Permit FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
II Transmittal Letter
TIC A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: CiAfi'kc.V EVi.err MAY 18 2022
COMPANY: 674-t tet r PIJA he C &)..T_. CITY OF TIGARU //4,(..
PHONE: 5UR- ' 8-7-3 Fs&`� BUILDING DIVISIO y:
EMAIL: Co..r ew",yu +rL;i. c.40
RE: 15333 50 sea.,o,,o Plc-+v/ liW O Sup ?oZI-OO -zl
(Site Address) (Permit Number)
6e-ir6 dW K) - e- 1/Mti N,Rv
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s)of plans. 3 Revisions: Fr,lvc..0" t.IT. I uC,?ziaSC
Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Z Engineer's calculations.
Other(explain):
REMARKS:
FOR OFFICE USE ONLY
Route Permit Technician: Date: —'2S-- 2L. Initials: - /
Fees Due: Yes ❑No Fee Description: Amount Due: /
`.
l$ —
y S '
�• .� T'� P4LV1 �e.v `rtV
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑Yes 101No [I]Done
Applicant Notified: Date: (7/2_2__ Initials: i�
City of Tigard
114
`' . COMMUNITY DEVELOPMENT DEPARTMENT
TR ' Building Permit Review — Commercial - With Land Use
in
Building Permit #: 13UP202t-60221
Site Address: i t'332j j jalt P Suite/Bldg#: / Ob
Project Name: , :6'7y0 NJ Ell 4- lit--
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review o i Sc t i'' e4rgr = 60�-e.- O - 'rc d�e.ee
Proposal: (f hl ll( OF V i4.� (nrr 'rl, Aw .gyp ccr
2 Verify site address/suite# exists and active in permit.system.
River Terrace Neighborhood: ❑ Yes Ia 1V o
d Use Case#: VI fil9 VIZ‘-000'32-
Plans atch Approved Land Use:
Site Plan 0 Landscape Plan 0 Other:
0 Urban Forestry Plan 0 Elevation Plan
N ''B ding Height: Maximum Height Actual Height
PW-Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
Business License:
E
Public Facilities Improvement P'sts: 0 Yes Ill Na,appPlicantermit:was provided a business license application
L�1 mF�
Required: 0 Yes,applicant was notified IQ No Applied For: 0 Yes 0 No,stop intake
Notes:
Approved by Planning: ii, Date: g 7 Z
r
Revisions (after Building Submittal o y) wer _ Date
' '"` :' Approved 0 Not Approved 'A /0 5/16/70 4-
-Revision 2: ❑ Approved 0 Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: g f/g 2021
Site Plans: # 3
Building Plans: # 3
Building Permit#: Fe}-Enter building permit#above.
Workflow Routing: ('Planning R-Engineering Ci-Permit Coordinator [9-Building
Workflow Sign-off: [fL'Sign-off for Planning(include notes from planning review)
Route Application Documents: [J -Building: original permit application, site plans,building plans, engineer and
beam calculations and : ,.t details,if applicable, etc.
Notes:
By Permit Technician: �ycAr7s / Date: G9A6A4241
I:\Building\Fonns\BldgPennitRvw_COM_withLanduse_111819.docx
Engineering Review
Slope at building pad: 21/0
LiiJ'PFI Permit#: n k
Cif Conditions "Met"prior to issuance of building permit h(S'
,,Easements (encroachments) per engineering conditions of approval and plat (not typical on SDR/CUP) N AL
LI Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes EeNo
Assess Water Quantity Fee in-lieu: ❑ Yes GeNo
LIDA Facility on lot: ❑ Yes {j No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: 'jar 4- $1424, Date: 9/zekoz/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: C'Approved ❑ Not Approved ��,�,} ~ S f 24f
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
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:
0 SDC Fees Entered: Wash Co Trans Dev Tax: / Yes 0 N/A
Tigard Trans SDC: VYes 0 N/A
Parks SDC: 0 Yes N/A
/OK to Issue Permit !�
Approved by Permit Coordinator: Date: (OH?VA
1•\R„dldino\Fnrmc\RldgPennitRVw COM WithLandUse III819.docx
n CITY OF TIGARD BUILDING PERMIT
_ COMMUNITY DEVELOPMENT Permit#: BUP2021-00221
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/16/2021
Parcel: 2S 112 DA00700
Jurisdiction: Tigard
Site address: 15333 SW SEQUOIA PKWY, STE#100
Project: Bridgetown ER and Veterinary Subdivision: PACIFIC CORPORATE CENTER Lot: 3
Project Description: New interior walls,doors,plumbing.New enclosed potty yard w/ext door. New generator for vet clinic.
