Permit FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
$11 I Transmittal Letter
T I G A R I> 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: 7 DATE RECEIVED:
DEPT: BUILDING DIVISION LULA V Cl..
FROM: 5t-eve ease AUG 2 0 2020
COMPANY: -C C`('FIC CfeSt Str jc, g CITY OF TIGARD
BUILDING DIVI ION
PHONE: L.5�-) ��a" a�t1-l� �BY:
EMAIL: St-eve poerrrficGrest- CQ
RE: 1(17200 SloN1 R ff< {- vtt SuYte K 13UP2O20
(Site Address) (Permit Number)
(Proof t name o s division name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
'Copies: Description: Copies: Description:
Additional set(s) of plans. 3 Revisions: 'PIan5
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: r! J w :
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: 9 - Initials:
Fees Du? Yes _ No Fee Description: Amount Due:
0 $
$
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ Done
Applicant Notified: j Date: 105'"..h1 Initials:/Q
i^1
L\Building\Forms lTransmittalLetter-Revisions_073128.doc
Branden Taggart
From: Branden Taggart
Sent: Friday, September 25, 2020 3:55 PM
To: Steve Close
Subject: Spec Space Revisions: BUP2020-00094 - 16200 SW Pacific Hwy Suite K
Attachments: Invoice.pdf
Hi Steve,
The Spec Space revisions for 16200 SW Pacific Hwy Suite K have been approved. The balance due is$45.00, and I have
attached an invoice above for you to reference. The permit fees can be paid online through our
website: https://aca.accela.com/tigard/Default.aspx. From there, click on the Building tab, enter the permit number
(BUP2020-00094) in the Record Number field, and click Search. Once paid, please notify us at
TigardBuildingPermits(catigard-or.gov, and I will place these revisions in the conference room,adjacent to the outer
Permit Center lobby,for pickup between the hours of 8:00 a.m. and 5:00 p.m., Monday through Thursday. We are
closed on Fridays.
Thank you,
Branden Taggart
® City of Tigard
Senior Permit Technician
Community Development
TIGAitn
13125 SW Hall Blvd
Tigard, OR 97223
(543)718-2449
brandent@tigard-or.gov
1
City of Tigard
III COMMUNITY DEVELOPMENT DEPARTMENT
TIGAKD Building Permit Review — Commercial - No Land Use
Building Permit #: ,43(,G/oc?po2p .-QQO ,
Site Address: ((_p'ZOO SW ' c `(,. iiv Suite/Bldg#: '
Project Name: Tloprcl Town* Sc soave,
(Na of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Reviewff t Proposal: 1 • •
Existing Business Activity: ,Spe(i (Spare/ `'-frnt I'll CSitLnpit-c ' — dtr-� MC.
Proposed Business Activity: S p& Lis paGt Ce.
1 Verify site address/suite#exists and active in permit system.
h(g.River Terrace Neigborhood: ❑ Yes lX No
Zoning: C,_
Permitted Use: ❑ Yes ❑ No Spec Space
XConfirm no land use required.
Business License:
Exists: ❑ Yes El No,applicant was provided a business license application
Notes:
Approved by Planning: Date: 41 —1 /2 D
Revisions (after B ding Submittal only) Revie D to
Revision l: Approved 0 Not Approved y— /� 1 `��
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: y/61 [J
Site Plans: # 3
Building Plans: # ,3
Building Permit#: ,' Enter building permit# above.
Workflow Routing: ) Planning 0 Permit Coordinator Building
Workflow Sign-off: Ff'Sign-off for Planning(include notes from planning review)
Route Application Documents: l'Building: original permit application, site plans,building plans,engineer and
/ beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: �1—vie.,fet.-A.-- Date: `1 9,?�
1:\Building\Forms\BldgPermitRvw_COM_Not.andU se_11 l 819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes: P `
tt
Revisions (after Building Submittal only) N
Revision Notice 1: Date Sent to Appli ant:
Revision Notice 2: Date Sent to Appli t:
Revision Notice 3: Date Sent to A cant:
❑ SDC Fees Entered: Wash C rans Dev Tax: ❑ Yes ❑ N/A
T Trans SDC: ❑ Yes ❑ N/A
ks SDC: ❑ Yes ❑ N/A
O OK to Issue Permit
Approved by Penn' Coordinator: Date:
I:\B uil dingWFor ms+B IdgPennitR vw_COM_No Lan dUse_11 1819.docx
CITY OF TIGARD BUILDING PERMIT
• S COMMUNITY DEVELOPMENT Permit#: BUP2020-00094
T!GrtiRD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/5/2020
Parcel: 2S115AB01900
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY K
Project: Spec Space Subdivision: 1994-028 PARTITION PLAT Lot: 2
Project Description: Landlord work to remodel space;demo existing commercial dry cleaning equipment;replace existing restroom for
ADA compliance. Capped sewer fixtures will result in SDC credits apply towards new plumbing fixtures.
