Permit ,, CITY OF TIGARD BUILDING PERMIT
F"1 COMMUNITY DEVELOPMENT '� Permit#: BUP2016 00197
TIGARD13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Date Issued: 06/27/2016
Parcel: 2S102AA04100
Jurisdiction: Tigard
Site address: 12230 SW MAIN ST 100
Project: Paddle Palace Subdivision: None Lot: None
Project Description: TI for existing tenant:Converting storage space to office space,and adding a mezzanine,bathrooms,and
kitchenette.7/13/16:REPRINTED permit to show change of address from 12230 SW Main St.Suite 120 to Suite
100.
Contractor: PRECISION INSTALLATIONS Owner: HOBO PROPERTIES LLC
12413 NE RUSSELL PO BOX 8087
PORTLAND, OR 97230 PORTLAND, OR 97280
PHONE: 503-481-4057 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations, 06/27/2016 $464.97
Demolition
Occupancy Grp: A-3 Occupancy Load: 167 12%State Surcharge-Building 06/27/2016 $55.80
Dwelling Units: 0 Plan Review 06/15/2016 $302.23
Stories: 0 Height: 0 ft Parks SDC Improvement 06/27/2016 $254.00
Bedrooms: 0 Bathrooms: 0 Parks SDC Reimbursement 06/27/2016 $46.00
Value: $25,500 DC Provision Review,COM TI-Ping 06/27/2016 $88.00
Plan Review-Fire Life Safety 06/27/2016 $185.99
Info Process/Archiving-Sm$0.50(up to 06/27/2016 $10.00
Floor Areas: 11x17)
Total Area: 6336
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,406.99
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: No Protected Corridors:
Smoke Detectors: No 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.
C--- -,
Issued By: Permittee Signature:
_.,,ode,.._
39.4175 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
-91 COMMUNITY DEVELOPMENT Permit#: BUP2016-00197
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/27/2016
Parcel: 2S102AA04100
Jurisdiction: Tigard
Site address: 12230 SW MAIN ST 120
Project: Paddle Palace Subdivision: None Lot: None
Project Description: TI for existing tenant:Converting storage space to office space,and adding a mezzanine,bathrooms,and
kitchenette.
Contractor: PRECISION INSTALLATIONS Owner: HOBO PROPERTIES LLC
12413 NE RUSSELL PO BOX 8087
PORTLAND, OR 97230 PORTLAND, OR 97280
PHONE: 503-481-4057 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations, 06/27/2016 $464.97
Demolition
Occupancy Grp: A-3 Occupancy Load: 167
12%State Surcharge Building 06/27/2016 $55.80
Dwelling Units: 0 Plan Review
Stories: 0 Height: 0 ft 06/15/2016 $302.23
Parks SDC Improvement 06/27/2016 $254.00
Bedrooms: 0 Bathrooms: 0 Parks SDC Reimbursement 06/27/2016
Value: $25,500 $46.00
DC Provision Review,COM TI-Ping 06/27/2016 $88.00
Plan Review-Fire Life Safety 06/27/2016 $185.99
Info Process/Archiving-Sm$0.50(up to 06/27/2016 $10.00
Floor Areas: 11x17)
Total Area: 6336
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,406.99
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: No Protected Corridors:
Smoke Detectors: No 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 • • .h OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232. 87 or 1.800.332.2344.
lssu•d 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.
Built n2 Permit Application Gil)
Commercial , - �°T i i ill -
City of Tigard Y ° Received
Datemy; 63 I IL, ,�- Permit No-:0,® root 17
i a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Rev ew3, S/'�J/
Phone: 503.7182439 Fax: 503.598j' � . Other Permit:
Inspection Line: 503.639.4175 �" 1 � 7��� Date/By; t� '
i i t, ,R, Date ReadyBy: / i Jurls: 0 See Page 2 for
Internet: www.tigard-or.gov ( i , `,,l_, t ,, "ted/Method:40155//, y 1 Supplemental Information
OD '
TYPiltillitii i ViSt()IN REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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 P'4Commercial/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:12230 SW Main Street New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:300 / . Project name:Paddle Palace TI Covered porch area: square feet
Cross street/directions to job site:SW Commercial Street Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:2S102AA ( Lot no.:4100 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 Improvements to add a mezzanine,bathrooms and kitchenette to the Valuation: $825,500.00
existing table tennis space. Existing building area: 24621 square feet
New building area: 0 square feet
® PROPERTY OWNER _? TENANT Number of stories: 1
Name:Judy Hoarfrost Type of construction: IIIB
Address:12230 SW Main Street Occupancy groups:
City/State/ZIP:Tiagard OR 97223 Existing: M B S A3
Phone:( ) Fax:( )
New:
® APPLICANT _"4 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Melynda Retallack Architect LLC (Please refer avfee scAe)
Structural plan review fee(or deposit):
Contact name:Melynda Retallack
Address:2207 SE 51's Ave FLS plan review fee(if applicable):
-
City/State/ZIP:Portland,OR 97215 Total fees due upon application( -
Phone:(503)701-5277 Fax::( ) Amount received:
E-mail:melretallack@gmaiLcom PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:Precision Installations Submit two(2)sets of roof plan with connection details
Address:12413 NE Russel Street and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP:Portland OR 97230 Permit fee(includes plan review $18000
and administrative fees):
Phone:(503)481-4056 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:62425
Total fee due upon application: $201.60
Authorized signa This permit application expires if a permit is not obtained
!- f within 180 days after it has been accepted as complete.
Print name:Melynda 'ck Date:6/15/2016 * Fee methodology set by Tri-County Building industry
Service Board.
I:\Building\Permits : P-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
p COMMUNITY DEVELOPMENT DEPARTMENT
■
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: et4i0 o 1(;)--UX) j
Site Address: 12230 S W M to i r, £ 4 • lO�
Suite/Bldg#: -2,4z9t9
Project Name: PU d d I e P O I cAct., -rT
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Ad An ezzCi(1 i vu.. / b i-h o' S U n
k t-vle t rl
Existing Business Activity: 0/0 MYt cAztLL. rA4/1
Proposed Business Activity: 1 /yl n -Li�,(_ 0 Cl ,� t ni1R 4
)71 Verify site address/suite#exists and active in permit system. "r ...Q47140
mol��G►7`
'River Terrace Neighborhood: ❑ Yes 21 No
)' Zoning: (vlU _ C Q Q
IA Permitted Use: g Yes 0 No 0 Spec Space
Confirm no land use required.
Business License: n
Exists: 0 Yes 0 No,applicant notified to obtain business license 0
0� GC
Notes: .^
.'.�-- . 4.11111111111111M • + L� //� /
,., — � r +' !!.1
Approved by Planning: Al D ,2o G(-e CAA...N. Date:
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: t' /
Site Plans: ##
Building Plans: #
Building Permit#: G nter • g permit� #�'°ve.
Workflow Routing: la g 'ermtt Coordinator L f3uildin
Workflow Si off: g
- � Si -off for Planning(include notes from planning review)
Route Application Documents: L 11uiuilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: Ar
'0LA _ ..a i . `--ti`'Fed
By Permit Technician:
�.� � 4 ---�� — Date: !.S'4/ / ,` �^
I:\Building\Forms\BidgPermitRvw COM_NoLandUse 070915.docx
I •
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:
SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: ❑ Yes Nr.N/A
Parks SDC: Yes ❑ N7/4/A
OK to Issue Permit //1C-21'
>1/o
Approved by Permit Coordinator: ---
Date: C'° /
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
' Building Division
Accessibility: Barrier Removal Improvement Plan
1I(,ARF)
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] $ 25500
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 6375
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 $ 0
(b) An accessible entrance: $ 5,000
(c) An accessible route to the altered area: $ 0
(d) At least one accessible restroom for each sex or a single unisex
restroom:
$ 11,000
(e) Accessible telephones: $ 0
(f) Accessible drinking fountains:and, $ 500
(g) When possible,additional accessible elements such as storage and
alarms: $ 0
TOTAL(shall equal line[21 of Valuation Computation): $ 16,000
I:\Building\Permits\BUP-COM PemutApp.doc 03/03/2011