Permit (167) CITY OF TIGARD BUILDING PERMIT
ligPe'-. COMMUNITY DEVELOPMENT
rmit#: BUP2019-00158
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/27/2019
Parcel: 1S135DD01800
Jurisdiction: Tigard
Site address: 11565 SW HALL BLVD 160
Project: Dr.John Chung Subdivision: None Lot: None
Project Description: TI for a new tenant:Demolition of existing office, new walls,and finishes.
Contractor: EMMETT PHAIR CONSTRUCTION Owner: TV5 LLC
16650 FIR LANE 10855 SW CASCADE BLVD
LAKE OSWEGO, OR 97034 TIGARD, OR 97223
PHONE: 503-572-8606 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VBPermit Fee-Additions,Alterations, 08/27/2019 $1,468.35
Demolition
Occupancy Grp: B Occupancy Load: 20 12%State Surcharge-Building 08/27/2019 $176.20
Dwelling Units: 0 Plan Review 07/03/2019 $954.43
Stories: 0 Height: 0 ft DC Provision Review, COM TI-Ping 08/27/2019 $406.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 08/27/2019 $587.34
Value: $160,000 Info Process/Archiving-Lg$2.00(over 08/27/2019 $22.00
11x17)
Info Process/Archiving-Sm$0.50(up to 08/27/2019 $10.00
Floor Areas: 11x17)
Metro Const. Excise Tax 08/27/2019 $192.00
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,816.32
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet: 1 Special Inspection(see plans)
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.
-..--2
Issued By: Permittee Signature: zeu..414.,qy v
all 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 USE ONLY
Cit of Tigard RECEIVE) Received
1:hDate/By:
7/3f G } r Permit No.:
8�P —( S13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review
• Phone: 503-718-2439 Fax: 503-598-1960 + 2 O 19 Date/By: �-•41. 9 Related Permit:
-
C I c.n It n Inspection Line: 503-639-4175 Date Ready/By: // / Juis: 0 See Page 2 for
Internet Line:www.tigard-or.gov
-o[.gov CI Y OF
TI[_4 ty RD tified/Metho : t? or 7 %-c Supplemental Information
x
�
TYPE ) mREQUIRED' ADA1 yiDWELLING
.
,- :::-..1„.4;, A,,, a. .:s � 4xx.< mai1. ' . � .m,i . ', . , .,,w.._ �.� ,.,t. <�. � fl. u�,,: ,. +
❑New construction ❑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 ❑Other: equipment,materials,labor,overhead,and the profit for the
-4S4r t 1 A EGORXX , CONSFRTJCTI42. _ � work indicated on this application.', '44,'4',4:';41.4•4 .'''31 ,6.4:4 14.44322. (.. ... 2. r„ .
.
D 1-and 2-family dwelling $Commercial/industrial Valuation: $
I=1Accessory building ❑Multi-family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
fi -,44.4.,44-.44 .,:_4 :4 ' : Total number of floors:
*iii: , T ..JUB SITI 1..ORMCTO yDLLOC. TIQ IL... : : :.
Job site address: l 1 JoJ 8W kaa blvd. St..tit. 11;'°
New dwelling area: square feet
City/State/ZIP: "ft/Ara
( eX' 11 ZZ 13 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: br. cJpk.r "`
Clitt i^ "w'J1 r , Covered porch area: square feet
Cross street/directions to job site: v' Deck area: square feet
Other structure area: square feet
1QUIRED D4.1.T C*NIER U$E C IECI&IST`Y ;
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all
,,,, equipment,materials,labor,overhead,and the profit for the
_ „ ._ .1 DESCRI,:f.# OF WO1tIZ work indicated on this application.
Valuation: $
IVAAL It}�11Yl9 rovf-W J.V t,,,, �v r.,uw P -d rx&J 1 to o I D D D
�i�A.,,,%A r uC 0 de Cg(S 1 l ,•/1'�'[k ALw walls Existing building area: 1/Lie square feet
(AMY ( Vl���l , New building area:14 yg square feet
❑ PR.QPEI(TYOWNER ❑ TENANT Number of stories: 4
Name: Type of construction:Vb construction: 0 y lik SPvti 144
Address: Occupancy groups: 5 C
City/State/ZIP:
Existing:
Phone:( ) Fax ( ) New: b
e� Co7CTlERSN t IM [ RMIT# . . tr .
i/4� �l W�/r lAi'tS (� �i
Structural
. re :...;;(Please re(. ,eeosit): t., . .
Business name: -''-
�s Structural plan review fee(or deposit).
Contact name: v
FLS plan review fee(if applicable):
Address: (,2301> ,lh_, iN Sb, 6"atfC E.
`' v-_ Total fees due upon application. '•r.]! Y
City/State/ZIP: L 114e OSw�0 i //1)35 v' �J
Phone: '`) `-"_''-�' Fax::( Amount received
E-mail:re fi M+� ,YAW • C . .,-.12.24.e..�:,r ;,
C + +;: .: _ ,i Commercial and residential prescriptive installation of
;.,..• :a ;. , .,°< . .:.4 .,. ,:, „ , ` ..., -r. roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Pw1 w'a� p k si ACh i Submit two(2)sets of roof plan with connection details
Vl�`�- p'-r v��/'_J ''v` y� G and fire department access,along with the 2010 Oregon
Address: Le 305 So/ i .bsewp f7 �. i S444+, �i Solar Installation Specialty Code checklist.
City/State/ZIP: ("'"LiR' Dit" Q Permit fee(includes plan review
S WO/ " -` i q and administrative fees): $180.00
Phone:
qi i) 2915--955/ Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: 5144 Z'' Total fee due upon application: $201.60
Authorized signature: (tj{,/ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Relict S a , y Date: 1 ib((C1 * Fee methodology set by Tri-County Building Industry
� Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
114 'I Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
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 percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
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
' (b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard
III " COMMUNITY DEVELOPMENT DEPARTMENT
I
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 9 f/Vd/l—00/5,
Site Address: 11 Sd S ti Rail [v6. Suite/Bldg#: 16-0
Project Name: Dr, Jul,^ Lkur1
(Name of commercial business occujying the space. If vacant,enter Spec Space.)
Planning Review
fu,,, -
Proposal: T \--,,,-\--,,,- Arai -9Ltiki Lk,„,? O ,h, cf ,,t-�,v (At-a, .,, i. if Q•,to.n ihrvf ,1 1.
Existing Business Activity: 411 04---v- L4,
Proposed Business Activity: Jilij, 0 P-ft.�
11d V rift'site address/suite# exists and active in permit system.Lid'River Terrace Neighborhood: ❑ Yes VS-To
',, - 9' Ye
Zoning: C-V
LL� Permitted Use: Ls ❑ No ❑ Spec Space
Lr" nfirm no land use required.
Business License: �,� �/
Exists: 111 Yes L9"No,applicant notified to obtain business license
Notes:
Approved by Planning: i'''±-
Date: 7_ 1-l ti
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: 41
Site Plans: #
Building Plans: #
Building Permit#: E Efifer building permit#above.
Workflow Routing: Li-l'Ia`nning Cermit Coordinator - ding
Workflow Sign off: 0-1,-;-off for Planning(include notes from planning review)
Route Application Documents: $uilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: 7f/f
Ar
I:\Building\Forms\BldgPennitRvw_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:
Pi D C Fees Entered: Wash Co Trans Dev Tax: ❑ Yes Y' l�/A
Tigard Trans SDC: Cl Yes � Ne/
Parks SDC: ❑ Yes LrJ�N/A
tfal Issue Permit
Approved by Permit Coordinator: ik‘ate: 7 a J
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 070915.docx