Permit CITY OF TIGARD BUILDING PERMIT
_ COMMUNITY DEVELOPMENT Permit#: BUP2021-00061
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 4/6/2021
TtG;1Rp g Parcel: 2S101DB00100
Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 102
Project: Neighborhood Health Center Subdivision: None Lot: None
Project Description: Scope of work:demo existing office partition&build new partitions for small conference room,training room and
storage. No modifications to means of egress is processed w/this permit application.
Contractor: ROBINSON CONSTRUCTION CO Owner: HILLTOP BUSINESS CENTER LLC
8060 NE WALKER RD 9430 NW KAISER RD
HILLSBORO,OR 97124-9321 PORTLAND, OR 97231
PHONE: 503-226-1285 PHONE:
FAX: 503-645-5397
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 04/06/2021 $1,172.39
Demolition
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 04/06/2021 $140.69
Dwelling Units: 0 Plan Review 04/06/2021 $762.05
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 04/06/2021 $257.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/06/2021 $468.96
Value: $110,800 Info Process/Archiving-Lg$2.00(over 04/06/2021 $14.00
11x17)
Info Process/Archiving-Sm$0.50(up to 04/06/2021 $6.00
Floor Areas: 11x17)
Metro CET 04/06/2021 $132.96
Total Area: 0 Tigard CET-Non-Residential-Admin 04/06/2021 $44.32
Accessory Struct: 0 Tigard CET-Non-Residential-AI-1 04/06/2021 $1,063.68
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,062.05
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.
Issued By: -OU.y�vc De/We e Permittee Signature: O in/AppUcatto-vt
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. t'f
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 , „ !_4"
Commercial pp �+ r FOR OFFICE USE ONLY
EL
City of Tigard �l `( Raids 03�0P 10Z! Permit No�upzoZ! 0006/
" 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
1 Phone: 503-718-2439 Fax: 503-598-1960 MAR 0 4 2021 3 -17.2 ) Related Permit:
Date By:
TIGARD Inspection Line: 503-639-4175 Date ReadyBy: 7 t to s: H See Page 2 for
o Internet: www.tigard-or.gov CITY OF i it,AR tified/Method: �� Supplemental Information
i 0i moor:, t „ '•,(
TYPE OF WORK 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 ®Commercial/industrial Valuation: $
❑Accessory building El Multi-familyNumber of bedrooms:
❑Master builder ElOther: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7320 SW HUNZIKER RD, New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.#:SUITE 102 Project name: NEIGBORHOOR HEALTH CENTER Covered porch area: square feet
Cross street/directions to job site: SW 72ND AVE/SW HUNZIKER RD Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot#:2S101 DB00100 Permit fees*are based on the value of the work performed.
Tax map/parcel#:2 S 101 D B00100 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.
SCOPE OF WORK FOR SUITE 102 CONSISTS OF DEMOLISHING EXISTING OFFICE PARTITIONS AND Valuation: $110,800
BUILDING NEW INTERIOR PARTITIONS FOR SMALL CONFERENCE ROOM,TRAINING ROOM,STORAGE Existing building area:N/A square feet
AND SNPPI W copy ROOM ND MODIFB ATIONS TO MFANS OF FC,RFSS IS PROPOSFD WITH THIS
PERMIT APPLICATION. New building area: N/A square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: NEIGBORHOOR HEALTH CENTER Type of construction: V-B
Address: 73205W HUNZIKER RD,TIGARD,OR 97223 Occupancy groups: B
City/State/ZIP: SUITE 102 Existing:B
Phone:( ) Fax:( ) New:B
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: CIDA (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: JEN HAWKINS
Address: 15895 SW 72ND AVE,SUITE 200 FLS plan review fee(if applicable):
City/State/ZIP: PORTLAND,OR 97224 Total fees due upon application:
Amount received:
Phone:( 503)226.1285 Fax::( 503)226.1670
E-mail:)E N H @CI DAI N C.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: ROBINSON CONSTRUCTION CO. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 8060 NE WALKER RD SoIar Installation Specialty Code checklist.
City/State/ZIP: HILLSBORO,OR 97124 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( 503)209.8545 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB Lie.: 63147 Total fee due upon application: $201.60
Authorized signature: `f,// 7&,L "�"1 This permit application expires if a permit is not obtained
/ within 180 days after it has been accepted as complete.
Print name: JENNIFER HAWKINS Date:03/03/2021 * Fee methodology set byTri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(l l/02/COM/WEB)
A
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
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: $
(fl Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
t:\Building\Permits\BUP_COM PemvtApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
p Plan Submittal Requirements
11111111
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with:
A. ❑ map&tax lot# ❑ project name ❑ site address ❑ suite number
El zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations,plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit-based on valuation of project.
I:\Building\Permits\BUP_COM PemvtApp.doc Rev.03/05/2019
PrCity of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington
County, and Tualatin Valley Fire &Rescue),if applicable.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard
C ® COMMUNITY DEVELOPMENT DEPARTMENT
IIN
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: &cP2o2/-0006/
Site Address: 520' 4722, ,— J/ Suite/Bldg#: / 2
Project Name: / J.Piy1244400e, ,44 /J 61,274r---
(Nalmf,,ff commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 7 / -Qr-i.c71 _y� ya1
Existing Business Activity: OA
Pro sed Business Activity: //
l/J V site address/suite# exists and active in permit cyst .
I PIf-•er Terrace Neighborhood: ❑ Yes 14 No
I, 146rang: ` _�
l ermitted Use: �J Yes E No ❑ Spec Space
hfirm no land use required.
VJ Business License:
Exists: Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: — - Date: ' /4-/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: 03-64/-2.02/
Site Plans: # (3
Building Plans: # 3
Building Permit#: arEnter building permit#above.
Workflow Routing: al—Planning 0 Permit Coordinator E Building
Workflow Sign-off: 2rSign-off for Planning(include notes from planning review)
Route Application Documents: IYtuilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
.).3."-e9Y�'?�2/
By Permit Technician: ' %�/: ;�i/� � Date:
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_l 11819.docx
Permit Coordinator R aview
❑ Conditions "Met"prior to iss L ance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to .plicant:
Revision Notice 2: Date Sent to Ap. 'cant:
Revision Notice 3: Date Sent to App ant:
❑ SDC Fees Entered: Wash Co Trans Dev ' •x: 0 Yes 0 N/A
Tigard Trans SDC: 0 Yes 0 N/A
Parks SDC: 0 Yes 0 N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_No landUse_111819.docx