Contractor: EMMETT PHAIR CONSTRUCTION Owner: PACIFIC REALTY ASSOCIATES LP
16650 FIR LANE ATTN: N PIVEN
LAKE OSWEGO,OR 97034 15350 SW SEQUOIA PKWY#300
PORTLAND,OR 97224
PHONE: 503-572-8606 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 11/09/2021 $4,794.45
Occupancy Grp: B Occupancy Load: 133 Demolition
12%State Surcharge-Building 11/09/2021 $575.33
Dwelling Units: 0 Plan Review 10/07/2021 $3,116.39
Stories: 0 Height: 0 ft Wash Co Trans Dev Tax 11/09/2021 $104,527.54
Bedrooms: 0 Bathrooms: 0 Tigard Trans SDC Improvement 11/09/2021 $79,058.73
Value: $750,000 Tigard Trans SDC Reimbursement 11/09/2021 $4,563.30
DC Provision Review,COM TI-Ping 11/09/2021 $434.00
Plan Review-Fire Life Safety 11/09/2021 $1,917.78
Floor Areas: Info Process/Archiving-Lg$2.00(over 11/09/2021 $42.00
Total Area: 0 11x17)
Accessory Struct: 0 Metro CET 11/09/2021 $900.00
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $199,929.52
Required: Required Items and Reports(Conditions)
Fire Sprinkler Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law All work
will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090, You may obtain a copy of the rules or direct questions to OUNC by calling 503,232.1987 or 1,800 332.2344.
Issued By: Ho-U,y Va4 D�1�P�E Permittee Signature: 0w AppLizculio-vt,
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application CE1VED s-$f'si
Commercial ooI iicitsr. Om .)
AUG 1 a2021 aB 9 `F_202City of Tigard � Permit No.:13V P2 W224
;It ' 13125 SW Hall Blvd.,Tigard,OR 97223CITY OF TIGARD PlanReviec '
s Phone: 503-718-2439 Fax: 503-598r�yp Date/By: 10''''i f T� > / i Related Permit:
Inspection Line: 503-639-4175iLD'�IG ®wI �� � DateReady/By: J See Page 2 for
l f C, K[) otified/Method: / / ' I Supplemental Information
Internet: www.tigard-or.gov � 1/`�i! � � � '
'TYPE OF WORK REQUIRED I ATA:1-AND2-FAMILY DWELLING
❑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
T ORY OF CONSTRUCTION
work indicated on this application.
II] I-and 2-family dwelling ®Commercial/industrial
Valuation: $
ElAccessory building 0 Multi-family Number of bedrooms.
❑Master builder El Other. Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15333 SW SEQUOIA PKVVY New dwelling area: square feet
City/State/ZIP:TIGARD, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.#:100 Project name:BRIDGETOVVN VETERINARY Covered porch area: square feet
Cross street/directions to job site: SW SEQUOIA PKVVY AND SW UPPER BOONES Deck area: square feet
FERRY ROAD.
-
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CIIECKLIST
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.
