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Permit
CITY OF TIGARD BUILDING PERMIT ,„ °` Permit#: BUP2018-00131 COMMUNITY DEVELOPMENT Date Issued: 06/13/2018 T[GA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101AB03100 Jurisdiction: Tigard Site address: 12115 SW 70TH AVE 101 Project: Oregon Reproductive Medicine Subdivision: 2012-009 PARTITION PLAT Lot: 3 Project Description: TI for medical office for new tenant Contractor: BALFOUR BEATTY CONSTRUCTION LLC Owner: TIGARD TRIANGLE PARTNERS LLC 3100 MCKINNON STREET 18187 SIERA DR 6TH FLOOR LAKE OSWEGO, OR 97034 DALLAS,TX 75201 PHONE: 214-451-1000 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee-Additions,Alterations, 06/13/2018 $3,608.48 Class of Work: ALT Type of Const: VB Demolition Occupancy Grp: B Occupancy Load: 35 12%State Surcharge-Building 06/13/2018 $433.02 Dwelling Units: 0 Plan Review 05/01/2018 $2,345.51 Stories: 0 Height: 0 ft Wash Co Trans Dev Tax 06/13/2018 $42,942.00 Bedrooms: 0 Bathrooms: 0 Parks SDC Improvement 06/13/2018 $2,059.00 Value: $517,000 Parks SDC Reimbursement 06/13/2018 $372.00 DC Provision Review,COM TI-Ping 06/13/2018 $361.00 Plan Review-Fire Life Safety 06/13/2018 $1,443.39 Floor Areas: Info Process/Archiving-Lg$2.00(over 06/13/2018 $18.00 11x17) Total Area: 0 Metro Const.Excise Tax 06/13/2018 $620.40 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $54,202.80 Required Items and Reports(Conditions) Required: Fire Sprinkler: Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 0 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifi : i•• ,r. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a onx flhe rules or direct questions to OUNC by callin. 503..'•4$•='or 1.800.332.2344. r Issued By: 'e ee Signature: c '3.639.4175 by 7:00 a.m.for the next available inspect° � This permit card shall be kept in a conspicuous place on the job site until comple •n of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Commercial EIV Received '� City Of Tigard Date/By: `/��GEn 111111111111,111111111=111111111111111�i Permit No. a/ 1c f—ee f3/ II 4 13125 SW Hall Blvd.,Tigard,OR 97223 APR 0 2018 Pian Review ' _` Phone: 503.718.2439 Fax: 503.598.1960 3 Date/By: �"— / — ) 1 Other Permit: 1 i, ,1 t i Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: �f Juris: 0 See Page 2 for Internet: www.tigard-or.gov BUILDING ®10/IS�� N tified/Method: 7 l o �(��` Supplemental Information ..�, ,. 1 r ..n:„ ti . wr i y fi , . ,..i.KEtiiP.i, ' 12t+�i, r , ❑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 ❑Other: equipment,materials,labor,overhead,and the profit for the "1fir; .,1 , kr work indicated on this application 8 0 0 0 .< 0 dwelling ®Commercial/industrial a ❑ 1-and 2-familyustrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: 1:1Master builder ❑Other: Number of bathrooms: ' t' , I «'` , r ¢'' 7 w F�:r ,,(i,)"; 4� Total number of floors: Job site address: t . 1 , 5 W '70'+'"' e_ 5 l +e, (b I New dwelling area: square feet City/State/ZIP: tt 1 0R, g7aa3 Garage/carport area: square feet Suit bldg./apt.no.: %0 I Project name: Ore or Rep,„,,,,* WC 1'4'i4be.,n e., Covered porch area: square feet Cross street/directions to job site: 70 4A1, It t o..r wi p t.d4., Deck area: square feet Other structure area: square feet Subdivision: 'R Q, Cen4'eY Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: 2,�j 10 I A$- 4'17IVO Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the A e i a f�{ %, M ¥; work indicated on this application. :. �..,.. �:. .. .. _: . ... ,.r. T ani- 1 wtior04e e t— + 4i nit c,,,ce. Valuation: $ ofl w. Vacart5 I'7 , • l Existing building area: ;ill, square feet w► VI 5 ke . (10%4/ A-I'm • 31423 s. c-4- , ca p k e elate, * New building area: square feet ” -'t°g 0 + A 3 "€ , , '4 Number of stories: Name:`[i afc1 Tr l'amle. T e f$ L I,,C Type