Permit (2) CITY OF TIGARD BUILDING PERMIT
' COMMUNITY DEVELOPMENT Permit#: BU P2019-00329
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/04/2019
Parcel: 1S134BC00200
Jurisdiction: Tigard
Site address: 12180 SW SCHOLLS FERRY RD
Project: One Medical Group Subdivision: None Lot: None
Project Description: Non-structural partitions,ceilings,and casework located on the first floor for TI.
Contractor: TIMBERWOLFF CONSTRUCTION INC Owner: ATLAS GREENWAY LLC
1659 ARROW ROUTE 333 NW NINTH AVE, STE 1009
UPLAND, CA 91786 PORTLAND, OR 97209
PHONE: 909-949-0380 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VBDC Provision Review,COM TI-Ping 12/04/2019 $406.00
Occupancy Grp: B Occupancy Load: 46 Permit Fee-Additions,Alterations, 12/04/2019 $4,794.45
Demolition
Dwelling Units: 0 12%State Surcharge-Building 12/04/2019 $575.33
Stories: 0 Height: 0 ft Plan Review 12/04/2019 $3,116.39
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 12/04/2019 $1,917.78
Value: $750,000 Info Process/Archiving-Lg$2.00(over 12/04/2019 $98.00
11x17)
Metro Const. Excise Tax 12/04/2019 $900.00
Floor Areas: Wash Co Trans Dev Tax 12/04/2019 $1,428.75
Tigard Trans SDC Improvement 12/04/2019 $1,080.90
Total Area: 0 Tigard Trans SDC Reimbursement 12/04/2019 $62.10
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $14,379.70
Required: Required Items and Reports(Conditions)
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 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: • , Permittee Signature:
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
Commercial FOR OFFICE USE ONLY
City of Tigard OCT 2 3 2019 Date/By:Received
/0 ,43 �� / I� ,� �UG�-oO. d29
13125 SW Hall Blvd.,Tigard,OR 97223 t Plan Review
t iJ 9 '1 t Other Pe,mit:
Phone: 503.718.2439 Fax: 503.598.1960 t i b , Date/By: b y
TIGARD Inspection Line: 503.639.4175 BUS U '!..� (i?V '.3!ON Date Ready y: Juris: M See Page 2for
Internet: www.tigard-or.gov Notified/Me,..: �` y/�� Supplemental Information
. ...•r.'
y
@��" a. ' al ,rt � ,a
TYPE OF \\'ORK r, gg8i°€ . ' � T 1 12-T+ YlILYDWELLING
ii���.&ip�9 lai, ,�� °. r s��sa �a?a"� � 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
ViAddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling Commercial/industrial Valuation: $
111Accessory building 1=1 Multi-family Number of bedrooms:
111 Master builder ID Other:
Number of bathrooms:
JOB SITE INFORMATION ANDLOCATION Total number of floors:
Job site address: 1.21 C) 5 t,U j61 0((5 e'irrv\ New dwelling area: square feet
City/State/ZIP: -7-436 ‘ D of 1-2:2--S Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Q n e. tsk ,Ce\ Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
4OC�.r.fea al- Ge. e-e7er o Svc 4d/toils 'F.Q.r.1-1 Other structure area: square feet
t SW /7.l 4t Ave- REQUIRED.;DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
O®`Z aU Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: /4. t 3 4 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
` -,v�tc.r7f ;r►,`)Ct,Jz41er14 to five. 4-,c' (lv.;.r %t.•-h1.'trt �r3�/IU i3
01.0 e-K; Skoe0el Ce Mer eOnSZ4441 e( Ilan-Sfiv44-vrti) Existing building area: t/, t�t� square feet
Ps i1•:oi5` CRA ZoiSt Ce4i�weK'ks, -Fi,+,5l,,e5t A ��e og)e'1S New building area: square feet
❑ PROPERTY OWNER TENANT Number of stories: j.
Name: One Idea.ti:I (j{-b.,,,p Type of construction: v._e,
Address: j Eer►,Dicicccd,e.c u C241e.e , 101"44'N rid!»Y Occupancy groups:
CJty/State/ZIP ^ Fe^an+✓`S.Go, co; 61 ti l it Existing: �,,, 1e:
Phone ( ) Fax:( )
\: r €G New: 0�5s.ntcc.)
`` `E 4561„3 3 a q 1 1s.PIK `N`la=i�g�g�Na�G �tE. �” b� CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: pee,",.f. + V i So cS
Structural plan review fee(or deposit):
Contact name: �;c�a -A, 12.....-7.-o
FLS plan review fee(if applicable):
\J_ Address: &S kids)„.),‘/ft &t/et. - w
10
City/State/ZIP: vcrc,q t-1;[l S , C.A ,'10241 Total fees due upon application:
1 Amount received:
Phone:(Rio )602,—36,14 Fax::( )
E-mail ll h 9g- , ISCieS CD-Irk
PIIOTOVOLTAICSOLARPANELSYSTEMFEES*
I^ C:i,4x,-61 0 e. 4�(XO'/
..„,y a u 4, ddd, Commercial and residential prescriptive installation of
AP lid` C` � ��� _° o,i `�;if�� : roof-top mounted Photo Voltaic Solar Panel System.
