Permit IN . CITY OF TIGARD BUILDING PERMIT
`�1 ' COMMUNITY DEVELOPMENT Permit#: BUP2021-00259
Date Issued: 12/8/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113BA00400
Jurisdiction: Tigard
Site address: 7632 SW DURHAM RD 100
Project: Avamere Home and Hospice Subdivision: None Lot: None
Project Description: TI-new non-structural walls,doors, relights,casework, plumbing fixtures, 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 $718.43
Occupancy Grp: B Occupancy Load: 71 Demolition
12%State Surcharge-Building 11/17/2021 $86.21
Dwelling Units: 0 Plan Review 10/27/2021 $466.98
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 11/17/2021 $110.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/17/2021 $287.37
Value: $48,044 Info Process/Archiving-Lg$2.00(over 11/17/2021 $14.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,682.99
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-{dy Va.4,1, De, J . Permittee Signature: Ow A,,,, 1; 1:0.yv
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 13_I01 2-
Commercial �- FOR OFFICE USF. O\l.l
•
City of Tigard � � ' Receive �n 26/2021 ��� Permit No. ' 02/-DOZ$9
q 13125 SW Hall Blvd.,Tigard,OR 97223
OCT 21 2021 PlDate/By:
:
Phone: 503-718-2439 Fax: 503-598-1960 Date/By: iiew �' $' Related Permit:
T I GARD Inspection Line: 503-639-4175 CITY Date Ready/By: �' 1 1 1� ® See Page 2 for
x Internet: www.tigard-or.gov d� fIU�Rt Not' d/Method:l I Supplemental Information
j
BUILDING DIVISION
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 the nearest dollar)of all
®Addition/alteration/replacement ❑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 CI Multi-familyNumber of bedrooms:
❑Master builder ❑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 A.vnlsri/G My„_e T,f �5p`a.� Garage/carport area: square feet
Suite/bldg./apt.#: 100 & 105 Project name: , 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: I Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 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.
New non-structural walls, doors, relights, casework, Valuation: $ 48,044
plumbing fixtures, light fixtures &finishes Existing building area: 7,450 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:
❑ APPLICANT ❑ CONTACT PERSON *
BUILDING PERMIT FEES
Business name: (Please refer to fee schedule)
LRS Architects Structural plan review fee(or deposit): k(�.7i
Contact name: Nicole Wudtke
FLS plan review fee(if applicable):
Address: 720 NW Davis St., Suite 300
City/State/ZIP: Portland, OR
Total fees due upon application:
Phone:( Amount received:
503) 348-5207 Fax: :( )
E-mail: nwudtke@lrsarchitects.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic 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
Authorized signature: ,.,u;`a o_,,, This permit application expires if a permit is not obtained
Nicole Wudtlte„,„ „_�,_L;:
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.
L:\Building\Permits\BUP COM_PermitApp.doc Rev.04/21/2014 440-4613T(I 1/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
al
ill
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: $ 0
(e) Accessible telephones: $ 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): $
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
lGr1KD 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. XD map&tax lot# project name ❑x site address ❑x suite number
Ox zoning XD applicant name Ex 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_PermitApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
!pi " 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
(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
r COMMUNITY DEVELOPMENT DEPARTMENT
I
T I G A R D Building Permit Review — Commercial - No Land U s e
Building Permit #: 3Cl f 2QZ( -QQ Z9
Site Address: -63 3 S k) J (24 Suite/Bldg#: 100 J- 1I
Project Name: , ,vueue ---,0 _ ).- ---Eon pi c-
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: dektt (/IO(7I.'s4 ad v i l ls-� •/ .% v v.e(,I ccu-d j Jo 1j
AJt v rrt A'�, (I v-v`e fr 4— �e s - .`/i r s� ,e-s
Existing Business Activity: V ArAftArVIA-eAleVex _ Pl
Proposed Business Activity: --ceUA"e_ —
(Verify site address/suite# exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes No
[Zoning: —F
0 Permitted Use: 2Yes ❑ No ❑ Spec Space
Confirm no land use required.
9:b1 Business License:
Exists: A Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: �(-001/14 Date: LO / `Z� Z
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: /D/2f/0../
Site Plans: # 3
Building Plans: # 3
Building Permit#: [VEnter building permit#above.
Workflow Routing: 2'Planning ❑ Permit Coordinator [Building
Workflow Sign-off: L!'Sign-off for Planning(include notes from planning review)
Route Application Documents: [u/Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: tin
f
By Permit Technician: irj Date: /0/2&4 t2q
1:\Building\Fonns\Bldg PennitRvw_COM_NoLandUse_111819.docx
1/4
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
e I
❑ 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 De ax: 0 Yes 0 N/A
Tigard Trans SD': 0 Yes 0 N/A
Parks SDC: 0 Yes 0 N/A
❑ OK to Issue Permit
Approved by Permit Coordinator. Date:
1:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_111819.docx