Permit CITY OF TIGARD BUILDING PERMIT
• ' COMMUNITY DEVELOPMENT II
Permit ft: BUP2019-00122
T i G r1 R f7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/09/2019
Parcel: 2S115BA02600
Jurisdiction: Tigard
Site address: 16230 SW PACIFIC HWY 140
Project: Spec space Subdivision: 2004-015 PARTITION PLAT Lot: 2
Project Description: Demolition work to include demolition and capping of all existing utilities,patch and match to existing construction
at floors and demising walls as needed.
Contractor: LEASE CRUTCHER LEWIS Owner: SN PROPERTIES PARTNERSHIP
550 SW 12TH AVENUE 1121 SW SALMON ST
PORTLAND, OR 97205 PORTLAND, OR 97205
PHONE: 503-223-0500 PHONE: 503-450-0806
FAX: 503-223-2874
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 05/09/2019 $256.22
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 05/09/2019 $30.75
Dwelling Units: 0 Info Process/Archiving-Lg$2.00(over 05/09/2019 $4.00
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0
Value: $12,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $290.97
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. u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
1
Issued By: /VG Permittee Signature:
Call 603.639.4175 by 7:00 a.m.for the next available inspecti-n date. ?. 1/
This permit card shall be kept in a conspicuous place on the job site until co •• • o -- • •ject
Approved plans are required on the job site at the time of each inspection.
Building Permit Application RECEIVE '
Commercial FOR OFFICE USE ONLY
City of Tigard MAY 9 2019 naieis"
• �� �.�Q � ars -�
IIIq 13125 SW HallBlvd.,Tigard,OR 97223 CITY OF TIGARD Plan Review
Phone: 503-718-2439 Fax: 503-598-1960 Date/B : Related Permit:
BUILDING DIVISIO
TIGARD Inspection Line: 503-639-4175 Date Ready/By: Jaris: 0 SeePage2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-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
0 Addition/alteration/replacement ❑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 ❑Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 16230 SW PACIFIC HWY New dwelling area: square feet
City/State/ZIP: TIGARD, OR, 97224 Garage/carport area: square feet
Suite/bldg./apt.#: SUITE 140 Project name:LANDLORD SHELL WORK- DEMO Covered porch area: square feet
Cross street/directions to job site: SUITE 140 AT TIGARD TOWNE SQUARE Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: 2 Permit fees*are based on the value of the work performed.
Tax map/parcel#: 2S115BA02600 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.
Valuation: $ 12 101)-D
DFMOI ITION WORK TO INCI l JDF DFMOI ITION AND CAPPING-; OF
ALL EXISTING UTILITIES, PATCH AND MATCH TO EXISTING Existing building area: 1,996 square feet
CONSTRUCTION AT FLOORS AND DEMISING WALLS AS NEEDED. New building area: 1,966 square feet
® PROPERTY OWNER 0 TENANT Number of stories: 1
Name: HARSCH INVESTMENT PROPERTIES Type of construction: V-B
Address: 1121 SW SALMON ST., SUITE 500 Occupancy groups:
City/State/ZIP: PORTLAND, OR 97205 Existing: N/A
Phone:( 503) 450-0806 Fax:( ) New: N/A
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: WOODBLOCK ARCHITECTURE (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: JONATHAN DUNN,ARCHITECT
FLS plan review fee(if applicable):
Address: 827 SW 2ND AVE.,#300 1
City/State/ZIP: PORTLAND, OR, 97204 Total fees due upon application:
Phone:(971) 420-0995 Fax::( ) Amount received:
E-mail: JONATHAN@WBLOCK.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: LEASE CRUTCHER LEWIS Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 550 SW 12TH AVE. Solar Installation Specialty Code checklist.
City/State/ZIP: PORTLAND, OR, 97205 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( 503) 223-0500 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: #92919 024Y71,/ Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: JONATHAN DUNN Date: * Fee methodology set by Tri-County Building Industry
Service Board. a
I:\Building\Pennits\BUP COM_PemmitApp.doc Rev.04/21/2014 440-46131(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
1111 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 $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(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\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard
III ' COMMUNITY DEVELOPMENT DEPARTMENT
I
T I G A R D Building Permit Review — Commercial - No Land U s e
Building Permit #: ri.W,020/ - 012-2
Site Address: / ! 7 �' ',A •i4 Suite/Bldg#: -/qc,
Project Name: /brgeA ill V 5-; 1t-T— #1,_, ,z--Ad4
(Name of commercial business occupying the space. If va/nt,enter Spec Space.)
Planning Review
®
Proposal: koiii /o� /i
L— , nor` Gi'14/4,0
Existing Business Activity: .- 401 ,e4 oa.d ( 4J
Proposed Business Activity: ec Qt e
Verify site address/suite# exists and active in permit ssyst .
1l'''ver Terrace Neighborhood: ❑ Yes 10 No
oning: e-
` ❑ No V Spec Space
Confirm
ermitted Use: ❑ Yes
no land use required.
L :usiness License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: /iii Date: 4C:///
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ ,Approved ❑ Not Approved
Revision 3: ❑ Approved El Not Approved
Building Permit Submittal
Original Submittal Date: 5— /71! 7
Site Plans: # A
Building Plans: # )—
Building Permit#: Ili,ter building permit#above.
Workflow Routing: P1 "arming ❑ P�nator ❑ Building
Workflow Sign-off: N 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: -4/4_, /1 Li/Ltt/ /� Date: ,_/_/42
7
I:\Building\Forms\BldgPennitRvwCOM NoLandUse 060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
O Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent Applicant:
Revision Notice 2: Date S t to Applicant:
Revision Notice 3: Da ent to Applicant:
❑ SDC Fees Entered: ash Co Trans Dev Tax: 0 Yes 0 N/A
Tigard Trans SDC: 0 Yes 0 N/A
Parks SDC: 0 Yes 0 N/A
❑ OK to Issu-` ermit
Approv:a by Permit Coordinator: Date:
•
I:\Building\Forms\BldgPemiltRvw_COM_NoLandUse_070915.docx
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
16230 SW PACIFIC HWY 140, TIGARD, June 14, 2019 at 8:07:46 AM
OR, 97224
Record Type: Record ID:
Commercial - Building BUP2019-00122
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
All plumbing fixtures have been removed and capped
Violation Summary:
Inspector Contractor