Permit (5) •
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
Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Branden Taggart, Julie Drinkwater DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: Mark Steinhardt MAR 72022
SCOTT I EDWARDS ARCHITECTURE LLP CITY OF TIGARD
COMPANY: BUILDING DIVISIQp ~'
PHONE: 503.896.5385
EMAIL: msteinhardt@seallp.com
11956 SW Garden Place BUP2021-00267
RE: (Site Address) (Permit Number)
ZoomCare Central Lab&Pharmacy
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: I Description: I Copies: I Description:
Additional set(s) of plans.
3 Revisions: Revision 3-Architectural
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' Two new doors in the demising wall between 11956 SW Garden Place(Zoomcare Central Lab&Pharmacy)and 11958(Zoomcare Billing).
Doors are Wood-"UL Birch"-Paint Grade-1 3/4'with Dorma 8916-689 closers(cut sheet attached)
FOR OFFICE USE ONLY
Route to Permit Technician: Date: .3"
Fees Due. Yes E No Fee Description: Amount Due:
pi co, $ ys
$
Special
Instructions: —
Reprint Permit (per PE): E Yes No Done
Applicant Notified: n Date: Y/(fix.. Initials: /3,
I:\Building\Forms\TransmittalLetter- evision4120.doc
DORMA
8900
Surface Applied Door Closers
8900 TECHNICAL DETAILS SPECIFICATIONS
Technical Details • Full complement of optional Optional Specifications: Optional Plated/Architectural
•
Available as 8916 with plates and brackets available The 8600 Series closer will have Finishes
L�fully adjustable spring for special applications. delayed action(DA).Delayed • Brass:605(Bright)or
sizes 1-6.Size 1(5 lb • Screw options include self- action range will be effective from 606(Satin).
opening force)meets interior drilling and tapping screws maximum opening to • Bronze:611(Bright),612
barrier-free AD requirements. (DPK89)for steel door and approximately 65°.All 8900 (Satin),or 613(Oxidized Satin
• 8916 may be used on doors up frame applications or self- closers to have full metal covers. Oil Rubbed).
to 48"wide interior(42'wide tapping screws(TPK89)for All 8900 closers to have sex nuts • Nickel:618(Bright)or
exterior)and up to 180 lb. aluminum door and frame with machine screws for 1-3/8' 619(Satin).
• 8956 available with adjustable applications. door(SN2).Closers to have self- • Chrome:625(Bright)or
spring sizes of 5-6+50%for • Stainless steel(STA Series) drilling screws for steel doors and 626(Satin).
use on exceptionally wide,tall, model available(see STA frames(DPK86).Closers to have • Stainless:630(Satin).
or heavy doors. brochure for details). self-tapping screws for aluminum
• Non-handed for regular,top • Available with holder/release doors and frames(TPK86), Warranty
jamb,and parallel arm with(EMR Series)or without Closers to have TORX security for For details,refer to DORMA
applications. (EMF Series)photoelectric all exposed fasteners(TX89). Limited Warranty on our website
• Backcheck(BC)valve detector to control spread of at go.dorma.com/terms.
(standard)provides adjustable- smoke and fire(see EMR/EMF Finishes
intensity hydraulic cushioning, brochure for details). REDUCED OPENING FORCE
preventing uncontrolled door Standard Sprayed Finishes INSTALLATIONS CAUTION
opening to protect door and Certifications • Aluminum:689. Manual door closers, including
frame during abusive or abrupt ■ ANSI/BHMA • t • Bronze:691 (Dull),690 those certified to meet ANSI/
opening. A156.4 Grade 1 (Statuary),or 695(Dark BHMA A156.4,when installed
• POS backcheck positioning certified. Duranodic). and adjusted to conform to ADA
valve(standard)maintains an • UL and CUL listed. O • Gold:696. or other reduced opening force
effective backcheck range on • Meets UL10C for cus Enos • Black:693. requirements,may not provide
parallel arm applications. positive pressure. sufficient power to reliably close
Valve is accessible with the • Meets ANSI/BHMA A117.1 Optional DORMA Custom Color and latch a door.
