Permit �� CITY OF TIGARD BUILDING PERMIT
• COMMUNITY DEVELOPMENT Permit#: BUP2015-00137
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/28/2015
Parcel: 2S 101 AB03000
Jurisdiction: TIGARD
Site address: 7150 SW DARTMOUTH ST
Project: Pediatric Associates Northwest Subdivision: 2012-009 PARTITION PLAT Lot: 2
Project Description: TI for new tenant.
Contractor: NEENAN COMPANY Owner: DF DEVELOPMENT LLC
2607 MIDPOINT DR,APT A 23077 SW NEWLAND RD
FORT COLLINS, CO 80525 WILSONVILLE,OR 97070
PHONE: 360-601-9251 PHONE:
FAX: 970-493-5869
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg Permit Fee-Additions,Alterations, 05/28/2015 $6,236.45
Demolition
Occupancy Grp: B Occupancy Load: 83 12%State Surcharge-Building 05/28/2015 $748.37
Dwelling Units: 0 Plan Review 05/11/2015 $4,053.69
Stories: 1 Height: 0 ft Plan Review-Fire Life Safety 05/11/2015 $2,494.58
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 05/28/2015 $299.00
Value: $1,050,000 DC Provision Review,COM TI-LRP 05/28/2015 $44.00
Info Process/Archiving-Lg$2.00(over 05/28/2015 $54.00
11x17)
Floor Areas: Metro Const.Excise Tax-Commercial 05/28/2015 $1.260.00
Use
Total Area: 8212
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $15,190.09
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors: No
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through ••' 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 3.232.'987 or 1.800. .2344.
4
Issued By: Permittee Signature: /l `
/
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Cominercial FOR OFFICF l SF O\I.1
`f Received
City of Tigard �e,V DateBy: /15 j Permit No.: PRO 0---.....00 l 37
III il • 13125 SW Hall Blvd.,Tigard,OR 97223 O 'e { Plan Review
Phone: 503.718.2439 Fax: 503.598.196 1 l01� Date/By: ,-(2� ( Other Permit:
I I t A It I) Inspection Line: 503.639.4175 `A^� 1 1 Date Ready/By: si� �� lo uris: Supplemental See Page 2 for
Internet: www.tigard-or.gov MO AQt)Notified/Method: �/ �Sp Supplemental Information
G�� of T�' sION a$ /L C.713
TYPE OF WORK k.)01" 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:TENANT INFIL equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-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:7150 SW Dartnouth Street New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:B Project name: Pediatric Assoc NW Tigard Covered porch area: square feet
Cross street/directions to job site: SE intersection Deck area: square feet
of SW Dartmouth Street and SW 72nd Avenue Other structure area: square feet
(Red Rock Development) REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:2012-009 Partition Plat Lot no.:2 1 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S101AB03000 Indicate the value(rounded to the nearest dollar)of all
\f /11‘ equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK , work indicated on this application.
Tenant infill for Pediatric Clinic Valuation: $$1,050,000.00
(k \% \ (S Existing building area: 8,200 square feet
b44 New building area: 0 square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: DF Development LLC Type of construction: VB
Address: 18187 Siena Drive Occupancy groups:
City/State/ZIP:Lake Oswego,OR 97304 Existing: none
Phone:( ) Fax:( )
New: B
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: Neenan Company (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: Robert Mooney
Address: 2607 Midpoint Drive Pr FLS plan review fee(if applicable):
4
City/State/ZIP: Fort Collins,CO 80525 Total fees due upon application:
Phone:(970)495-6353 Fax: :(970)493-5869 Amount received:
E-mail: bob.mooney @neenan.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: Neenan Company Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:2607 Midpoint Drive A-p r A Solar Installation Specialty Code checklist.
City/State/ZIP: Fort Collins,CO 80525 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(360-)601-9251 Fax:(970)493-5869 State surcharge(12%of permit fee): $21.60
CCB lie.: 161604 9/2 /(p ��. -_ Total fee due upon application: $201.60
Authorized signature: �' �v �7 This permit application expires if a permit is not obtained
/ within 180 days after it has been accepted as complete.
Print name: Paul Gardzinski Date:5/11/15 * Fee methodology set by Tri-County Building Industry
Service Board.
l:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
. b
City of Tigard
----' COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Commercial - With Land Use
I it., ;. I1
Building Permit #: 6/4P07C.YG---00(37 _
•Site Address: -1 150 SVJ Dar}-rnou4 5t. Suite/ ldg • : B
Project Name: P ;a i r l c, Assoc. N W Tt,41(1(1
(Name of commercial business occupying the space. If Nafant,enter Spec Space.)
Planning Review
Proposal: f1
eerify site address/suite#exists and active in permit syste .
ver Terrace Plan District: ❑ Yes [M No
Nr Land Use Case#: 7 O 1 E - OD OM_
inker i vV$Plans Match Approved Land Use:
only ❑ Site Plan ❑ Landscape Plan ❑ Other:
❑ Urban Forestry Plan ❑ Elevation Plan
rater it;"1. Building Height: ,M mum Height Actual Height
❑ Conditions Met: Lid Prior to Submittal ❑ Prior to Permit Issuance
Business License:
Exists: ❑ Yes 'No,applicant notified to obtain business license
IiPublic Facilities/Improvement(PFI) Permit:
aI Required: LJ Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake
Notes: pfl o,r +0 0CC Ctn y, developeAr +0 subm1- 1€>4
Sd la scape p ar
ailA ins -411,1 , 1 rlandscapi'CIS and 5�ructtre,5�`
Approved by Planning: �
- tt •.. Al Date: Si 111 I S
wr
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: 5 ////S 6:7:
Site Plans: # 4'
Building Plans: # 3
Building Permit#: ,L0,�—E�n�ter--building permit#above.
Workflow Routing. fa-P anning El--En�gineering �t Coordinator If Building
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: � --_ )ate: 377/40
I:\Building\Forms\BldgPennitRvw_cOM_W ithLandUse_040115.docx
A to
Engineering Review
❑ Slope at building pad:
J'PFI Permit#:
,U Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 0 No
Assess Water Quantity Fee in-lieu: ❑ Yes zi No
LIDA Facility on lot: ❑ Yes FT No
NOT Approved by Engineering: 144 k it Date s g-
Notes: W ild Yl hi F072-- At D U Mt."- sbisvez rie-y ftI)c
1 1.1.- 124. av kc.- 'fTfi > + "' FOIL it 57-r-€.e..i 4-v>604-
mu bifigh4.0vrk 7a r - 4.1 `.
Approved by Engineering: Date:
Revisions (after Building Submittal only) Hill b-, er Date
Revision 1: Approved ❑ Not Approved H V b- IFeri �D� 4ei/I�7J/9 !S
Revision 2: Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building ermit
`%Approved,NOT Released: /j� U�.✓(/ Date: �`1 c /S
/ '
Notes: 94) Opp /r i G
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:
OK to Issue Permit
Approved by Permit Coordinator: tifigiL-71/ Date: 9//
I:\Building\Forms\BIdgPennitRvw_COM_WithLandUse 040115.docx
i . 4
71 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