TENANT INFILL FOR NEW EMERGENCY AND NON-EMERGENCY VET Valuation: $750,000
CLINIC. NEW INTERIOR WALLS, DOORS, PLUMBING. NEW ENCLOSED Existing building area: 9919 square feet
POTTY YARD W/EXT. DOOR. NEW GENERATOR New building area: 9919 square feet
�a
x1'' ® TENANT Number of stories:1
Name:LAKEFIELD VETERINARY GROUP Type of construction:VB -SPRINKLERED
Address:15333 SW SEQUOIA PKVVY SUITE 100 Occupancy groups:B
City/State/ZIP:TIGARD, OR 97224 Existing:B
Phone:(360 )931-7467 Fax:( ) New:B
a ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:EMMETT PHAIR CONSTRUCTION (Please refer to fee schedule)
Structural plan review fee(or deposit): 4794.45
Contact name.JENNIFER LEE
Address:6305 SW ROSEWOOD ST. SUITE E FLS plan review fee(if applicable): 1917.78
Total fees due upon application: 6712.23
City/State/ZIP:LAKE OSWEGO, OR 97035
Amount received:
Phone:(360)241-3143 Fax::( )
E-mail:jennlfef@@mmettph8lf.COrn PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
r_ Commercial and residential prescriptive installation of
O1H'I' .ACTOR roof-to mounted PhotoVoltaic Solar Panel System
��� tic, -��..,, p Y
Business name:EMMETT PHAIR CONSTRUCTION Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:6305 SW ROSEWOOD ST. SUITE E Solar Installation Specialty Code checklist.
City/State/ZIP:LAKE OSWEGO, OR 97035 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(360 )241 3143 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.:57427 / Total fee due upon application: $201.60
Authorized signature: .L. _ - This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:JENNI R LEE Date:8/17/21 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP COM_PertnitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
1,1111
a
Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
I I(-'Al(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] $ 750,000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 187,500
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): $ ,
Please note: the existing site, entry, and building, and all new work
are completely compliant.
I:\Building\Pemrits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
III II
T1c D Building Permit Review — Commercial - With Land Use
Building Permit #: V UP21-Qo/
Site Address: 1533"- /01A 77 k/ Suite/Bldg#: / Ob
Project Name: ( 6-r60 N M - Jcr
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: cf71ncx OF (At, inmat42. 1 % AAD cxrrp,oeSpaCr
Ld Verify site address/suite# exists and active in permit system.
ra'River Terrace Neighborhood: ❑ Yes B No
d Use Case#: INAPAData -oo6 2
Plans ,\ atch Approved Land Use:
Site Plan ❑ Landscape Plan ❑ Other:
❑ Urban Forestry Plan ❑ Elevation Plan
NAB ding Height: Maximum Height Actual Height
Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
Business License:
E fists: ❑ Yes LJ No,applicant was provided a business license application
ZJ Public Facilities Improvement F Permit:
p � �
Required: ❑ Yes, applicant was notified IQ No Applied For: ❑ Yes ❑ No,stop intake
Notes:
Approved by Planning: . 11 Date: g 3 2
Revisions (after Building Submittal on y) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 8 l2 202/
Site Plans: # 3
Building Plans: # 3
Building Permit#: .—Enter building permit#above.
Workflow Routing: ID-'Planning I` ---Engineering ID--Permit Coordinator ®--Building
Workflow Sign-off: ri.k Sign-off for Planning(include notes from planning review)
Route Application Documents: Z...-Building: original permit application, site plans,building plans, engineer and
beam calculations and .t details,if applicable, etc.
Notes:
By Permit Technician: , 7 i1J7, Date: D`_' Zg ZO
1:\Building\Forms\BldgPermitRvw COM WithLandUse 111819.docx
Engineering Review
R Slope at building pad: 2.+/0
2"..PFI Permit#: 441/
[i3 Conditions "Met"prior to issuance of building permit Mk"
E Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP) N A.
1110 Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes R"No
Assess Water Quantity Fee in-lieu: ❑ Yes GeNo
LIDA Facility on lot: El Yes Wi No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: Tj4.1- 602411 Date: 9 ieek02/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
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:
SDC Fees Entered: Wash Co Trans Dev Tax: / Yes ❑ N/A
Tigard Trans SDC: k/Yes ❑ N/A
Parks SDC: ❑ Yes N/A
1/OK to Issue Permit
Approved by Permit Coordinator: Date: I 1411/671(
I:\Building\Forms\BldgPermitRvw_COM_WithLandUse_I 11819.docx
TDT & TSDC Discounts 9/29/2021
Vet Clinic
Adjustment for TDT Change-in-Use Discount
Building Age: 20 Years (1999)
$268,249.44 TDT Proposed Use
$100,181.90 TDT Prior Use
$168,067.54 TDT Pre-Discount
9,919 Total Square Feet (Enter)
5,000 Square Feet Eligible for Discount Enter)
50.41% Eligible as %of Total Square Feet
$84,720.00 TDT on eligible sq.ft.
