Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2018-00200
D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/28/2018
Tf �° g Parcel: 2S113AB00500
Jurisdiction: Tigard
Site address: 16083 SW UPPER BOONES FERRY RD 300
Project: Therapeutic Associates Subdivision: FANNO CREEK ACRE TRACTS Lot: PT 37
Project Description: TI for existing tenant:Demolition of partition walls,and adding new partition walls.
Contractor: BUILT ENVIRONMENTS NORTHWEST Owner: G&S FC LLC
PO BOX 160 16083 SW UPPER BOONES FERRY RD,
GLADSTONE, OR 97027 STE
TIGARD, OR 97224
PHONE: 503-650-4084 PHONE:
FAX: 503-650-4104
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: DC Provision Review,COM TI-Ping 06/28/2018 $91.00
Occupancy Grp: B Occupancy Load: 198 Permit Fee-Additions,Alterations, 06/28/2018 $531.09
Demolition
Dwelling Units: 0 12%State Surcharge-Building 06/28/2018 $63.73
Stories: 3 Height: 0 ft Plan Review 06/28/2018 $345.21
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 06/28/2018 $212.44
Value: $32,000 Info Process/Archiving-Lg$2.00(over 06/28/2018 $12.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,255.47
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or..800.332.2344.
c
Issued By: � � '•natur-• --
�
Call 13.6 '.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial �` .6,-r
�F6 L _� FOR OFFICE usH.o i.v
Received
0ity125 of Tigard �}} �7 Date/By: /Y Permit No.: l yrige--(4) (,-IL)
018
: II 13125 SW Hall Blvd.,Tigard,OR 97223 J ti,4 L (- Plan Review rI"`/ O�
Ill Phone: 503.718.2439 Fax: 503.598.1960 Date/By: g J Other Permit:
Inspection Line: 503.639.4175 1 i i(,:j H� Date Read /B I loris. ® See Page 2 for
TIGARD p )� � Y Y
Internet: www.tigard-or.gov etiil !"4I 1 ° iv is1.0Ni Notified/Method:6///jr '' j I Supplemental Information
' OF R1 ' _ at I ;_: o*►'ArOWL I. 1
�r Y'�3,t G. ..kxa. �.:.� 16E'>. .. &
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
, or$ rT('c,ON ,, ;. s ,i work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
ioB=SPt,.A 7 1 t A::'TIO. .LOCAWi z ... Total number of floors:
Job site address: 16083 SW Upper Boones Ferry RD., Suite 300 New dwelling area: square feet
City/State/ZIP: Tigard, Oregon 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:Bldg. B I Project name: Therapeutic Associate Expansion T.I. Covered porch area: square feet
Cross street/directions to job site: SW 74th Avenue Deck area: square feet
Other structure area: square feet
e l t DDT,1,COMMERCIA I$CHECKLLS '
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
$ :i. 9Vaiti£ ,?:° work indicated on this application.
... ., ` .gag'""
Interior tenant improvement: existing tenant, TAI, expanding to Valuation: $ 32,000.00
adjacent vacant suite. Add 2 conf. rooms and 1 ADA-compliant Existing building area: 49,963 square feet
shower room. New building area: 0 square feet
li°✓1.44-tomr411
''';, o �r ; .. 8 .; .,..1:::: Number of stories: 3
Name: Su Moran Type of construction: 3r-13
Address:16083 SW Upper Boones Ferry RD., Suite 120 Occupancy groups:
City/State/ZIP: Tigard, Oregon 97224 Existing: B
Phone:(503)639-0108 Fax:( ) New: B
BUILD n
i ES*
ra . K *LiG } C PaasI )
Business name: LRS Architects
Structural plan review fee(or deposit):
Contact name: Peter Kim
720 NW Davis, Suite 300 FLS plan review fee(if applicable):
Address: -
Total fees due upon application:
City/State/ZIP:Portland, Oregon 97209
Amount received:
Phone:(503)221-1121 Fax: :( )
E-mail: PKirrl@irsarchitects.com
PIHOTOVOLT. 0 SOLAR PARI.SYSTEM'FEES*
Commercial and residential prescriptive installation of
1- COIT AOR li'lf ' —4 -' roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Built Environments Northwest Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 135 E Hereford St Solar Installation Specialty Code checklist.
City/State/ZIP: Gladstone, Oregon 97027 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(508)650-44086 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: —1?7 70 _ Total fee due upon application: $201.60
Authorized signa e: This permit application expires if a permit is not obtained
--��; within 180 days after it has been accepted as complete.
s
Print name: 17, �� �� � Date: 06.28.2018 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
z
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] $ 32,000.00
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 8,000.00
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): $
BUILDING IS FULLY ADA ACCESSIBLE.
