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Permit IIIm CITY OF TIGARD BUILDING PERMIT 1 • COMMUNITY DEVELOPMENT Permit#: BUP2014-00280 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/25/2014 Parcel: 25101 BD00100 Jurisdiction: Tigard Site address: 7650 SW BEVELAND RD 200 Project: Womens Healthcare Associates Subdivision: 1994-025 PARTITION PLAT Lot: 2 Project Description: TI for new tenant to Tigard. TI for offices,no medical. Contractor: NORWEST CONTRACTORS INC Owner: PNWP LLC#2 PO BOX 25305 PO BOX 2206 PORTLAND, OR 97298-0305 BEAVERTON,OR 97075 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: VB DC Provision Review,COM TI-Ping 11/25/2014 $299.00 Occupancy Grp: B Occupancy Load: 281 DC Provision Review,COM TI-LRP 11/25/2014 $44.00 Permit Fee-Additions,Alterations, 11/25/2014 $1,691.83 Dwelling Units: 0 Demolition Stories: 2 Height: 0 ft 12%State Surcharge-Building 11/25/2014 $203.02 Bedrooms: 0 Bathrooms: 0 Plan Review 11/25/2014 $1,099.69 Value: $196,691 Plan Review-Fire Life Safety 11/25/2014 $676.73 Info Process/Archiving-Lg$2.00(over 11/25/2014 $26.00 11x17) Floor Areas: Metro Const.Excise Tax-Commercial 11/25/2014 $236.03 Use Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $4,276.30 Required: Required Items and Reports(Conditions) Fire Sprinkler: Yes 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 enter Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may ob:n a copy• . - ules or direct questions to OUNC by calling 50 •2.198 or 1.800.332.2344. Issued By: . _ _ Perml••• • •• ure: •�%, .- all 503.639.4175 by 7:00 a.m.for the next available inspect,'ate. This permit card shall be kept in a conspicuous place on the job site until c. •etion of e project. Approved plans are required on the job site at the time of each ins•,ction. • 1 Building Permit Application Commercial _ ttllz(ti.[I( I I ,1 O\I.l Received City of Tigard DateB IJ Permit No.: i — `•/y `J' IIIII • 13125 SW Hall Blvd.,Tigard,OR 9 Plan Review �.fi • Phone: 503-718-2439 Fax: 503-59a-19 ��� Date/B : Related Permit: 5 2 fii.�..m�7 I T t c A It l) Inspection Line: 503-639-4175 NOV Date Ready :y: ® See Page 2 for Internet: www.tigard-or.gov "(i�� Notified/Method: ///445—iii , Supplemental Information .�y r"'i • c� 1 TYPE OF Wes,i��t REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑ I emolition Permit fees*are based on the value of the work performed. Indicate the value(rotnded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCT ION work indicated on this application. ❑ 1-and 2-family dwelling Commercial/industrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: El Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:-rb,,,, 0. - ji Lh 1-b4D - New dwelling area: square feet City/State/ZIP: ,� , Q4.4 Garage/carport area: square feet Suite/bldg./apt.#: `PProojecctt name: ((,� 6. /.. GJA,_ Covered porch area square feet Cross street/directions to job site: 9---D(l/A- ,9 " . I'iN CtrialJ 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. Tax map/parcel#: 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. / �Ivi-4.0-f3- Fs-No��• Dr- 0 �� Valuation: $ 1�(O`�JQI Existing building area square feet New building area: square feet PROPERTY OWNER I ❑ TENANT Number of stories: Name: -F HL, HCM-I-1 3EST- 5 Type of construction: Address: . i 03, 1 pE'- - 4•v *_ 1---[ Occupancy groups: City/State/ZIP: �pl t�j c i.l. 47 ,l/ Existing: 13 Phone:(5e.." j 4,2v� �51 0 Fax:( ) New: e) ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name/?4�//��' (Y -J ( prfep� � �°`yl Structural plan review fee(or deposit): Contact name: Vi 4-4-4.t .O 4.6265)2,- M,_ FLS plan review fee(if applicable): Address: City/State/ZIP: b 72 l�/ Total fees due upon application: (� 5,�-- 6'4 f � ( �) Amount received: Phone: 1 Fax:: E-mail: ` I l A _ ixV t ,col PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES" G- Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:- tzts. e£ iaikr , p... Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 7 2 3 6 . t 03 Solar Installation Specialty Code checklist. City/State/ZIP: tik, 440 17ZZ5 Permit fee(includes plan review $180.00 and administrative fees): Phone: - 1 2,1( 6,14 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lic.: 03 4 Total fee due upon appication: $201.60 Authorized signature: /� 1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: f IQ.-!'4/ , E5K,5 Date: `i . 1//ii * Fee methodology set by Tri-County Building Industry elf/ ` Service Board. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(1 I/02/COM/WEB) r , City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT PhAccessibility: 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, 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 $ (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 restroom: $ (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\Permits\BUP_COM_PcrmitApp.doc Rev.04/21/2014 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Ill Ili Plan Submittal Requirements Commercial & Multi-Family - New, Additions or Alterations T I c.n IZ l) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov 1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with: A. ❑ map& tax lot# ❑ project name ❑ site address ❑ suite number ❑ zoning ❑ applicant name ❑ phone 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. 