Permit (29) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2018-00034
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/14/2018
T I c. ti l=.n g Parcel: 2S102AD03051
Jurisdiction: Tigard
Site address: 12750 SW ASH AVE
Project: Spec Space Subdivision: BURNHAM TRACT Lot: 5
Project Description: Occupancy only.
Contractor: VERIDIS CONSTRUCTION INC Owner: PREMIUM PROPERTY-TIGARD LLC
1809 NE 2ND AVE BY CAPSTONE PARTNERS LLC
PORTLAND, OR 97212 1015 NW 11TH AVE
STE 243
PORTLAND, OR 97209
PHONE: 503-232-6004 PHONE: 503-226-1972
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 04/25/2018 $53.27
Demolition
Occupancy Grp: Occupancy Load: 49 12%State Surcharge-Building 04/25/2018 $6.39
Dwelling Units: 0 Plan Review 02/28/2018 $34.63
Stories: 0 Height: 0 ft DC Provision Review,COM New-Bldg 04/25/2018 $180.50
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 04/25/2018 $4.00
Value: $500 11x17)
Info Process/Archiving-Sm$0.50(up to 04/25/2018 $0.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $279.29
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 btain a copy of the rules or direct questions to OUNC by calling 50 .232.1987 or 1.800.332.2344.
Issued By:
e
Perms ee Ignature:
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.
City of Tigard
: a COMMUNITY DEVELOPMENT DEPARTMENT
0
T1cARD Building Permit Review — Commercial - No Land Use
Building Permit #: T.1 I) P 20163 - (7ov 3-44-
Site Address: 123-S° S u/ 43L 4'v(. Suite/Bldg#:
Project Name: SM., f p&CL.
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: TtAia/ Iry,�ri �- o f a rt, 5'&1t F A i3iycs 0A17 i A.4 nt,.✓ Lli Ai (,,,,;.-)c.
Existing Business Activity: Vat.401
Proposed Business Activity: „Sql Or�ki )2t4;1
L�J✓/Verify site address/suite# exists and active in permit sys�t �'.
Lid River Terrace Neighborhood: ❑ Yes L� No
[Y oning: IA U`C U 0
/permitted Use: ❑ Yes ❑ No LAY Spec Space
L;Y onfirm no land use required.
NJ Business License: /No,
Exists: ❑ Yes applicant notified to obtain business license
Notes: A0-1.44 Gla"; 4 F f. iit G117 LA/-I. vill V ci4;) l'k ,Twin „ Jo clu,it 1v .6k p1
Approved by Planning: J *YVALDate: Z-47-[g
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: X 42477r-
Site Plans: # 3
Building Plans:
Building Permit#: UP, nter building permit#above.
Workflow Routing: '• Tanning rmit Coordinator e�9 Building
Workflow Sign-off: I ign-off for Planning(include notes from planning review)
Route Application Documents: I' Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: /d4e-,,,,,ze ,,,,,, . .._.,,,,,_/ / �_ Date: /Z®'`z ,i—
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_060116.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:
DC Fees Entered: Wash Co Trans Dev Tax: CI Yes /A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes N/A
OK to Issue Permit
Approved by Permit Coordinator: /4 e: 3 /c /1
I:\Building\Forms\B1dgPermitRvw_COM NoLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12750 SW ASH AVE, TIGARD, OR, 97223 May 22, 2018 at 12:11 :34 PM
Record Type: Record ID:
Commercial - Building BUP2018-00034
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor
CITY OF TIGARD BUILDING PERMIT
a a COMMUNITY DEVELOPMENT Permit#: BUP2018-00034
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 '} Date Issued: 05/14/2018
T t ' ' °'L� g +— Parcel: 2S 102AD03051
Jurisdiction: Tigard
Site address: 12750 SW ASH AVE
Project: Model Institution Development LLC Subdivision: BURNHAM TRACT Lot: 5
Project Description: Occupancy only.
Contractor: VERIDIS CONSTRUCTION INC Owner: PREMIUM PROPERTY-TIGARD LLC
1809 NE 2ND AVE BY CAPSTONE PARTNERS LLC
PORTLAND, OR 97212 1015 NW 11TH AVE
STE 243
PORTLAND, OR 97209
PHONE: 503-232-6004 PHONE: 503-226-1972
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 04/25/2018 $53.27
Demolition
Occupancy Grp: Occupancy Load: 49 12%State Surcharge-Building 04/25/2018 $6.39
Dwelling Units: 0 Plan Review 02/28/2018 $34.63
Stories: 0 Height: 0 ft DC Provision Review,COM New-Bldg 04/25/2018 $180.50
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 04/25/2018 $4.00
Value: $500 11x17)
Info Process/Archiving-Sm$0.50(up to 04/25/2018 $0.50
11x17)
Floor Areas:
Total Area: 0
Accessory Structs 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $279.29
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 throu.h 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 c . / Ir' e.��-C________ Permittee Signature: \z®®—""`—_
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.