Permit (5) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2020-00237
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/22/2020
T I G;�R p 9 Parcel: 2S101 BB01400
Jurisdiction: Tigard
Site address: 12114 SW GARDEN PL
Project: Spec Space Subdivision: CROW PARK 217 Lot: 2
Project Description: Landlord work prior to TI. Interior demolition and shell remodel.
Contractor: ALEGIS CONSTRUCTION INC Owner: BKM PARK BC 252 LLC
6900 SW ATLANTA ST SUITE 110 1701 QUAIL ST STE 100
PORTLAND, OR 97223 NEWPORT BEACH, CA 92660
PHONE: 503-427-6065 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 12/22/2020 $729.45
Demolition
Occupancy Grp: B Occupancy Load: 49 12%State Surcharge-Building 12/22/2020 $87.53
Dwelling Units: 0 Plan Review 11/23/2020 $474.14
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 12/22/2020 $102.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 12/22/2020 $291.78
Value: $50,000 Info Process/Archiving-Lg$2.00(over 12/22/2020 $28.00
11x17)
Tigard CET-Non-Residential-Admin 12/22/2020 $20.00
Floor Areas: Tigard CET-Non-Residential-AH 12/22/2020 $480.00
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,212.90
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-D010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: V\-CM3v Q^(LJ�_C.t�+l/. .0 Permittee Signature: ef, L G 06-1
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application / _6
Commercial RECEIVE. FOR OFFICE USG ONLYf
City of Tigard RECEIVE Ia` y /! /6 12020 ! Permit Wu.ettF2 -�23'7
'r 13125 SW Hall Blvd.,Tigard,OR 97223 N 0 V 0 5 2020 Ptan Review l l S[
Phone: 503-718-2439 Fax: 503-598-1960 Date/By: 1I'^a.9 a$,j- "j Related Permit:
l.tci 1�tU Inspection Line: 503-639.4175 CITY OF TIGAFiD Dale Rexdyaty: '7 luris: 0 See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVIsIO'N'Qtified/Method/ ./ / ��^ Supplemental Information
UV �l f,/L (iv-u. 1r
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
IS(Addition/aheration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling 14 Commercial/industrial Valuation: S
❑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: /2/i C f c.514 6w t j fel pi. New dwelling area: square feet
City/State/ZIP: i t j Arc) / CO/Z., 9 2 2 3 Garage/carport area: square feet
Suite/bldg./apt.0: Project name: 7:1'arc 1`�✓s, Pere. Covered porch area: square feet
Cross street/directions to job site: '.-5,'' (,e Deck area: square feet
.S la O*tt ten 's P�IC 't C.C. )J / 7 Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot II: Permit fees'are based on the value of the work performed.
fax map/parcel If: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
'V/� a DESCRIPTION OF WORK work indicated on this application.
lA(Ii1(A SLeI1 rt"••0 at Lei Nmd OF V T1:4 Valuation: S 5 O
/(1 O A 2 d ed GY`t!- , b Nis ) n 0 S I work- Existing building area: square feet
NK New building area: (� square feet
ROPERT�Y OWNER (` `'J .y�/� ❑ TENANT Number of stories: 1
\i,
Name: J3K wl , kt t c1 G SoAi. 1 I CS 4 4 , 22 yC LLG Type of construction: V—5
Address: '' O I. & �a i 1 s 1 • I S1� I O D Occupancy groups: T,3
City/State/ZIP: AI e wear- G� 9 z 6 6 O Existing: tt r t
Phone:(yto 3A/ — 7, 1 f [Fax:( ) New: t. `t
�l7Ff PPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
"'tititiYYY
Business name: pJ�,f eS t Ih /� 9v (Pealeasereferrotecseledide
„� t ,� lY /0 Structural plan review fee(or deposit): lf7 AO
Contact name: /tL Ark. P Li d t r.�..i f"
_ _1� ^l� FLS plan review fee(if applicable):
Address: fi y„G w Sj S
City/State/ZIP: C� c ( Total fees due upon application:
-�,^v�� f Gi I? G i�`
Amount received:
Phone:((,S9) 2 b3 9, Z 66 Fax::( )
E-mail: M]p 0/,.) deA - A-. lif q 1 1 n c , Co PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
�/ Commercial and residential prescriptive installation of
CO CTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: ' I Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180,00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): S21.60
CCB Lic.: Total fee due upon application: S201.60
This omit application expires if a permit is not obtained
Authorized signature: P Pn
/����,//// a
{ within 180 days after it has been accepted as complete.
Print name: /f�r1t, Vr ;ndtx j-+� Date:11 s f/20 ZO ' Fee methodology set by Tri-Cotmty Building Industry
J f Service Board.
I:\BnildinglPermits\BUP_COM_PemnitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
•
TICARD Building Permit Review — Commercial - No Land Use
Building Permit #: B Cie 00237
Site Address: 12114 SW Garden Place Suite/Bldg#:
Project Name: Tigard Business Park Spec Space
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Plaonirk I1evieW
Proposal: TI
Existing Business Activity: N/A
Proposed Business Activity:
® Verify site address/suite# exists and active in permit system.
® River Terrace Neighborhood: ❑ Yes it l No
�7 Zoning: C-G
• Permitted Use: ❑ Yes ❑ No n Spec Space
® Confirm no land use required.
nia Business License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: /611W 0eA/vIebib Date: 11/18/2020
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Euildi4r Permit Submittal
Original Submittal Date: / S12010
Site Plans: #
Building Plans: # 3
Building Permit#: B-Enter building permit# above.
Workflow Routing: kr Planning ❑ Permit Coordinator luilding
Workflow Sign-off: sign-off for Planning(include notes from planning review)
Route Application Documents: OBuilding: original permit application,site plans,building plans,engineer and
beam calculations and st details,if applicable,etc.
Notes:
By Permit Technician: Date: __ /re
i:lBuilding\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx
Coordinator Review
❑ Conditio ` et"prior to issuance of building permit
❑ Approved,NO -ased: • .
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Appli
Revision Notice 3: Date Sent to - .. cant:
❑ SDC Fees Entered: W o Trans Dev Tax: ❑ Yes ❑ N •
igard Trans SDC: ❑ Yes 0 N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to -.I e Permit
roved by Permit Coordinator: Date:
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_I I I819.docx
Branden Taggart
From: Branden Taggart
Sent: Friday, December 4, 2020 2:57 PM
To: 'Mark Poindexter'
Subject: Tigard Business Park: BUP2020-00237 - 12114 SW Garden PI
Attachments: Invoice.pdf
Hi Mark,
The spec space Building permit, located at 12114 SW Garden Place, is ready to issue now. The balance due is$1,738.76,
and I have attached an invoice above for you to reference. The permit fees can be paid online through our
website: https://aca.accela.com/tigard/Default.aspx. From there, click on the Building tab, enter the permit number
(BUP2020-00237) in the Record Number field, and click Search. Once paid, please notify us at
TigardBuildingPermits@tigard-or.gov, and we will place this permit in our open Permit Center conference room for you
to pick up between the hours of 8:00 a.m. and 5:00 p.m., Monday through Thursday. We are closed on Fridays.
Also, we will need contractor license information prior to issuing this permit.
Thank you,
Branden Taggart
a City of Tigard
p Senior Permit Technician
Community Development
1 C1 ,im
13125 SW Hall Blvd
Tigard,OR 97223
(5031718-2449
brande nt@tiga rd-o r,g av
1