Permit CITY OF TIGARD BUILDING PERMIT
41
`; !,. COMMUNITY DEVELOPMENT Permit#: BUP2020-00125
• 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/08/2020
TfGARD 9 Parcel: 2S101AB03100
Jurisdiction: Tigard
Site address: 12115 SW 70TH AVE 202
Project: Med RX Subdivision: 2012-009 PARTITION PLAT Lot: 3
Project Description: Tenant improvement for new tenant.
Contractor: EUGENE ZURBRUGG CONSTRUCTION Owner: TIGARD TRIANGLE PARTNERS LLC
380 SE WASHINGTON ST BY DEERING MANAGEMENT GROUP
HILLSBORO, OR 97123 4800 SW MACADAM AVE STE 120
PORTLAND, OR 97239
PHONE: 503-681-0912 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 06/04/2020 $1,287.15
Demolition
Occupancy Grp: B Occupancy Load: 49 12%State Surcharge-Building 06/04/2020 $154.46
Dwelling Units: 0 Plan Review 05/21/2020 $836.65
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 06/04/2020 $254.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 06/04/2020 $514.86
Value: $130,000 Info Process/Archiving-Lg$2.00(over 06/04/2020 $14.00
11x17)
Metro CET 06/04/2020 $156.00
Floor Areas: Tigard CET-Non-Residential-Admin 06/04/2020 $52.00
Tigard CET-Non-Residential-AH 06/04/2020 $1,248.00
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,517.12
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 952-0 1-0090. 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: ermittee 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
City of Tigard Roccrv,od
f
Date; � Z �d ''„„ oho ' D6/
illi • 13125 SW Hall Blvd.,Tigard,OR 9722' D Plan Reek
: Phone: 503-718-2439 Fax: 503-598-RECEIVE DateT3y j. ' Q Related Permit:
TIGARD Inspection Line: 503-639-4175 Date Ready/By: , rurS td See Page 2 for
Internet: ww v.tigard-or.gov -•art Na'fled Meth Supplemental Information
TYPE OF WOB)4 t (' IJ k )16[I6L REQUIRED DATA:I-AND 2-FAMILY DWELLING
r,,l,'tnt,t
❑ New construction ❑Dotiolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
X Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: S
❑ I-and 2-family dwelling cgi Commercial/industrial
❑Accessory building El Multi-familyNumber of bedrooms:
❑ Master builder ElOther: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12115 SW 70th Ave. Suite #202 New dwelling area: square feet
Ciy/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
uite/bldg./apt.#: 202 Project name: M E D Rx prisil Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
SW 72nd and Dartmouth Street Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
I 2�+101 A B 03100 Indicate the value(rounded to the nearest dollar)of all
Tax mappared r_ J 3 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: S 130,000
I_:.ii - 41 v rw 7e`iu� /
Existing building area: 21 ,000 square feet
New building area: 21 ,000 square feet
❑ PROPERTY OWNER 0 TENANT Number of stories: 2
Name: Tigard Triangle Partners Ile Type of construction: Ug
Address: 12115 SW 70th Ave #200 Occupancy groups:
City/State/ZIP:Tigard, OR 97223 Existing: B
Phone:(503 887-7477 Fax:( 1 New: B
a APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: Sisu Design Group (Please refer tvfee schedule)
Structural plan review fee(or deposit): k3 6. 5
Contact name: Krista Pettis
FLS plan review fee(if applicable):
Address: 2728 N. Jessup Street
Portland, OR 97217 Total fees due upon application:
City/State/ZIP:
503)539-3858Amount received:
Phone:( Fax: :( )
E-mail: krista@sisudesigngroup.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: u v 1, �r � L c 44 C— �z Submit two(2)sets of roof plan with connection details
�,. and fire department access,along with the 2010 Oregon
Address: 3 a, s Solar Installation Specialty Code checklist.
City/State/ZIP: —17`ls 1&a-U C r 7 J�z Permit fee(includes plan review $180.00
v� e J and administrative fees):
Phone:(618 ) 64/ 6 9l Z Fax:( )
/ State surcharge(12%of permit fee): $21.60
CCB Lie.: a f L,/ 1 g /,2_ -24/2--/
Total fee due upon application: $201.60
Authorized sit'tatt This permit application expires if a permit is not obtained
/� within 180 days after it has been accepted as complete.
Print name: Date: 5/4/2020 * Fee methodology set by Tn-County Building Industry
s1 Service Board.
I:1Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(l I:02/COM,/WEB)
ErCity of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
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 percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: 1 25,500
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [21 $ 31 ,375
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: S
(c) An accessible route to the altered area: S
(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 [21 of Valuation Computation): $
The building is new (2016) and the TI is new.
Both have been designed to meet Accessibility
standards 100%.