ADA-COMPLIANT SHOWER ROOM IS PROVIDED FOR TENANT
NEED.
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
City of Tigard • BUILDING DIVISION
111
II
■ Over-The-Counter (OTC) Building & Fire Protection System Permit
116n\RI) Appointment Checklist
Permit Record#: Avek
o aContact Name: /r%a/Z /4/,7 Phone #: 97,-02 yeg-,,6,7(,a
Business Name: L/2,S1-69-,7*-- --C-7"-- Appt. Date/Time: �pv' ,V/� 42,--0-0 m
Site Address: /(0,3 CV 44,0"/L /Vb--3' 'ld /Suite #: -.7e,D
Project Name: �',�fe/�j-,�-i 7.7 , /5 /i9 -�- 'New 'enant? ❑ Yes No
Project Description: /jvre ,,, /L v,.7p1-mg il O,/ 97277T7oA(/ S GS/
A ,t/ ) ,' 97L 7 7 7Af 4//tG
Existing Use: /e-0 New Use: DG
MMD Required: 0 Yes To Related Record#:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION )- "i
Class of Work: Am- Occupancy Group: Type of Construction:
Type of Use: 15 Occupancy Load: A g Oregon Specialty Code: 7,,
SPECIFICS
Number of Stories: 3 Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES
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: 1/C.,.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: $ �3, 3 a-17 »
1
$ 4 J DC Prov Rvw,COM TI-Ping
$ 'i0 9 Permit Fee-Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2017) $ .S. 12%State Surcharge
Project Valuation $ Plan Review,Structural
Up to$4,999 $0.00 $ -MAIM Plan Review,Fire Life Safety
$5,000-$74,999 $91.00 $ b_— Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $226.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $361.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
J$- ----Other:
Building StafStaff: $ m .
Date/Time: $ a 'S,1.}7TOT FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070117.docx
IN
CITY OF TIGARD FEE AND PAYMENT HISTORY
# • 13125 SW Hall Blvd.,Tigard OR 97223 74
- 503.639.4171 /,J )
T It AR (D GE'O7 D4 3 2, ozr f97 c(' Is
BUP2015-00310 - 13125 SW HALL BLVD, TIGARD, OR 97223 779/c7-7C_____
/60 cP3 6V/4-X-X- <SeDi14-3- Test -C---67 ®0 C l^7G -
Revenue Payment
Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due
12%State Surcharge-Building 100-0000-24001 $63.73 $0.00
DC Provision Review, COM TI-Ping 100-0000-43112 $91.00 $0.00
Permit Fee-Additions,Alterations, 230-0000-43104 $531.09 $0.00
Demolition
Plan Review 230-0000-43106 $345.21 $0.00
Plan Review-Fire Life Safety 230-0000-43108 $212.44 $0.00
Totals for Fees $1,243.47 $0.00 $0.00 $1,243.47
Receipt# Payment Method Check# Payor: Receipt Date Receipt Amount
Total Payments:
Balance Due: $0.00
City of Tigard
IIr COMMUNITY DEVELOPMENT DEPARTMENT
■
T l c A R o Building Permit Review — Commercial - No Land U s e
Building Permit #: e /r- Aja
Site Address: I LQ 0S3 S7/\J U p n-es .Suite/Bldg#: X00
Project Name: i Ylera c ueh ci PStiSOcc CS
(Name of co mercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: SXpGlMIv11 -618r1\- -cam ,e -Fpr -e .IS`011M rylicji&Q 0-1-6.:tp
Existing Business Activity: y )C P CLU-( ()- 1,a
Proposed Business Activity: r'lO4LCaf2.;( k,ce
Verify site address/suite#exists and active in permit system.
-..River Terrace Neighborhood: ❑ Yes -No
Zoning: l -4--)
Permitted Use:!..._
Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: lYes ❑ No,applicant notified to obtain business license
Notes: `'Vl!°i Space 't IS vlotvti" ,1w.--63CA.YnYO1jlrV'J' GtL.D FrcVtt S1t j 161.ed.:c.Q
tfFiCe . V10 GVlGthp , 0-f- Uji- YeG�Vt�cG1l'o
Approved by Planning: il , ( Date: Co 9_-g 11?‘
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: 61)5/Ir
Site Plans: # 19
Building Plans: # 3
Building Permit#: Q-Bri er building permit#above.
Workflow Routing: ming ❑ Permit Coordinatorg
Workflow Sign-off: gh-off for Planning(include notes from planning review)
Route Application Documents: d ng: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: A Date: ./J.1(1)t)
;•,--:-------
I:\Building\Forms\BldgPermitItvw_COM
--I:\Building\Forms\BldgPermitRvwCOM NolandUse 060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
D 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:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16083 SW UPPER BOONES FERRY RD 300,
TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Building BUP2018-00200
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor