Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2020-00163
T i{JA,R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/24/2020
Parcel: 1 S 126 BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 570
Project: Dr Andrew Henderson Subdivision: None Lot: None
Project Description: Tenant improvement for new interior partition walls and new treatment room.
Contractor: BNK CONSTRUCTION INC Owner: LITHIA REAL ESTATE INC
45 82ND DR, SUITE 53B ATTN DEBOER, MARK
GLADSTONE, OR 97027 150 N BARTLETT ST
MEDFORD, OR 97501
PHONE: 503-557-0866 PHONE:
FAX: 503-557-1085
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 08/24/2020 $1,256.95
Demolition
Occupancy Grp: B Occupancy Load: 48 12%State Surcharge-Building 08/24/2020 $150.83
Dwelling Units: 0 Plan Review 08/10/2020 $817.02
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 08/24/2020 $254.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 08/24/2020 $502.78
Value: $125,000 Info Process/Archiving-Lg$2.00(over 08/24/2020 $8.00
11x17)
Metro CET 08/24/2020 $150.00
Floor Areas: Tigard CET-Non-Residential-Admin 08/24/2020 $50.00
Total Area: 0 Tigard CET-Non-Residential-AH 08/24/2020 $1,200.00
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,389.58
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. At work wit
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: .7' 2 Permittee Signature:
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 RECEIVED _ ;•o
- Commercial JUL 1 ZQZQ FOR OFFICE USE O'I-1
City of Tigard Re Date yceived-
Z y/,,20 ...rs0 Permit Nau .2 20—po/re,3
111
• 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGARD plan Rev
II I Phone: 503-718-2439 Fax: 503-598-1JILDING DIVISION Date/By: 8 '3-ael Related Permit:
T I GAR D Inspection Line: 503-639-4175 Date Ready By: !y tug: M See Page 2 for
a Internet: www.tigard-or.gov Notified/Method: / /� / Supplemental Information
t-M9--/l_ /724N
TYPE OF WORK 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 die nearest dollar)of all
Ig Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
ElI-and 2-family dwelling g Commercial/industrial
Valuation: $
ElAccessory building ❑Multi-family Number of bedrooms:
ElMaster builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: g02.0 SW WAsNu./aio..1 500A11.6 le-D. New dwelling area: square feet
City/State/ZIP: 'TI G Art,t 0 2�DZZ a co 3 Garage/carport are square feet
Sui Idg./apt #: 5 O Project na> AN'OILS J 1415ND>r&SiJ Covered porch area: square feet
Cross street/directions to job site: 7 MD Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
It-)l'. '-. No,.l'. tyT\z►0..1 W./kw-S. t IJCO Valuation: $ 125, OOO
,'tie, Ty...)T (Lae r� Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER 0 TENANT Number of stories: 4
Name: Type of construction: Fa.
Address: Occupancy groups:
City/State/ZIP: Existing: 3
Phone:( ) Fax:( )
New:1t �n10 GladwJL�1�
APPLICANT ❑ CONTACT PERSON BULL 1N PERMIT FEES*
Business name: 0PII.c fil S1,,J �i r S I (crease refer to fee sciieanlee)
Structural plan review fee(or deposit): ,2/7, Q
Contact name: 7 A R_t w.l e u S i,LA
FLS plan review fee(if applicable):
Address: .— 4 01 St.J IOK5TE.2 -t 2
Total fees due upon application:
City/State/ZIP:
51.4s0.140Db 9rL q`2I, 4d
Phone:(so 3) 6sa te 4 44 I Fax::( ) Amount received:
E-mail: �I t�� e PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
rAs c'I S I O Gt., Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: IQv. CD s 7 a J«I o.J I n l Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 4 5 ' 7.Na --DZS.J mr i S3 B Solar Installation Specialty Code checklist.
City/State/ZIP: to L A l) S 7 0 e-1'(o oft— '1 1 0 2-7 Permit fee(includes plan review $180.00
O and administrative fees):
Phone:($03) S S 7 . O 5 (r 6 Fax:( ) State surcharge(12%of permit fee): $21.60
C tc.: 1 0,1 5 - e/, 1 Total fee due upon application: $201.60
Authorized signatur This permit application expires if a permit is not obtained
1 within 180 days after it has been accepted as complete.
P '-D A it..t AtJ S JC7 I Z I L O * Fee methodology set by Tri-County Building Industry
Print name:
3 D Date: Service Board.
I:\Building\Permits 1BIJP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(1 I/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
1114
Commercial & Multi-Family - Additions or Alterations
T I G A R D 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] $ 125 000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 3.1, 1.5 0
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): $
100 °/n C.01v.-pl.tArJ7
I:\Building\Permits\BUP_COM_PermitApp.doe Rev.03/05/2019
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
C
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 13 Ur 2-0 20 - 00 I (0 3
Site Address: C1020 SV\i wciuvi-hen 4. vo{ Suite/Bldg#: S"7D
Project Name: Andrew f f-ehder'Sou1 D MP
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T11.
Existing Business Activity: NI•a l Cal I 0-1fi Lp
Proposed Business Activity: A •t
Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ Yes No
Zoning: ICI VL c/
'V( Permitted Use: 'g,Yes ❑ No D Spec Space
`h Confirm no land use required.
Business License:
Exists: A. Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: 4.4 . (/ ` Date: 1 jtt? 120
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: 7// t/ 2-o
Site Plans: #
Building Plans: # '3
Building Permit#: El--Enter building permit# above.
Workflow Routing: C-Planning ❑ Permit Coordinator i ding
Workflow Sign-off: l Sign-off for Planning(include notes from planning review)
Route Application Documents: ['wilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: cJ 4),,i,i...,2_..,,,et.y.___ Date: /2t�/yp
I:\Building\Forms\BldgPermitRvw_COM_NolandU se_1 l 1819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: �/ Date:
Notes: f(1
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applica .
Revision Notice 3: Date Sent to App • ant:
❑ SDC Fees Entered: Wash Co Tr. s Dev Tax: ❑ Yes E N/A
Tigard T s SDC: ❑ Yes E N/A
Parks •C: ❑ Yes E N/A
❑ OK to Issue Permit
Approved by Permit Coo . nator: Date:
I:\Building\Forms\BldgPennitRvw_COM_NoLandUse_11 1 819.docx