Permit (163) CITY OF TIGARD BUILDING PERMIT
' COMMUNITY DEVELOPMENT Permit#: BUP2019-00112
T I(i A it r) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/30/2019
Parcel: 1 S126DC04700
Jurisdiction: Tigard
Site address: 9575 SW LOCUST ST
Project: Dourble Tree Hotel Subdivision: LEHMANN ACRE TRACT Lot: 5
Project Description: Half of corridor ceilings will be converted to gypsum ceilings from ceiling grills.
Contractor: RIVER RIDGE RENOVATIONS Owner: NHT TIGARD LLC
2371 TOWER DRIVE BY HIGHLAND CAPITAL MANAGEMENT
MONROE, LA 71201 300 CRESCENT CT#700
DALLAS, TX 75201
PHONE: 318-600-3139 PHONE: 971-628-4100
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VA DC Provision Review,COM TI-Ping 04/30/2019 $98.00
Occupancy Grp: R-1 Occupancy Load: 0 Permit Fee-Additions,Alterations, 04/30/2019 $453.95
Demolition
Dwelling Units: 0 12%State Surcharge-Building 04/30/2019 $54.47
Stories: 0 Height: 0 ft Plan Review 04/30/2019 $295.07
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/30/2019 $181.58
Value: $25,000 Info Process/Archiving-Lg$2.00(over 04/30/2019 $20.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,103.07
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. ou may obtain a copy of the rules or direct questions to OUNC by calling 50 232 987 or 1.800.332.2344.
Issued By: / Permittee Sign: 11/(yer
/ Call 503.639.4175 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
Washington County Phone: 503-846-3470/Inspection Request: 503-846-3699
155 N. 1st AV, Suite 350,MS 12,Hillsboro, OR 97124 www.co.washington.or.us q/ ////
Land Use Approval: Project# Permit#k3upokate7,a
New construction El Demolition Permit fees*are based on the value of the work performed.
o Addition/alteration/replacement Other: Interior Renovation Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
o 1-and 2-family dwelling 0 Commercial/industrial Valuation
o Accessory building Multi-family Number.of bedrooms:
JOB SITE INFORMATION AND LOCATION Number of bathrooms:
Job site aAdress: ...1-540244w..CargigaRreaci 5-7 5-- z,c,e 4 7 SD
Total number of floors:
City/State/ZIP: Beaverton, OR. 97006
New dwelling area: square feet
Suite/bldg./apt.no.: Project name:DO uble Tree Hotel
Garage/carport area: square feet
Cross street/directions to job site: NW Cornell & NW Sunset Hwy
Covered porch area: square feet
Deck area: square feet
Plan No. Reissue:No 0 Yes 0 Reissue Proj:
Other structure area: square feet
Subdivision: Lot no.:
REQUIRED DATiv.COMMERCIAL-USE CHECKLIST
Tax map/parcel no.:
Permit fees*are based on the value of the work performed.
DESCRIPTION OF WORK Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
See attached written Description of Work
work indicated on this application.
IVPROPERTY OWNER 0 TENANT Valuation $25,000
Existing building area:62,339 square feet
Name:N HT Beaverton, LLC
New building area: 62,339 square feet
Address:300 Crescent Court -Suite 700
Number of stories: 4
City/State/ZIP: Dallas,Texas 75201
Type of construction: V
Phone: 972.62§.4100 Email:
VAPPLICANT 0 CONTACT PERSON Occupancy groups: R-1
Business name:River Ridge Renovations, LLC Existing: R-1
Contact name: Keith Mayo New: R-1
Address: 2371 Tower Drive NOTICE
All contractors and subcontractors are required to be
City/State/ZIP: Monroe, Louisiana 71201 licensed with the Oregon Construction Contractors Board
Phone: 318.372.6671 Fax: under ORS 701 and may be required to be licensed in the
jurisdiction in which work is being performed.If the
Email: keithm@riverridgerenos.com applicant is exempt from licensing,the following reasons
CONTRACTOR apply:
Business name: River Ridge Renovations, LLC
Address:2371 Tower Drive
City/State/ZIP: Monroe, Louisiana 71201
Phone: 318.372.6671 Fax: Please refer to fee schedule
CCB lic.:219331 Email:keithm@riverridgerenos.com Fees due upon application
ENGINEER ARCHITECT Amount received
Engineer: N/A Architect: N/A Date received:
Address: Address:
City/State/Zip: City/State/Zip: This permit application expires if a permit is
not obtained within 180 days after it has
Phone: Phone: been accepted as complete.
Email: Email:
* Fee methodology set by Tri-County Building
Authorized
Industry Service Board
signature: 5.
