Permit CITY OF TIGARD BUILDING PERMIT
`'II I COMMUNITY DEVELOPMENT Permit#: BUP2021-00219
Date Issued: 10/5/2021
TIGARD 13125 SW Hat Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101BB01500
Jurisdiction: Tigard
Site address: 12236 SW GARDEN PL
Project: Chimcare Subdivision: CROW PARK 217 Lot: 3
Project Description: Tenant improvement to remove and replace partition walls,electrical and plumbing.
Contractor: ROBERT TODD CONSTRUCTION INC Owner: BKM PARK BC 252 LLC
4080 SE INTERNATIONAL WAY B113 BY SLK GLOBAL SOLUTIONS AMERICA
MILWAUKIE,OR 97222 2727 LBJ FREEWAY STE 806
DALLAS,TX 75234
PHONE 503-653-5704 PHONE:
FAX: 503-653-5729
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VA Permit Fee-Additions.Alterations, 09/29/2021 $1,045.71
Occupancy Grp: B Occupancy Load: 62 Demolition
12%State Surcharge-Building 09/29/2021 $125.49
Dwelling Units: 0 Plan Review 09/20/2021 $679.71
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 09/29/2021 $274.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 09/29/2021 $418.28
Value: $91,872 Info Process/Archiving-Lg$2.00(over 09/29/2021 $10.00
11x17)
Tigard CET-Non-Residential-Admin 09/29/2021 $36.75
Floor Areas: Tigard CET-Non-Residential-AH 09/29/2021 $881.97
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,471.91
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: HoU y Va w De We ye, Permittee Signature: Ow Apv-Lix.coliavt,
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/ . Building Permit Application -Z.. $f 1121
RECEIVED
Commercial ru►z OF1.►(1I: USE ONLI
/ Received
City2of Tigard �+ p 9 i�' Z Permit No. `zet.I �OZf9
r 13125 SW Hall Blvd.,Tigard,OR 97223 SEP f 012021
Date/By: ��
g Plan Review Related Permit:
N. Phone: 503-718-2439 Fax: 503-598-19 DateBy: $�
T I G A R D Inspection Line: 503-639 4175
ITY OF TIGARD Date Ready/By' Juris ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Not /Methoz ,Z( ,� Supplemental Information
f dam''d „A, -G`
TYPE OF WORK REQUIRED DATA:1- D 2-FAMILY DWELLING
❑New construction 0 Demolition Permit fees*are based on the value of the work perfonned.
Indicate the value(rounded to the nearest dollar)of all
®Addition!alteration replacement ❑Other equipment,materials,labor,overhead,and the profit for the
d ` CATEGORY OF CONSTRUCTION work indicated on this application.
t
❑ I-and 2-family dwelling [�jCommercial/industrial Valuation: -1 -
❑Accessory building I!❑Multi-family Number of bedrooms:
E ❑Master builder ❑Other. Number of bathrooms:
JOB SITE INFORMATION AND LOCATION
Total number of floors:
Job site address: New dwelling area: square feet
l /a oZ 3 (� tS(,�1 Garden Place)._ 81�� 1
City/State/ZIP: o� / Q g / 9�.2a�3 Garage/carport area: square feet
U
Suite/bldg./apt.#: Project name: %/YI cet,re_ T.17. . Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
3 Subdivision: Lot#: Permit fees*are based on the value of the work performed.
�/ Indicate the value(rounded to the nearest dollar)of all
Tax map parcel O�S t(' 8$ O 7 D Q equipment,materials,labor,overhead,and the profit for the
rt DESCRIPTION OF WORK work indicated on this application.
�2e,v e 'a Gt!) ,_ Qd,j_ t'I e)05 f�. Valuation: $ 9`J , 77�'�•
r ei e O.J L7 Cc,...-J. /]r L.t I (G�1 7J cAm be/cl Existing building area/64 square feet
1 New building area: square feet
�
E PROPERTY OWNER 0 TENANT Number of stories: 1 .4 a.
t Name: 'EaeN' Type of construction:Teeki41' ,,
Address: i701 a Va,l I 5. rQe -I Su Ii€.. MO Occupancy groups:
City/State/ZIP: j� ��'gep._G� '_,A. 7a 6 6 0 Existing:
Phone:(90 Li 66,9-7 Fax:( ) New:
A APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
�l .{— ( 1 — (Please refer to fee schedule
Business name: Robert 'l f�GG 60,I$t) L'c e n
Structural plan review fee(or deposit): 4'7 i, .7
Contact name: Ka.reln G-Il,...dae....-N
FLS plan review fee(if applicable):
Address: `'f 01 0 se- . /�I �bncx.1 c0 50;+'_go3
M 1 9 2a Total fees due upon application:
City/State/ZIP:
�ac,�k i e. O
bvvt�
Phone:(5-03) 6 5S- 57 o 4 Fax::( ) Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: KO,r fN Ia.ro b ,/>f,St ru ckto n .Co e
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Robert- 1 Co.. 1'A.,,,cil1 bO'Th Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: go 10 SE pierrigli ty1 LI fAiita4 SLOE_ 8'1I3 Solar Installation Specialty Code checklist.
City/State/ZIP: ��/M� r'C r Permit fee(includes plan review $180.00
a't I Oa(Aide Q Q �7 a7�-fl and administrative fees):
Phone:(503) ,6S - -7 Qq I Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: / 551 1 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: /erl lam)ratel Date: 8.-30-4Q ( * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(l 1/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T I G A R 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, q
excluding painting and wallpapering: [1] $ l
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ { k'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
(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 (VT"
restroom: $ �J r
T
J
(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_PermitApp.doc Rev.03/05/2019
'!A
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. SITEPJAN (3) copies - full dimensional,drawn to scale and labeled with:
A. Lv1 Tap&tax lot# [ project name gklite address IZsuite number
zoningpplicant name rZphone 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\Pemuts\BUP_COM_PermitApp.doc Rev.03/05/2019
a�... .
11711 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
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
■
COMMUNITY DEVELOPMENT DEPARTMENT
1 ca A h r, Building Permit Review — Commercial - No Land Use
Building Permit #: 13 u ( 20 Z% 00 2 1 1
Site Address: \'2 -3 -P SV\J Garde-in pI Suite/Bldg#: 1
Project Name: UltMeb,re,
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal:
Existing Business Activity: 0f6 (j
Proposed Business Activity: . `q
,Z1 Verify site address/suite# exists and active in permit system.
fZ River Terrace Neighborhood: ❑ Yes 0 No
0 Zoning: Cj
Permitted Use: Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: /Yes El No,applicant was provided a business license application
Notes: /
Approved by Planning: AS),/,---7bOk----- Date: 9 1 4 [20 2
1 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: 9/1/ e' /
Site Plans: # 3
Building Plans: # ..3
Building Permit#: 2—"Enter building permit#above. -
Workflow Routing: �7''I5lanning Elt1 Bu Permit Coordinator ' ilding
Workflow Sign-off: E:i—Sign-off for Planning(include notes from planning review)
Route Application Documents: U/15uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: < C �...,c. .( e._,...�. Date: f�� /�
1:\Building\Fonns\BldgPetmitRvw_COM_NoLandUse_l 11819.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 Applic- t:
Revision Notice 2: Date Sent to A.; cant:
Revision Notice 3: Date Sent to -pplicant:
❑ SDC Fees Entered: Wash • Trans Dev Tax: ❑ Yes ❑ N/A
Tiy d Trans SDC: ❑ Yes ❑ N/A
'arks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit ,:
Approved by Permit/Coordinator: Date:
I:\Building\Fonns\BldgPennitRvw_COM_NoLandUse_111819.docx