Permit CITY OF TIGARD BUILDING PERMIT
III-I COMMUNITY DEVELOPMENT
Permit#: BUP2016-00290
Date Issued: 11/07/2016
T I( A R I-) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S 101 AA07600
Jurisdiction: Tigard
Site address: 12540 SW 68TH AVE B
Project: Integrative NW Subdivision: WEST PORTLAND HEIGHTS Lot: 18
Project Description: TI for new tenant. Office reconfiguration and new windows.
Contractor: BENTING CONSTRUCTION Owner: BGG PROPERTIES, LLC&AGF PROPERTIES, LL
18475 SW ALTON ST. 11255 SW CHICKADEE TERRACE
BEAVERTON,OR 97006 BEAVERTON, OR 97007
PHONE: 503-642-5682 PHONE:
FAX:
FEES
Specifics:
Description Date Amount
Type of Use: COM Permit Fee-Additions,Alterations, 11/04/2016 $542.11
Class of Work: ALT Type of Const: VB Demolition
Occupancy Grp: B Occupancy Load: 19 12%State Surcharge-Building 11/04/2016 $65.05
Dwelling Units: 0 Plan Review 10/12/2016 $352.37
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 11/04/2016 $6.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $32,238 Info Process/Archiving-Sm$0.50(up to 11/04/2016 $0.50
11x17)
Floor Areas:
Total Area: 1836
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $966.03
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.
• .. 4 ,
Issued By: Permittee Signature: 7=-wC
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
Ccillinercial loRorFR l: 1 ',IO\11
�-- City of Tigard w' ,, '�, Received U �r l�lr ''/7
a Date/B : /_ a IIIIM Permit No.: w .• V
13125 SW Hall Blvd.,Tigard,OR 9722 -` Plan Revi= �`
C Phone: 503.718.2439 Fax: 503.598.1960GDate/B : 1♦��r !L mi Other Permit:
1'I G A R D Inspection Line: 503.639.4175 o t.1 ‘ s?\)'\,'• Date Read ';:r. r g H See Page 2 for
Internet: www.tigard-or.gov J\ ' $ .. Notified/Method:17 7 t t/;'f � Supplemental Information
TYPE OF W€ e 0"1"�
kt REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction [ bliridn 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.
0 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ElMulti-familyNumber of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:12540 SW 68th Ave New dwelling area: square feet
City/State/ZIP:Tigard OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:Suite B Project name:Integrative NW Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: 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.
Modify existing office layout Valuation: $$32,238.00
Existing building area: 1887 square feet
New building area: 1887 square feet
® PROPERTY OWNER 0 TENANT Number of stories: 1
Name:Babak Govan Type of construction: V-B
Address:11255 SW Chickadee Terrace Occupancy groups:
City/State/ZIP:Beaverton,OR 97007 Existing: B
Phone:(818)522-2106 Fax:( ) New: B
=4 APPLICANT * CONTACT PERSON BUILDING PERMIT FEES*
Business name:BGG Properties,LLC
(Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Babak Govan
FLS plan review fee(if applicable):
Address:11255 SW Chickadee Terrace
City/State/ZIP:Beaverton,OR 97007 Total fees due upon application: ,�3 J
Amount received:
Phone:(818)522-2106 Fax: :( )
E-mail:babak_govan®yahoo.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Benting Construction Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:18475 SW Alton St. Solar Installation Specialty Code checklist.
City/State/ZIP:Beaverton OR 97003 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)642-5682 Fax:(503)649-1962 State surcharge(12%of permit fee): $21.60
CCB lic.:31619
Total fee due upon application: $201.60
Authorized signature: lo...,,.‘„(a'. ` This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Babak Govan Date:10/08/2016 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
4 }
City of Tigard
IIIv COMMUNITY DEVELOPMENT DEPARTMENT
III
T 1 c a R D Building Permit Review — Commercial - No Land Use
Building Permit #: top;70k, -- 0917 O
Site Address: /.. S.---4/0 ) 6 c3 / 4_,,,,01_, Suite/Bldg#:
Project Name:
(Name of commercial butiness occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 77/ "WA) `743C94f
Existing Business Activity: Cce
Proposed Business Activity: 1/
Verify site address/suite# exists and active in permit systt .
Iver Terrace Neighborhood: f:: Yes LId No
. tonin
g
4411E-
/IV/Permitted Use: vYes El No 111 Spec Space
onfirm no land use required.
IZ Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
"dotes:
Approved by Planning: ;,r' Date: /d////(e
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: 0/ /il/i4
Site Plans: # /
�
Building Plans: # I'�
Building Permit#: [��Er building permit#above.
Workflow Routing: B1P ning &krernit Coordinator 111.4fluilding
Workflow Sign-off: -off for Planning(include notes from planning review)
Route Application Documents: Di Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ! Date: it)//,L/ t
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.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:
Revision Notice 3: Date Sent to Applicant:
74:NDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 0.e /A
Tigard Trans SDC: ❑ Yes I, N/A
Parks SDC: ❑ Yes 7-,IN/A7ePK
to Issue Permit /'
Approved by Permit Coordinator: Date: 1 Z/ /�
I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_070915.docx