closer installed. and ADA for barrier-free or Designer Color Finishes
• Full adjustment using BC,POS, accessibility. Contact Customer Service. Refer to catalog for Low Energy
Sweep and Latch valves • CSFM approved. Operators to meet reduced
standard. opening force requirements
• Optional delayed action(DA) Specification without affecting closing power.
adjustable with separate The heavy-duty 8900 Series
independent valve to allow for non-handed surface applied door
unobstructed passage through closer with adjustable spring Features 8916 8956
opening. power and backcheck positioning Spring size(8916 shipped as size 4) 1-6 5-6+50%
• Full plastic cover standard. adjustment.The 8900 has two Non-handed • •
Full metal or full plastic independent,noncritical adjust- Parallel arm bracket • •
slotted covers optional. ment valves to control sweep and Full line of specialty function arms
• All tamper-resistant(hex key) latch closing speeds.The back- and plates
valve adjustments(including check positioning valve maintains
POS)accessible with closer an effective backcheck range on Backcheck positioning adjustment
installed. parallel arm applications.The Controlled closing with two 180°-15° 180°-15`
• Standard components required 8916 will be available with field adjustment valves 15°-0° 15°-0°
for three most popular adjustable spring power from size Backcheck • •
mounting configurations(Reg., 1-6 for barrier-free requirements. Hydraulic delayed action 0 0
TJ,PA). All closers to have field adjust-
• Standard fasteners include able spring power from size 1-6 Hold open 0 0
separate wood and metal and meet barrier-free require- SN1 sex nuts for 1-3/4"thick • •
screws and SN1 sex nuts for ments.The 8956 will be adjust- doors included
1-3/4"thick doors. able size 5 to 6+50%additional Self-drilling screws 0 0
• Full-sized templates enable closing force over the size 6.All Self-tapping screws 0 0
accurate installation. 8900 fully adjustable spring Tamper-resistant TORX screws 0 0
• A variety of specialty arm force door closers to include an
options,interchangeable integral design to positively stop Full cover(plastic)
across most DORMA surface adjustment of the spring at the Full cover(metal) 0 0
closer models. minimum and maximum spring •standard °optional
force settings.
4 DORMA
° b
8900 HOW TO ORDER
HOW TO ORDER 8900 SERIES
Other Accessories
Spring Size AB89 —Angle Bracket
Fixed size 2 for TEL— 02 Body Cover Accessory NFHD —Narrow Frame Bracket,Heavy Duty
Adjustable 1-6— 16 Full Plastic— FC Plates FTHD —Flush Transom Bracket,Heavy Duty
07 Telephone Full Plastic_ FCSL Drop Plate— DPXX BS —Blade Stop Spacer
Fixed Size 7— TEL —Booth Closer Slotted
Adjustable 5-6— 56 DA —Delay Full Metal Cover***— FMC Back Plate— BPXX BSHD —Blade Stop Heavy Duty
89 16 AF89 FC SN1 689
Series 8900 Flat Form Non-Hold Open,— AF89P PFT Parallel Flush TX89 —Torx Security 605 —Polished Brass
Tri-Pack Transom Bracket Pack
Flat Form Non-Hold Open,TJ 4'-8'Reveal— AF89J PD —Parallel SN2 —Sex Nuts 606 —Satin Brass