4. ADDITIONAL INFORMATION AS FOLLOWS: A. Fire Department Building Survey with (1) additional full set of architecture drawings. I:\Building\Permits\BUP_COM_PemvtApp.doc Rev.04/21/2014 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 111 _ " Plan Submittal Requirements Matrix Commercial & Multi-Family - New, Additions or Alterations TIC;ARD 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 3 (site plan required showing location and square footage of all buildings to be demolished) 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 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_Pe:mitApp.doc Rev.04/21/2014 Building Division Over-The-Counter (OTC) Building Permit TIGARD Check List Project Description: C C APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION Class of Work*: Occupancy Group: 4j 9 `` Type of Construction: Type of Use**: Occupancy Load: Oregon Specialty Code: SPECIFICS Number of Stories: Building Height: Mixed Use: Number of Dw Units: Number of Bathrooms: Number of Bedrooms: BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOT AGES Story Square Footage: Accessory Structure: Covered Porch: Basement: Garage: Deck: Total Square Footage: Carport: _ Mezzanine: SETBACKS Sideyard Setback—Left Sideyard Setback—Front Sideyard Setback—Right _ Sideyard Setback—Back CONSTRUCTION Exterior Walls: Openings Protected: Firewall Separation: N: S: N: S: Occupancy Separation: E: W: E: W: Access.Parking Spaces: REQUIRED ITEMS Fire Sprinklers: ( 3 Fire Alarms: Smoke Detectors: Sprinkler Type: Alarm Type: Protected Corridors: Standpipe Required: Pull Stations Required: Parapet: Hazard Group: Battery Calcs Provided: Density: Cut Sheets Provided: Design Area: K Factor: Total Project Valuation: $ 1 }c9( FEES DUE $ , DC Prov Rvw,COM TI—Ping $ anr' ,00 DC Prov Rvw,COM TI—LRP DC Provision Review Fee for COM TI(effective 7/1/2014) $ f e( .j3 Permit Fee—Add,Alt,Demo Project Valuation Planning LRP $ ?© .0 Z 12%State Surcharge Up to$4,999 $0.00 $0.00 $ • r ..• Plan Review,Structural $5,000-$74,999 $75.00 $11.00 $ 'lan Review,Fire Life Safety $75,000-$149,999 $187.00 $28.00 $ ,6,0 Info Proc/Arch,Lg(over 11x17$2.00) $150,000 and over $299.00 $44.00 $ Info Proc/Arch,Sm(up to 11x17$0.50) $ 2 3 C3 Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee $ Other: Building Staff: $ _ Other: Date/Time: $ �2�(-�. '� EES DUE *TYPE OF USE: COM=commercial;CMS=commercial manufacture cture. **CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwe •ALT=alteration;DEM=demo;NEW=new; O'IR=other(use for fences,decks,retaining walls,signs,awnings or canopies). I:\Building\Forms\O'TC_BUP_070114.docx lig City of Tigard RI ■ COMMUNITY DEVELOPMENT DEPARTMENT TI G n It D Building Permit Review — Commercial - No Land Use Building Permit #: Q Xii-t--w .,`j Site Address: %50 SAN B&vela ci Rd, Suite/Bldg#: 200 Project Name: Women s Heal+h Care, Associoi-es (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: I n+e. I o{ T Existing Business Activity: Ace, �p� Proposed Business Activity: AdmigiskycalVe" afTlces Verify site address/suite #exists and active in permit system. Zoning: G G ��ermitted Use: I"Yes ❑ No El Spec Space I� Confirm no land use required. Notes: Approved by Planning: �(YY1 P.h r Date: I l (25(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: /VAf"Ai Site Plans: # Building Plans: # j Building Permit#: ter building permit#above. Workflow Routing: I0�P�I nning ❑ Permit Coordinator ding Workflow Sign-off: L,_A,.,�S' -off for Planning(include notes from planning review) Route Application Documents: 1I'Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: 07? By Permit Technician: Date: /// 7 l:\Buil ding\Forms\B ldgPermitRvw_COM_NoLandUse_07I 5 14.docx Permit Coordinator Review ❑ Conditions Met-Prior to Issuance of Building Permit 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: ❑ OK to Issue Permit Approved by Permit Coordinator: Date: 1:\Buil ding\Forms\BldgPermitRvw_COM_NoLandUse_071514.docx Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 7650 SW BEVELAND RD 200, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - C of O BUP2014-00280 Chip Barnett Violation Summary: Inspector Contractor 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 ■ r Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: �� DATE REC ED: DEPT: BUILDING DIVISION C E I VE D MAR 10 2015 FROM: �t IA MOUTA �- ' C� CITY OF TIGARD BUILDING DIVISION COMPANY: fi1U Ll II SOC PHONE: 03— 7-6( jv 3O [By: RE: -766o Irv". -v 6T,?4 0 ��2�I�}-�t�o2gc7 rte ress er it um er roject name or subdivision haine anZnumr �k \ATTACHED ARE THE FOLLOWING IT Copies, Description: o i s: Description: Additional set(s)of plans. �� Revisions: � Cross section(s) and detail . Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): � REMARKS: FOR O FI USE ONLY Routed to Permit Technician: ate: 12 k I Initials: Fees Due: El Yes o Fee Description: Amount Due: Special Instructions: Reprint Permit(per PE)-:- ❑ Yes o I ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012