29 Age of Building (Enter)
75% Percentage discount
$63,540.00 Discount: 75%/20 years; 50%/3 years.
$104,527.54 Revised TDT Post-Discount
Adjustment to TSDC if greater than 80% of TDT
$214,599.55 Total TSDC Proposed Use
$80,145.52 Total TSDC Prior Use
$134,454.03 Total TSDC Pre-Discount
Yes Does 80% maximum TSDC Apply?
$83,622.03 Total TSDC Post-Discount
Plus Application of TOD Discount if Relevant.
0% Enter amount of TOD Discount, if any.
Revised TSDC-I after TOD
Revised TSDC-R aafter TOD
$0 Revised TSDC-RT after TOD
$0 Net Revised Total TSDC after TOD
TOD Discount
Revised Total TDT&TSDC after TOD
TDT $168,067.54 $104,527.54
TSDC-I $127,116.80 0.945429453 $79,058.73 TSDC-I Post Discount
TSDC-R $7,337.23 0.054570547 $4,563.30 TSDC-R Post Discount
$83,622.03
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
11 : Transmittal Letter
A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Trn 1-10ChStatt.,er DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: 3eI Inct ' 2 Q OCT 2 0 2021
COMPANY: E Ynr m ett- f me ,i r CITY OF TIGARD
BUILDING DIVISION
PHONE: C °() ) 1 ��� 3 By.
EMAIL:
RE: 1 J—J-J 6 Sti\l 0 O1 a. PK Am i 100 ekx-2o2-1- O022--I
(Site Address) (Permit Number)
erl4
(Project na e or subdivision name and lot numbe
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS:
FOR OFFICE USE ONLY
Routed to Perm' Technician: Initials: "A--
Fees Due: ❑ Yes No ✓Fee Descri i : AV Due:
Special
Instructions:
Reprint Permit (per PE): ❑ Yes No Done
Applicant Notified: Vre'" Date: /7/mil �/ Initials:
I:\Building\Fonns\TransmittalLetter-Revisions 073120.doc
w
Nikki Tuason
From: Nikki Tuason
Sent: Tuesday, August 24, 2021 3:59 PM
To: Jennifer Lee
Cc: Agnes Lindor;#Building Permit Technicians
Subject: 15333 SW Sequioa Pkwy- Suite 100
Hi Jennifer,
I'm reaching out regarding the proposed new tenant Bridgetown ER and Veterinary.The proposed tenant(medical
office) is considered a change of use from the previous tenant and will need a Minor Modification permit prior to
reviewing this building permit application.
Type 1 Minor Modification (MMD)
A Type 1 MMD application needs all of the following submittal elements sent to TigardPlannerOnDuty@tigard-
or.gov in order to be considered complete:
• Completed application form with property owner signature and applicant signature: http://www.tigard-
or.gov/city hall/departments/CommunityDevelopment/Master Land Use Application.pdf
• Copy of the property deed
• Narrative
o Detailed response to the applicable code criteria in Community Development Code (CDC)
18.765.060.
o Detailed summary of your proposal
o If you are proposing changes to add or remove parking stalls in the parking lot...
■ State the number of existing off-street parking spaces and state the number of parking
spaces to be added or removed
■ Address the applicable code criteria in Community Development Code (CDC) 18.410.
o If the proposed business has a higher parking intensity than the previous business...
■ Then you will need to provide us with a parking count for all existing business at the site.
Provide a list of tenant along with their associated address, square footage for each tenant
and business type (office,restaurant, hair salon, etc.)
• Site plan:
o 1 copy full-sized (drawn to scale)
o 1 copy reduced-sized on 8.5" x 11" or 11" x 17" paper (drawn to scale)
• Architectural/elevation drawings:
o 1 copy full-sized (drawn to scale)
o 1 copy reduced-sized on 8.5" x 11" or 11" x 17" paper (drawn to scale)
• Fee of$367.
o This fee will change on July 1", 2022. Please note there is a 3% service charge for all debit and credit
card payments.
o We will send you a link to pay once we have received the additional materials.
Thank you,
Nikki
Nikki Tuason
Assistant Planner
City of Tigard Planning Division I Community Development
1