1:A Building\Pcemits\BUP_COM_PcnnitApp.dne Rev.113/115/2019
City of Tigard
III "' COMMUNITY DEVELOPMENT DEPARTMENT
■
TlcnxD Building Permit Review — Commercial - No Land Use
Building Permit #: tS k 0 ap —00/.2..S�
Site Address: L 2 115 SO) 10h Avg Suite/Bldg#: 202-
Project Name: Ivy' Rx 1 WS N W
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T
Existing Business Activity: C)c c e
Proposed Business Activity: °C-C.r
154 Verify site address/suite# exists and active in permit system.
153( River Terrace Neighborhood: ❑ Yes ❑ No
.741. Zoning. I `_ I
yE, Permitted Use: Yes E No E Spec Space
Confirm no land use required.
Business License:
Exists: L Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: 16rW4 Date: Si ri(Zt7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved E Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved E Not Approved
Building Permit Submittal
Original Submittal Date: .`/P-e)
Site Plans: # _"
Building Plans: #
Building Permit#: t-Enter building permit#above.
Workflow Routing: (Planning ❑ Permit Coordinator O�uilding
Workflow Sign-off: C�—�Si -off for Planning(include notes from planning review)
Route Application Documents: L�Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: �J p� .i Date: sf/Zo
I:\Building\Forms\BldgPermitRvw_COMNoLandUse_111819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only) FYI
Revision Notice 1: Date Sent to Applica
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applic.
❑ SDC Fees Entered: Wash Co Tra : ev Tax: ❑ Yes ❑ N/A
Tigard Tr. s SDC: ❑ Yes ❑ N/A
Parks . •C: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Co, dinator: Date:
r
I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_111819.docx
Julie Drinkwater
From: Krista Pettis <krista@sisudesigngroup.com>
Sent: Monday, June 8, 2020 3:33 PM
To: Julie Drinkwater
Subject: Re: BUP2020-00125, 12115 SW 70, Med RX
Attachments: Screenshot_20200603-095459_D rive j pg
i 7
Warning!This message was sent from outside your organization and we are unable to Allow sender I Block sender
verify the sender.
Thank you so much. The fees have been paid. The contractor is zurbrugg construction. His information is on the cover
sheet and attached. Thank you again.
Kriata
On Wed,Jun 3, 2020, 8:29 AM Julie Drinkwater<JulieD@tigard-or.gov>wrote:
Hello Krista
I also wanted to mention that we will need to have the contractor information before we can issue the
permit.
Thank you
Julie Drinkwater
Permit Technician Assistant
City of Tigard I Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
From:Julie Drinkwater<JulieD@tigard-or.gov>
Sent: Wednesday, June 3,2020 8:27 AM
1
To: Krista Pettis<krista@sisudesigngroup.com>
Subject: BUP2020-00125, 12115 SW 70, Med RX
Hello Krista
The permit for Med Rx is ready to be issued. The balance due is $3,680.47. Attached please find the invoice
for your review.
To pay the fees online, you can go to our website: https://aca.accela.com/TIGARD/Default.aspx. From there,
click on the Building tab, enter the permit number in the Record Number field, and click Search.
Please let us know once the fees have been paid so that we can make the permit ready for you to pick up.
Thank you
Julie Drinkwater
Permit Technician Assistant
City of Tigard Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
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
2
Julie Drinkwater
From: Krista Pettis <krista@sisudesigngroup.com>
Sent: Monday, June 8, 2020 3:33 PM
To: Julie Drinkwater
Subject: Re: BUP2020-00125, 12115 SW 70, Med RX
Attachments: Screenshot_20200603-095459-Drive j pg
Follow Up Flag: Follow up
Flag Status: Flagged
Warning!This message was sent from outside your organization and we are unable to Allow sender I Block sender
verify the sender.
Thank you so much. The fees have been paid. The contractor is zurbrugg construction. His information is on the cover
sheet and attached. Thank you again.
Kriata
On Wed,Jun 3, 2020, 8:29 AM Julie Drinkwater<JulieD@tigard-or.gov>wrote:
Hello Krista
I also wanted to mention that we will need to have the contractor information before we can issue the
permit.
Thank you
Julie Drinkwater
Permit Technician Assistant
City of Tigard 1 Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
1
From:Julie Drinkwater<JulieD@tigard-or.gov>
Sent: Wednesday,June 3, 2020 8:27 AM
To: Krista Pettis<krista@sisudesigngroup.com>
Subject: BUP2020-00125, 12115 SW 70, Med RX
Hello Krista
The permit for Med Rx is ready to be issued. The balance due is $3,680.47. Attached please find the invoice
for your review.
To pay the fees online, you can go to our website: https://aca.accela.com/TIGARD/Default.aspx. From there,
click on the Building tab, enter the permit number in the Record Number field, and click Search.
Please let us know once the fees have been paid so that we can make the permit ready for you to pick up.
Thank you
Julie Drinkwater
Permit Technician Assistant
City of'Tigard Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-
2
GENERAL CONTRACTOR
Gary Zurbrugg
Zurbrugg Construction Co.
380 SE Washington Street 1 / 8
Hillsboro, OR 97123
tel (503) 681 -0912
Gary Zurbrugg /gary@zurbruggconstruction.com
CCB# #2498