Permit CITY OF TIGARD BUILDING PERMIT
• COMMUNITY DEVELOPMENT Permit#: BUP2021-00254
Date Issued: 12/14/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S 136DA02300
Jurisdiction: Tigard
Site address: 6900 SW ATLANTA ST 200
Project: Full Potential HRT Subdivision: None Lot: None
Project Description: Second floor building 2 to be slightly modify for new tenant. Some finish updates. One area to be enclosed to
create two new rooms.
Contractor: COOPER CONSTRUCTION CO Owner: OREGON EDUCATION ASSN
PO BOX 2020 6900 SW ATLANTA ST
CLACKAMAS, OR 97015 TIGARD, OR 97223
PHONE: 503-232-3121 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 11/29/2021 $1,347.55
Occupancy Grp: B Occupancy Load: 78 Demolition
12%State Surcharge-Building 11/29/2021 $161.71
Dwelling Units: 0 Plan Review 10/26/2021 $875.91
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 11/29/2021 $274.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/29/2021 $539.02
Value: $140,000 Info Process/Archiving-Lg$2.00(over 11/29/2021 $16.00
11x17)
Metro CET 11/29/2021 $168.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,382.19
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{.(LL Va.w De. Wege Permittee Signature: Ow
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.
f Buiding Permit Application ,_ q 21
Commercial RECEIVE FOR OFFICE USE ONLY
City of Tigard RDateive/0/2
5/202, Permit No.:Bu 021-602
14 " 13125 SW Hall Blvd.,Tigard,OR 97223 S E P 2 3 2021 Review
Phone: 503-718-2439 Fax: 503-598-1960 Plan Plan : 1/ "p�,' a1 Related Permit:
TIGARD Inspection Line: 503-639-4175 CITY OF TIGARD Date Ready/By: / i6. See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION N . ed/Method: / r r SupplemeutalInformatioo
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
III 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 NEj Other: INTERIOR T.I. equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling Commercial/industrial
Number of bedrooms:
❑Accessory building ❑Multi-family
i Number of bathrooms:
❑Master builder ElOther:
3111,0JOD SJIE INFORMATION AND LOCATION Total number of floors:
Job site address: BU NG , 6900 SW ATLANTA ST New dwelling area: square feet
City/State/ZIP: PORTLAND, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: L 1 Zp Project name: FULL POTENTIAL H RT Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
ENTER EAST DRIVEWAY AT 69TH AND ATLANTA Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: ID- 1 S 136DA02300 ACCOUNT- R284882 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPWN OF WORK work indicated on this application.
SECOND FLOOR OF BUILDING/TO BE MODIFIED SLIGHTLY Valuation: $ 140,000
FOR NEW TENANT. SOME FINISH UPDATES. ONE ARE TO BE Existing building area: 11,685 square feet
ENCLOSED TO CREATE TWO NEW ROOMS. New building area: 11,685 square feet
❑ PROPERTY OWNER tl,TENANT Number of stories: TWO
Name: FULL POTENTIAL HRT Type of construction: VB
Address:.,LLIL-9 , 69006900 SW ATLANTA ST, 1ST FLOOR cur jly Occupancy groups: BUSINESS
City/State/ZIP: PORTLAND, OR 97223 Existing: BUSINESS
Phone:( 971 ) 319-4636 Fax:( ) New: EXISTING TO REMAIN
APPLICANT 1S1,CONTACT PERSON BUILDING PERMIT FEES*
Business name: CLARK KJOS ARCHITECTS (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: ROBBIN GRAY
Address: 621 SW ALDER ST, SUITE 700 FLS plan review fee(if applicable): $1347.55
City/State/ZIP: PORTLAND, OR 97205 Total fees due upon application: $875.90
Amount received:
Phone:(503) 206-3827 Fax::( )
E-mail: K. e 61 1.,,1 ',P,A G A R.C� ,C 6 N PHOTOVOLTAIC SOLAR PANEL.SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Tiiia ('_i ADIZ'- Cs::,(1(-4 "_)(-,1v4"-\ Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: ZC, 2_6 LC) Solar Installation Specialty Code checklist.