Contractor: PACIFIC CREST STRUCTURES INC Owner: SN PROPERTIES PARTNERSHIP
17750 SW UPPER BOONES FERRY RD SUITE 1121 SW SALMON ST
190 PORTLAND, OR 97205
DURHAM, OR 97224
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: IIIB Permit Fee-Additions,Alterations, 08/05/2020 $509.05
Demolition
Occupancy Grp: B Occupancy Load: 49 12%State Surcharge-Building 08/05/2020 $61.09
Dwelling Units: 0 Plan Review 04/10/2020 $330.88
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 08/05/2020 $102.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 08/05/2020 $203.62
Value: $30,000 Info Process/Archiving-Lg$2.00(over 08/05/2020 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,212.64
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:721.1:
03.639.4175 by 7:00 a.m.for the next available inspection date. Q
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 1 d.!e d'
Commercial FOR OFFICE USE ONLY
City of Tigard RECEIVED Received �7
�' �7 Permit Npr e„in2 ,20--0(�7 9�
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ' eyV
It 3 Phone: 503-718-2439 Fax: 503-598-1960 APR 0 6 2020 Date/By: "-1"" 1 " ,p, 1 Related Permit:
TIGARD
Inspection Line: 503-639-4175 Date Ready/By: i_,,/J )„),- 0,f Juris: El See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Noti /Methpd. ` I .' Supplemental Information
li, nl DING r-'lvi r"r"" \ (C/_ ,
TYPE OF WORKS REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑ Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
E 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 [2]Commercial/industrial Valuation: $
IAAccessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 16200 SW Pacific Hwy New dwelling area: square feet
City/State/ZIP: Tigard, Oregon Garage/carport area: square feet
Suite/bldg./apt.#: K Project name: Vanilla Shell Suite K-Tigard Town Squamvered porch area: square feet
Cross street/directions to job site:SEC of SW Pacific Hwy&SW Durham Road Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Tigard Towne Square Lot#: 1900 Permit fees*are based on the value of the work performed.
Tax map/parcel#: 2S115BA 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.
Interior shell remodel for Suite K. Demo of existing commercial dry Valuation: $ 30,000.00
cleaning equipment; Replace existing restroom with new ADA compliant Existing building area: 1 400 square feet (gla
facility. Note: SDC Plumbing info on top of A2.1. New building area:No change square feet tenant)
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: SN Investment Properties, LLC Type of construction: III-B
Address: 1121 SW Salmon St., Ste 500 Occupancy groups:
City/State/ZIP: Portland, OR 97205 Existing: B
Phone:(503 )973-0205 Fax:( )
New: No change.
® APPLICANT El CONTACT PERSON BUILDING PERMIT FEES`
(Please refer to fee schedule)
Business name: Benner Stange Associates Architects, Inc.
Structural plan review fee(or deposit): 3 JO .,cfc?
Contact name:Tom Fallon
Address: 80 SE Madison St., Suite 430 FLS plan review fee(if applicable):
City/State/ZIP: Portland, OR 97214 Total fees due upon application:
Amount received:
Phone:(503 ) 462-1423 Fax::(503 ) 670-0235
E-mail: tfallon@bSaarch.COm PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES"
a$0sM1is r ,r Commercial and residential prescriptive installation of
i` S'TPR, V1 r p
�==..i .Z s..:r.,1 4 --s. t ;r-� m roof-top mounted Photovoltaic Solar Panel System.
Business name: GI4He'btd . 4cs - 1 �,(2 ,c Submit two(2)sets of roof plan with connection details
�' n f�44%` Q and fire department access,along with the 2010 Oregon
Address: 75 � f wtJ r.+� N(:}�i�t (��f} Solar Installation Specialty Code checklist.
City/State/ZIP: .,7 fuM jg ci, Permit fee(includes plan review $180.00
c 1 L 'f and administrative fees):
Phone:(S'j) �, 6 -r IT/ .rFax: ' ) State surcharge(12%of permit fee): $21.60
CCB Lic.: ! "--Total fee due upon application: $201.60
Authorized signature: _„.) �-, v This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Thomas F. Fallon Date: 4.2.2020 * Fee methodology set by Tri-County Building industry
Service Board.
I:1Building\Permits\BUP_COM_PetmitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard
IIICOMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Commercial - No Land Use
TIGARD
Building Permit #: , 14.19o?a ,0 •-QOo 2/
Site Address: 1 L02-00 SW pacAc. thpq Suite/Bldg#: Y.
Project Name: Turd Tov h't Squave-
(Na�of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T• i •
Existing Business Activity: ,SpeC.. Lc paCfi `'- C t11 C,C... n�w�rc`' -I /Y60.-640 NC..
Proposed Business Activity: S rG- Lf pa Ce 1
Verify site address/suite# exists and active in permit system.
CK.River Terrace N ' hborhood: El Yes X No
.-Zoning: C 6
.Permitted Use: ❑ Yes ❑ No Spec Space
XConfirm no land use required.
Business License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: 0 Date: 4 I 1 I2o
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 3/4./2 0
Site Plans: #
Building Plans: # ,3
Building Permit#: Enter building permit#above.
Workflow Routing: ? Planning ❑ Permit Coordinator Building
Workflow Sign-off: 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: Q -Y12/7-1, je _. Date: `7/9/.2e
I:\Building\Forms\B1dgPennitRvw_COM_NolandUse_1 11819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes: 1 �`
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Appli t:
Revision Notice 3: Date Sent to A.. 'cant:
❑ SDC Fees Entered: Wash C. rans Dev Tax: ❑ Yes 0 N/A
T'• . Trans SDC: ❑ Yes 0 N/A
'.rks SDC: 0 Yes ❑ N/A
❑ OK to Issue Permit
Approved by Pe : Coordinator: Date:
1:\Building\Forms\B IdgPernutRvw_COM_No LandUse_111819.docx