Print name: Keith Mayo Date: 4/15/19 440-4613'T(8/06/COM/WEB)
City of Tigard • BUILDING DIVISION
II
li 11 Over-The-Counter (OTC) Building & Fire Protection System Permit
T I c,n i.U) Appointment Checklist
Permit Record#: fittp wog//L
Contact Name: ,_4771 (7/f)Phone#: 3 7, -t.L 71
% lness Nati: ii UY4/ /c/vo JL.--1-7'60/S Appt. Date/Time: 1� 3 /,c, /U,,,„, ,,,
Site Address: q5-7. --- j-S -- (V, Bldg/Suite #: ��"—
Project Name: ���b/ w-e--e- 2 g 1 ,.6A) New Tenant? ❑ Yes C—o
Project Description: / „/-f c f l„U,,-' ✓ 60,i/fArp Lu /h 0-e._ ce7viz.../ Iii cri cit,..,,.
�s Lt7S 7YIi/vi c'....//1"1.7 47`?./5- //
Existing Use: et/ ,/ New Use: 44
MMD Required: ❑ Yes [ No Related Record#:
APPLICATION.SPECIFIC INFORMATION ON
GENERAL INFORMATION
Class of Work: All Occupancy Group: R- Type of Construction: V
Type of Use: jr.\ Occupancy Load: 3 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 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: V 4 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: $ a..S;0 p 0 CO
$ "i % -� DC Prov Rvw, OM TI—Ping
$ 4,s...2• • Permit Fee—Add,Alt,Demo
--
•rojec ', ua a on a.9 S,0-7 Pan Review,Structural
) .�
Up to$4,999 $0.00 $ $ ' $ Plan Review,Fire Life Safety
$5,000-$74,999 $98.00 $ 2$ - 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 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $410 1 s TOTAL FEES DUE
1.,...........m.. e7. _ 1,C - - ■rvennn�vew� - .,. . ..J 1.:�:- ...,k...,..n,.J..,, ... _.�-A
1
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RE: Double Tree Hotel
15402 NW Cornell Road
Beaverton, OR.97006
Scope of Work_Corridors
Remove as indicated 50%of existing acoustical ceiling grid/tile and replace 50%with Gyp. Bd. Soffits.
The remaining 50%of the ACT is existing to remain.This a cosmetic change to the corridors requested
by Hilton.There will be no change in ceiling heights,so not to affect any sprinkler heads.There will be
no MEP work to consider in this SOW.
KEITH MAYO
PROJECT MANAGER
RIVER RIDGE RENOVATIONS,LLC
1900 N 18th Street, Suite 300
Monroe, LA 71201
C: 318.372.6671
keithmpriverridgerenos.com
www.riverridgerenos.com
4
RE: Double Tree Hotel
15402 NW Cornell Road
Beaverton, OR. 97006
Scope of Work_ Corridors
Remove as indicated 50%of existing acoustical ceiling grid/tile and replace 50%with Gyp. Bd. Soffits.
The remaining 50%of the ACT is existing to remain.This a cosmetic change to the corridors requested
by Hilton.There will be no change in ceiling heights, so not to affect any sprinkler heads.There will be
no MEP work to consider in this SOW.
KEITH MAYO
PROJECT MANAGER
RIVER RIDGE RENOVATIONS, LLC
1900 N 18`h Street, Suite 300
Monroe, LA 71201
C: 318.372.6671
keithmPriverridgerenos.com
www.riverridgerenos.com
City of Tigard
p COMMUNITY DEVELOPMENT DEPARTMENT
1
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: ce6.0/cj-0af/,Z
Site Address: 5i S S vJ L O c v s f S4 . Suite/Bldg#:
Project Name: Doubt ee, re b O
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: t Vj i-f'X i 2 r T T / Cil i h 9e Cei)i n 0 r+c / L cn-iet-i C�
Cjrl rit r c 3 -to GO rm d O CS .
Existing Business Activity: NO C,(/1 C9
Proposed Business Activity: // / I
0 Verify site address/suite#exists and active in permit system.
Ef River Terrace Neighborhood: ❑ Yes ❑ No
,Z Zoning: M ve -
Permitted Use: g Yes ❑ No ❑ Spec Space
SConfirm no land use required.
VBusiness License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: M Date: 1 /3O/ I Of
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: (3
Site Plans: #
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: Planning ❑ for »Iding
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: ]'Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ����%� j���� Date: t'//,jU//9
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) f'"
Revision Notice 1: Date Sent to Applicant: ,''
Revision Notice 2: Date Sent to Applicap
Revision Notice 3: Date Sent to App; "ant:
❑ SDC Fees Entered: Wash Co Tra,' Dev Tax: ❑ Yes ❑ N/A
Tigard Tr, "s SDC: ❑ Yes ❑ N/A
Parks S C: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coor nator: Date:
I:\Building\Forms\BldgPerniitRvw_COM_NoLandUse 07091 5.docx