Permit (11) CITY OF TIGARD BUILDING PERMIT
IN `' Permit#: BUP2017-00230
COMMUNITY DEVELOPMENT ' ` Date Issued: 09/21/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439Figli i Parcel: 2S102AD03051
Jurisdiction: Tigard
Site address: 12760 SW ASH AVE
Project: Studio 7 Subdivision: BURNHAM TRACT Lot: 5
Project Description: TI for new hair salon. 11/29/17:REPRINTED to show change from spec space landlord permit to Studio 7 tenant
improvement permit.
Contractor: BNK CONSTRUCTION INC Owner: PREMIUM PROPERTY-TIGARD LLC
45 82ND DR, SUITE 53B BY CAPSTONE PARTNERS LLC
GLADSTONE, OR 97027 1015 NW 11TH AVE
STE 243
PORTLAND, OR 97209
PHONE:
503-557-0866 503-226-1972
FAX: 503-557-1085
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee-Additions,Alterations, 09/21/2017 $377.90
Class of Work: ALT Type of Const: VB Demolition
Occupancy Grp: B Occupancy Load: 8 12%State Surcharge-Building 09/21/2017 $45.35
Dwelling Units: 0 Plan Review 08/15/2017 $245.64
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 09/21/2017 $6.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $20,000 DC Provision Review,COM TI-Ping 09/21/2017 $91.00
Misc Administration Fee 11/29/2017 $45.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $810.89
Required Items and Reports(Conditions)
Required:
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: No
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.
•
. ZZZI(' ,
Issued By:
-- ••- i•nature: 4` )% t
�c.
Call 50 .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 BUILDING PERMIT
Fri 2.. . COMMUNITY DEVELOPMENT Permit#: BUP2017-00230
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/21/2017
T[ '' �` ' 9 Parcel: 2S102AD03051
Jurisdiction: Tigard
Site address: 12760 SW ASH AVE
Project: Spec space Subdivision: BURNHAM TRACT Lot: 5
Project Description: Landlord TI(850)Sq.Ft.to prepare space for future hair salon.
Contractor: BNK CONSTRUCTION INC Owner: PREMIUM PROPERTY-TIGARD LLC
45 82ND DR, SUITE 53B BY CAPSTONE PARTNERS LLC
GLADSTONE, OR 97027 1015 NW 11TH AVE
STE 243
PORTLAND, OR 97209
PHONE: 503-557-0866 PHONE: 503-226-1972
FAX: 503-557-1085
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 09/21/2017 $377.90
Demolition
Occupancy Grp: B Occupancy Load: 8 12%State Surcharge-Building 09/21/2017 $45.35
Dwelling Units: 0 Plan Review 08/15/2017 $245.64
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 09/21/2017 $6.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $20,000 DC Provision Review,COM TI-Ping 09/21/2017 $91.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $765.89
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: No
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: ' Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection e. --:-e>/---'ss"'-'
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
CommercialRye 7
t ,- torr 01 U R L•: L SE ON ll
City of Tigard Received
g 4 Date/By: 7 Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 AUG 1 ,3 2.017 S 1',�l At op'(, ice
C Plan Revr••�
Phone: 503.718,2439 Fax: 503.598.1960 Date/By: �i `I 8 FO 1 Other Permit:
1 I C;n Ii n Inspection Line: 503.639.4175 ` r Date Ready:�•. June. I ®J See Page 2 for
Internet: www.tigard-or.gov au ,� p .,..., ,...,:'1 //
1 Notified/Method: f / Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:12760 SW Ash Avenue New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 S n„� a Garage/carport area: square feet
A
Suite/bldg./apt.no.: Project name: tkwelll Of Main TI- Covered porch area: square feet
Cross street/directions to job site:SW Ash Ave and SW Burham St. Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Tenant improvement for 850 sf commercial retail space Valuation: $20,000
Permit application for warm-shell preparation,FFE and fixtures to be by Tenant Existing building area: 850 square feet
Proposed use is a new hair salon New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories: 1
Name:Premium Property Tigard-LLC Type of construction: 5-A
Address:1015 NW 11th Ave. Occupancy groups:
City/State/ZIP:Portland,OR 97209 Existing: n/a
Phone:(503)226- 972 Fax:(503)2264973 New: B
APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business nam :SERA Architecture and Design
(Pleaserele+tofeeschedule)
Structural plan review fee(or deposit):
Contact name:Ross Determan
FLSplan review fee(if applicable):
Address:338 NW 5th Ave. pp )
City/State/ZIP:Portland,OR 97209 Total fees due upon application:
Phone:(503)445-7372 Fax::( ) Amount received: ol.Z./c.(0
E-mail:rossd@seradesign.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: 6/1/ el; Submit two(')sets of roof plan with connec'. •e ails
�r � ��� ��7 and fire dep. , ent access,along wi e 2010 Oregon
Address: `•/5 z AA_ J-7-6--- 572/- Solar Installatio 1ecialty C.• c ecklist.