Flat Form Non-Hold Open,— Drop Bracket 1-3/8'
Reg./TJ 0'-4'Reveal AF89 M J —Mortise SN 1 —Sex Nuts Plated 611 —Polished Bronze
Friction Hold Open,Tri-Pack— FHP
Jamb Bracket 1-3/4'
Stelf and
Friction Hold Open,Ti 4'-8'Reveal— FHJ Accessory SNDPK —Self-Drilling 612 —Satin Bronze
Friction Hold Open,Reg./TJ O'-4'Reveal— FH Brackets DPK89 —Self-Drilling 613 —Oxidized Satin
Oil Rubbed Bronze
Plunger Hold Open,
• Parallel Arm(TJ 1-1/2'-3-1/2'Reveal)_ PHP SNTPK —Std.and Self-Tapping 618 —Polished Nickel
Plunger Hold Open,Reg./TJ 0"-1-1/2'Reveal— PH TPK89 —Self-Tapping 619 —Satin Nickel
Door Saver Parallel Cushion Arm— DS
Door Saver Parallel Cushion_ DST Fastener Pack 625 —Polished Chrome
•
Arm Thumb Turn Hold Open
DSK _Door Saver Parallel Cushion 626 —Satin Chrome
Arm Hex Key Turn Hold Open
Spring Door Saver Parallel Dead Stop— SDS Satin Stainless*
630 —(SIS/SISJ arm
SDST —Spring Door Saver Parallel Dead Stop Thumb Turn Hold Open assembly only)
Cushion IS Arm Reg./TJ — IS 600 —Primed
0"-3-1/2'Reveal Cushion IS Arm Hold Open,0'-3-1/2"Reveal
IS H —(Not Available on 8956 or 8907) 689 —Aluminum
Spring Stop IS Reg./TJ —
0"-3-1/2'Reveal SIS Spring Stop IS Hold Open, Architectural 690 —Statuary Bronze
SISH —Reg./TJ 0'-3-1/2'Reveal
Cushion IS Arm— I Si (Not Available on 8956 or 8907) 691 —Dull Bronze
Top Jamb 3-1/2'-6-1/2'Reveal
ISJH —Cushion IS Arm Hold Open, 693 —Black
Top Jamb 3-1/2'-6-1/2'Reveal
Spring Stop IS— SISJ 695 —Dark Duranodic Bronze
I Top Jamb 3-1/2'-6-1/2'Reveal Spring Stop IS Arm Hold Open,
SISJH Top Jamb 3-1/2'-6-1/2" Painted 696 —cold
Super Parallel Arm— SPA Special sprayed finish
—
Super Parallel Arm Thumb Turn Hold Open— SPAT PNT (must specify)**
Super Parallel Arm Hex Key Hold Open— SPAK
Track,Pull Side Door Mounted— T
Jamb Track,Pull Side Frame Face Mounted— JT
*Stainless base material with brushed
Push Track,Push Side Soffit Mounted— PT Satin Finish.
Track Double Egress,— TDE **For optional DORMA custom color or
Pull Side Transom Mounted
tG FT — Flush Track,Push Side Transom Mounted designer color finishes,contact Customer
Track Hold Open,— TH Service.
Pull Side Door Mounted Jamb Track Hold Open, ***Specify handing of FMC for all JT,T,and
JTH —Pull Side Frame Face Mounted FT applications.
Push Track Hold Open,
Push Side Soffit Mounted— PTH
TDEH —Track Double Egress Hold Open, NOTES:
Pull Side Frame Face Mounted
Flush Track Hold Open. FTH •All combinations of features and options
Pull Side Frame Face Mounted— are not available for all models.
TPKT90 _Track Application,
Track Application,90°Pocket Door, 90°Pocket Door(8956 only) •Non-fire rated,90TPK(90°pocket)
Includes 3 ea.75520— TPKT90/P applications require(3 ea.)75520 pocket
Pocket Pivots(8956 only) Track Application,90°Pocket Fire Door, pivots,ordered seperately.
T PKT90/PF —Includes 3 ea.75523 Pocket Pivots
Double Lever Flat Form Arm, pFPKT90 •Fire rated,90 TPK(90°pocket)
I 90°Pocket Door(8907 only)— Double Lever Flat Form, applications require(3 ea.)75523 pocket
AFPKT180 —180°Pocket Door(8907 only) pivots,ordered seperately.
