Permit n CITY OF TIGARD BUILDING PERMIT
111 COMMUNITY DEVELOPMENT Permit #: BUP2013 -00067
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/26/2013
Parcel: 2S113BA00400
Jurisdiction: Tigard
Site address: 7632 SW DURHAM RD 105
Project: Avamere Home and Hospice Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: Remove walls, new walls, doors, relites, cabinetry and plumbing for TI. 6/24/2013: REPRINTED to correct suite
address.
Contractor: BNK CONSTRUCTION INC Owner: PORTLAND SW CENTER LLC
45 82ND DR, SUITE 53B BY FELTON PROPERTIES INC
GLADSTONE, OR 97027 ATTN: FELTON, MATT
520 SW 6TH AVE, STE 610
PORTLAND, OR 97204
PHONE: 503 - 557 -0866 PHONE:
FAX: 503 - 557 -1085
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review, COM TI - Ping 03/26/2013 $167.00
Occupancy Grp: B Occupancy Load: 126 DC Provision Review, COM TI - LRP 03/26/2013 $25.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 03/26/2013 $1,154.27
Demolition
Stories: 0 Height: 0 ft 12% State Surcharge - Building 03/26/2013 $138.51
Bedrooms: 0 Bathrooms: 0 Plan Review 03/26/2013 $750.28
Value: $107,555 Plan Review - Fire Life Safety 03/26/2013 $461.71
Info Process /Archiving - Lg $2.00 (over 03/26/2013 $8.00
11x17)
Floor Areas: Metro Const. Excise Tax - Commercial 03/26/2013 $129.07
Use
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,833.84
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: Permlttee Signature: d� 4 e �t — 77 o
���...vvv Call 503.639.4176 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.
v CITY OF TIGARD BUILDING PERMIT
1 COMMUNITY DEVELOPMENT Permit #: BUP2013 -00067
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/26/2013
Parcel: 2S 113BA00400
Jurisdiction: Tigard
Site address: 7632 SW DURHAM RD 100
Project: Avamere Home and Hospice Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: Remove walls, new walls, doors, relites, cabinetry and plumbing for TI
•
Contractor: BNK CONSTRUCTION INC Owner: PORTLAND SW CENTER LLC
45 82ND DR, SUITE 53B BY FELTON PROPERTIES INC
GLADSTONE, OR 97027 ATTN: FELTON, MATT
520 SW 6TH AVE, STE 610
PORTLAND, OR 97204
PHONE: 503 - 557 -0866 PHONE:
FAX: 503 - 557 -1085
Specifics: FEES
Description Date Amount
• Type of Use: COM • :
Class of Work: ALT Type of Const: IIB DC Provision Review; COM TI - Ping 03/26/2013 $167.00
Occupancy Grp: B Occupancy Load: 126 DC Provision Review, COM TI - LRP 03/26/2013 $25.00
Dwelling Units: 0 Permit Fee - Additions Alterations, 03/26/2013 $1,154.27
• Demolition
Stories: 0 Height: 0 ft 12% State Surcharge - Building 03/26/2013 $138.51
Bedrooms: 0 Bathrooms: 0 Plan Review 03/26/2013 $750.28
Value: $107,555 Plan Review- Fire Life Safety 03/26/2013 $461.71
Info Process /Archiving = Lg $2.00 (over 03/26/2013 $8.00
11x17)
Floor Areas: Metro Const. Excise Tax - Commercial 03/26/2013 $129.07
Use
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,833.84 •
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: Aeljel Cited.I 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
L ommercial
CE1 7 L , Received FOR OFFICE USE ONLY p •
City of Tigard Date /B (90/(.3 Permit No.: f o a0 (3 .. (Q
° 13125 SW Hall Blvd., Tigard, OR 97223 MAR 2 6 2013 Plan Review V �I t
1111 Phone: 503.718.2439 Fax: 503.598.1960 Date /B : �' Other Permit:
TIGARD' Inspection Lin e: 503 Date Ready /:: !, ® See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGAR Notified /Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ 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 OF CONSTRUCTION
work indicated on this application.
❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 7632 SW Durham Rd New dwelling area: square feet
City/State /ZIP: Tigard, Oregon 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: 100 -130 Project name: Avamere Home and Hospice Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Remove walls, new walls, doors, relites, cabinetry and plumbing for tenant Valuation: $$107,555.00
improvement. Existing building area: 9639 square feet
New building area: square feet
PROPERTY OWNER I ❑ TENANT Number of stories: 3
Name: Felton Properties Type of construction: JIB
Address: 520 SW Sixth Ave, Ste 610 Occupancy groups:
City/State /ZIP: Portland, Oregon 97204 Existing: B
Phone: ( ) Fax: ( ) New: B
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: Mildren Design Group (fie refer schedule)
Structural plan review fee (or deposit):
Contact name: Curt Trolan
FLS plan review fee (if applicable):
Address: 7650 SW Beveland St, Ste 120
City/State /ZIP: Tigard, Oregon 97223 Total fees due upon application:
Phone: (503) 244 -0552 Fax: : (503) 244 -0417 Amount received:
E -mail: curt @mdgpc.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: BnK Construction Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 45 82nd Drive, Suite 53B Solar Installation Specialty Code checklist.
City/State /ZIP: Gladstone, Oregon 97027 Permit fee (includes plan review $180.00
, and administrative fees):
Phone: (503) 557 -0866 Fax: (503) 557 -1085 State surcharge (12% of permit fee): $21.60
CCB lic.: 107555 Total fee due upon application: $201.60
Authorized signature: \J This permit application expires if a permit is not obtained
within 180 days after it has been accepted ys a to t as bee accepte as complete.
Print name: Curt Trolan Date: 3/26/2013 * Fee methodology set by Tri-County Building Industry
Service Board.
1: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(I 1 /02 /COM /WEB)
B uilding Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: P ° "TOO 47 ❑ Expedited Review
Project Name: Aril IP1 L - . i4.C)t1 aOSP' CL
Site Address: / ie 3 a Std RufLeb to , /01)-- t9 , Suite /Bldg #:
Plans Routed:
Original Plan Submittal Date: 344 (1.3 Routed By:
1st Revision Submittal Date: Routed By:
2nd Revision Submittal Date: Routed By:
To the Applicant:
➢ If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
)%. If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approved.
Planning Review (contact 11.QS KOVJQC-2 at (503) 7182427 or (ill r s @tigard- or.gov)
Proposal: �P' V+ I m pl'�Q -4' X1(. (*i IL " c 1 �
Zoning 1 — P
Permitted Use Yes DNo ❑
Land Use Required: Yes ❑ No L�d�
Notes: N o (1/0 0
��
312413
t ' Approved ❑ Not Approved ❑ DCPR Not Required — No DCPR Fees Due
Date Routed to Building:
I: \CURPLN Masters\Development Code Provision RevievADCPR COM_NoLandUse.doc Rev. 01/16/13
I q
Building Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List
Project Description: I •,( 13•W a--0 1 3- 000 to/
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: N it. Occu anc Grou : Type of Construction:
*Type of Use: Occupancy Load: j'- ' Oregon Specialty Code: 7610)
SPECIFICS
Number of Stories: 3 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: Lei. Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ b7�, CCU FEES DUE
$ s (, DC Prov Rvw, COM TI — Ping
$ 2D, DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ (1 5-, 27 Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ v Z 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ "y '2, Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ ■fr7 Plan Review, Fire Life Safety
$75,000 - $149,999 $167.00 $25.00 $ Ay Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $268.00 $39.00 $ Info Proc /Arch, Sm (up to 11x17 $0.50)
$ ! 29,0 Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
Planning Staff: $ Hourly Rate State Surcharge
$ Misc. Admin Fee
Permit Coordinator: $ Other:
$ Other:
Building Staff: $ Other:
Date /Time: $ `Z S 33 TOTAL FEES DUE
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; 1ND = foundation; DEM = demo;
FND = foundation; IMPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies);
REP = repair.
L \ Building \Forms \OTC - BUP.docx 07/01/2012