of construction: pj "jt,t,(IyiSprioellkithetk Address: r r\5 S 109" 144 0100 Occupancy groups: 13 City/State/ZIP:''''V°twat 0 , 9 7 a?,3 Existing: li3s Phone:( 03) LI B g-7 - 7117 Fax ( ) New: ply" fiu' 7 ,. '-,A .: tg6A-Cq 2 , , + N L ; 7w.. OYtr" 'a. fl o-1.. -447,4" ''* t d011)}.t, 1. X ¢ ,y r" Structuralplan review fee (deposit): M q : { 1 Business name: Z.6 YYl1M?.X' 6 Uk1.'StA,i �t^d+SCA /�LLI.a}'QC 11"5 (or .;?3 9-5; awl Contact name: 3''a,y, 5 Gke'rtt aan. - 1 FLS plan review fee(if applicable): Address: 12,2:5 5 to wtx9 I v +O IA j City/State/ZIP: t�or�-t a QR._ cil ao� Total fees due upon application: �q/� Amount received: Phone:(5 pr,3) t3 p(0 12 ' Fax::( i2 - —. 24 8 ._ r AT E-mail: CMI e e NAA.Y,@ Z.• T" C_oWI of t w�« rte' `S. ,<., a s =i t: % = 1 ... - „ r Commercial and residential prescriptive installation of � ' e©: '!' r <,71" t` ,,"- .17.'72 ,,, roof-top mounted PhotoVoltaic Solar Panel System. Business name: 1.-Vo 411 curet ''S. VJv c k+' , s.�.y.. Steer* two( roof plan h ion details ��55 �•VV ) andSubmit fire dep2)artmentsets accessof ,alongwitwith theconnect2010 Oregon Address: i v"V I v O S,,Lt.4,� Solar Installation Specialty Code checklist. r�„L[„ ,. Q Cit\ /,ti.7,�Oc\ Permit fee(includes plan review $180.00 City/State/ZIP: i �,"'+r,� #" "1 and administrative fees): Phone:( 0-5) ('p ( „ cq,3a Fax:(5O ) aa0 — 0$q a State surcharge(12%of permit fee): $21.60 CCB lic.: i 1 jl a Total fee due upon application: $201.60 i Authorized signatur / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: (�� �� Dater j,i Ile, 1 * Fee methodology set by Tri-County Building Industry Service Board, I:\Building\Pennits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) III II Building Division Accessibility: Barrier Removal Improvement Plan ' TIGARD 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 per-cent(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 $ (h) 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 PermitApp.doc 03/03/2011 Building Division Plan Submittal Requirements T I G A R D Commercial & Multi-Family-New,Additions or Alterations 1. SITE PLAN (fully dimensional, drawn to scale) labeled with: A. ❑ map&tax lot# ❑ project name ❑ site address ❑ suite number 0 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). I). 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. EXTRA SET OF THE FOLLOWING: A. Two (2) copies of site plan to include vicinity map. B. One (1) copy of erosion control plan with details. C. Fire Department Building Survey, and full set of architecture drawings. 1:ABuilding\Permits\BUP-COM PcrmitApp.doc 03/03/2011 Phoil Building Division Plan Submittal Requirement Matrix l 1 V A P l) Commercial& Multi-Family-New,Additions or Alterations e Sbl ' #of Pte' (Inpl des'ne ;addlt ong san�l al rats s)- , R te? at mutat Demolition Permit2 (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\Pemiits\BUP-COM Pem itApp.doc 03/03/2011 4 Ir Parks Estimate Oregon Reproductive Medicine 5/2/2018 12115 SW 70th Ave AMS ALL PARKS RATES EFFECTIVE 7/1/17 0 Yes Project is in River Terrace ? ® No Note:All Neigh-Imp#Units entries=0 if project is in River Terrace; All Neigh-RT# Units entries=0 if project is elsewhere in the city. Former Use Rate Type Use# ITE Code # Units Rate Parks Amount Description Parks-Imp 1 814 4.89 $421 $2,059 0 Parks-Reim 1 814 4.89 $76 $372 0 Neigh-Imp 1 814 4.89 $0 $0 0 Neigh-RT 1 $0 0 2 $0 Total Parks Former Uses $2,430 Proposed Use Use# ITE Code #Units Rate Parks Amount Description Parks-Imp 1 630 9.78 $421 $4,117 0 Parks-Reim 1 630 9.78 $76 $743 0 Neigh-Imp 1 630 9.78 $0 $0 0 Neigh-RT 1 $0 0 Parks-Imp 2 $0 0 Parks-Reim 2 $0 0 Neigh-Imp 2 $0 0 Neigh-RT 2 $0 0 Total Parks Outside RT Proposed Uses $4,861 Less: Total Parks Outside RT Former Uses $2,430 Total All Parks Outside RT Net Increase $2,430 Total Parks RT Proposed Uses $0 Less: Total Parks RT Former Uses $0 Total All Parks RT Net Increase $0 Total Parks-Imp $2,059 Total Parks-Reim $372 Total Neigh-Imp $0 $2,430 Total Neigh-RT $0 For Non-Residential Calculations: Prior Use: Genl Retail=700sf/EE; 3423/700=4.89EEs. Proposed Use: Med Clinic=350sf/EE; 3423/350=9.78EEs. Parks-Imp=Parks Improvement,Citywide including River Terrace Parks-Reim=Parks Reimbursement,Citywide including River Terrace Neigh-Imp=Neighborhood Parks Improvement Outside River Terrace Neigh-RT=Neighborhood Parks Improvement Inside River Terrace TDT Estimate Oregon Reproductive Medicine 5/2/2018 12115 SW 70th Ave AMS TDT RATES EFFECTIVE 7/1/17 TSDC CITYWIDE&TSDT RT OVERLAY RATES EFFECTIVE 7/1/17 INSIDE RIVER TERRACE TSDC CITYWIDE EFFECTIVE 7/1/17 0 Yes Project is in River Terrace ? QQ No Former Use Rate Type Use# ITE Code # Units Rate TDT Amount Description TDT 1 814 3.42 $11,223 $38,416 TSDC-Imp 1 $0 TSDC-Reim 1 $0 TSDC-RT 1 $0 Total TDT and TSDCs Former Uses $38,416 Proposed Use Use# ITE Code # Units Rate TDT Amount Description TDT 1 630 3.42 $23,768 $81,358 TSDC-Imp 1 $0 TSDC-Reim 1 $0 TSDC-RT 1 $0 TDT 2 $0 TSDC-Imp 2 $0 TSDC-Reim 2 $0 TSDC-RT 2 $0 Total All TDTs&TSDCs Proposed Uses $81,358 Less: Total All TDTs&TSDCs Former Uses $38,416 Total All TDTs&TSDCs Net Increase $42,942 Total Net County TDT $42,942 Total Net TSDC-Imp $0 Total Net TSDC-Reim $0 Total Net TSDC RT Overlay $0 $42,942 TDT TSDC Imp+ Reim Target Recovery Rate 28.0% 30% Estimated Total Impact $153,363 $0 Estimated Unmitigated Impact $110,421 $0 All TDT&TDSC TSDC RT Overlay Target Recovery Rate 28% 30% Estimated Total Impact $153,363 $0 Estimated Unmitigated Impact $110,421 $0 TDT=County Transportation Development Tax TSDC Citywide=City of Tigard Transportation System Development Tax(TSDC-Imp&TSDC-Reim) TSDC RT=River Terrace Transportation System Development Tax Overlay City of Tigard 11111 1 COMMUNITY DEVELOPMENT DEPARTMENT TICARD Building Permit Review — Commercial - No Land Use Building Permit #: em/0 -2..„,, ,---O,3, Site Address: 12-1\ S VQ 1 Oen Ave. Suite/Bldg#: ID I Project Name: DQrockurw— M t Ccuvi _. (Nam commerciafbusiness occupying the space. If vacant,enter Spec Space.) Planning Review � Proposal: T. 1 . ( ofvecQ�.GP )-C-6,cf, Existing Business Activity: OJ I Pc Proposed Business Activity: Ifirt.C.41CoL-Q it, t4 Verify site address/suite# exists and active in permit system. `D' River Terrace Neighborhood: ❑ Yes 'No ,i.. Zoning: IVO, Permitted Use: ❑ Yes ❑ No ❑ Spec Space Confirm no land use required. Business License: Exists: ❑ Yes ..,45.No,applicant notified to obtain business license Notes: Approved by Planning: ACialrk14 ClivICk- Date: Lil 3 D)18 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: 1/3V OP Site Plans: # X Building Plans: # -3 Building Permit#: Enter building permit#above. Workflow Routing: 42 Planning ermit Coordinator "—Er—Building Workflow Sign-off: D- Sign-off for Planning(include notes from planning review) Route Application Documents: Et-Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: '( /` '-7-(2-1e __ Date: '7..5e1/4;f" I:\Building\Forms\BldgPermitRvw_COM NoLandUse 060116.doex 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 Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: MI lif DC Fees Entered: Wash Co Trans Dev Tax: ?Et Yes ❑ N/A Tigard Trans SDC: ❑ Yes )E"N/A Parks SDC: ,2"Yes ❑ N/A I?OK to Issue Permit Approved by Permit Coordinator: ate: /2.--1/ I:\Building\Forms\B1dgPermitRvw_COM NoLandUse 070915.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12115 SW 70TH AVE 101 , TIGARD, OR, 97223 Record Type: Record ID: Commercial - Building BUP2018-00131 Inspection Type: Inspector: 299 Final inspection Jeff Grove Result: PASS - CofO Comments: Violation Summary: Inspector Contractor