City/State/ZIP: G C.0 .vr19,.) Ct. C Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 6 io.t orA, 6--1\V`s-'. ,4_,
Total fee due upon application: $201.60
Authorized signatur * This permit applicafion expires if a permit is not obtained
—D-3
within 180 days after it has been accepted as complete.
Print name: �bb:^ Co' Date: ek.1--3 .-2A * 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)
„w
I
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
.114 ” 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] $ 140,000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 35,000
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\Pemvts\BUP_COM_PernvtApp.doc Rev.03/05/2019
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
111111
TiGARD Building Permit Review — Commercial - N o Land Use
Building Permit #: 3 P2o2.1-00254-
Site Address: &ego slv AT'Mr)TA Jr. Suite/Bldg#: 200
Project Name: iLLForeNnAL f-I i-
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: In rt(( T. T
Existing Business Activity: M61714(, b (4
Proposed Business Activity: M , DFn a
,Pr'f;rify site address/suite# exists and active in permit system.
� -River Terrace Neighborhood: ❑ Yes o
1Q G ning: �' V
lA t fitted Use: .e Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:�
Exists: L�J'Yes ❑ No, applicant was provided a business license application
Notes:
Approved by Planning: 74/ Date: Wig A
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: O7/ /2o2
Site Plans: # 3
Building Plans: # 3
Building Permit#: [WEnter building permit#above.
Workflow Routing: Er Planning ❑ Permit Coordinator W-' uilding
Workflow Sign-off: LreSign-off for Planning(include notes from planning review)
Route Application Documents: le"-Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: / Date: /0/2, 21
1:\Building\Forms\BldgPeimitRvw_COM_No Land Use_11 1819.doc x
Auminiammw
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 1 cant:
Revision Notice 2: Date Sen Applicant:
Revision Notice 3: Date ent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: 0 Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to IPermit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx
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.
PCity of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
,., "� _ Transmittal Letter
.T t G n R C) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Tom Hochstatter DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: Robbin Gray OCT 2 6 2021
COMPANY: Clark Kjos Architects CITY OF TIGAAL)
BUILDING DIVISIONBy:-+=e._
PHONE: 503.206.3827
EMAIL: robbingray@ckarch.com
RE: 6900 SW Atlanta,Suite 200 BUP2021-00254
• (Site Address) (Permit Number)
Full Potential HRT
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions: Adding missing sheet A5.02-Rev 1
Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
3 Other(explain):Adding missing sheet A5.02
REMARKS: I really appreciate you reviewing this quickly! Eggie has been very helpful in all of this as well. My client is relieved!
FOR OFFICE USE ONLY
Routed to Permit clinician: Date: 4— — J�f Initials4
Fees Due: n Yes Fee Description: Amount D
—Liar
Special
Instructions:
Reprint Permit (per PE): ❑ Yes / El No ❑ Done
``/3
Applicant Notified: Date: /2/ Initials: �1�
Nikki Tuason
From: Nikki Tuason
Sent: Wednesday, September 29, 2021 1:32 PM
To: robbingray@ckarch.com
Cc: Agnes Lindor; Sean Vermilya;#Building Permit Technicians
Subject: 6900 SW Atlanta St - Full Potential HRT
Hi Robbin,
I'm reaching out regarding the proposed interior TI for Full Potential HRT located at 6900 SW Atlanta St.The permit
application address indicates that the job site is located at 'Building E, 6900 SW Atlanta St.' however our records do not
show a 'Building E'.The address for the Full Potential HRT clinic actually comes up as Building 2, 6900 SW Atlanta St.
Suite 114.
