safety 11/19/2020 $1,408.78
Info Process/Archiving-Lg$2.00(over 11/19/2020 $94.00
11x17)
Floor Areas: Metro CET 11/19/2020 $600.00
Total Area: 0 Tigard CET-Non-Residential-Admin 11/19/2020 $200.00
Tigard CET-Non-Residential-AH 11/19/2020 $4,800.00
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $13,942.63
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 calling 503.232.1987 or 1.800.332.2344.
Issued By: IXJx asi CA c_ , Permittee Signature: cD(1 aj Ttc'a
'-��(3 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 Permit Application I
Commercial FOR OFFICE USE ONLY
City of Tigard eceivea t ,140.
�C�iO/E attRev 093oZoZo �u�zv�o t9aa?
14 4 '� 3125 S50 Hell Blvd.,9 Tigard,OR 9722 Plan Review Related Permit:
Phone: 503-718-2439 Fax: 503-598-1960 DateBy: JQ-�+,-aQ -f'
TIGARD Inspection Line: 503-639-4175 AUG 2 6 2020 DateReadyBy; lad' H See Page 2 for
• Internet: www.tigard-or.gov Notiaed/Metlwd:/4/4/2,0 Afl Supplemental Information
CITY OF i 1GAR-D _147,-iiL r'Tq- (c—
TYPE OF WORK REQUIREDDIVISION REQUIRED DATA: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
NAddition/alteration/replacement D Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling 1.1 Commercial/industrial Valuation: S
❑Accessory building /f C J! w I Multi-family Number of bedrooms:
❑Master builder�/ c* .f. J/C)cej ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: -p '- (,r� `Pt."l t New dwelling area: square feet
City/State/ZIP: 'T,4 r, ra f Of( 17.23 Garage/carport area: square feet
Suite/bldg./apt.11: Project name:1,3iM_ 1• :50,(4) T S ark, Covered porch area: square feet
Cross'st[reet/directions to job site: QtUI 9. Deck area: square feet
t5W G04,1 $ Pfse t ck Meo , Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot it: Permit fees*are based on the value of the work performed.
Tax map/parcel II: //a}-63,2--9.— Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
, iL DESCRIPTION OF'WORK 1 work indicated on this application.
.TP1` jist tKw o tf Re d / or dth doss • comet • Valuation: $ 5-00/‹.
h i G5 • 40 it SJaii'Oar) A til (44 n e LI su r l-Cs• Existing building area:/Ai c5°square feet
New building area: square feet
it
yt PROPERTY OWNER ❑ TENANT Number of stories: I.
Name: t3je/•n t �G 6 f C / kJ 7'/ZS 27 V i t t c Type of construction: Y-13
Address: /?of a V A i J ,J 1. I Si /c0(� Occupancy groups: 3.- 5 ,
City/State/ZIP: /t►e1. .1,rq])�t jeat/,, CA /Z, ,o, Existing: tt is
% Phone:( I 1/) 361- I G t / Fax:( ) New: 1' t"
mll OkAPPLICANT 0 CONTACT PERSON BUILDING'PERI'IIT FEES*
Business name r1 Gi Ac.C4.a h �} (Pleura rej�Jojeesrketnfe/
/ -,�-V de. , ./ G"J "' Structural plan review fee(or deposit): 2241. ?7
Contact name: may-k R v inn X fis "Y
/ FLS plan review fee(if applicable):
>
Al :dress 3g ,al e0,11/;-t tf'�- ,* Si< J
, Total fees due upon application:
city/State/ZIP: /'✓I n.e, f e f}- 9 z L,y
Phone:(4S - 78?— 246 4 Fax::( ) Amount received:
E-mail: pvi e 0 n Ck ftr !1 Ai t� cO PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
1 � ` Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: t & B CO rriVIEt ril Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 1001 S6 Water' Aare # 7 b i Solar Installation Specialty Code checklist.
City/State/ZIP: pp r.4_ Permit fee(includes plan review
1'�a C)R °i-1214 S180.00
* and administrative fees);
Phone:(SA) 237 - 1114 Fax:( ) State surcharge(12%of permit fee); $21.60
CCB Lic.: l tp$-1 L q Total fee due upon application: S201.60
Authorized signature; This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: A r v7•rr- Date: /2 f/q0 * Fee methodology set by Tri County Building Industry
2 Service Board.
1:1Building\Permits1BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I 1/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Commercial - No Land Use
TIGARD
,4111111111111
Building Permit #: j2(J,20. y 2a
Site Address: 11952, 11954, 11956, & 11958 SW Garden PI Suite/Bldg#:
Project Name: BKM Management Company
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Landlord work; splitting 1 tenant space into 4 spaces and other interior work
Existing Business Activity: Office
Proposed Business Activity: Spec space
❑° Verify site address/suite# exists and active in permit s'sstem.
❑° River Terrace Neighborhood: ❑ Yes L"I No
0 Zoning: C-G
0 Permitted Use: U Yes U No L'I Spec Space
0 Confirm no land use required.
ElBusiness License:N/A
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: ' 4 Date: 9/23/20
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 p
Original Submittal Date: p ,ZG 422o
Site Plans: # �:
Building Plans: #
Building Permit#: Rnter building ermit# above. �,7�_
Workflow Routing: Q Planning Permit Coordinator LTA tsuilding
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: Date: *- ;ZOJ,O
I:\Building\Forms\B I dgPermitRvw_COM_NoLandUse_l 11819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit ,
❑ Approved,NOT Released: t Date:
Notes:
1IYAV
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applic. :
Revision Notice 2: Date Sent to A.; cant:
Revision Notice 3: Date Sent t. pplicant:
❑ SDC Fees Entered: Was• o Trans Dev Tax: ❑ Yes ❑ N/A
.gard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
1:1B ui l di ng\Forms\B IdgPe rmi tRvw_COM_Nol an dU se_l 1 1 819.d o cx