Permit CITY OF TIGARD BUILDING PERMIT
2 COMMUNITY DEVELOPMENT Permit#: BUP2023-00051
Date Issued: 6/20/2023
TI A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S1356D00100
Jurisdiction: Tigard
Site address: 9600 SW OAK ST 410
Project: lkigai Wellness Subdivision: ASHBROOK FARM Lot: 5
Project Description: TI for new tenant:new partitions and casework.
Contractor: PACIFIC CREST STRUCTURES INC Owner: KING CAPITAL INVESTMENTS LLC
17750 SW UPPER BOONES FERRY RD SUITE ATTN KING,THOM
190 19250 NE PORTAL WAY
DURHAM, OR 97224 PORTLAND, OR 97230
PHONE: 503-968-8949 PHONE:
FAX: 503-598-6658
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 06/20/2023 $962.88
Occupancy Grp: B Occupancy Load: 7 Demolition
12/o State Surcharge-Building 06/20/2023 $115.55
Dwelling Units: 0 Plan Review 06/20/2023 $625.87
Stories: 0 Height: 0 ft 06/20/2023 $430.00
Tenant Improvements in Existing
Bedrooms: 0 Bathrooms: 0 Development
Value: $80,482 Plan Review-Fire Life Safety 06/20/2023 $385.15
Info Process/Archiving-Lg$2.00(over 06/20/2023 $16.00
11x17)
Floor Areas: Wash Co Trans Dev Tax 06/20/2023 $3,878.35
Total Area: 0 Tigard Trans SDC Improvement 06/20/2023 $2,933.43
Accessory Struct: 0 Tigard Trans SDC Reimbursement 06/20/2023 $169.25
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $9,516.48
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 prtd r btain a copy of the rules or direct questions to OUNC by calling 503.232.1988777 or
r11.8000...3332.2344.
Issued By: Permittee Signature: < V ` v"�
Call 503.639.4175 :00 a.m.for the next available inspection date.
This permit card shall be kept i 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 RE
C E
IvED
Commercial i.oR(nu IC E USE Oyl.l
City of Tigard A 0 , 202 Received
Date By: i 11Al IL' 1-11)• Permit No.:
�UP202 3 000E i
, . 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
II Phone: 503-718-2439 Fax: 503-598-19 Date/By: -1(0 b23 ` Related Permit:
LITY OF TIGARD
TIGARD
I G A R D Inspection Line: 503-639-4175 Date ReadyBy: . / Juris: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified Method: �(+/ /�—� Supplemental Information
TYPE OF WORKREQUIRED 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
IN Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling I%I Commercial/industrial Valuation: $
ElAccessory building El Multi-familyNumber of bedrooms:
ID Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION , Total number of floors:
Job site address: 9600 SW OAK ST. New dwelling area: square feet
City/State/ZIP: TIGARD, OR. 97223 1j . & i tAir-lifirr Garage/carport area: square feet
Suite/bldg./apt.#: 410 Project name: AT-RIUM WEST 410 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
From hwy 217-North on Greenburg Rd., East on Other structure area: square feet
SW Oak St. REQUIRED DAT4t COMMERCIAL"USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Property ID: W265231, State ID 1 S 135BD00100 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WalIK I` work indicated on this application.
MINOR ALTERATIONS ON 4th FLOOR TENANT SUITE CONSISTING OF NEW CASEWORK, Valuation: $ 80,482
PLUMBING AND NON STRUCTURAL INTERIOR PARTITIONS. Existing building area: 878 square feet
New building area: 0 square feet
Q PROPERTY OWNER ( „=ttAm Number of stories: 5
Name: ICON FOODS Type of construction: II-1
Address: 19250 NE PORTAL WAY Occupancy groups:
City/State/ZIP: PORTLAND, OR 97230 Existing: B S
Phone:( ) 310.455.9876 Fax:( )
New: NO CHANGE
IN APPLICANT 0 CONTACT PERSON :;:BUILDING PERMIT FEES*
Business name: FLUENT DESIGN Structural plan review fee(or deposit):
Contact name: COLLEEN A. MURPHY --
FLS plan review fee(if applicable):
Address: 4075 N. WILLIAMS AVE. SUITE 210
City/State/ZIP: PORTLAND, OR 97227 Total fees due upon application:
Phone:( ) 503.432.8617 Fax::( ) Amount received:
E-mail: colleen.murphy@fluentdesignpdx.com PHOTOVOLTAIC SOLAR PANEL SYS TEM FEES* ;
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: PACIFIC CREST STRUCTURES, INC. Submit two(2)sets of roof plan with connection details
17750 SW UPPER BOONES FERRY RD. SUITE 190 and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: pURHA OR A7��4 Permit fee(includes plan review $180.00
and administrative fees): .
