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CITY OF TIGARD BUILDING PERMIT
ilh • COMMUNITY DEVELOPMENT BUILDING
BUP2021-00258
Date Issued: 11/18/2021
T t C;A R O 13125 SW Hat Blvd Tigard OR 97223 503 718 2439
Parcel: 2S 113BA00400
Jurisdiction: Tigard
Site address: 7632 SW DURHAM RD 130
Project: Avamere Home and Hospice Subdivision: None Lot: None
Project Description: TI-non structural walls.doors.relights light fixtures&finishes
Contractor: RUSSELL CONSTRUCTION INC Owner: PORTLAND SW CENTER LLC
20915 SW 105TH AVE BY FELTON PROPERTIES INC
TUALATIN, OR 97062 ATTN: FELTON,MATT
520 SW 6TH AVE,STE 610
PORTLAND,OR 97204
PHONE 503-692-9002 PHONE
FAX 503-692-9008
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations. 11/17/2021 $453 95
Occupancy Grp: B Occupancy Load: 39 Demolition
12/o State Surcharge-Building 11/17/2021 $54 47
Dwelling Units: 0 Plan Review 10/27/2021 $295.07
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 11/17/2021 $11000
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/17/2021 $181.58
Value: $24 022 Info Process/Archiving-Lg$2 00(over 11/17/2021 $10 00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage 0
Mezzanine 0
Total $1,105 07
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: i- ,-u y Vaw De.Wege Permittee Signature: 0pl, App-ut,9., -sA
Call 503.839.4175 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 13_ 10 ZI 2-
Commercial RECEIVED
Cityof Tigard Redeived /4/ ' 66992O2/-ICO 6 2 '
bDate/By:�0 �H/ Permit No.
IIII v 13125 SW Hall Blvd.,Tigard,OR 97223 O C T 2 1 2021 Plan Review
_ Phone: 503-718-2439 Fax: 503-598-1960 Date/By: f, )O, ' / Related Permit:
T I GARI7 Inspection Line: 503-639-4175 CITY OF TIGARI� Date Ready/By: J(1`; ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION ctho //tified/M ' Supplemental Information
'7 -/ `�1
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
/1 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 7632 SW Durham Rd. New dwelling area: square feet
City/State/ZIP: Tigard, OR 97224 /4V(jme f-e_ G I ` re,e.c- Garage/carport area: square feet
Suite/bldg./apt.#: 130 Project name: - rt 116 Covered porch area: square feet
Cross street/directions to job site: 76th Ave & Durham Rd. 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.
New non-structural walls, doors, relights, light fixtures Valuation: $ 24,022
&finishes Existing building area: 4,362 square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: Felton Properties Type of construction: V-B
Address: 6915 S Macadam Ave. Suite 325
Occupancy groups: B
city/state/ZIP: Portland, OR 97219 Existing: B
Phone:(503 ) 227 5799 Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: LRS Architects
Structural plan review fee(or deposit): 20O 7
Contact name: Nicole Wudtke
FLS plan review fee(if applicable):
Address: 720 NW Davis St., Suite 300
Total fees due upon application:
City/State/ZIP: Portland, OR
Amount received:
Phone:( 503) 348-5207 Fax: :( )
E-mail: nwudtkeQa Irsarchitects.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: Russell Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 20915 SW 105th Ave. Solar Installation Specialty Code checklist.
City/State/ZIP: Tualatin, OR 97062 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( 503) 692 9002 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 58918 Total fee due upon application: $201.60
Thispermit application expires if a permit is not obtained
Authorized signature: Nicole Wudtke l „...—..--0-,. PP P
within 180 days after it has been accepted as complete.
Print name: Nicole Wudtke Date: 10.18.2021 * 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
1111 _ 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 $ 0
(b) An accessible entrance: $ 0
(c) An accessible route to the altered area: $ 0
(d) At least one accessible restroom for each sex or a single unisex
restroom: g 0
(e) Accessible telephones: `i 0
(f) Accessible drinking fountains:and, $ 0
(g) When possible,additional accessible elements such as storage and
alarms: $ 0
TOTAL(shall equal line [2] of Valuation Computation): $
1
C
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
" Plan Submittal Requirements
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: X
A. 1 map&tax lot# project name ❑x site address ❑x suite number
Ex zoning El applicant name ❑x phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finishe
d floor elevations
.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plan
s s required based on submittal typetape-onsaccepted).
accete
(no redlines or d .
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.
ti
t
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
.74 "
S .
Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGARD0. 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:ABuilding\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
r1cARDf Building Permit Review — Commercial - No Land Use
Building Permit #: cOP. -e2c12 S
Site Address: S(A) Dv r VIA yii Suite/Bldg#: L j
Project Name: PWASE/tiVve, }-Ea(Ak.Q,
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review II""
Proposal: IV (A) V1 l O Vt 5u (A-Virg V''G(11S, coo rc Ire[I h I3 CQ&L th)irk
Existing Business Activity: f t &f tQ t-t001t. jj -�1 ,o cte p'
Proposed Business Activity: _- -
CA Verify site address/suite# exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes IV No
cgt) Zoning: — P
O Permitted Use: ® Yes ❑ No ❑ Spec Space
C) Confirm no land use required.
Business License:
Exists: [VI Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: 4jji Date: I -�/7-6,
2
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: /0/,2//20.2./
Site Plans: # 3
Building Plans: # 3
Building Permit#: R Enter building permit#above.
Workflow Routing: (Planning ❑ Permit Coordinator [fBuilding
Workflow Sign-off: la-Sign-off for Planning(include notes from planning review)
Route Application Documents: B'Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
74
By Permit Technician: Date: /0/2rc%Z0%2/
I:\Building\Forms\BldgPern itRvw_COM_NoLandUse_111819.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:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\B1dgPennitRvw_COM NoLandUse_111819.docx