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Permit (114) CITY OF TIGARD BUILDING PERMIT :IIIIN1 COMMUNITY DEVELOPMENT Permit#: BUP2018-00296 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/24/2018 Tri .1 I<.t� g Parcel: 2S101 DA00104 Jurisdiction: Tigard Site address: 13333 SW 68TH PKWY, STE#20 Project: New Horizons Wellness Services Subdivision: VARNS ACRES Lot: 9 Project Description: Demolition of interior partitions and casework. Addition of new interior partitions,casework,and corridor. Contractor: DEACON CONSTRUCTION LLC Owner: TRIANGLE POINTE TWO LLC 901 NE GLISAN ST STE 100 901 NE GLISAN ST, STE 100 PORTLAND, OR 97232 PORTLAND, OR 97232 PHONE: 503-297-8791 PHONE: 503-297-8791 FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIA DC Provision Review,COM TI-Ping 10/24/2018 $388.00 Occupancy Grp: B Occupancy Load: 88 Permit Fee-Additions,Alterations, 10/24/2018 $2,344.15 Demolition Dwelling Units: 0 12%State Surcharge-Building 10/24/2018 $281.30 Stories: 0 Height: 0 ft Plan Review 10/24/2018 $1,523.70 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/24/2018 $937.66 Value: $305,000 Info Process/Archiving-Lg$2.00(over 10/24/2018 $22.00 11x17) Metro Const.Excise Tax 10/24/2018 $366.00 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $5,862.81 Required: Required Items and Reports(Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 0 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: A...�.Al ) / , - ttee Signature: Zct a ,�[/ _t 'uz- AC:,„„>,, / Call 503.639.4175 by 7:00 a.m.for the next available inspection date. 4 This permit card shall be kept in a conspicuous place on the job site until completion of the project Approved plans are required on the job site at the time of each inspection. Building Permit Applicatio E,1 CEJVEI) Commercial FOR OFFICE USE ONLY CityOCT 2 4 of Tigard �•��? Received 'A 1/ /, FNMA T4 111 - g Date/B : _ _( v+ i 11 13125 SW Hall Blvd.,Tigard,OR 97 Plan Review Phone: 503.718.2439 Fax: 503.59 . OF p Date/B : 0. Other Permit: Inspection Line: 503.639.4175 fC ff I 7 DIVISION Date Ready/By: Jas: ® See Page 2 for T 1 G A R D Internet: www.tigard-or.gov "� � Notified/Method: Supplemental Information D+ A 1-$N !2=FAMILY D 0 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 CATEGORY O COt1ISTRII work indicated on this application. 0 1-and 2-family dwelling ®Commercial/industrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: 0 Master builder ❑Other: Number of bathrooms: krt L1�CA'1�0�-�. Total number of floors: •�.' Job site address:13333 SW 68th Parkway New dwelling area: square feet City/State/ZIP:Tigard,OR.97223 Garage/carport area: square feet Suite/bldg./apt.no.:020 Project name:New Horizons TI Covered porch area: square feet Cross street/directions to job site:SW 66th Ave Deck area: square feet Other structure area: square feet as • : 1 iA a t F P u 1 sI Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.:W262787 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the if n `` DESCRIIVTL Sl OF WORK t .t work indicated on this application. 0,1 Demoltion of interior partitions and casework. Addition of new interior Valuation: $305,000.00 partitions,casework,and corridors Existing building area: 6,009 square feet New building area: 6,009 square feet PERTY OWNER 0 TEN Number of stories: 4 Name:Deacon Development LLC Type of construction: II-A Address:901 NW Glisan Suite 210 Occupancy groups: City/State/ZIP:Portland,OR.97232 Existing: B Phone:(503)297-8791 Fax:( ) New: B ® „LIGAN' El CONTACT PERSON a *i4:40 9 OP '` ` Business name:LRS Architects Structural plan review fee(or deposit): Contact name:Kim Conway FLS plan review fee(if applicable): Address:720 NW Davis Suite 300 City/State/ZIP:Portland,OR.97209 Total fees due upon application: Phone:(503)265-1514 Fax: :( ) Amount received: E-mail:kconway@lrsarchitects.com PHOTOVOL C ®5 �.