I Arm Type •FMC is only cover available in plated finish.
DORMA 5
i
I
Branden Taggart
From: Branden Taggart
Sent: Thursday, March 3, 2022 3:16 PM
To: Mark Steinhardt
Subject: RE: Revised drawings for issued building permit BUP2021-00267 (11956 SW Garden
Place - ZoomCare Central Lab & Pharmacy)
Mark,
Per our phone conversation, (3) sets of plans and (2) sets of calculations to go with our Transmittal Letter.
Thanks,
Branden Taggart
City of Tigard
. Senior Permit Technician
Community Development
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
brandent@tigard-or.gov
From: Mark Steinhardt<msteinhardt@seallp.com>
Sent: Wednesday, March 2, 2022 2:03 PM
To: Branden Taggart<brandent@tigard-or.gov>
Subject: RE: Revised drawings for issued building permit BUP2021-00267 (11956 SW Garden Place-ZoomCare Central
Lab & Pharmacy)
Caution!This message was sent from outside your organization. Allow sender I Block sender
Hi Branden,
One more question regarding the structural package. If you would like us to submit structural, how many copies of
drawings and calcs do you need?
Thanks
Mark Steinhardt
Designer
SCOTT I EDWARDS ARCHITECTURE LLP
2525 E Burnside St. Portland, OR 97214
O. 503.226.3617 I D: 503.896.5385 I www.seallp.com
From: Mark Steinhardt
Sent: Wednesday, March 2, 2022 10:22 AM
1
To: 'Branden Taggart' <brandent@tigard-or.gov>
Cc:Jeff Hammond <Jeff@seallp.com>; Darren Placek<dplumbingguy@gmail.com>;Julie Drinkwater<JulieD@tigard-
or.gov>;Jeff Grove<JeffG@tigard-or.gov>
Subject: RE: Revised drawings for issued building permit BUP2021-00267 (11956 SW Garden Place-ZoomCare Central
Lab & Pharmacy)
Hi Branden,
We are preparing today to submit our revisions with the items that you have outlined below. The plumbing scope/
fixtures have not changed since the original submittal so we will not be submitting anything related to plumbing.
But we do have structural drawings and calcs confirming that the existing roof structure is adequate for the proposed
new units. Shall we submit this structural package as well? If so, do we need an application and/or transmittal letter to
submit this structural package?
Thanks
Mark Steinhardt
Designer
SCOTT I EDWARDS ARCHITECTURE LLP
2525 E Burnside St. Portland, OR 97214
0: 503.226.3617 I D: 503.896.5385 I www.seallp.com
From: Branden Taggart<brandent@tigard-or.gov>
Sent:Tuesday, February 22, 2022 3:33 PM
To: Mark Steinhardt<msteinhardt@seallp.com>
Cc:Jeff Hammond <Jeff@seallp.com>; Darren Placek<dplumbingguy@gmail.com>;Julie Drinkwater<JulieD@tigard-
or.gov>;Jeff Grove <JeffG@tigard-or.gov>
Subject: RE: Revised drawings for issued building permit BUP2021-00267 (11956 SW Garden Place-ZoomCare Central
Lab & Pharmacy)
Hi Mark,
I have attached our Transmittal Letter above for revisions. We will need to receive a separate Transmittal Letter for
each permit with the following:
• Mechanical permit revisions: (2) sets of revised mechanical plans, (2) sets of cut sheets for each unit, and (2)
aerial shots showing the locations of a rooftop or exterior unit(s)—if applicable.
• Electrical permit revisions: (2) sets of revised electrical plans for the emergency power system and (1) completed
Electrical Permit Application. With regard to a mobile generator on a truck, our Senior Inspector,Jeff Grove, will
likely need to review the plans and he will get back to you.
• Plumbing permit revisions: Plumbing plan review was not required for this permit. We need to receive (1)
completed Plumbing Permit Application to tell us what needs to be added or removed from the scope of
work. Please complete the Commercial Fixture Work section on the second page if plumbing fixtures are being
added or removed. I have attached the application above for you.
• Building permit: (3) sets of revised floor plans will need to be reviewed for egress. We will also need to know
the type of door and door closer.
Also, I have attached a PDF file of all of the associated Mechanical, Electrical, Plumbing, and Building permits that we
have on file for 11956 and 11958 SW Garden Place. Please let me know if you have questions.
2
Thank you,
Branden Taggart
IsN , u City of Tigard
:.,'r; Senior Permit Technician
Community Development
13125 SW Hall Blvd
Tigard, OR 97223
(503}718-2449
brandent@tigard-or,gov
From: Mark Steinhardt<msteinhardt@seallp.com>
Sent: Monday, February 21, 2022 1:16 PM
To: Branden Taggart<brandent@tigard-or.gov>
Cc:Jeff Hammond <Jeff@seallp.com>
Subject: Revised drawings for issued building permit BUP2021-00267 (11956 SW Garden Place -ZoomCare Central Lab &
Pharmacy)
Hi Brandon,
This project is under construction, but some revisions have come up, and we would like to know what the process is for
submitting revisions to an approved permit.
There have been some mechanical revisions due to discoveries made regarding existing HVAC units and associated
ducting.These HVAC revisions have associated electrical and plumbing revisions.
Also, there have been electrical revisions due to the addition of an emergency power system (mobile generator on a
truck, powering emergency circuits)
Finally, there are two new doors in the demising wall between 11956 SW Garden Place (Zoomcare Central Lab &
Pharmacy) and 11958 (Zoomcare Billing).
Please let us know how best to proceed.
Thanks
Mark Steinhardt
Designer
SCOTT I EDWARDS ARCHITECTURE LLP
2525 E Burnside St. Portland, OR 97214
0: 503.226.3617 I D:503.896.5385 I www.seallp.com
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."
3
a CITY OF TIGARD BUILDING PERMIT
i II _ COMMUNITY DEVELOPMENT BUILDING
BUP2021-00267
Date Issued: 12/20/2021
T t G A i2 ) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101 BB01300
Jurisdiction: Tigard
Site address: 11956 SW GARDEN PL
Project: Zoom+Care Lab&Pharmacy Subdivision: CROW PARK 217 Lot: 1
Project Description: TI within an existing office park building.Work to include interior partition walls,ceilings,doors,finishes,fixtures&
associated utilities.
Contractor: NORWEST CONTRACTORS INC Owner: BKM PARK BC 252 LLC
PO BOX 25305 BY SLK GLOBAL SOLUTIONS AMERICA
PORTLAND, OR 97298-0305 2727 LBJ FREEWAY STE 806
DALLAS, TX 75234
PHONE: 503-291-6986 PHONE:
FAX: 503-291-7036
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations, 11/22/2021 $4,794.45
Occupancy Grp: B Occupancy Load: 48 Demolition
12%State Surcharge-Building 11/22/2021 $575.33
Dwelling Units: 0 Plan Review 11/04/2021 $3,116.39
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 11/22/2021 $434.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/22/2021 $1,917.78
Value: $750,000 Info Process/Archiving-Lg$2.00(over 11/22/2021 $34.00
11x17)
Metro CET 11/22/2021 $900.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $11,771.95
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: Permittee Signature: ce°-
,
7r/ .47511
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.