Second,the permit application indicates that the second floor will be modified for a new tenant. Could you please clarify
who the new tenant is and what the tenant's use is?
Thank you,
Nikki
Nikki Tuason
Assistant Planner
City of Tigard Planning Division I Community Development
13125 SW Hall Blvd. Tigard, OR 97223
Phone: (503) 718-2450
E-mail: nikkit@tigard-or.gov
1
Nikki Tuason
From: Nikki Tuason
Sent: Monday, October 25, 2021 2:28 PM
To: Robbin Gray
Cc: Agnes Lindor; Sean Vermilya;#Building Permit Technicians
Subject: RE: 6900 SW Atlanta St - Full Potential HRT
Hi Robbin,
Thanks for clarifying that Full Potential HRT will be occupying the 2"d floor space and will be leaving their original space
(6900 SW Atlanta St. Suite 114) as vacant. Following up on our conversation this afternoon, please confirm the
address/suite number of the 2"a floor space and who the previous tenant was within that space,the land lord may be
able to assist with confirming this information.
Best,
Nikki
Nikki Tuason
Assistant Planner
•
City of Tigard Planning Division I Community Development
13125 SW Hall Blvd. Tigard, OR 97223
Phone: (503) 718-2450
E-mail: nikkit@tigard-or.gov
From: Robbin Gray<robbingray@ckarch.com>
Sent: Friday,October 22, 2021 10:35 AM
To: Nikki Tuason <nikkit@tigard-or.gov>
Cc:Agnes Lindor<agnesl@tigard-or.gov>;Sean Vermilya <sean.vermilya@tigard-or.gov>;#Building Permit Technicians
<Tiga rd B u i l d i ng Pe rm i is @tigard-o r.gov>
Subject: RE: 6900 SW Atlanta St- Full Potential HRT
You don't often get email from robbingray@ckarch.com.Learn why this is important
Caution!This message was sent from outside your organization. Allow sender Block sender
Can I please get an update on this review for my client?
Robbin Gray(She/Her), Associate
C LARK II K J OS ARCHITECTS. LLC
621 SW Alder Street, Suite 700, Portland OR R 97205
Direct 503.206.3827 Office 503.224.4848 Cell 206.372.6296
Email: robbingravCa�ckarch.com
Web: www.ckarch.com
In response to COVID-19, Clark/Kjos Architects is taking the necessary precautions and complying with CDC guidelines in response to
the pandemic. As healthcare architects, we are grateful for all the health systems that are fighting this crisis and are striving to continue
to serve our clients with minimal disruption. During regular business hours,your calls and emails are routed to ensure that we continue
to serve you.
1
rp
..
From: Nikki Tuason<nikkit@tgard-or.gov>
Sent:Wednesday,September 29, 2021 1:32 PM
To: Robbin Gray<robbingray@ckarch.com>
Cc:Agnes Lindor<agnesl@tigard-or.gov>;Sean Vermilya <sean.vermilya@tgard-or.gov>;#Building Permit Technicians
<Tiga rd B u i l d i ng P e rm its @t iga rd-o r.gov>
Subject: 6900 SW Atlanta St- Full Potential HRT
Hi Robbin,
I'm reaching out regarding the proposed interior TI for Full Potential HRT located at 6900 SW Atlanta St.The permit
application address indicates that the job site is located at 'Building E, 6900 SW Atlanta St.' however our records do not
show a 'Building E'.The address for the Full Potential HRT clinic actually comes up as Building 2, 6900 SW Atlanta St.
Suite 114.
Second,the permit application indicates that the second floor will be modified for a new tenant.Could you please clarify
who the new tenant is and what the tenant's use is?
Thank you,
Nikki
Nikki Tuason
Assistant Planner
City of Tigard Planning Division I Community Development
13125 SW Hall Blvd. Tigard, OR 97223
Phone: (503) 718-2450
E-mail: nikkit@tgard-or.gov
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule."
+'
2