Permit (163) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2019-00082
T ARID 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/25/2019
Parcel: 25101 DA00104
Jurisdiction: Tigard
Site address: 13333 SW 68TH PKVVY, STE#10
Project: Oregon Academy of General Dentistry Subdivision: VARNS ACRES Lot: 9
Project Description: TI for new tenant:Demolition of interior partitions,new walls,and(2)ADA accessible restrooms.
Contractor: EMMETT PHAIR CONSTRUCTION Owner: TRIANGLE POINTE TWO LLC
16650 FIR LANE 901 NE GLISAN ST, STE 100
LAKE OSWEGO, OR 97034 PORTLAND, OR 97232
PHONE: 503-572-8606 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIA Permit Fee-Additions,Alterations, 04/24/2019 $3,219.95
Demolition
Occupancy Grp: B Occupancy Load: 83 12%State Surcharge-Building 04/24/2019 $386.39
Dwelling Units: 0 Plan Review 04/08/2019 $2,092.97
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 04/24/2019 $388.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/24/2019 $1,287.98
Value: $450,000 Info Process/Archiving-Lg$2.00(over 04/24/2019 $34.00
11x17)
Info Process/Archiving-Sm$0.50(up to 04/24/2019 $7.50
Floor Areas: 11x17)
Metro Const.Excise Tax 04/24/2019 $540.00
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $7,956.79
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet: 1 Special Inspection(see plans)
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 btain a copy of the rules or direct questions to OUNC by calling 503.2 1987 or 1.800.332.2344.
Issued By: 4/ - i!nature: —'—,
Call 503.639.4175 by 7:00 a.m.for the next available ins�ate.
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 FOR OFFICE USE ONLY
Received
City of Tigard Date/By: ��� - Permit No.: /3/1/0„74)/4/.e ',
Ihil 13125 SW Hall Blvd.,Tigard,O� EIVE' Plan Review o
i Phone: 503-718-2439 Fax: 50354 Date/By: )O ` ) Related Permit:
Inspection Line: 503-639-4175 Date Ready/By: L Juns: 0 See Page 2 for
T1"AR- Internet: www.tigard-or.gov APR 08 2019 tified/Metho • l( L`�l /V Supplemental Information
'— 1 >' .,�.1't1 ' DiCARP vSTO „ l� &..>ts8I1i. k..� '
� Fc Sa3
I=1 New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
rzi Addition/alteration/replacement El Other: equipment,materials,labor,overhead,and the profit for the
rei. =+OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
IDAccessory building I=1 Multi-family Number of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
r SITE,l 1 ry,t 1 . io ;. f Total number of floors:
� ,. x—. :,
Job site address: 13333 SW 68th Parkway New dwelling area: square feet
City/State/ZIP: Tigard, OR. 97233Garage/carport area: square feet
Suite/bldg./apt.#:01 0 Project name: OAG D (O(;anregonaral AcadIlemtryy)of Covered porch area: square feet
antiG
Cross street/directions to job site: Cross Street: SW 66th Ave. Deck area: square feet
Other structure area: square feet
REQUaED DATA:Co 1,i S . _,, r 1,4"i'.5'
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
W262787 Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel# equipment,materials,labor,overhead,and the profit for the
' 1 1, ION OF wo (: 1 work indicated on this application.
Demolition of existing interior partitions, addition of new walls Valuation: $ 450,000.00
and (2) ADA accessible restrooms. Existing building area:8,202 square feet
New building area: 8,202 square feet
}l'R;O1 ERTy i" , ,. , [ TENANT Number of stories: 5
a
Name: Deacon Developments, LLC. Type of construction: I I-A
Address: 901 NE Glisan, Suite 210 Occupancy groups:
City/state/zip:Portland, Oregon 97232 Existing: g
Phone:(503) 297-8791 Fax:( ) New: B
AP ., ',4,.....i 4. 7 z- ...4 1s TACT' RSo r `' ,,.,i1.ti.5.rE1tmeITtt'
Business name: LRS Architects
Structural plan review fee(or deposit):
Contact name: Kim Conway
Address:
720 NW Davis Suite 300 FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP: Portland, Oregon 97209
Amount received:
Phone:(503) 265-1573 Fax ( )
. . �V. QLTAICSOLARF S S*
,.
E-mail:
Commercial and residential prescriptive installation of
�y;AACTOR roof-top mounted Photovoltaic Solar Panel System.
Tn Be ScIco e� Ems_ i_ Ie. �"- �c � Submit two(2)sets of roof plan with connection details
Business name:
.. , 1`(v�Ti and fire department access,along with the 2010 Oregon
Address: I lFr- he. Lv.N Solar Installation Specialty Code checklist.
City/State/ZIP: r '� Permit fee(includes plan review $180.00
�- � L .0 _j - Permit
and administrative fees
Phone:( - )c'-A-'"),-t(As Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.:
5-1.4-74.---4
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Kimberly Conway Date: 04.08.2019 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
.
City of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
T1caRD Building Permit Review — Commercial - No Land Use
Building Permit #: /3i/2e)!y -ea) S,,2
Site Address: 13333 Sit) 6F-1- ' Lc Suite/Bldg#:
/ / ,�,
Project Name: Ur Q�d� Ac�,�l or7v � Genf✓q ems, ,s r�x
(Name of coos nercial business occupying tlfe space. If vacant,enter Spec Space.)
Planning Review
Proposal: T / -1-v✓ le4-71-0/ cc 4c.,
Existing Business Activity: 1"-C/-507,5-,/ Q r/t G
Proposed Business Activity: Fgr-S D n a /e v;GPS
erify site address/suite# exists and active in permit system.
.d River Terrace Neighborhood: ❑ Yes -2-No
.0 Zoning: "1714 U
12---Confirm
Use: ,®Yes ❑ No ❑ Spec Space
Confirm no land use required.
a Business License:
Exists: ❑ Yes L-'1 o,applicant notified to obtain business license
Notes:
Approved by Planning: " e Date: 47V/9
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 4//y/.7
Site Plans: #
Building Plans: # 2
Building Permit#: er building permit# ove.
Workflow Routing: D anning rmit Coordinator
Workflow Sign-off: I$iin ff for Planning(include notes from planning review)
Route Application Documents: ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: ------,
By Permit Technician: s'%" -- �' �,� Date: 1-/AX7.
I:\Building\Forms\BldgPermitRvwCOM 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 Applicant:
Revision Notice 3: Date Sent to Applicant: A
XSDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A yl 0 "t"
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ElYes N/A 0'
' OK to Issue Permit
Approved by Permit Coordinator: % 4)-AAA — Date: LI, i 5/ 19
I:\Building\Forms\BldgPermitRvw_COM NoLandUse 070915.docx