°t 'SYS at *1:;,:j 7, Commercial and residential prescriptive installation of ,�. `, - roof-top mounted Photovoltaic Solar Panel System. Business name:Deacon Constructio LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:901 NE Glisan Suite 210 Solar Installation Specialty Code checklist. City/State/ZIP:Portland,OR.97232 Permit fee(includes plan review $180.00 and administrative fees): Phone:(503)297119 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:212549 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Kim Conway Date: 10.24.18 * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) ill City of Tigard • BUILDING DIVISION au Over-The-Counter (OTC) Building & Fire Protection System Permit TIGARD Appointment Checklist Permit Record#: —C` f 1 ( /r- O J 'C- Contact Name: ekteCiIt /17e, eik Phone #: (Tv3),�$-_ /TN Business Name: d s Ora.i �,, Appt. Date/Time: �/?4JIr 4/;cv Site Address: /3333 45-41/ 4 "Au, Bldg/Suite #: 42(- .. Project Name: /1r,�,i,) 21jj�I LJ J,j �✓d 1,4 New Tenant? H� es ❑ No Project Description: ,,,(7/,5',' ,.., of- Crc i.4.)ilrvf' am c //J, 4r r) j, d cu/i rtJ� �1 c..t,wt A oterrN w, &IA Mpc.,,) 14fr,i ur �/lS` btwJee..14- r `L/tn,3 ` cc. k 40,74 ,4.4.1 14>S Existing Use: /3New Use: C� MMD Required: ❑ Yes 3�o Related Record#: ' 4,'i a � --,,,,g,,,,,,5 7G � ,.. ,}4' - 1: yi i-ip Alil'a�lii�i�i,_ d�kiil_ 1 ''4 .i�'3`P GENERAL INFORMATION Class of Work: A J - Occupancy Group: Type of Construction: Type of Use: 43 Occupancy Load: S Oregon Specialty Code: lan 1 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 FOOTAGES Story Square Footage: Accessory Structure: Covered Porch: Basement: Garage: Deck: Total Square Footage: Coo9 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: 'f s 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 0 S r OO 0 Y;„ 4 A 041E 1E 4`,10 ,44 , $N3$ DC Prov Rvw,COM TI—Ping $34 , j 5 Permit Fee—Add,Alt,Demo DC Provision Review Fee for COM TI(effective 7/1/2018) $ __$I. 0 12%State Surcharge Project Valuation $ Plan Review,Structural Up to$4,999 $0.00 $ ' 3 , _ , Plan Review,Fire Life Safety $5,000-$74,999 $98.00 $ �a Info Proc/Arch,Lg(over 11x17$2.00) $75,000-$149,999 $243.00 $ Info Proc/Arch,Sm(up to 11x17$0.50) $150,000 and over $388.00 $ 3C,6 Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee $ Other: Building Staff: $ Other: Date/Time: $J 8 6,,a,$)TOTAL FEES DUE I:\Building\Forms\OTC_B U P_FPS_0701 18.d o cx Samuel Copelan Subject: Darcie @ LRS Architects; 13333 SW 68th Pkwy; New Horizon Wellness Services; (503) 265-1514 Location: CR 3 Permit Center Start: Wed 10/24/2018 10:00 AM End: Wed 10/24/2018 11:00 AM Recurrence: Weekly Recurrence Pattern: every Tuesday, Wednesday, and Thursday from 10:00 AM to 11:00 AM Meeting Status: Meeting organizer Organizer: -Building_OTC Resources: CR 3 Permit Center Call Handling Mode 2: 2 TI for new tenant: Demolition of existing walls, doors, and ceiling grid; Adding a demising wall, new interior walls, suspended ceiling, casework, and finishes. 1 • Branden Taggart From: Branden Taggart Sent: Wednesday, October 10, 2018 8:06 AM To: 'Darcie McConnaha' Cc: #Building Permit Technicians Subject: RE: 218307 New Horizon at Triangle Pointe Attachments: Branden Taggart2.vcf Hi Darcie, I will schedule you for the OTC on the 24th as we do not have an earlier appointment. Thanks, Branden Taggart n City of Tigard Senior Permit Technician Community Development TIGARD 13125 SW Hall Blvd Tigard,OR 97223 (503)718-2449 brandent@tigard-or.gov From: Darcie McConnaha [mailto:dmcconnaha@Irsarchitects.com] Sent:Tuesday, October 09, 2018 5:11 PM To: Branden Taggart<brandent@tigard-or.gov> Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: Re: 218307 New Horizon at Triangle Pointe Thank you. Let's go ahead and take the 24th appointment at 10am unless you have one sooner in the afternoon time slot? Sent from my iPhone On Oct 9, 2018, at 5:00 PM, Branden Taggart<brandent@tigard-or.gov>wrote: Hi Darcie, I have the following OTC appointments available: Wednesday, October 24 at 10:00 a.m. Thursday, October 25 at 10:00 a.m. Tuesday, October 30 at 10:00 a.m. Wednesday, October 31 at 10:00 a.m. Thursday, November 1 at 10:00 a.m. Which OTC appointment would you like? The fees will be $5,840.81 not including the archiving fee: $50 per page for pages up to 11" x 17" pages and $2.00 per page for pages over 11" x 17" pages—for one 1 complete set of plans. Regarding SDC fees, there will not be any added to the tenant improvement permit fees. Please let me know if you have questions. Thanks, <image001.jpg> From: Darcie McConnaha [mailto:dmcconnaha@Irsarchitects.com] Sent:Tuesday, October 09, 2018 2:37 PM To: Branden Taggart<brandent@tigard-or.gov> Subject: 218307 New Horizon at Triangle Pointe Branden, Good afternoon! I need to set up another OTC appointment for a TI at Triangle Pointe. See below and let me know if you have an • Tenant: New Horizon Wellness Services • Address: 13333 SW 68th Parkway, Suite 020 • Scope of work: Demolition of existing walls, doors, casework, ceiling grid. Demise existing suite into two smaller suites with common corridor to elevator lobby to accommodate new tenant with new interior walls, suspended ceiling grid to match existing, casework, finishes, etc. • Existing use of the space and whether it is changing: Previous tenant was National American University/ B occupancy. No change in occupancy • Tenant and if they are new to Tigard: New Horizon Wellness Services—current office is located in Beaverton off Beaverton Hillsdale Hwy. I would love to get the permit fees as well so we can bring a check with us to the appointment. The project valuation is$305,000. The set is (11) 24" x 36" pages. How are SDC fees handled? Please let me know what you have available in the next two weeks and if you need any further information from me. Thank you, Darcie McConnaha I Interior Designer I LRS Architects I Portland I Shanghai 503.265.1514 direct• 720 NW Davis Street Suite 300• Portland,OR 97209 www.lrsarchitects.com •vCard DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule." !SIG:5bbd4129192456085316019! <Branden Taggart.vcf 2 Branden Taggart From: Darcie McConnaha <dmcconnaha@Irsarchitects.com> Sent: Tuesday, October 09, 2018 2:37 PM To: Branden Taggart Subject: 218307 New Horizon at Triangle Pointe Branden, Good afternoon! I need to set up another OTC appointment for a TI at Triangle Pointe. See below and let me know if you have an • Tenant: New Horizon Wellness Services • Address: 13333 SW 68th Parkway, Suite 020 • Scope of work: Demolition of existing walls, doors, casework, ceiling grid. Demise existing suite into two smaller suites with common corridor to elevator lobby to accommodate new tenant with new interior walls, suspended ceiling grid to match existing, casework, finishes, etc. • Existing use of the space and whether it is changing: Previous tenant was National American University/ B occupancy. No change in occupancy • Tenant and if they are new to Tigard: New Horizon Wellness Services—current office is located in Beaverton off Beaverton Hillsdale Hwy. I would love to get the permit fees as well so we can bring a check with us to the appointment. The project valuation is $305,000. The set is (11) 24" x 36" pages. How are SDC fees handled? Please let me know what you have available in the next two weeks and if you need any further information from me. Thank you, Darcie McConnaha I Interior Designer I LRS Architects I Portland I Shanghai 503.265.1514 direct• 720 NW Davis Street Suite 300 • Portland,OR 97209 •www.lrsarchitects.com •vCard 1 City of Tigard 111 d COMMUNITY DEVELOPMENT DEPARTMENT ■ T1cARD Building Permit Review — Commercial - No Land Use Building Permit #: Ai p 0 / 0 '0 FL/7 0) `l Site Address: 1-3333 Siin6 R Fw7 Suite/Bldg#: LN Project Name: Ne,L, -ir;:i,, `„/t11414's Scrvi.Ct (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: TI- c nti.i 1- ' DPr‘v 1-1--) tA!!i,dcw3 ant Ct i v cq r4 : 44,i`nti k Je,,il,,,) L,/iiIL flew i1fri-,^ t,,A ( . Susp4l Cd 1 J Ci L .. r.,J (i,is Ow J - Existing Business Activity: Proposed Business Activity: Q- ce - ® Verify site address/suite, exists and active in permit syste . f3 'ver Terrace Neighborhood: ❑ Yes [I4 No g/Zoning: I t\U _ "PLid ermitted Use: D/Yes ❑ No ❑ Spec Space - LiG Confirm no land use required. usiness License: Err Exists: ❑ Yes !iJ No,applicant notified to obtain business license Notes: Approved by Planning: 111-1- Date: 10-21—i? 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: /0 /l eS` Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: Planning 0 Iii f Cevrclinator ❑ Building Workflow Sign-off: 7 Sign-off for Planning(include notes from planning review) Route Application Documents: [--Biding: original permit application,site plans,building plans,engineer and J beam calculations and trust details,if applicable,etc. Notes: , p�- I // By Permit Technician: �� %%j1 Date: �(�� I:\Building\Forms\BldgPermitRvw COM_NoLandUse_060116.docx 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 Appli , t: Revision Notice 3: Date Sent to A.•'cant: O SDC Fees Entered: Wash Co ans Dev Tax: ❑ Yes ❑ N/A Tigar. tans SDC: ❑ Yes 0 N/A P: s SDC: 0 Yes ❑ N/A ❑ OK to Issue Permit Approved by Pe• it 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: 13333 SW 68TH PKWY STE 20, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Building BUP2018-00296 Inspection Type: Inspector: 299 Final inspection Jeff Grove Result: PASS - CofO Comments: Violation Summary: Inspector Contractor