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Permit
_ --- | ' CITi OF TIGAIRD BUILDING PERMIT PERMIT # ' BUP96-0452 U�� ����������N0��0l[ ����*����l�����0l[ _COMMUNITY DATE ISSUED: 08/06/96 '''V�1us aw*�xo*� Tigard, u r/n*pm Oregon 97223°819e (503) 639-4171 PARCEL: 25110AA-00300 SITE ADDRESS...: 14145 SW 105TH AVE SUBDIVISION....: ZONING:R-12 BLOCK ^ LOT.............: REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION— CLASS OF WORK.:REP FIRST ^ 0 sf N: S: E: W: TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?---------- TYPE OF CONST.:5-1HR ...: 0 sf N: S: E: W: OCCUPANCY GRP.:I1.2 TOTAL : 0 sf ROOF CONST: FIRE RET?: OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED: STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED-- FLOOR LOAD ^ 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..: • DWELLING UNITS: 0 FRNT: 0 ft REAR: @ ft FIR ALRM: HNDICO ACC: Y BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE.$: 29500 Remarks: Parking lot maintenance and additional ADA stalls. Owner: --- — — -- FEES ---- ---- TIGARD MEDICAL & REHAB ' type amount by date recpt SUNRISE HEALTHCARE PLCK $ 125.45 B 07/31/96 96-282359 14145 SW 105TH AVE PRMT $ 193.00 JDA 08/06/96 96-282578 TIGARD OR 97224 5PCT $ 9.65 JDA 08/06/96 96-282578 Phone #: Contractor: --- ---- CONTINUUM INC 700 N HAYDEN ISLAND DR • PORTLAND OR 97217 — — Phone #: 285-3073 $ 328.10 TOTAL Reg #..: 047339 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Final Inspect ion Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. 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 _ than 180 days. _____ _ _ Permittee Signatu _ A Issued By: jilk "'41. _ Call for inspection — 639-4175 • mitt top-lig Commercial Building Permit Application f , e city of Tigard 1,3125 SW Hall Blvd. j ". •' t i, Tigard, OR 97223 / . 7 )7 (503) 639-4171 . ..f. y -54. ,„- Jobsite Address: i±4 lit) 16 G ---) 1 • -.. : i : .::::::::::::::::: --riaker-4:j (A461146'L offii;,!iiiii'ciiii:::::::E:::::!::,ii;:ii!,::!ii:;:::::.:::.;::::f::::;:::::::: Tenant: k tzi s kvA e , Suite # :5:;i:ii::,::;iiiii:::::.::::::::::,:.-:..,:: .-. Planck/Reo #,:',.- •',.'::: 1 ... : .. .: .. ,.i. :... Valuation: $ 2 4 1 ) 1 ;DV -'''' '....' ,:, iTe • ' f ::,•::, .. . .. ., ..,. ..... : • ., ... : :: .:::,... . .. - . :..:: ' ,:' • ••••: Owner IL &: .,!... Zig/ J ge" t. ...i.; ' ..". -4 mu■-t- ' "..11TL. # ::.... i..., : .,:... .. .,.. :... . . . .. . , .... . :„.. :::::;_, ., .,.. •- . :•,... ,,, ,..... .-..,., . .. . .. . . . .,. . .. . ... Address: 14t4 0 W.. ':..: Abbr&ialS:IR _eci , ed . :::::::::::: . : ....i..:...i: , :,..,.. . „ 7 . ::::::' ''::::::i:::' : ,. :::::;:':::7..: 1 pliliirrid :.,. . :.: i..,.: , Phone: ;:;Efigirieerinq:..yi.. Contractor: Ckj 1 i IL t i4--)C_-, Address: l' S0 W - 1 (4/ Type of const: OA GV1 VC- 'Ir---1 - 0 6.4 )t2 e` Q t1 2 -1 1 Occupancy class: - Phone: , 2g, 707 '' Sprinklered? Yes No Contractor's License # c9473 , 9W . (attach copy of current Oregon license) Sq. ft. of project: 11 ... _f; - Contact name & phone: - _.;,,,Sso, Zoll...,.. .3.- Story (1st, 2nd, etc.) Proposed use: f`k- ‘6 A i 7;1 fi A • _ , • Architect/Engineer: 10. . MO 21 P,.. A A A , ....., .A1 ,..... Previous use: cZtit 1( i vvi, l ot Address: 2 , c, .1.-{-Atik.2 Isl- r d Note: Plumbing & mechanical plans 1 ___, aci- •2 Vi 5 __ cr - A . ripizi-L..,4 -.. must be submitted at time of building permit application. Phone: /2-8-121-1^6 JOB DESCRIPTION: Aall Vs ; go -0iP 6___At ..t. . A ... IL /./.' 1'../J- /I A (...,,,, _I' 72-0 (-, cli. tvzo I .) 411111}1 if Atb-zdi, ,,,/ 3 1741V ianature & Phone n ber Received by: ), IMAXAMAI 1---- r Date Received: -; I 1 Permit # Account Description Amount Amt. Pd. 'Bal. Due Bldg. Permit (BUILD) � / �i 3 29 ) Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) (pS G,5 Bldg: / • Plumb: Mech: • • Plan Check (PLANCK) + Z5 q Bldg: Plumb: Mech: Sewer Connection (SWUSA) • Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF -R) Mass Transit TIF (TIF -MT) Commercial TIF (TIF -C) Industrial TIF (TIF -I) institutional TIF (TIF -IS) Office TIF (TIF -0) Water Quality (WQUAL) Water Quantity (WQUANT) '-' 0 Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: ZS • 720 Z•�� . (4• (503) FAX (503) Oregon TDD- Nonvoice (503) 732 - 4031 October 10, 1996 DEPARTMENT OF 5 (O z4 C HUMAN / RESOURCES David L. Hickman HEALTH DIVISION David Hickman Associate Architects 700 N. Hayden Island Dr., #350 Portland, OR 97217 4 1 Re: Construction Documents Review for T . • d edica : d Rehabilitation Center, Addition of Therapy Fac" y - PR #96 -81 'lease quote this number in all your corresponden , e . ertainin . , is project) Dear