City/State/ZIP: �'.i� �J S'7rC '4��_ �� Permit fee(i I •• plan review
�� 7 .i• .�t"'s•'strative fees): $180.00
Phone:O 7.•_ Fax:( ) Stat- I rcharge(12%of.`•,i it fee): $21.60
CCB lie.:
Total fee due upon applicati.,• $201.60
Authorized signature: /
Ow-
This permit application expires if a perm .'s not obtained
within 180 days after it has been accepted as complete.
Print name: Date: * Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) —52e , Z-S
City of Tigard
" COMMUNITY DEVELOPMENT DEPARTMENT
IIII ■
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: iS (e/40/7- Z2 315
Site Address: 121(4C SOI SI/1 ,' -, Suite/Bldg#:
Project Name:
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: \ fLr pe(Strc ,SJC1. ( my. voc't'
Existing Business Activity: N 3/1\1-&--
Proposed
/1\itProposed Business Activity: RI'S-}i1G.Lk SVG
Verify site address/suite#exists and active in permit system.
.River Terrace Neighborhood: ❑ Yes - 'No
-(Zoning: t\! .C
x Permitted Use: Yes ❑ No ❑ Spec Space
.®=Confirm no land use required.
0 Business License:
Exists: ❑ Yes V No,applicant notified to obtain business license
Notes: 1 j' c CGvvv11 vv1'1 —Irl 0 t Cl i U S re-el VI 1-Ce:I
Approved by Planning: 44.e.,t/C- Date: (j J 13) i 7
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: h/rS7/7
Site Plans: #
Building Plans: # 3'
Building Permit#: Fig'Enter building permit#above.
Workflow Routing: 0"-Planning Permit Coordinator Building
Workflow Sign-off: ...Sign-off for Planning(include notes from planning review)
Route Application Documents: f-Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: f.. 'j /' ,4r. Date: yi1.�/�
I:\Building\Forms\BldgPernritRvwCOM NoLandUse 060116.docx
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:
C Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A
Tigard Trans SDC: ❑ YesRT/A
Parks SDC: ❑ Yes N/A
K to Issue Permit
Approved by Permit Coordinator: Date: r/1/2/q----
I:\Building\Fonns\BldgPermitRvw_COM
Ly 1I:\Building\Fonns\BldgPermitRvw_COM NOLandUse 070915.docx
IN ® Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
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 per-cent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $ 20,000
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 $ existing
(b) An accessible entrance: $ existing
(c) An accessible route to the altered area: $ existing
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ existing
(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\Pemtits\BUP-COM PermitApp.doc 03/03/2011
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12760 SW ASH AVE, TIGARD, OR, 97223 December 15, 2017 at
8:46:48 AM
Record Type: Record ID:
Commercial - Building BUP2017-00230
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor