Permit (4) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2021-00037
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/23/2021
T I�;A R f7 g Parcel: 1S136DD05300
Jurisdiction: Tigard
Site address: 11850 SW 67TH AVE, STE#110
Project: Thrive Aethetic TI Subdivision: WEST PORTLAND HEIGHTS Lot: 9
Project Description: TI to include new restroom,(3)exam rooms,consultation room,office,and break room
Contractor: NORWEST CONTRACTORS INC Owner: PNWP LLC#2
PO BOX 25305 PNWP LLC
PORTLAND, OR 97298-0305 6600 SW 105TH AVE#175
BEAVERTON, OR 97008
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, 02/18/2021 $1,371.71
Demolition
Occupancy Grp: B Occupancy Load: 32 12%State Surcharge-Building 02/18/2021 $164.61
Dwelling Units: 0 Plan Review 02/02/2021 $891.61
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 02/18/2021 $257.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 02/18/2021 $548.68
Value: $143,500 Info Process/Archiving-Lg$2.00(over 02/18/2021 $12.00
11x17)
Metro CET 02/18/2021 $172.20
Floor Areas: Tigard CET-Non-Residential-Admin 02/18/2021 $57.40
Tigard CET-Non-Residential-AH 02/18/2021 $1,377.60
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,852.81
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: k...\r.Vatitr.\\--.Ali..".0c0212
P,,N Permittee Signature: A oWil OVA—.
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 ` _8
Commercial RECEIVE I FOR OFFICE USE ONLY
Cityof TigardReceived 2 Z Z.� permit No.:
g JAN 2 5 2021 Date/By: �R ZOZ\". 00031
q 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
n Related Permit:
Phone: 503-718-2439 Fax: 503-598-1960 CITY OF TIGARD Date/By: -��-
TIGARD Inspection Line: 503-639-4175 Date Ready/By: `) I Jur ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION tified/Method: /dam/ Supplemental Information
TYPE OF WORK REQUIRED DATA:I-'
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 X Other: TENANT IMPROVEMENT equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
1-and 2-family dwelling X.Commercial/industrial
Accessory building Multi-family Number of bedrooms:
Master builder Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11850 SW 67TH AVE,SUITE 110 New dwelling area: square feet
City/State/ZIP: TIGARD,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: THRIVE AESTHETIC T.I. Covered porch area: square feet
Cross street/directions to job site: SW 68TH AVE.AND DARTMOUTH ST. 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.Valuation: $ 1115 t`�p
emu
Tenant improvement of existing 1,958 square foot Suite for Thrive Aesthetic and Anti-Aging
Center a cosmetic clinic.The build-out includes a new Unisex restroom for patients,3 exam Existing building area: 19,000 square feet
room,consultation room,private office,and break room.
New building area: 19,000 square feet
x_ PROPERTY OWNER TENANT Number of stories: 2
Name: PACIFIC NW PROPERTIES Type of construction: III-B
Address: 6600 SW 105TH AVENUE,SUITE 175 Occupancy groups: B
City/State/ZIP: BEAVERTON,OR 97008 Existing: B
Phone:( 503)626-3500 Fax:( ) New: B
i APPLICANT __ CONTACT PERSON BUILDING PERMIT FEES*
Business name: MILDREN DESIGN GROUP (Please refer to fee schedule)
Contact name: SABINE O'HALLORAN Structural plan review fee(or deposit):
Address: 4875 SW GRIFFITH DRIVE,SUITE 300 FLS plan review fee(if applicable):
Total fees due upon application:
i, City/State/ZIP: BEAVERTON,OR 97005
Phone:( 503 ) 244-0552 Fax: :( ) Amount received:
E-mail: SABINE@MDGPC.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: NORWEST CONTRACTORS Submit two(2)sets of roof plan with connection details
7235 SE STEPHEN LANE and fire department access,along with the 2010 Oregon
Address: 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.: 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: :1„,‘-,,.,, e2-7,4 Date: 1/22/2021 * 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 a Accessibility: Barrier Removal Improvement Plan
2
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] $ 142,500
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 35,625
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 $ COMPLIES
(b) An accessible entrance: $ COMPLIES
(c) An accessible route to the altered area: $ COMPLIES
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ 9,500
Building Common restroom comply-new unisex accessible restroom added within scope of project
(e) Accessible telephones: $ NO PUBLIC PHONE
(f) Accessible drinking fountains:and, $ COMPLIES
(g) When possible,additional accessible elements such as storage and
alarms: New compliant casework in scope of project for Exam Rms, $ 45,000
Reception desk,Nurse's Station,and Storage Room.
TOTAL(shall equal line [2] of Valuation Computation): $ 54,500
I
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
If 4I21
City of Tigard
N COMMUNITY DEVELOPMENT DEPARTMENT
illhil
111
T 1 c A R D Building Permit Review — Commercial - No Land Use
Building Permit #: S J?2bZ\- OOO MI
Site Address: 11850 SW 67th Ave Suite/Bldg#: 110
Project Name: Thrive Aethetic
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Platy iri.1eviety
Proposal: TI
Existing Business Activity: Office
Proposed Business Activity: Office
® Verify site address/suite # exists and active in permit system.
X River Terrace Neighborhood: ❑ Yes n No
N Zoning: TMU
® Permitted Use: It Yes ❑ No ❑ Spec Space
® Confirm no land use required.
I Business License:
Exists: ® Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: ATMDate: 1/26/2021
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved E Not Approved
Revision 3: E Approved ❑ Not Approved
.13tificliiv Permit Suttal
Original Submittal Date: At_s-\Z1
Site Plans: # '..,.5'
Building Plans: # 3
Building Permit#: F.Enter building permit#above.
Workflow Routing: C' Planning E 4\—nit Cep C'Building
Workflow Sign-off: [ ' Sign-off for Planning(include notes from planning review)
Route Application Documents: ®' Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: �A vcn\WQe,L. Date: ' 24t\
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_111819.docx
- t Coordinator iieviett,
❑ Conditio et"prior to issuance of building permit
❑ Approved,NO - ; •ased: D •
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Appli .
Revision Notice 3: Date Sent to = .. cant:
❑ SDC Fees Entered: W o Trans Dev Tax: ❑ Yes ❑ N
igard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to •. a Permit
• I roved by Permit Coordinator: Date:
1:\Building\Forms\B1dgPermitRvw_COM NoLandUse_11 1 819.docx