Mr. Hickman: Construction documents for the above noted project have been reviewed by this office in cooperation with the Office of State Fire Marshal, Health Division, or Senior and Disabled Services Division. The following is a checklist of comments included with this correspondence: X Architectural comments /licensure _ Mechanical systems rules comments /licensure rules X Fire & Life Safety comments in _ Electrical systems rules/ cooperation with the Office of licensure rules State Fire Marshal for conformance to the NFPA 101 code /Medicare and Medicaid Note that plans approval by a local building code jurisdiction does not signify approval for the NFPA 101 code mandated for Medicare /Medicaid certification and JCAHO accreditation. This review is done by this office in partnership with the Office of State Fire Marshal. You are required to submit a written plan of corrections fully describing the solutions chosen for resolution of each review comment. If major revisions are required, revised plans for affected portions of the project may also be necessary. Please also provide one copy of all plans of corrections to the Office of State Fire Marshal, Bureau of Institutions and Codes, 4760 Portland Road N.E., Salem, Oregon 97305. A "Notice John A. Kitzhaber of Construction Plans Approval" will be issued by the Licensing Plan Review Section Governor when all licensure issues have been satisfactorily resolved. Also included will be a • "Notice of Substantial Completion" form, for use in notifying review agencies prior to occupying a project. vso 4760 Portland Road NE Salem, OR 97305 (503) 373 -7201 FAX (503) 373 -1825 b David L. Hickman David Hickman Associate Architects October 10, 1996 Page 2 • Construction prior to receiving all review comments and the successful resolution of all these comments is highly discouraged and could result in costly modifications or disapprovals after construction. While submission of project change orders is not usually required, modifications which substantially affect compliance or ad to the scope of the project must be submitted. If you have questions regarding this review, please contact me at (503) 373 -7201. Sincerely, /1 i ■ Bon. • N. Nyberg, Heal F .,cilitie: Con - Itant Licensing Plans Revie P igra . Office of Administration Attachment cc: Wilbert Russell, Office of. State Fire Marshal Robert Arsenault, Sunrise Healthcare Corp. David Scott, Washington Co. Building Codes Bette Parker, Tualatin CCMU Shirley Saries, SDSD c:\files\projrev\96811003.nuc . 1.w TIGARD MEDICAL AND REHABILITATION CENTER PR #96 -81 ADDITION OF THERAPY FACILITY CONSTRUCTION DOCUMENTS REVIEW The following comments are in review of construction drawings and specifications for conformance to licensure rules of the Senior and Disabled Services Division, under OAR Chapter 411, Division 87, and NFPA 101. 1. Storage for clean and soiled linens, supplies, and equipment (including wheelchairs and stretchers) is required. Please explain where soiled linens are stored. Where are wheelchairs and stretchers stored? OAR 411- 87- 210(1)(d) 2. Please confirm that the deep sink also is equipped to be operated without the use of hands as a handwashing sink. OAR 411- 87- 210(1)(e) 3. Confirm that hot water at the shower, bath, and handwash sinks does not exceed 120 degrees Fahrenheit. OAR 411- 87- 310(1)(a) 4. As designed, th training kitche 's not accessible when compared to requirements of Chapter 11, Ore go ura pecialty Code. Is there a strong programmatic reason why p 9 the kitchen is not designed to be accessible? 5. The rear grab bar at the training toilet on the floor plan A2 does not meet the 36" 41161-- er requirement, per your standard on Sheet A9 and Chapter 11, Oregon Structural Specialty 1.0 A+ Code. 6. The training toilet shower does not indicate a seat or grab bars, and the tub does not indicate grab bars per ADAAG Fig. 35(a), Fig. 34(a)(b), Fig. 33(a)(b). Also confirm control locations. Oregon Structural Specialty Code, Chapter 11, OAR 411- 87- 310(1)(b)(d) 7. All rooms containing bath tubs, showers, and toilets must be equipped with doors and hardware that permit access from the outside in any emergency. When the room has only one opening, the door must be capable of being opened without swinging into the room (e.g. outward swing or sliding). This impacts doors 108 and 103. Consider use of hardware with a break away feature to allow outward swing. OAR 411- 87- 310(1)(c) 8. STC classification requirements in Table 87 -1 must be met. Concern is expressed that the hard ceiling in Therapy 102 will not achieve desired results. Rules require acoustic ceilings in similar spaces such as day rooms, recreation rooms, etc. OAR 411- 87- 410(3)(c) 9. Confirm that all spaces meet pressure relationship and ventilation requirements of Table 87 -2. 