Business name: Art;0 7/A,,,et ---).1 i. i ,s... --n,L,C77,, ��/ lnit two(2)sets of roof plan with connection details
fire department access,along with the 2010 Oregon
Address: /4 5' �� pf Lr? Solar Installation Specialty Code checklist.
City/State/ZIP: L,�yJQ C qi�� Permit fee(includes plan review $180.00
and administrative fees):
Phone:q0.79 r f9 —t7.3 d 0 Fax:( ) State surcharge(12%of permit fee): ' $21.60
CCB lie.: /A/77/1'g Total fee due upon application: $201.60
Authorized signature: ,9-1,..-1 '” This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: f t.,a.,,-e. (t�.=„o Date: t 0/2-11/q * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
ar
6411�-. c-i-i v _3 7 - ?d3_S" Y 4�, ,472-141 i d S /SS u s
•
41 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 $
(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): $
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
City of Tigard
iiI COMMUNITY DEVELOPMENT DEPARTMENT
C
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: l 0/2M` 00-3a'?
A
Site Address: > ) A Suite/Bid #:
1
Project Name: 04r6I ckie
(Name of commercial business occupying the"space. If vacant,enter Spec Space.)
Planning Review
Proposal: 77, /Ll%W 7P —
Existing Business Activity: -i c/ FX 11-1 n, r'04.
Propo d Business Activity: Ai,4C / 0, , ‘,
V•rify site address/suite# exists and active in permit syst
11°I:ver Terrace Neighborhood: ❑ Yes No
�ning: �(l�
0 rmitted Use: / Yes E No ❑ Spec Space
nfirm no land use required.
\ Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Date: /6/01/
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: ( 7/).- <G
Site Plans: #
Building Plans: #
Building Permit#: ;-'11— nter building permit#above.
Workflow Routing: 'PI'Planning 1 Permit Coordinator (---- 1—Building
i
Workflow Sign-off: Sign-off for lanning(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: I/ /' /
By Permit Technician: LLI/ I.' AIs././.0.-K Date: 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)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:xR vision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: Ild Y ❑ N/A
Tigard Trans SDC: Yes ❑XA
Parks SDC: ❑ Yes Lid N/A
OK to Issue Permit
Approved by Permit Coordinator: Date: kV'?"41 41
I:\Building\Forms\B1dgPennitRvw_COM_NolandUse_070915.docx
Albert Shields
From: Albert Shields
Sent: Monday, October 28, 2019 12:40 PM
To: richard@permitadvisors.com
Cc: Tom McGuire;Agnes Lindor �in, nO
Subject: One Medical Group, BUP2019 - SDC Charges
Attachments: One Medical Group - Options - 10-28-2019.pdf; One Medical Group - Calculations -
10-28-2019.pdf;Albert Shields.vcf
Richard, in processing your application for One Medical Group's new offices I noticed that the change in use triggered a
change in the Transportation System Development Charges (SDCs). There is no increase in the Parks SDCs.
I've attached a copy of my Excel worksheets showing how the charges are calculated. As you see,the County TDT is
$35,811,the City TSDC-Improvement is$25,557, and the City TSDC-Reimbursement is$1,468,for a total of$62,836.
These charges are due and payable at the time of permit issuance but upon request they can be deferred to
occupancy. I have also attached copies of our Notification of Fee and Payment Option form which should be signed and
returned to my attention if your client does wish to defer payment until occupancy.
Please let me know whether your client would prefer to pay them at permit issuance or at occupancy.
Albert Shields
City of Tigard
Permit Coordinator
E55C31 1U-2426 Work
Alkert tgard=or.tgov
13125 SW Halt Blvd.
Tigard, Oregon 97217
vvww.tigard-or.gav
1
.
PermitAdvisors TRANSMITTAL
October 22, 2019
FROM: TO:
Richard Rizo City of Tigard BUILDING DIVISION
Permit Advisors ATTN: BUILDING DIVISION
8370 Wilshire Blvd Suite 330 13125 SW Hall Blvd.
Beverly Hills, CA 90212 Tigard, OR 97223
(310) 275-7774 (503)639-4175
RE: One Medical - Tenant Improvement
Project Address: 12180 SW Scholls Ferry Rd.
Please find the following in the attached package:
• (3) Complete Sets of AMEPS plans
• (1) Completed Building Application
Should you have any questions or concerns, please feel free to contact me at (818)
602-3620 or email me at richard@permitadvisors.com.
Regards,
Richard Rizo
Permit Advisors 18370 Wilshire Blvd Suite 330 I Beverly Hills, CA 90212 1310.275.7774