i
b
Building Permit Application
Commercial RECEIVE , FOR OFFICE USE ONLY
Cityof Tigard
Permit No
131SW Hall Blvd.,Tigard,OR 97223 OCT 21 2021 DareBy�������•zd� ,'3UP202l�2l07
g Plan Review /� ) -a l Related Permit:
' I Phone: 503-718-2439 Fax: 503-598-1960 Date/By: l '/
TIGARD Inspection Line: 503-639-4175 CITY OF TIGARD Date Ready/>3y: U is: ® See Page 2 for
. Internet: www.tlgard-or.gov BUILDING DIVISIO otified/Method: Z Supplemental Information
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
X Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling X Commercial/industrial
Valuation: $
[1 Accessory building ❑Multi-family Number of bedrooms:
i
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
.lob site address: 11956 SW Garden Place New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
s Suite/bldg/apt.#: Project name:Zoom+Care Lab& Pharmacy Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Off SW Hall Blvd at HWY 217& HWY 99W, SW Garden Place Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
'lax map/parcel#: 2S1 O1 BBO13OO 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.
Lab& Pharmacy T.I. within an existing office park building. No change to Valuation: $ 750,000
construction type. New work to include interior partition walls,ceilings,doors, Existing building area: 6,824 square feet
finishes,fixtures&associated utilities. New building area: 6,824 square feet
0 PROPERTY OWNER it TENANT Number of stories: 1 Story
Name: Zoom+Care Contact: Jeffrey Schoenberg Type of construction: III-B
Address: 1455 NW(riving St#600 Occupancy groups:
, City/State/ZIP:Portland, OR 97209 Existing: B-Business
Phone:( 206)852-8751 Fax:( ) New: B- Business
X APPLICANT X CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Scott I Edwards Architecture LLC
Structural plan review fee(or deposit): „3(/4,,3.1,
Contact name: Mark Steinhardt
Address:
2525 E Burnside St FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP: Portland, OR 97214
Phone:( 503 )896-5385 Fax: :( )
Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: msteinhardt@seallp.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaie Solar Panel System.
Business name: NW Contractors, Inc Attn: Seth Kiser Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 7235 SW Stephen Ln. Solar Installation Specialty Code checklist.
City/State/ZIP: Portland, OR 97225 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( 503) 291-6986 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.:OR 89425
'total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Mark Steinhardt Date:10/19/21 * 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
:
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: [11 $ 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 $ N/A
(b) An accessible entrance: $ N/A
(c) An accessible route to the altered area: $ N/A
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ N/A
(e) Accessible telephones: $ N/A
(f) Accessible drinking fountains:and, $ N/A
(g) When possible,additional accessible elements such as storage and
alarms: $ N/A
TOTAL(shall equal line [2] of Valuation Computation): $ *
* Existing facility is completely accessible.
No barrier removal is applicable.
I:\Building\Permits\BUP_COM_PcrmitApp.doc Rev.03/05/2019
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
C
TIGARD Building Permit Review — Commercial - No Land Use
m
Building Permit #: "DU P2O21-O02f4 7
Site Address: U "t S & 5-jf Gag,Pivt V . Suite/Bldg#:
Project Name: 2,53.o1ie‘ i-- CA et L i 't 0 IttfritM4-C
(Name of commercial business occupying the space. If vacant,e ter Spec Space.) /
Planning Review
Proposal: --1-. r
Existing Business Activity: bfCe
Proposed Business Activity:
Verify site address/suite#exists and active in permit system.
ya
ver Terrace Neighborhood: ❑ Yes No
LS erg• �, � %es
ermitted Use: ❑ No E Spec Space
rr Confirm no land use required.
❑ Business License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: - --- Date: ii/5A-1
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved E Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: Wo2i/O2/
Site Plans: # ,
Building Plans: #
Building Permit#: [ 'Enter building permit#above.
Workflow Routing: ®"Planning ❑ Permit Coordinator ®'Building
Workflow Sign-off: ILL.-Sign-off for Planning(include notes from planning review)
Route Application Documents: CI]/Suilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: J
By Permit Technician: .6?� Date: /0 /lOZf
I:\Building\Fortes\BldgPermitRvw 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\B1dgPermitRvw COM_NoLandUse_111819.docx