Permit (3) 111 CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2021-00248
Date Issued: 12/20/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101 BB01300
Jurisdiction: Tigard
Site address: 11958 SW GARDEN PL
Project: Zoom+Care Subdivision: CROW PARK 217 Lot: 1
Project Description: TI-Interior partition walls,finishes and new restroom.
Contractor: NORWEST CONTRACTORS INC Owner: BKM PARK BC 252 LLC
PO BOX 25305 BY SLK GLOBAL SOLUTIONS AMERICA
PORTLAND, OR 97298-0305 2727 LBJ FREEWAY STE 806
DALLAS, TX 75234
PHONE: 503-291-6986 PHONE:
FAX: 503-291-7036
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations, 11/08/2021 $729.45
Occupancy Grp: B Occupancy Load: 41 Demolition
12%State Surcharge-Building 11/08/2021 $87.53
Dwelling Units: 0 Plan Review 10/14/2021 $474.14
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 11/08/2021 $110.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/08/2021 $291.78
Value: $50,000 Info Process/Archiving-Lg$2.00(over 11/08/2021 $28.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,720.90
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 2-001-0090. Y may obtain py of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: .. /7/7/ 7V3
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.
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
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] $ 50,000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 12,500
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 $ N/A
(b) An accessible entrance: $ N/A
(c) An accessible route to the altered area: $ N/A
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ N/A
(e) Accessible telephones: $ N/A
(t) Accessible drinking fountains:and, $ N/A
(g) When possible,additional accessible elements such as storage and
alarms: $ N/A
TOTAL(shall equal line [2] of Valuation Computation): $ *
* Existing facility is completely accessible.
No barrier removal is applicable.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
C
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 8UP202/-002L1
Site Address: If t 5'8 SW Ga VI `P[aC' Suite/Bldg#:
Project Name: .7-COM-1-651,
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review Proposal: Oil 420t/i/cPiV10I,� . W -GY.Sfi rl '-v- . b l L' Crvl e--
co A 0vt. C • Z(/1.d-e rt.or Jtarot, (S l‘vl��(.�-�5 _(At r s I-v- v-1
Existing Business Activity: pk.C.e_ t ce
Proposed Business Activity: � v`f.. .p �lm/�lM rti/l. (vu C e J)
( Verify site address/suite# exists and active in permit system.
E River Terrace Nei hborhood: ❑ Yes 21' No
Zoning: i G
�pl Permitted Use: Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: ® Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: .4Date: d O//el f Z 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: /O/12/2627
Site Plans: #
Building Plans: # 3
Building Permit#: Enter building permit#above.
Workflow Routing: [Planning [ 1 ermit Coordinator Er Building
Workflow Sign-off: C9'Sign-off for Planning(include notes from planning review)
Route Application Documents: li Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ] Date: 14/4/24024
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_l 11819.docx
A
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 Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A
Tigard Trans SDC: ❑ Yes /N/A
Nl/A
Parks SDC: ❑ Yes
OK to Issue Permit Approved by Permit Coordinator: Date: ID(p-4 I C-rl2`I
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I:\Building\Forms\BldgPermitRvw_COM NoLandUse 111819.docx