Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2020-00035
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/19/2020
TIGARD Parcel: 1 S136DC03200
Jurisdiction: Tigard
Site address: 11714 SW 72ND AVE
Project: Dirt By Design Subdivision: Lot: 8
Project Description: TI for new tenant in new apartment building shell.
Contractor: KEYWAY CORP Owner: 72ND AVENUE PROPERTY LLC
7275 SW HERMOSO WAY 4804 NW BETHANY BLVD STE 1-2
TIGARD, OR 97223 PORTLAND, OR 97229
PHONE: 503-684-5100 PHONE:
FAX: 503-684-5500
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VA Permit Fee-Additions,Alterations, 02/19/2020 $149.75
Demolition
Occupancy Grp: B Occupancy Load: 10 12%State Surcharge-Building 02/19/2020 $17.97
Dwelling Units: 0 Plan Review 02/11/2020 $97.34
Stories: 0 Height: 0 ft DC Provision Review, COM TI-Ping 02/19/2020 $102.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 02/19/2020 $59.90
Value: $5,000 Info Process/Archiving-Lg$2.00(over 02/19/2020 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $430.96
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:
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
Commercial FOR OFFICE 1 SE O\L1
rCity of Tigard RECEIVE Received (� , Permit No.: (� �v �
13125 SW Hall Blvd.,Tigard,OR 97223 u y
Phone: 503-718-2439 Fax: 503-598-196EB1 Datemy: tl ,1 2020 Daplan Revie /1 temy 3 Related Permit:
TIGARD inspection Lime: 503-639-4175 Date Ready/By. Sec Paget far
E Internet www.tigard-rr_gov CITY OF TIGARD ""=` 4 � 10 I H&ippiancntal hitunnation
BUILDING DIVISION ?,..1-
TYPE OF WORK QUIRED DATA:1-AND 2-FAMILY DWELLING
\New construction 0 Demolition Permit fees*are based on the value of the work performed.
❑Addition/alteration/replacement El Other: equipment,
the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application
❑1-and 2-family dwelling ommercialfindustrial Valuation: $
ElAccessory building ElMulti-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11714 SW 72nd Avenue New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 �� Garage/carport area: square feet
Suite/bldg./apt.#: Project name: The s2Tff7 4- ty rre!�, Covered porch area: square feet
Cross street/directions to job site: Baylor Street ,(/`� UI Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Elnola Heights I Lot#: 8&9 Permit fees*are based on the value of the work performed
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#: 1S136DC-03200&3300
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New Commercial Tenant Improvement Valuation: $ 5,000
Existing building area: 697 square feet
New building area: square feet
PROPERTY OWNER 0 TENANT Number of stories: 1
Name: 72nd Avenue Property LLC Type of construction: Masonry
Address: 4804 NW Bethany Boulevard, #I-2 Occu
pancy groups:
City/State/ZIP: Portland, OR 97229 Existing:
Phone:( 503) 545-5217 Fax:( ) New:
0 APPLICANT 4 CONTACT PERSON BUILDING PERMIT FEES*
Business name: KeyWay Corp (Please rejerto fee schedule)
Structural plan review fee(or deposit):
Contact name: Ryan Kawamoto
Address: 7275 SW Hermosa Way FLS plan review fee(if applicable):
Total fees due upon application:` ,
City/State/ZIP: Tigard, OR 97223 `i ..
Phone:
(503) 684-5100 Fax: :( ) Amount received:
E-mail: 3 Ci v 9 5 ( 4 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
/ Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System,
Business name: KeyWay Corp Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 7275 SW Hermosa Way Solar Installation Specialty Code checklist.
City/State/ZIP: Tigard, OR 97223 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( 503) 684-5100 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 127522 (( (2-2--
,,,,2. Total fee due upon application: $201.60
Authorized signature: .S',Ve� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: /- I Date: 2/6/20 * Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building\Pennits\BUP_COM PermitApp.doc Rev.04/21/2014 440-4613T(l1/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
I
T i c R n Building Permit Review — Commercial - No Land U s e
Building Permit #: p ?-0 — o
Site Address: 111 11 s W 7 n C � e. Suite/Bldg#:
Project Name: 2 ;r`L t i'1 al / $�
( -A)
(Name of commercial business occupying th pace. If va.s. t,enter Spec Space.)
Planning Review
Proposal: Vim) Ci0 M -rAszJL. 4-CJ1-Girl t• i M 9 ro i-
Existing Business Activity: kftJ Constwawn
Proposed Business Activity: re
Verify site address/suite# exists and active in permit system.
fS River Terrace Neighborhood: ❑ Yes zr No
Yi Zoning: rtA V
Permitted Use: in Yes ❑ No ❑ Spec Space
0 Confirm no land use required.
Business License:
Exists: El Yes m No,applicant was provided a business license application
Notes:
Approved by Planning: M(9\-"---- . '^ Date: Q/ I I /10
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: c /f j,
Site Plans: # /1)/I-
Building Plans:Building Permit#: �f er building permit#above.
Workflow Routing: C' Planning frmit Coordinator C-iB'Tding
Workflow Sign-off: [rS^ ff for Planning(include notes from planning review)
Route Application Documents: [ g: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: : sr.�. Date: .01- /1-&
I:\Building\Forms\BldgPennitRvw_COM_NoLandUse_111819.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:
7Re ' ion Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes L� /A
Tigard Trans SDC: ❑ Yes /A
�� Parks SDC: ❑ Yes Di N/A
L�".OK to Issue Permit
.,2,//;j20
Approved by Permit Coordinator: hi/Date:
G) , /PGV,. c S)c +0 (i.e._ p a¢.,,SI LA- ,-oPsz.t—
�.1 2d 1 -Coco I -rDr .2 ti /L�- 44 f 5.
I:\Building\Fonns\BldgPennitRvw_COM_NoLandUse_1 1 1819.docx