Permit (20) 71 CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT BUILDING
BUP2022-00274
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/8/2022
Parcel: 1S135BD00100
Jurisdiction: Tigard
Site address: 9600 SW OAK ST 330
Project: Carson Wealth Management Subdivision: ASHBROOK FARM Lot: 5
Project Description: TI for new tenant: Demolition, new partitions,doors, and casework.
Contractor: SUMMIT CONSTRUCTION Owner: KING CAPITAL INVESTMENTS LLC
PO BOX 10345 ATTN KING, THOM
PORTLAND, OR 97210 19250 NE PORTAL WAY
PORTLAND, OR 97230
PHONE: 503-223-9703 PHONE: 310-455-9876
FAX: 503-242-3841
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations, 11/15/2022 $1,008.06
Occupancy Grp: B Occupancy Load: 48 Demolition
12%State Surcharge-Building 11/15/2022 $120.97
Dwelling Units: 0 Plan Review 11/09/2022 $655.24
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 11/15/2022 $274.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/15/2022 $403.22
Value: $86,468 Info Process/Archiving-Lg$2.00(over 11/15/2022 $22.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,483.49
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 OAR152-001-0090. You may obtai n,.acopy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
/� %!r
Issued By: � / �/ �_ c! Permittee Signature:
Call 503.639.4175 by 7.60 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] $
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 $ N/A
-ACCESSIBLE PARKING IS CURRENTLY PROVIDED ON SITE
(b) An accessible entrance: $ N/A
-AN ACCESSIBLE ENTRANCE IS CURRENTLY PROVIDED
(c) An accessible route to the altered area: $ N/A
-AN ACCESSIBLE ROUTE TO THE ALTERED AREA IS CURRENTLY PROVIDED
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ N/A
-AN ACCESSIBLE RESTROOM IS CURRENTLY PROVIDED
(e) Accessible telephones: $ N/A
-NO FIXED TELEPHONES ARE REQUIRED OR PROPOSED
(f) Accessible drinking fountains:and, $ N/A
-NO DRINKING FOUNTAINS ARE REQUIRED OR PROPOSED
(g) When possible,additional accessible elements such as storage and
alarms: $ N/A
-NO ADDITIONAL ACCESSIBLITY CONCERNS ARE KNOWN
TOTAL (shall equal line [2] of Valuation Computation): $ N/A
I:\Building\Permits\BUP_COM_Permit9pp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Ii : " Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
ALL WORK IS INTERIOR, NO CHANGES TO PREVIOUSLY PERMITED EXTERIOR
1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with:
A. X❑ map&tax lot# ❑X project name ❑X site address ❑X suite number
❑ zoning N/A ® applicant name X❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
ALL WORK IS INTERIOR, NO CHANGES TO PREVIOUSLY PERMITED EXTERIOR
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan. NO CHANGES TO PREVIOUSLY PERMITTED WORK
C. Floor plan(s).
D. Cross sections. NO CHANGES TO PREVIOUSLY PERMITTED WORK
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan. NO CHANGES TO PREVIOUSLY PERMITTED WORK
H. Exterior elevations. NO CHANGES TO PREVIOUSLY PERMITTED WORK
I. Structural calculations,plans, details and specifications. NO CHANGES PROPOSED
J. Accessibility barrier removal worksheet.
K. Deposit- based on valuation of project.
I:\Building\Pemuts\BUP_COMPertnitApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGART} 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington
County, and Tualatin Valley Fire &Rescue),if applicable.
I:\Building\permits\BUP_COM_PemutApp.doc Rev.03/05/2019
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 64 —c)(3cW/
Site Address: (per "1— Suite/Bldg#:
Project Name: e40Sali , (i1 r ifif}beAe ten r
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: fi .
Existing Business Activity: ()F" /C-E
Proposed usiness Activity: O t-e'
Verify-address/suite# exists and active in permit system
D RiverTerrace Neighborhood: ❑ Yes No
l inn (VIOL ((�
YJ Use: �f Yes ❑ No ❑ Spec Space
ICJ nfirmrm no land use required.
Business License:
Exists: al Yes 0 No,applicant was provided a business license application
Notes:
Approved by Planning: a e: Z 2
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: E Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
mars
Building Permit Submittal
Original Submittal Date: k/ /2.1.
Site Plans: # rv/
Building Plans: # �
Building Permit#: titer building permit#above.
Workflow Routing: D—Ptanning ❑ Permit Coordinator ilding
Workflow Sign-off: C��,B3�ign-off for Planning(include notes from planning review)
Route Application Documents: Ctuilcling: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: �� Date: //�
j�
I:1Building\FormslBldgPermitRvw COM NoLandUse 09072022.docx
Pe oordinator Review
❑ Conditions "' -t"prior to issuance of permit
❑ Approved,NOT ' - -ased: Date:
❑ ENG Revisions Require I Date:
Notes:
❑ SDC Exemption ❑ Applied for E Received ❑ Does not apply
❑ Fees Entered: Wash Co Trans Dev Ta . ❑ Yes ❑ N/A ❑ Deferred
Tigard Trans SDC: ■ Yes ❑ N/A 0 Deferred
Parks SDC: ■ es ❑ N/A ❑ Deferred
LIDA Fee: ❑ Yes ❑ N/A
❑ OK to Issue/Approved by Permit Coordinator: Date:
Revisions (after Building Submittal only)
Reviewe
Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
I:\Building\Forms\B1dgPermitRvw_COM_No LandUse_08162022.docx
CITY OF TIGARD111 RECEIPT
: a . 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
11 GA F.O
Project Name: Carson Wealth Management
Site Address: 9600 SW OAK ST 330
Receipt Number: 443416 - 11/15/2022
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
BUP2022-00274 Permit Fee-Additions,Alterations, 230-0000-43104 $1,008.06
Demolition
BUP2022-00274 12%State Surcharge-Building 100-0000-24001 $120.97
BUP2022-00274 DC Provision Review, COM TI -Ping 100-0000-43112 $274.00
BUP2022-00274 Plan Review-Fire Life Safety 230-0000-43108 $403.22
BUP2022-00274 Info Process/Archiving-Lg $2.00(over 230-0000-43135 $22.00
11x17)
Total: $1,828.25
PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 1343 BTAGGART 11/15/2022 $1,828.25
Payor: King Capital Investments, LLC
Total Payments: $1,828.25
Balance Due: $0.00
KING CAPITAL INVESTMENTS, LLC 1343
City of Tigard 11/9/2022
Date Type Reference Original Amt. Balance Due Discount Payment
11/9/2022 Bill BUP2022-00274 USD 1,828.25 USD 1,828.25 USD 1,828.25
Check Amount USD 1,828.25
First Citizens Checkin USD 1,828.25
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