Phone:( ) 503.968.8949 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB Lic.: #669 I y
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:r....trylez,24z,4 ���14 j2°1�j� Date: 3.30.23 * Fee methodology set by Tri-County Building Industry
7/ , ' 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
114 es Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
TI GARD 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 $ N/A
-ACCESSIBLE PARKING IS CURRENTLY PROVIDED ON SITE
(b) An accessible entrance: $ N/A
-AN ACCESSIBLE ENTRANCE IS CURRENTLY PROVIDED
(c) An accessible route to the altered area: $ N/A
-AN ACCESSIBLE ROUTE TO THE ALTERED AREA IS CURRENTLY PROVIDED
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ N/A
-AN ACCESSIBLE RESTROOM IS CURRENTLY PROVIDED
(e) Accessible telephones: $ N/A
-NO FIXED TELEPHONES ARE REQUIRED OR PROPOSED
(f) Accessible drinking fountains:and, $ N/A
-NO DRINKING FOUNTAINS ARE REQUIRED OR PROPOSED
(g) When possible,additional accessible elements such as storage and
alarms: $ N/A
-NO ADDITIONAL ACCESSIBLITY CONCERNS ARE KNOWN
TOTAL(shall equal line [2] of Valuation Computation): $ N/A
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard
11 ® COMMUNITY DEVELOPMENT DEPARTMENT 1 .
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: WW1- 6051
Site Address: 9 6 00 SLJ OA . S-r- Suite/Bldg#: 910
Project Name: . , 54; i,thavr
me of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 11Jfiftlet.. t
Existing Business Activity: Of f l a
Proposed Business Activity: fft+1Ge
J_a/Verify site address/suite# exists and active in permit system.
211 er Terrace Neighborhood: ❑ Yes IQ No
0 Z ng: MU -1
Vmitted Use: Yes Now ❑ Spec Space
rm no land use required.
Business License:
Exists: es ❑ No, applicant was provided a business license application
Notes:
Approved by Planning: _ -� Date: q/3/Z3
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: 1 113
Site Plans: # 5 N!P
Building Plans: # _��
Building Permit#: ^/�Enter�building�peerrmit#above.
Workflow Routing: l d' Planning L" Permit Coordinator [ ' Building
Workflow Sign-off: Ri. ign-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: r q
By Permit Technician: '�k. Pufte' Date: Q i lc( I1 J
I:\BuildingTonns\BldgPermitRyw_COM_NoLandUse_09072022.docx
Permit Coordinator Review
1
E+ onditions "Met"prior to issuance of permit
❑ Approved,NOT Released: Date:
❑ ENG Revisions Required: Date:
Notes:
SDC Exemption ❑ Applied for ❑ Received Vi Does not apply
Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A [:1 Deferred
Tigard Trans SDC: l Yes ❑ N/A ❑ Deferred
Parks SDC: ❑ Yes pi N/A Deferred
LIDA Fee: El Yes V El N/A
OK to Issue/Approved by Permit Coordinator: ��Ia Y C'k Date: (c - /
cA
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
1:\Building\Forms\BldgPennitRvw_COM_NolandUse 08162022.docx
• RECEIVED
•SI APR ON 2023
fluentdesign CITY OF TIGARD
BUILDING DIVISION
ransm � a
Date: 3.30.23
To: City of Tigard Building Department
From: Colleen Murphy - colleen.murphy(c fluentdesignpdx.com
Job Reference/#: Atrium West suite 410, Job#151140..
# Pages (if applicable):
❑ Urgent • For Review 0 Please Comment ■ Please Reply 0 Please Recycle
• COMMENTS:
Please find attached (4) pages of building permit application forms and (3) sets of plans for the
above referenced project. Can you please send a confirmation of receipt or a link to pay
review fees. Thank you!
t)Q1f/C)
Or\ PP
CONFIDENTIALITY NOTICE:
The information in this document is confidential and may be legally privileged. It is intended solely for the named recipient. Access to this
document by anyone else is unauthorized, if you are not the intended recipient or the employee or agent responsible for delivering the message
to the recipient named, please note that any use,disclosure,copying,distribution of this document or any action taken or omitted to be taken in
reliance on it is prohibited. If you are not the intended recipient, please notify us by calling the sender at the phone number below
4075 N Williams, Ste 210 d Portland, OR 97227 503-432-8617 info@fluentdesignpdx.com
TDT & TSDC Discounts 1/0/1900
0 0
Adjustment for TDT Change-in-Use Discount
Building Age: 20 Years (2001)
$24,727.12 TDT Proposed Use
$9,213.73 TDT Prior Use
$15,513.39 TDT Pre-Discount
878 Total Square Feet(Enter)
878 Square Feet Eligible for Discount Enter)
100.00% Eligible as%of Total Square Feet
$15,513.39 TDT on eligible sq.ft.
20 Age of Building(Enter)
75% Percentage discount
$11,635.04 Discount: 75%/20 years; 50%/3 years.
$3,878.35 Revised TDT Post-Discount
Adjustment to TSDC if greater than 80% of TDT
$19,781.70 Total TSDC Proposed Use
$7,370.99 Total TSDC Prior Use
$12,410.71 Total TSDC Pre-Discount
Yes Does 80% maximum TSDC Apply?
$3,102.68 Total TSDC Post-Discount
Plus Application of TOD Discount if Relevant.
Enter amount of TOD Discount, if any.
$11,734 Revised TSDC-I after TOD
$677 Revised TSDC-R aafter TOD
$0 Revised TSDC-RT after TOD
$12,411 Net Revised Total TSDC after TOD
-$9,308 TOD Discount
$16,289 Revised Total TDT&TSDC after TOD
Total TSDC-1 Pre-80% Discount $11,733.72
Total TSDC-R Pre-80% Discount $676.99
TOTAL $12,410.71
Total TSDC Post-80% Discount
Revised TSDC-I $2,933.43
Revised TSDC-R $169.25
$3,102.68