Permit (3) CITY OF TIGARD BUILDING PERMIT
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COMMUNITY DEVELOPMENT Permit#: BUP2019-00314
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/19/2019
TIGARD Parcel: 2S110DCO2300
Jurisdiction: Tigard
Site address: 11525 SW DURHAM RD D-6
Project: Spec Space Subdivision: 1998-128 PARTITION PLAT Lot: 1
Project Description: Landlord work prior to TI: Demolition work to remove walls and plumbing fixtures.
Contractor: PACIFIC CREST STRUCTURES INC Owner: HIP WILLOWBROOK LLC
17750 SW UPPER BOONES FERRY RD SUITE BY HARSCH INVESTMENT CORP
190 PO BOX 2708
DURHAM, OR 97224 PORTLAND, OR 97208
PHONE: 503-968-8949 PHONE:
FAX: 503-598-6658
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 11/19/2019 $509.05
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 11/19/2019 $61.09
Dwelling Units: 0 Info Process/Archiving-Sm$0.50(up to 11/19/2019 $3.50
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0
Value: $29,550
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $573.64
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. 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 A
Call 503.639.4175 by 7:00 a.m.for the next avails. in tio
This permit card shall be kept in a conspicuous place on the job sit- ntil c• - ion of the project.
Approved plans are required on the job site at the time of e. inspection.
Build Permit Application
Cbmatercial RECEIVED tt)R of tit I: l,tii:OM l
Cityof Tigard Received , y
g O v t Dateiv 'r Permit No.:
NI " 13125 SW Hall Blvd.,Tigard,OR 97223 �. 9 20+� Plan Review
3' Phone: 503-718-2439 Fax: 503-598-1 _ Date/B : Related Permit:
Inspection Line: 503-639-4175 i i' (jr' 1 C AHD Date Ready/By: See Page 2 for
TIGARD BM D a`(` fl l7/ V t/
Internet: www.tigard-or.gov k _ Notified/Method: 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
14 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:
i i�z c JOB SITE'INFORMATION?AND LOCATION Total number of floors:
Job site address: 1111111TSW Durham Road 4r j)1 t., 0 6 New dwelling area: square feet
City/State/ZIP: TIGARD OR 97224 tviilat/ Jk_ 64, ./ ` P Garage/carport area: square feet
Suite/bldg./apt.#: t Project name: S -96-t Covered porch area: square feet
Cross street/directions to job site: SW DURHAM ROAD AND HWY 99 Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 1998-128 PARTITION PLAT LOT:1 Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 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: S Zdt Sr
DEMO WORK TO REMOVE WALT S AND PI UMBING FIXTURES_ (F)
ADA RESTROOM TO REMAIN. - - - " ' Existing building area: D-9.649'. square feet
New building area: 0 square feet
all PROPERTY OWNER 0 TENANT Number of stories: 1
Name: HARSCH INVESTMENT PROPERTIES Type of construction: IIIB
Address: 1620 SW TAYLOR STREET STE 300 Occupancy groups:
City/State/ZIP: PORTLAND OR 97205 Existing: B, M
Phone:( 503)242-2900 Fax:( ) New: N/A
IX) APPLICANT El CONTACT PERSON BUILDING PERMIT FEES*
Business name: INK BUILT ARCHITECTURE (Please refer to fee schedul)
Structural plan review fee(or deposit):
Contact name: MELYNDA RETALLACK
Address: 2808 NE MLK JR BLVD. STE G FLS plan review fee(if applicable): _„1..
Total fees due upon application: 5 -,--,
.7 3 .
City/State/ZIP: PORTLAND R 97212
Amount received:
Phone:( 503)701-5277 Fax::( )
E-mail: MEL@INKBUILTDESIGN.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: PACIFIC CREST STRUCTURES INC. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 17750 SW UPPER BOONES FERRY RD. #190 Solar Installation Specialty Code checklist.
City/State/ZIP: DURHAM, OR 97224 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( 503)968-8949 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 66915 „mow Total fee due upon application: $201.60
J
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: MELYNDA RETALLACK Date: 11/18/2019 * Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuilding\Permits\BUP COM PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
A
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
.111 M 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: [11 $ 153
0
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [21 $ $7.9D
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 $ (E)
(b) An accessible entrance: $ (I)
(c) An accessible route to the altered area: $ 7g ?`7.3D
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $ /4/A,
(f) Accessible drinking fountains:and, $ /a
(g) When possible,additional accessible elements such as storage and
alarms: $ It AIL
TOTAL(shall equal line [2] of Valuation Computation): $ "7 3 t 7. S�
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019