10. Wall floor and ceiling surfaces must be designed to minimize glare. Confirm that high contrasts surfaces are provided to assist residents with limited visual acuity to recognize the juncture between floor and wall, between wall and floor, and between floor and other objects. OAR 411 -87- 430(4) w Y • 4 TIGARD MEDICAL AND REHABILITATION CENTER PR #96 -81 ADDITION OF THERAPY FACILITY CONSTRUCTION DOCUMENTS REVIEW 11. Confirm that light levels meet intensity levels defined in Table 87 -4. NFPA 101 1. The minimum required width of doors in the means of egress from the physical therapy /rehab addition is 44 inches. Doors 102, 112, and 113 must be increased in width to meet this requirement. NFPA 101 12 -2.3.6 5. The range /oven must be provided with a keyed switch for staff control, or meet commercial range requirements. 2. The range /oven must be provided with a keyed switch for staff control, or meet commercial range requirements. 3. The soiled linen room is considered to be a hazard room and requires one -hour separation, with minimum door rating of 45- minute (UBC requires 60 minute). Please identify soiled linen storage with wall and door rating. 4. Confirm that wall and openings between entry lobby and general office (109), reception office (101) and therapy (102) are one -hour construction. Door schedule indicates doors 101 and 109 as 20- minute, which is acceptable. Windows 9 and 10 must be wire glass in metal frames. NFPA 101 12 -3.6, 12 -3.6.2 //, !.. /� JLi uriri� October 10, 1996 Donald N. Nyberg Date Health Facilities C' tant Licensing Plans R. -w Sec • 7 leS _ 1 w c 1 • � ono NOTICE OF CONSTRUCTION PLANS APPROVAL By The Office of Health Policy, Department of Human Resources Facility: 7.r4�� ti1E0 /C4,G /5;:erip/s4 / /4 /TWTION Project: 7 ,€ 4Pr' .fl f4A/ .41)0 /T /� OHP Project #: W- 8 / Date: /© - 25- c This Notice is intended to inform the project sponsor, architect and licensing agency that construction plans for the above noted project have been reviewed by the Office of Health Policy construction review program, and that responses from the project architect and engineers have been received which include proposed modifications to satisfy the issues raised in the review. Further agency comments, if any, regarding the proposed methods for corrections are noted below. Also attached is a copy of our Project Substantial Completion notice form to be completed and forwarded to the parties listed on the form approximately 3 weeks prior to intended occupancy of the project area and initiation of related services. Agency comments regarding plans review responses and proposed plan of corrections: p4i' /TN A,Lr6?v., Tice? „ /Pcvot G� e54G )/Ewi ' f A v/O /Gf ./ny6f1/ , G1,/ /ro r. 4TEO /C 2/ /9l0 i Date: /0 / , Approved By: .� /�z _ S ' EV1EW DISC/ a:planappr.not PROJECT SUBSTANTIAL COMPLETION NOTICE Instructions: Complete and forward this report approximately three weeks prior to taking occupancy of a facility or major project area which has received a plan review through the Office of Health Policy, Department of Human Resources. Copies should be provided as follows: For all projects, forward one copy to: For all projects, forward one copy to: Donald N. Nyberg, Staff Architect The City, County or State Licensing Plan Review Section AND building codes agency which issued the building Oregon Health Division permit for the project 4760 Portland Road, NE Salem, OR 97305 For hospitals, ambulatory surgical centers, For nursing homes, forward one copy to: psychiatric hospitals, and special inpatient care facilities, forward one copy to: Ruth Helsley, R.N. Shirley L. Saries, R.N., Manager Oregon Health Division Client Care Monitoring Unit Health Care Licensure & Certification, Ste 640 Senior & Disabled Services Division 800 NE Oregon Street, #21 500 Summer Street NE Portland, OR 97232 Salem, OR 97310 For all health care facilities, forward one copy to: For residential• care facilities, forward one copy to: Gayle Johnson Anna Mallard Bureau of Institutions /Code Client Care Assistant Unit Office of State Fire Marshal Senior & Disabled Services Division 4760 Portland Road NE 500 Summer Street NE Salem, OR 97305 Salem, OR 97310 For assisted living facilities, forward one copy to: Janet Sehon Client Care Assistance Unit Senior & Disabled Services Division 500 Summer Street NE Salem, OR 97310 Facility Name Address Project Description Plans Review # PR Expected Occupancy Date Facility Contact Person, Address and Telephone No.: